Occupational Therapy Derived Functional Assessment Tools for Concussion
🧠
Occupational Therapy Derived Functional Assessment Tools for Concussion
1
Conduct patient intake and review medical history
2
Perform a comprehensive concussion related symptoms questionnaire
3
Conduct the Canadian Occupational Performance Measure
4
Perform the Rivermead Post-Concussion Symptoms Questionnaire
5
Perform the Dynamic Gait Index (DGI) test
6
Conduct a Patient-Specific Functional Scale (PSFS)
7
Review functional impact of concussion on daily life activities
8
Approval: Therapist Review on functional impact
9
Analyze reported issues and test outcomes
10
Prepare a customized occupational therapy plan based on assessment
11
Approval: Medical Director of the customized therapy plan
12
Execute the customized occupational therapy plan
13
Periodically reassess the patient using the Concussion Resolution Checklist
14
Update the therapy plan based on reassessment
15
Approval: Therapist Review on therapy plan updates
16
Continue Occupational therapy sessions as per updated plan
17
Final evaluation through Post-Concussion Symptom Scale (PCSS)
18
Prepare and provide a report on therapy and outcomes to the referring physician
19
Approval: referring physician
20
Discuss outcome and post therapy care plan with patient and family
Conduct patient intake and review medical history
In this task, you will conduct a patient intake and review the medical history of the patient. This is an important step in understanding the background and context of the patient, which will help in tailoring the subsequent assessments and therapy plan. It is crucial to establish a rapport with the patient, make them feel comfortable, and gather relevant information about their medical condition and history. Possible challenges include patient hesitation or reluctance in sharing sensitive information. To overcome this, maintain a non-judgmental and empathetic approach, assuring them of the confidentiality of their information. Required resources include intake forms and access to the patient's medical records.
Perform a comprehensive concussion related symptoms questionnaire
In this task, you will perform a comprehensive concussion-related symptoms questionnaire to assess the patient's symptoms and their impact on daily life activities. This will help in understanding the severity and frequency of symptoms, and their interference with functional activities. The questionnaire will cover a range of symptoms such as headache, dizziness, balance problems, cognitive difficulties, and emotional changes. The desired result is to obtain a detailed picture of the patient's symptoms and their functional impact, allowing for targeted therapy interventions. Potential challenges include patient recall bias or difficulty in articulating symptoms. Remedies include providing clear instructions, using simple language, and allowing enough time for the patient to express their symptoms. Required resources include a validated concussion symptoms questionnaire.
1
Headache
2
Dizziness
3
Balance problems
4
Cognitive difficulties
5
Emotional changes
Conduct the Canadian Occupational Performance Measure
In this task, you will conduct the Canadian Occupational Performance Measure (COPM) to assess the patient's self-perception of their occupational performance and satisfaction. The COPM helps in identifying the patient's goals, priorities, and areas of difficulty related to daily life activities. It encompasses various domains such as self-care, productivity, and leisure. The desired result is to collaboratively establish meaningful goals with the patient, which will guide the therapy plan. Potential challenges include patient difficulty in identifying goals or limited insight into their occupational performance. Remedies include engaging in a collaborative conversation, providing concrete examples, and using visual aids if necessary. Required resources include the COPM assessment tool and scoring sheets.
Perform the Rivermead Post-Concussion Symptoms Questionnaire
In this task, you will perform the Rivermead Post-Concussion Symptoms Questionnaire (RPQ) to assess the patient's post-concussion symptoms and monitor their progress over time. The RPQ covers a range of physical, cognitive, and emotional symptoms commonly associated with concussion. Monitoring these symptoms is essential in tracking recovery and making informed therapy decisions. The desired result is to obtain a baseline measure of symptoms and track changes over time. Potential challenges include patient difficulty in recalling symptoms accurately or identifying subtle changes. Remedies include providing clear instructions, allowing enough time for reflection, and using visual aids if required. Required resources include the RPQ questionnaire and scoring guidelines.
1
Headache
2
Dizziness
3
Fatigue
4
Nausea
5
Insomnia
Perform the Dynamic Gait Index (DGI) test
In this task, you will perform the Dynamic Gait Index (DGI) test to assess the patient's balance and mobility during challenging walking tasks. The DGI evaluates gait patterns, balance, and overall stability during walking, providing insights into the patient's functional limitations and risk of falls. The desired result is to obtain a quantitative measure of the patient's gait and balance abilities, which will guide the therapy plan. Potential challenges include patient apprehension or fear of falling during the test. Remedies include providing clear instructions, offering physical support if needed, and emphasizing the importance of safety. Required resources include a safe and obstacle-free space for walking and the DGI assessment form.
Conduct a Patient-Specific Functional Scale (PSFS)
In this task, you will conduct a Patient-Specific Functional Scale (PSFS) assessment to identify and quantify the patient's difficulties in performing specific functional activities. The PSFS allows the patient to identify and rate the perceived difficulty of up to 5 chosen activities that are personally relevant. This assessment helps in capturing the patient's individualized functional goals and targeting therapy interventions accordingly. The desired result is to establish measurable functional goals and customize the therapy plan to address the identified difficulties. Potential challenges include patient difficulty in selecting relevant activities or rating their difficulty. Remedies include providing examples and guiding the patient through the selection process. Required resources include the PSFS assessment form or worksheet.
1
1
2
2
3
3
4
4
5
5
1
1
2
2
3
3
4
4
5
5
Review functional impact of concussion on daily life activities
Approval: Therapist Review on functional impact
Will be submitted for approval:
Review functional impact of concussion on daily life activities
Will be submitted
Analyze reported issues and test outcomes
Prepare a customized occupational therapy plan based on assessment
Approval: Medical Director of the customized therapy plan
Will be submitted for approval:
Prepare a customized occupational therapy plan based on assessment
Will be submitted
Execute the customized occupational therapy plan
Periodically reassess the patient using the Concussion Resolution Checklist
Update the therapy plan based on reassessment
Approval: Therapist Review on therapy plan updates
Will be submitted for approval:
Update the therapy plan based on reassessment
Will be submitted
Continue Occupational therapy sessions as per updated plan
Final evaluation through Post-Concussion Symptom Scale (PCSS)
Prepare and provide a report on therapy and outcomes to the referring physician
Approval: referring physician
Will be submitted for approval:
Prepare and provide a report on therapy and outcomes to the referring physician
Will be submitted
Discuss outcome and post therapy care plan with patient and family
