OCCTH 502
Evaluation of Occupational Performance
Assessment and Evaluation of Occupational Performance
*3.0
Course Coordinator/
Instructor: Shaniff Esmail Office: 2-60 Corbett Hall Phone: 780.492-0397
E-mail: [email protected] Office Hours: TBA
Instructor: Joanne Park E-mail: [email protected] Office Hours: TBA
Instructor: Karen Dhillon
E-mail: [email protected] Office Hours: TBA
OT Assistant: Jacalyn Poulin
Phone: 780 492-6035 E-mail: [email protected]
Office Hours: TBA
Class time: Tuesday, 10:30 AM – 12:30 PM Thursday, 10:30 AM – 12:30 PM Classrooms: CH 3-26,2-39, 3-01, 3-07, 3-21 Course Description:
OCCTH 502 Application, Assessment and Evaluation of Occupational Performance. Occupational therapy theoretical foundations, clinical reasoning, and practical approaches for the identification of occupational performance deficits. In addition students will learn basic practical client handling skills.
Timetabling:
13 weeks - For some of the classes students will be divided into groups to allow for more hands on group learning.
Student Time Commitment:
Class time: 39 hours
Self-directed learning: 15 hours 54 hours Links to Other Courses:
This course will provide information that will be of use to students in OCCTH 503, 507, 510, 518 and 583.
It will actively utilize fieldwork (OCCTH 524) as a basis for gathering examples of currently and commonly used assessment tools. Information from this course will provide foundation knowledge for all
subsequent core courses.
Corequisite: OCCTH 507, 503, 510, 518, 583 Goal Statement:
Student Learning Objectives:
At the end of the course students must be able to:
1. Demonstrate safe and appropriate body mechanics and patient handling techniques.
2. Demonstrate the primary components of wheelchair measurements.
3. Select appropriate assessment tools for clients.
4. Critically appraise the value of evaluation protocol and assessment tools and their implications on the client’s and their available resources.
5. Collect, compare and contrast various assessment approaches and their strengths and limitations with regard to use on individuals or groups they will be dealing with.
6. Critically evaluate the impact of identified functional problems on the individual or group.
7. Demonstrate clinical reasoning in selection and use of various assessment tools and procedures in the evaluation of occupational performance.
8. Demonstrate the client-centred approach to assessment and evaluation.
Occupational Therapy Outcomes:
At the end of the course occupational therapy students should be able to:
1. Demonstrate safe and appropriate body mechanics and patient handling techniques for use in a variety of environments
2. Describe or demonstrate correct wheelchair measurements.
3. Choose appropriate assessment tools to assess specific client functioning in various areas of occupational performance.
4. Identify and interpret deficits in occupational performance and make appropriate recommendations.
5. Perform assessments and make appropriate modifications to enable occupation.
6. Use various occupations for assessment and evaluation, based on the notion of client-
centeredness, as therapeutic media. Record pertinent details of assessment and intervention.
7. Justify/explain which occupational performance areas need occupational therapy service.
Transferable Skills:
Team working skills, time management skills, and creative skills Teaching Strategies:
At this stage in their education, students are encouraged to actively experience and discover course content. Lectures and demonstrations will be used to present information and to provide direction as well as to generate further self-directed learning. In addition, student led presentations and demonstrations will allow the student to play an active role in the learning that occurs in this course. Practical “hands on”
labs using actual clients, standardized patients as well as practice on peers in conjunction with problem- based scenarios, will allow the students to apply and integrate material. OCCTH 524 fieldwork
assignments will allow further application of coursework in actual practice settings.
Course Content:
Introduction to the principles of assessments
Assessment of function (posture, positioning, balance, and body movements)
Observation and evaluation of tone
Application of concepts introduced in other classes(e.g., Models seen in OCCTH 507)
Introduction to psychosocial assessment tools
ADL assessments
IADL assessments
Self-care, productivity, and leisure assessment
Environmental assessment, home assessment
Assistive devices for ADL function
Assessment for mobility aids
Course Format:
This course is comprised of various interrelated topics which consist of the following:
1. Introduction to Assessment (object of assessment and observation) 2. Clinical reasoning
3. Basic ADL assessments 4. Psychosocial assessments
5. Body in Motion (i.e., biomechanics, posture, position, balance, movement etc.) 6. Mobility, and mobility aids
Some content (as listed above) may be:
Introduced, developed and assessed here or
Only introduced here but followed up, developed and assessed in other courses, or
Developed and assessed here based on previous foundation knowledge
Required to be applied and synthesised from previous information and assessed in context here
The following textbooks will be useful for all occupational therapy related courses.
