Upgrade to remove ads
Only $35.99/year

CH 12 and CH 13 OTR

Terms in this set (28)

Evaluation Process
What the client wants and needs
Identify factors that support or hinder occupational performance
Evaluation (three parts)
1st--Referral
2nd--Screening (reviewing patients records, prior, The Hawaii screen, Functional Independent Scale--Occupational performance analysis--client factors -skills required---cogntion, visual, sensory motory, pyschosocial ,
3rd--Evaluation --- interview--need to understand the client's needs--age, gender, reason, diagnosis, living situation and prior level of function, education--are they a father, sister, brother, etc....know about occupational history--interests--IADLS

occupational profile
interview--need to understand the client's needs--age, gender, reason, diagnosis, living situation and prior level of function, education--are they a father, sister, brother, etc....know about occupational history--interests--IADLS ADL.Goal: Return to optimal function
Occupational Profile
History of client functioning--how does the client operate -
Who is the client?
Why is the client seeking services?
Occupational Performance Analysis
--performance areas
--performance skills--sensory, motor, cognition, social skills,
---Performance patterns--habits--wake up earlier in morning (automatic behaviors)---walking---rituals (family gathering once a week; Religious holidays
Routine--structures
Context--physical environment; culture
Client factors---body functions; body structures (bone and muscles) that support the body functions
Activity demands---
Life roles---
Interview
Initial contact (know the situation---client could be depressed)
Information gathering--
Closure
Observation Skills (p.119)
Watching --notice, systematic process in your observation--lots of practice
Noticing
Systematic
Practice
Formal Evaluation
Validity---
Reliablity---accurate
Test-retest reliability--OT to OT (assessment)
Interrater reliability
Standardized test--rigorous scientific process
Nonstandardized tests---do not have validity or reliability (range of motion---example)
OT/OTA Role in Evaluation
OT responsible for initiating and directing the screening process (Evaluation--only OT can do)
OTA--contribute to the screening process
Intervention Process
Problem identification
Solution development--process identifying objects with a frame of reference : example --brain injury (sensory motor approach)
Intervention plan (tool considerations, physical environment, activity level

Intervention implementation (5 levels)
--create/promote
--establish/restore
--maintain
--modify
--prevent (further disability)
--Educate the (family) safety, mobile devices, specific performances (getting dressed--non weight bearing)
--consultation
Re-evaluation
Intervention plan---recreate short and long term goals,
Transition services
OT/OTA Role in Intervention
OT formulates and documents the treatment
OTA provides input in program planning
Implementation is the responsibility of both
Outcome Process
Determine outcome of intervention
Discontinuation of services
OT/OTA Role in Outcomes Process
OT
Conclusion
...
CH. 13 Services\
Management Functions
...
Services Management Functions
safe workplace (all employees are responsible; written procedures; space (in place); proper food handling and storage; locked cabinet (kitchen--knives, forks, --making sure the tools are locked up) body mechanics; emergency procedures and infection control
flammables cabinet ; material safety data sheet
supplies/equipment
scheduling
Universal Precautions
Avoid contact with blood or bodily fluids
Glove, gown, mask, eye wear in situations where you may come in contact with blood or body fluids
ADLS--grooming, toileting, hygiene
Documentation
Justify services
Communication with heath care team
Record of service
Billing
Types of Documentation
Individual Educational Plan (IEP)
SOAP--Subjective Objective Assessment Plan
Problem-Oriented Medical Record (POMR)
Types of Reports
Evaluation/screening
Re-evaluation
Intervention plan
Service contracts
Progress reports
Reimbursement
Public --Medicare, VA, Medicaid, MCH, DOE vocational rehabilitation, SS
Private
Other
Coding and Billing
Diagnostic codes ---ICD9-CM (diseases)
DSM-IV-TR
Procedural codes (CPT --current procedural therapy
Program Evaluation
Accreditation--The Joint Commission (TJC) formerly known as Joint Commission on the Accreditations of Healthcare Organizations.
CARF
Professional Development
Inservice
Supervising students
Evidence-based practice
Intervention Process
...
Formal Evaluation
...
Evidence-based Practice
Use of the best available evidence
Articulate importance of research and literature for practice
Use literature to make informed practice decisions
Know when and how to find resources
To use it:
Form clinical question (Will the use of the n
P--identify patient (stroke, joint replacement, heart issues,
I--intervention
C--comparison
O-outcomes
Public Relations and Marketing
Promote OT
Marketing plan
--clients
--referral sources (physicians)
--administration (facility)
--Third-party payers
Other sets by this creator