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Case Study

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Case Study

Lab AssignmentCase Study

Name:_____________________                                        

Date: _____________________

Course: OTA 104/105: Activity Analysis

Course objective(s):

UNIT SEVEN: Analyzing Human Motion in Daily Activity

Upon successful completion of this unit on written and practical examination, the student will:

Analyze various case examples by:

a. Identifying Case Studyphysical performance impairments during an occupation.
b. Selecting appropriate tests to assess the indentifiedphysical performance deficits.
c. Determining and justifying in written form which model of practice/frame of reference would best guide the treatment of the identified impairments.
d. Implementing the selected frame of reference/model of practice in correcting, or compensating, for the identified impairments.
e. Role-playing a treatment session based on student analysis

 

Curriculum thread(s) addressed:

Occupation Centered Practice
Role AcquisitionCase Study

Assignment Objectives:  

The student will identify and demonstrate (as applicable) role and participation in the Occupational Therapy process (referral, screening, evaluation, treatment planning, intervention, reevaluation and discharge planning)
The student will determine and select the model of practice/frame of reference that would best guide the treatment of the identified impairments.
The student will demonstrate proficiency in applyingOT treatment techniques and practices to a case study that will be assigned to them.
The student will create a problem list, list of strengths, longterm goals, and shortterm goals.
The student will demonstrate treatment session whichwill be described in an intervention note.
After the treatment session, the student will identify opportunities to recommend to the occupational therapist the need for referring client for reevaluation, discharge planning and additional evaluation for other services and/or professional(s).

Procedure:  

The student will be assigned a case study with an array of physical dysfunctions.
Student will complete an analysis based on a structure and guideline that requires information in regards to: ProblemsCase Study , strengths of the client, longterm and shortterm goals for treatment.
Student will develop two treatment sessions applying techniques, strategies and practices
Student will demonstrate by role play, one treatment session.
Student will write an intervention/treatment note accordingly.

 

Written assignment:

Poor (1)

Fair (2)

Good (3)

Excellent (4)

Score

Determine and select model of practice/frame of reference to best guide the treatment of the identified impairments.

 

Unable to determine appropriate Application of model of practice/frame of referenceCase Study

Additional questions arise.  Difficult to follow, yet selected practice/frame of reference is present.

 

Application of model of practice/frame of reference requires additional clarification

Application of model of practice/frame of reference is best suited

 

Use of proper OTPF terminology and grammar

Use of inaccurateterminology or grammar   on more than 8 occasions.

Use of inaccurateterminology or grammar on no more than 6 occasions.

Correct use; with use of inaccurate terminology or grammar on no more than 4 occasions.

Correct use; with use of inaccurate terminology or grammar on no more than 2 occasions.

 

Summary of primary and secondary medical diagnoses: signs, symptoms, prognosis, prevalence

Did not identify. Clarification needed

Missing 50% of data

Missing 25% of data

All relevant information provided

 

Developed a prioritized OT Problem list.

 

Explained justification of prioritization using the OTPF. Case Study

Not addressed or information not relevant.

Only two problems are OT relevant and student requiresadditional clarificationabout how practice framework is utilized to prioritize problem list.

Most problems are OT related and can be addressed by therapist.  Most problems prioritized and justified with fair use of practice framework.  

Problem list is accurate and prioritized considering patient specific diagnosis, needs, and wants.  Utilized and explained clearly application of practice framework to problem list.    

 

 

Identified all problems of the patient accurately

Did not identify problems accurately on 5-6  occasions

Did not identify problems accurately on 3-4 occasions

Identified all problems, but did not identify problems accurately on 1-2 occasions

Identified all problems accurately

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Identified accurately and correctly all strengths and opportunities of the patient in the case study

Did not identify accurately and correctly all strengths and opportunities of the patientCase Study  in the case study on 5-6 occasions

Did not identify accurately and correctly all strengths and opportunities of the patient in the case study on 3-4 occasions

Identified accurately and correctly mostly, but failed to identify accurately and correctly on 1-2 occasions

Identified accurately and correctly all strengths and opportunities of the patient in the case study

 

Completed all long termgoals accurately and correctly meeting all the criteria utilizing FEAST or other documented method

Did not complete long term goals accurately and correctly meeting all criteria on 5-6 occasions

Did not complete long  term goals accurately and correctly meeting all criteria on 3-4 occasions

Completed long term goals accurately and correctly meeting most criteria, but missing on 1-2 occasions

Completed all long termgoals accurately and correctly meeting all the criteria

 

Completed all short termgoals as applicable

Did notcomplete 5-6 short  term goals

Did notcomplete 3-4 short  term goals

Good, but missedthe completion of1-2 short term goals

Completed all short termgoals as applicable

 

 

 

Methods/Interventions

Listed methods used to treat patient in a comprehensive list to be used as treatment plan guide. Indicate FOR (s) for treatment session.

Information provided is vague.

Methodology is not comprehensiveand lacking information.

Good, but additional clarification needed.

Comprehensive list of methods that will be used in intervention. Sound, research basedmethodology is evident FOR (s) is indicated.