Required Textbooks/Materials:
-
2014 Lecture/Lab Manual (available on eclass)
-
Vroman, K. & Stewart, E. (2013). Occupational Therapy Evaluation for Adults: A Pocket
Guide. (2nded.). Baltimore MD: Lippincott, Williams & Wilkins. (Also used in OCCTH 583)
-
Radomski, M. V., & Trombly, C.A. (2013) Occupational Therapy for Physical Dysfunction.
(7th ed.). Lippincott, Williams & Wilkins (Also used in OCCTH 583)
-
Boyt Schell, B.A., Gillen G., & Scaffa, M.E. (2013). Willard & Spackman’s Occupational Therapy (12
thed.). Lippincott, Williams & Wilkins.
Recommended:
- Mulligan, S (2013). Occupational Therapy Evaluation for Children: A Pocket Guide. (2nd ed.) Baltimore MD: Lippincott, Williams & Wilkins.
- Stein, F. & Roose, B. (2000). Pocket Guide to Treatment in Occupational Therapy. Singular Publishing Group.
- Reed, K, L. (2014). Quick Guide to Occupational Therapy (3rded.) PRO-ED Inc.
Reference Material:
- Kief, C.A. & Scheereer, C.R. (2001). Clinical competencies in occupational therapy. Prentice Hall.
- Palmer, M.L. & Epler, M.E. (1998). Fundamental of musculoskeletal assessment techniques. (2nd ed.) Lippincott
Student Required Resources: Rooms 3-01, 3-07 ADL (3-21) and psychosocial labs – various equipment and assessment kits, physical assessment equipment, and assistive devices.
It is important for students to note that:
Learning is a partnership between the student and the facilitator (professor, instructor, teaching assistant, preceptor, personal advisor, etc). Learning opportunities have been designed and resource materials have been identified to help you achieve the course objectives and outcomes. Not all material will be covered in class. Reading, exercises, and other forms of directed and self directed study will be required to achieve depth of learning. It is the student’s responsibility to use these opportunities and material and ensure that (s)he can achieve the stated objectives and specific occupational therapy outcomes. This is an essential component of the accountability that is associated with becoming a
“The University of Alberta is committed to the highest standards of academic integrity and honesty.
Students are expected to be familiar with these standards regarding academic honesty and to uphold the policies of the University in this respect. Students are particularly urged to familiarize themselves with the provisions of the Code of Student Behaviour (online at www.ualberta.ca/secretariat/appeals.htm) and avoid any behaviour which could potentially result in suspicions of cheating, plagiarism, misrepresentation of facts and/or participation in an offence. Academic dishonesty is a serious offence and can result in suspension or expulsion from the University.” (GFC 29 SEP 2003)
Student Accommodation/Illness:
Any request for accommodation must be submitted in writing at the beginning of the course with a letter from Specialized Support and Disability Services (SSDS) that identifies the student’s specific
accommodation needs. This information should address how this disability or need impacts the student’s ability to participate in the normal requirements of the course. Where a student is not yet registered with SSDS, medical or other documentation must be provided at the beginning of the course. Students will be referred to SSDS by the course instructor for the necessary registration. Refer to the Faculty of
Rehabilitation Medicine student procedures manual for specific information:
http://www.uofaweb.ualberta.ca/ot/FRM_Student_Procedures_Documents.cfm If applicable:
Group work- is an essential part of the course and students are expected to fully participate in each group activity. How you participate is one indicator of your professional conduct and therefore assignments requiring group work incorporate peer evaluation and academic consequences for not participating fully as outlined in the group work policy at
http://www.rehabmed.ualberta.ca/ot/Handbook/policies.htm. Please read carefully. DO NOT wait until an assignment is due to take action as outlined in the policy. DO contact your course instructor about concerns as soon as possible.
Assignments and Examinations:
1. Outcome measure lab activity – Working in groups of 3-4 students will be assigned one psychosocial or physical dysfunction assessment tool. Using the outcome measures form provided, describe and review the tool for validity, reliability and usability
.
