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What is an occupational profile?
It is an understanding of the client's occupational history and experiences, patterns of daily living interests, values and needs. Thereby establishing the individual's priorities for performance in areas of occupation.
What occurs after an occupational profile is assembled?
The person's client factors, performance skills, patterns, & contexts, and activity demands are assessed to ID specific strengths/limitations that impact on desired and needed occupational performance.
Analysis of occupational performance entails...?
Part of the OT evaluation where the person's client factors, performance skills, patterns, & contexts, and activity demands are assessed.
Must include obs. of person's actual performance of an activity in context or as close to natural context as possible.
Levels of assist for NBCOT
total=100%max=75%mod=50%min=25%SBA (stand by assist)Indep
Assessment of Motor and Process Skills (AMPS)
-FOCUS: on effectiveness, efficiency, or safety of ADL performance, including personal ADL (PADL) and IADL.
-POPULATION: developmental age >2 and diagnoses w/ functional limitations in ADL-interview pt to determine 3-5 challenging tasks, pt selects 2-3-observe quality of ADL performance-requires AMPS training course-Test determines: pt's difficulty in task performance, level of task challenges pt can manage, quality of change in ADL performance post intervention
Barthel Index
FOCUS: measures independence in ADL and func mob before and after tx and level of personal care needed
POPULATION: adult/elderly w/ physical disabilities and/or chronic illness. (typically used in medical model settings)
-10 items: feeding, xfer, grooming, toileting, bowel control, bladder control, bathing, dressing, walking, stairs-METHOD: direct observation of performance, interview, review medical records-100=able to do all 10 indep**does not indicate ability to live indep, self-care only! determines assist for basic ADL
FOCUS: assesses 6 functional ADL tasks that require cognitive processing: dressing, shopping, making toast, making a phone call, washing, traveling-Based on Allen's cognitive level theory-standardized for giving directions and demonstration-level 1=lowest functioning, level 6=highest
-Used to determine a person's capabilities & needs in other ADL task & their ability to live indep.
POPULATION: adults and elders w/ psychiatric and/or cognitive dysfunction
FOCUS: assessment of severity of disability as determined by assistance needed-6 performance areas: self-care, bowel and bladder control, mobility(transfers), locomotion, communication, social cognition-WeeFIM= 3-7 yrs oldWeeFIM for 0-3 yrs= 1-rare, 2-usually,3-always-population-FIM=adults not indep, WeeFIM=birth-7yrs and above 7 w/ functional abilities less than a 7 yr old
FOCUS: assess level of independence in 6 areas: bathing, dressing, toileting, transferring, continence, feedingMETHOD: observe or interview-rated as indep, some assist, or dep-Global letter scores used to evaluate intervention outcomes (A-G)POPULATION: adults & elders w/ chronic disease
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