 

Rationale/Justification

Describes the rationale behind above methods and gives reason Case Study why this will work (justification)

Unacceptableperformance and clinical reasoning

Rationale is missing or not sound on several methods

Good, but rationale is incomplete or not sound on some methods

Sound rationale given for each method. Comprehensive.

 

Created and developed two treatment sessions  utilizing time management skills and progression in the treatment continuum

Did not createand develop treatment sessions  accurately and correctly

Creation and development treatment of sessions requireadditional work. Uses clinical reasoning skills for 50% of session

Good overall. Additional clarification required. Most ideas are good and uses clinical reasoning skills for 75% of session

Created and developed two treatment sessions  accurately and correctly, meeting the criteria  

 

 

 

 

 

 

 

 

Treatment session:

 

 

 

 

 

 

Description of main medical diagnosis, and any precautions.

Brief description of patient’s status and goals.

Too long or too short of expected length of time

 

 

 

Part of the treatment session is appropriate and addresses goals.

 

 

 

Most of treatment session is appropriate & addresses goals.

 

 

 

Medical and diagnoses information covered.  Important precautions mentioned. Brief discussion of patient’s status and goals-  

 

 

 

 

 

 

Uses and prepares equipment in the lab.

Last minute preparation with materials.

Creativity shown.

 

 

Creativity, flexibility. Demonstrates how activity can be graded.

Overview of treatments selected and why they are appropriate for this patient is indicated.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address Q & A.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unable to answer questions from instructor/ students Case Study related to rational or activity analysis or interventions.

Nervous, but attempts to answer questions at the end of treatment session.

 

Answers questions easily and somewhat accurately at the end of treatment session.

Student is able to explain and answer all questions at the end of treatment session. Shows how activities can be graded up or down. Rational is complete  

Shows creativity. At the end of the treatment session, identifies opportunity to recommend to the occupational therapist the need for referring client for reevaluation, discharge planning and additional evaluation for other services and/or professional (s).

 

Written activity analysis for each activity.

Vague, not well elaborated, does not address value or meaning of activity. Explanation will not contribute to analysis.

Many questions arise. Data provided is acceptable, but more effort is required.

Data provided that may assist in identifying value of activity for use in treatmentrequires minimal additional clarification.

Well discussed, provides meaningful relevant data that may assist in identifying value of activity for use in treatment

 

Shows progression from adjunctive to purposeful as appropriate.

Rationale and explanation of interventions.

Unacceptable.More creativity and justification required.

Many questions arise.  Rationale and explanation of interventions requires additional focus and concentration  

Progression from adjunctive to purposeful requires additional thought process.

Rationale and explanation of interventions require additional work but can be followed.  Some questions arise.

Progression from adjunctive to purposeful as appropriate.

Rationale and explanation of interventions is clearly identified.

 

Shows priority as related to discharge plans as appropriate.

 

 

Vague and not well elaborated.

Priority as related to discharge plans is not as evident.  Many questions arise

 

Priority as related to discharge plans  requires additional clarification

 

 

Priority as related to discharge plans as appropriate.

 

 

 

After treatment session, identification of

opportunity to

recommend to the occupational therapist the need for referring client for reevaluation and  additional evaluation for other services and/or professional (s).

 

Unacceptable.  Evidence of knowledge and understanding is not apparent

Identification of

opportunity to

recommend to the occupational therapist the need for referring client for reevaluation and  additionalevaluation for other services and/or professional (s) is articulated,  however, many questions arise

Identification of

opportunity to

recommend to the occupational therapist the need for referring client for reevaluation and  additionalevaluation for other services and/or professional (s) is articulated., however,knowledge and understanding is not as apparent.  Minimal clarification to increase knowledge and understanding required.

 

Identification of

opportunity to

recommend to the occupational therapist the need for referring client for reevaluation and  additional evaluation for other services and/or professional (s) clearly articulated.  Knowledge and understanding isevident.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Evidence based treatment: AJOT or other researched based articles are used to support one intervention.  

Copies of article included with paper.

No evidence of article or

more than 25% of the information isnot accurately transcribed.

Selection of articles are not highly relevant to case study/or is/areinsufficient.

Another article is recommended

Selected article  supports specified intervention, but  rationale requires additional clarification

Selected article  addresses specified intervention with supporting rationale provided  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Treatment Note:

 

 

 

 

 

Completed all sections of the intervention/treatment note utilizing  all the necessary criteria

Unacceptable contribution. Requires remediation in note writing.

Additional clarification is required. Moderate corrections required

Minimal corrections required, however, able to follow

Completed all sections of the intervention/treatment note

 

Subjective

 

 

 

 

 

 

Objective

 

 

 

 

 

 

Assessment

 

 

 

 

 

 

Plan

 

 

 

 

 

 

 

Comment:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Score:

Paper: Your score was _____________

Treatment session: Your score was _____________

Treatment note:  Your score was _____________

The total score to accumulate is “56.  Your score was _____________ with a

percentage of   _______________

ACOTE Standards for an Accredited Educational Program for the Occupational Therapy Assistant:

(B.2.1. , B.4.4., B.4.6., B.4.9., & B.4.10)

 

Revised 04/29/2020 JM