Describe the thought processes you would go through to guide the selection of a particular assessment tool over other similar tools. Completed unmarked versions of the outcome measures form will be posted on e- class, allowing students to view a variety of assessment tools in detail in preparation for the final exam.2.
Clinical Skills Exam: Posture, Positioning, Tone, Balance, Gait, Mobility and Wheelchairmeasurement - Students will demonstrate clinical reasoning and competence in the assessment of posture, positioning and mobility on simulated clients. Students will be required to suggest alteration to positioning and postures as well as prescribe appropriate mobility and adaptive equipment to enhance comfort and function. Evaluation criteria will include; accurate assessment of client, appropriate prescription of mobility device and adaptive equipment.
3. Clinical reasoning and practical skills exam: (Overall skills/client-centred assessment) General Assessment/Psychosocial Assessment: After viewing a video of a client with a
psychosocial dysfunction, students will apply course content to the client. Students will also be required to select the theoretical approach(es) they would utilize as well as outline the priorities for assessment and suggest assessment tools and techniques to best evaluate the client. In addition, students will demonstrate understanding of appropriate assessments including general observation and screening, ADL assessment, spirituality, etc.
Marks Distribution:
1. Outcome measures lab activity due Nov 27th at the start of class 15%
2. Clinical Skills Exam: Posture, Positioning, Tone, Balance, Gait, Mobility 40%
and Wheelchair measurement Dec 4th TBA
3. Clinical reasoning and practical skills exam: 45%
- General Assessment - Psychosocial assessment
Scheduled during exam week in December 2014 however we may need to deviate from this depending on room availability as the exam is a video exam.
Total: 100%
Final marks will be based on MScOT Conversion approved by Occupational Therapy Committee, effective September 2006
MScOT (Course-based) Conversion Scale
A+ 95-100
A 87-94
A- 81-86
B + 76-80
B 71-75
B - 65-70
C+ Minimal Pass 60-64 (Minimal pass)
C 57-59
C - 54-56
D + 52-53
D 50-51
F 0 - 49
OCCTH 502 Course Schedule
Date Time Topic and Readings Rm
Tues Sept 9
10:30 am - 12:30
pm
Course introduction/objectives
History taking and documentation (interviewing, SOAP notes, netcare etc.) Guest: Mary Roberts 12:00-12:30 pm
Readings: Vroman & Stewart, Chapter 1,4; Radomski & Trombly, Chapter 2; Schell, Gillen, & Scaffa, Chapter 36
3-01/3-07 KD/JP/JPo
Thurs Sept 11
10:30 am - 12:30
pm
Clinical Reasoning and Spirituality
Readings: Vroman & Stewart, Chapter 1, 2, 3; Radomski & Trombly, page 60; Schell, Gillen, & Scaffa Chapter 30
3-01/3-07 SE
Tues Sept 16
10:30 am - 12:30
pm
Introduction to assessment & evaluation, Client-Centred Assessment
Readings: Vroman & Stewart, Chapter 1, 2, 3, 5; Radomski & Trombly, Chapter 3;
Schell, Gillen, & Scaffa Chapter 30
3-01/3-07 KD/JP/JPo
Thurs Sept 18
10:30 am - 12:30
pm
Assessing the individual –COPM Guest: Rudy
Readings: Vroman & Stewart page71-74; Radomski & Trombly page 80 (table), 332- 333 (case example)
3-01/3-07 KD/JP/JPo
Tues Sept 23
10:30 am - 12:30
pm
Home/Environmental Assessment ADL assessments
Application of ADL Assessments - function – Self-care (FIM), Productivity & Leisure Readings: Vroman & Stewart Chapter 6, 10; Radomski & Trombly Chapter 25, 26, 31; Schell, Gillen, & Scaffa Chapters 29, 46, 47,
3-01/3-07 KD/JP/JPo
Thurs Sept 25
10:30 am - 12:30
pm
Health Care Solutions Guest: Brian Scherba
3-01/3-07 KD/JP/JPo
Tues Sept 30
10:30 am - 12:30
pm
In groups of 4, students will work through Corbett Clinic case examples and complete an assessment of one of the following clients:
- Mary - Jessica - Maggie - Dorothy
https://www.rehabmed.ualberta.ca/ot/occth510/
Students please bring laptops to access Corbett Clinic.
