treatment planning process

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treatment planning process
2012-03-20 09:22:39
treatment planning process

treatment planning process
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  1. review of occupational performance
    • ADL
    • IADL
    • education
    • work
    • rest and sleep
    • play
    • leisure
    • social participation
  2. treatment planning process
    gather information

    interpret data and indentify problems

    set goals and priorities

    formulate treatment/intervention plan

    treat the client-intervention

    reasses/re-evaluateto determine progress
  3. Gather information(treatment planning process 1)
    where do we get info from
    • occupational profile
    • medical records/student records
    • interview the client/parent/family
    • observation of client/patient
    • reports from other professionals
    • resource materials
  4. occupational profile
    gather info
    • summary of information that describes the client's:
    • occupational history and experiences

    patterns of daily living



    • needs
    • using a client-centered approach the OT practitioner gathers information to understand what is improtqant and meaning ful to the client

    what the client wants and needs to do

    interests that may assist in identifying strengths and limitations

    client's desired goals and outcomes
  5. medical records/student records
    gather info
    • diagnosis/classification
    • medical-surgical history
    • precautions
    • m,edications
    • age-sex
    • social/vocational history
    • D/C plan
  6. interview the client/parent/family
    gather info
    • knowledge of illness
    • goals-expectations of therapy
    • feelings
    • motivation
    • cognitive abilitiesorientation t time/place/person
    • perceptio of what they can do for self
  7. observation of client/patient
    gather info
    • observe as they perform functional activities
    • functional level
    • safety
    • judgment
  8. reports from other professionals
    gather info
    • nursing
    • physical theraply
    • physician
    • speech therapy
    • social services
    • any other services working with the client
  9. resource materials
    gather info
    • references
    • books (text books)
    • on-line sources
    • classical signs and symptoms
    • prognosis
    • precautions
    • effects of medications
  10. interpret data and identify problems
    (treatment planning process step 2)
    • primary responsibility of the OTR
    • profile strengths and weaknesses
    • analysis of performance(this is what ota's work from)
  11. Set goals and priorities(treatment planning process step 3)
    formulated from the problem list you have compiled in collaboration with the client/patient.

    Goals-Long term goals(LTG)

    Objectives-short term goals(STG)

    • Goals and objectives must be:
    • realistic to the patient/client
    • able to be achieved in a "reasonable" amount of time
    • objective
  12. Example of LTG
    to return to an independent living situation, pt.
  13. example of STG
    while performing a stand pivor transfer, pt. will reach for bed or wheelchair before sitting with no verbal cues within 1 week

    daily goals that are met while progressing towar5ds the discharge goal

    you may have several STG's for each LTG
  14. STG
    will transfer independently and safely bed 5 wheelchair while wearing an orthotic foot support within 2 weeks.

    goals and objectives need to be modified as the client's progress is observed.

    goals and objectives should bne written to reflect your priority

    what needs to be done first!!
  15. Formulate a treatment/intervention plan(treatment planning process step 4)
    • you will choose:
    • the activity
    • the set-up
    • the directions to be used
    • the role of the therapist in the activity
    • the expected outcome

    Professional judgement must be used when planning treatment.

    treatment must be appropriate

    • treatment must be safe
    • OT changes LTG
    • OTA changes STG

    • EX:
    • 1. approach-NTD, Biomechanical-theories
    • 2. principles-what I can do
    • 3. Methods-my way to do things
    • 4. decide what to do and how to do it
  16. treat the client-intervention
    (treatment Planning process step 5)
  17. reassess/re-evaluate
    (treatment planning process step 6)
    go back to interpret date and indentify problems

    • look at the performance of the client
    • look at the effectiveness of the activity
    • consider the strength and weaknesses of the client

    on going

    reassesment is done every time you see the client

    allows you to adjust the goals and the treatment activities
  18. Writing behavior objectives
    behavior objectives=STG

    a specific statement about a positive change in a skill which is expected occur within a short period of time

    all behavioral objectives MUST be OBSERVABLE and MEASURABLE!!!!!
  19. Behavior
    defines the ACTION

    an observable performance or action

    • need to use specific verbs
    • to complete
    • to define
    • to recite
    • to operate
    • to name
    • to count

    • words not to use-non specific
    • to know
    • to learn
    • to improve
    • to understand
    • to comprehend
    • to do
  20. Condition
    the physical conditions under which the behavior will occur

    • EX:
    • given a simlulated patient, the student will write a case history
    • the client will prepare a dinner in the microwave
    • the child will stack 5 one inch cubes using his right hand.
  21. Criteria
    performance standard

    the minimum level of performance that will be accepted as evidence that the objective/behavior has been achieved

    usually expressed innumerical terms.

    • ways to express minimum level of performance
    • how much?
    • how often?
    • how much of the time?( 3 out of 5 times)
    • how long?
    • how many?
    • how well
    • independtly-100%
    • when? (does he need assistance)