The Process of OT/Referral Screening and Evaluation

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The Process of OT/Referral Screening and Evaluation
2015-04-07 10:47:14

p. 28 review for nbcot
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  1. What are the 3 main aspects of occupational therapy service delivery?
    • evaluation
    • intervention
    • outcomes
  2. What 3 terms describe the occupational therapy service delivery?
    • client-centered
    • interactive
    • dynamic
  3. Validity
    measures the assessment's accuracy to determine if the tool measures what it was intended to measure
  4. face validity
    establishes how well the assessment instrument appears "on the face of it" to meet its stated purpose (e.g., an activity configuration looks like it measures time use)
  5. content validity
    establishes that the content included in the evaluation is representative of the content that could be measured (e.g., does the content of a role checklist provide an adequate listing of roles?)
  6. criterion validity
    • compares the assessment tool to another one with already established validity
    • reported as a correlation. The higher the correlation, the better the criterion validity
  7. 2 types of criterion validity
    • concurrent validity
    • predictive validity
  8. concurrent validity
    • type of criterion validity
    • compares the results of two instruments given at about the same time
  9. predictive validity
    • type of criterion validity
    • compares the degree to which an instrument can predict performance on a future criterion
  10. Reliability
    • establishes the consistency and stability of the evaluation
    • reliable if the measurements/scores are the same from time to time, place to place, and evaluation to evaluation
  11. inter-rater reliability
    different raters using the same assessment tool will achieve the same results
  12. test-retest reliability
    the same results will be obtained when the evaluation is administrated twice by the same administrator
  13. What considerations must be taken in determining appropriate assessments?
    • individual's baseline functional level
    • major concerns
    • pressing needs determined through screening
    • environmental context of assessment
    • - LOS
    • - focus of setting
    • - legislative guidelines/restrictions
    • - space, equipment, supplies
    • environmental context of expected environment
    • - sociocultural aspects (roles, values, norms, supports)
    • - physical environment (home, steps, bathroom)
    • temporal context
    • - chronological/developmental age
    • - anticipated duration of disability
    • - recent occurrence of illness/exacerbation of chronic condition
    • eval tool's compatibility w/ FOR
    • ethical concerns and potential ethical conflicts
  14. Airborne precautions
    • use for pts known/suspected to be infected w/ serious illness transmitted by airborne droplet nuclei
    • i.e., tuberculosis, measles, chickenpox

    • isolation room
    • wear respiratory protection (mask)
    • limit movement/transport of pt to essential purposes only
  15. Droplet precautions
    • use for pts known/suspected to be infected with serious illness microorganisms transmitted by large particle droplets that can be generated by the patient during coughing, sneezing, talking, or the performance of prcedures
    • i.e., mumps, rubella, pertussis, flu

    • isolation room
    • wear mask
    • limit movement/transport of pt to essential purposes only
  16. contact precautions
    use for specified pts known/suspected to be infected or colonized w/ serious illness transmitted by direct contact or contact w/ items in pt environment

    • isolation room
    • gloves, wash hands
    • gown
    • single-pt use equipment
    • limit movement/transport of pt
  17. Goal Attainment Scaling (GAS)
    uses interviews and rating scales during initial sessions to facilitate clients' participation in the goal-setting process by identifying intervention outcomes that are personally relevant to them; used during post-treatment sessions to assess client progress toward goals