Operational therapy assessment of the content and assessment notes, as follows:
I. Content
1, daily life activities assessment
Self-care ability: to assess whether the patient is able to independently complete the daily activities of self-care, such as bathing, grooming, toilets and so on.
Hygienic habits: Observe the patient's hygienic habits, such as whether he/she washes his/her hands and brushes his/her teeth frequently.
Diet: Assess the patient's eating habits and manner, such as whether he/she can eat by himself/herself and whether he/she has special dietary needs.
Dressing: assesses the patient's ability to choose and put on clothing, including whether he or she can tie his or her own shoes and zipper.
2. Physical function assessment
Strength: Tests the patient's muscle strength, such as grip strength, leg strength, etc.
Flexibility: assesses the range of motion of joints and muscle extension.
Balance: checks the patient's ability to balance at rest and when moving.
Coordination: observes the patient's ability to coordinate hand and foot movements such as walking and writing.
3. Mental assessment
Mood: assesses the patient's emotional stability, whether there are problems such as anxiety and depression.
Cognition: check the patient's memory, judgment and problem-solving ability.
Attention: tests the patient's concentration and duration of attention.
Consciousness: assesses the patient's level of consciousness and awareness of themselves and their surroundings.
4. Environmental assessment
Home environment: observe whether the home environment is suitable for the patient's rehabilitation, such as the arrangement of furniture and safety facilities.
Workplace environment: assess the impact of the work environment on the patient, such as work intensity, coworker relations, etc.
Community environment: to examine whether the community resources and services meet the patient's needs, such as transportation and medical facilities.
II. Considerations
Objectivity: to ensure that ratings are based on objective observations and tests, not on subjective biases or preconceptions.
Standardization: Use standardized assessment tools and methods to ensure consistency and reliability of assessment results.
Dynamic: recognizing that the patient's condition and needs change over time, so assessments and treatment plans should be adjusted accordingly.
Targeted: Individualized treatment plans are developed based on the patient's specific situation to ensure that treatment is the most appropriate for the patient.
Safety: We always put the patient's safety in the first place, ensuring that all operations during evaluation and treatment are safe and will not cause harm to the patient.
The role of occupational therapy assessment
1. Helps to comprehensively assess the patient's rehabilitation needs and potential
Through occupational therapy assessment, we can understand the patient's ability to carry out activities of daily living, physical functioning, mental state, and environmental adaptability, so that we can comprehensively assess the patient's rehabilitation needs and potential.
2. Provide the basis for the development of individualized treatment plans
Operational therapy assessment can assess the degree of dysfunction of the patient, determine the therapeutic goals, and provide the basis for the development of individualized treatment plans.
3, can provide an objective basis for the assessment of the treatment effect
Operational therapy assessment can also provide an objective basis for the assessment of the treatment effect, to help the therapist to adjust the treatment program in time to improve the treatment effect.