week 4 acquisitions

• What theoretical foundation is key for the home evaluation process? Please describe WHY that is important:

o The Ecology of Human Performance:

 Looking at how tasks/occupations look when individuals enter different environments (double check this)

• Please review the general steps of the home evaluation process guided by clinical reasoning.

. Client’s occupational performance & client centered goals:

 Establishing who is (are) your client(s), developing a rapport, establishing a therapeutic relationship – being client centered

 You have to think about the other family members within the home – how might these adaptations affect the others in the home?

o 2. Environmental factors

o 3. Evidence-Informed Occupation-based practice

o 4. Service Plan Agreement

• Who might an Occupational Therapist work with when implementing home modifications?

o Their client’s

o Family of the clients who live within the home

o Architectures

o Outside vendors

o Zoning regulators

o Construction crew

o Contractors

• What are important components for the decision-making progress during a home evaluation process?

o Client identifies occupational performance issues

o Family member identifies occupational performance issues

o Assess specific occupational performance areas

o Assess environmental conditions and performance

• What are home evaluation interventions guided by?

o   What is the client willing to modify or change?

o   What type of modification is available to client, ex: cost, maintenance, etc?

o   Will the client be able to operate and safely use item?

o   Will the suggested modification/change or cause a NEW potential safety hazard?

o   Does this modification impact others in the household?

o   Is this modification reasonable and ethical?

o   What is the longevity of the modification, or the return on investment when considering the client’s future abilities?

o   When would the client use/need the item or modification?

 

• Are home modifications effective for fall prevention? Why or why not.

o Yes, home modification can be effective to help fall preventions BUT when adding OT services with home modifications it proves to be even more effective.

o Home modification + OT services = greater and more effective fall prevention