3-01/3-07 KD/JP/JPo
Thurs Oct 2
10:30 am - 12:30
pm
Presentation of Assessments 3-01/3-07
KD/JP/JPo
Tues Oct 7
10:30 am - 12:30
pm
Body Mechanics and Safe Client Handling Techniques.
Readings: Vroman & Stewart Page 84-92
3-01/3-07 SE/KD/JP/J
Po
Thurs Oct 9
10:30 am - 12:30
pm
Body Mechanics and Safe Client Handling Techniques. 3-01/3-07
SE/KD/JP/J Po Fieldwork Placements - Monday October 13 – Friday October 17, 2014
Note: Monday Oct 13 is Thanksgiving Day (most placement sites will be closed;
however check with your specific site) Tues
Oct 21
10:30 am - 12:30
pm
Body in motion- Posture
Readings: Vroman & Stewart Page 219-222; Radomski & Trombly, Page 628-632
3-01/3-07 SE/JPo
Thurs Oct 23
10:30 am - 12:30
pm
Body in motion – Physical Assessment overview, Tone & Balance
Readings: Vroman & Stewart Page 216-218; Radomski & Trombly, Chapter 8, Page 637-640
3-01/3-07 SE/JPo
Tues Oct 28
10:30 am - 12:30
pm
Body in motion - Positioning.
Guest: Ingrid Barlow - Glenrose Seating Clinic Readings: Radomski & Trombly, Chapter 17
3-01/3-07 JP/JPo
Thurs Oct 30
10:30 am - 12:30
pm
Wheelchair prescription and measurement Guests: Melissa Jones and Genevieve Jamin
Readings: WHO- Wheelchair Service Training Package
http://www.who.int/disabilities/technology/wheelchairpackage/en/
Readings: Radomski & Trombly, Chapter 17
3-01/3-07 JP/JPo
Tues Nov 4
10:30 am - 12:30
pm
Gait pattern, Mobility Assessment and Training.
Guest: Jon Ashmead - University of Alberta Hospital
3-01/3-07 JP/JPo
Thurs Nov 6
10:30 am - 12:30
pm
Cognitive Assessments Guest: Karin Werther
Readings: Vroman & Stewart,Chapter 8; Radomski & Trombly Chapter 6
3-01/3-07 JP/JPo
Tues Nov 11
Remembrance Day – No classes Thurs
Nov 13
10:30 am - 12:30
pm
Psychosocial Assessments Suzette Bremault-Phillips/Debra Froese Readings: Schell, Gillen, & Scaffa Chapter 55
*Assignment of Outcome Measures lab activity
3-01/3-07 KD/JP
Tues Nov 18
10:30 am - 12:30
pm
Application – Psychosocial Assessments Suzette Bremault-Phillips/Debra Froese Group A (rotate through various stations)
Group B (rotate through various stations)
3-01/3-07 KD/JP
Thurs 10:30 Clinical Reasoning: Assessment and evaluation - case example 1 (Group A) 3-01/-307
Tues Nov 25
10:30 am - 12:30
pm
Work Day – Lab assignment and clinical reasoning exercise 3-01/3-07 KD/JP
Thurs Nov 27
10:30 am - 12:30
pm
Clinical reasoning – discussion (Group A)
Submit outcome measures activity at the beginning of class Clinical reasoning – discussion (Group B)
Submit outcome measures activity at the beginning of class
3-01/3-07 KD/JP
Tues Dec 2
10:30 am - 12:30
pm
Facilitated study – Review Session with case studies- what to assess and how – this class is optional however it is strongly recommended you attend.
3-01/3-07 SE
Thurs Dec 4
10:30 am – 12:30 pm
Clinical Skills Exam: Posture, Positioning, Tone, Balance, Mobility and Wheelchair measurement
TBD SE/KD/JP/J
Po Note: Instructors responsible for each section are listed under room number “Rm”
SE = Shaniff Esmail, JPa= Joanne Park KD = Karen Dhillon, JPo=Jacklyn Poulin
“Audio or video recording of lectures, labs, seminars or any other teaching environment by students is allowed only with the prior written consent of the instructor or as a part of an approved accommodation plan.
Recorded material is to be used solely for personal study, and is not to be used or distributed for any other purpose without prior written consent from the instructor.”
