KUFt. Lauderdale MSOT ProgramOTH5853: Fieldwork Level I Part I(Adults)
Week6 Log: Evaluation Process and Evaluation Tools
At this site, what are some of the OT evaluation tools and procedures utilized to evaluate clients referred to occupational therapists? Specify evaluation tools and procedures that address the psychosocial issues and needs of OT clients at this site, if relevant.
Thereare several tools and procedures that can be used in occupationtherapy evaluation. The’ Barthel Index’ is used to evaluate theperformance of the client in activities of daily life. The ‘MiniMental’ provides a reliable and valid method of measurement andidentification of cognitive disabilities, although it does notspecify the disorders. ‘SLUMS’ is also used in the diagnosis ofmild disorders and dementia, especially among veterans.
How are the results of the evaluations with the above-mentioned tools and procedures utilized for OT clients’ intervention planning?
Thetool identifies the deficits, disabilities and needs of the clientthat need to be addressed by occupational therapists. The resultsshould be included in the treatment plan.
Briefly describe a selected OT client at this site who has identified psychosocial issues. What OT evaluation tool(s) and/or procedure(s) would you recommend for use with this client in addition to those already used, and why?
Theselected patient has been diagnosed with traumatic subduralhemorrhage and presents several psychosocial disabilities mainlycognition. This has complicated the treatment sessions due to lack offocus on the assigned therapeutic tasks resulting into extendedtreatment time.
A) How much time would you estimate it would take to use the above-mentioned OT evaluation tool with this client?
Althoughsome evolution methods such as ‘Mini Mental’ tests for cognitiveabilities are influenced by client factors resulted in prolongedtime, the tests should take approximately 400 minutes.
B)Would you use this tool in its entirety? If not, which sections wouldyou use, and why?
Yes. Patient will be able to complete entire test without omitting anysection.
C)Would you need to modify the evaluation process for this client, andif so, how?
Dueto the cognitive disability, the patient will require more time tocomplete the test.
What information would you be seeking with the use of your recommended OT evaluation tool(s) and/or OT evaluation procedure(s)?
Theevaluation tool will mainly focus on collecting information relatedto the identification and quantifying the cognitive function. Some ofthe main assessment areas include client orientation, attention,language, memory, and ability to follow simple commands. The testwill be in the form of questions grouped into eleven categories.
How might you use the evaluation results from using the abovementioned tool(s) and/or procedure(s), to enhance the existing OT treatment plan and the existing OT interventions with this client while taking into consideration his or her psychosocial needs?
Thedeficits identified during the evaluation will be incorporated in theoccupational therapy plan. Additionally, it will be used to evaluatethe effectiveness of the treatment on the patient.
Casestudy A: (Community Mobility/ Driver Rehabilitation)
Someof the strategies that Mr. Smith can use to improve his safety whiledriving has been identified. This includes driving during the day andusing night vision equipment at night. Additionally, use of GPS canbe utilized for self-limiting (Bonder & Bello-Haas, 2009).
Casestudy B: (Home Assessment for Older Adult OT Clients)
Theauthor identifies that challenges faced by the two clients in theirhome environment as well as their OT needs. An assessment tool andits significance are also determined. From the two cases, assessmentof the home environment is critical before discharge from aresidential facility (Bonder & Bello-Haas, 2009).
Casestudy D (Community-Based Services)
Themost important aspects of Merge’s condition identified are a lackof meaningful occupation, social participation, and resources. Thesecan be addressed through community-based services. This will allowher to have something to do, access social support and have a placeto live (Bonder & Bello-Haas, 2009).
Bonder,B. & Bello-Haas, V. (2009). Functionalperformance in older adults.Philadelphia: F.A. Davis Co.