T Ed Chapter 3 Notes

What is a screen used for?

Determining the need for evaluation

Basics of evaluation are:

Consultation/screening, occupational profile, analysis of occupational performance, synthesis of evaluation process

What approach should assessments use for evaluations?

Top-down approach.

Considerations when determining an appropriate assessment:

Client functional level, needs, environmental context, temporal contexts (age, duration of condition), state of condition (acute or chronic), eval tools compatibility with the FOR, guidelines/protocols

Types of normative data:

Age, gender, diagnostic groupings

What are norms used for?

Comparative analysis of an individuals score

What does validity measure?

The assessments accuracy to determine if the tool measures what it was intended to measure

What is reliability?

Reliability establishes the consistency and stability of the evaluation.

Criterion validity:

Compares one assessment to another one with already established validity

Primary prevention:

Preventing at risk populations from getting a disease/condition

Secondary prevention:

Early detection of problems in a population at risk to reduce duration of a disease

Tertiary prevention

Elimination or reduction of the impact of dysfunction on an individual

The change process:

Interventions designs to achieve behavioral changes and functional outcomes

The management process:

Interventions designed to remove or minimize behaviors

How to determine individual vs group intervention:

individual intervention is used more for patients requiring one on one attention whether that be from poor behaviors or complexity, groups are more used for socialization and motivation

Procedural reasoning

“Doing of practice”, ie using assessments, application of knowledge, intervention protocols, design of research projects to test a hypothesis

Interactive reasoning:

Relationship aspects of practice, how a disease/disability affects a person, therapeutic relationship between the client and practitioner. Collaborating with clients

Pragmatic reasoning

Real world aspects of practice, informing clients about potential benefits, respecting a clients right to refuse services, advocating that service delivery constraints be removed, informed consent

Conditional reasoning

Combines all reasoning types, involves ongoing revision of treatment, identifying intervention strategies that may bring about change

In discharge planning, does a client have to be discharged from services even if no improvement is suspected?

No.