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Occupational Therapy Evaluation for Adults

Patient health history review

Initial interview with patient

Completion of physical assessment

Assessment of patient's daily living activities

Observe patient performing tasks

Assess patient's strength and flexibility

Assess patient's balance and coordination

Cognitive function evaluation

Check patient's sensory processing

Assess patient's motor skills

Patient's psychosocial status evaluation

Prepare preliminary treatment plan

Approval: Preliminary Treatment Plan

Set up goals with the patient

Identify necessary therapeutic interventions

Approval: Therapeutic Interventions

Discuss evaluation findings with patient

Educate patient on therapy process

Schedule future therapy sessions

Document all findings and plan for therapy

Patient health history review

Review the patient's health history to gather important information about their medical conditions, previous treatments, allergies, and any other relevant details. This will help provide insights into their current health status and inform the evaluation process. What are the patient's main concerns or goals for therapy? Are there any specific medical conditions or injuries that need to be considered? How can this information impact the evaluation and treatment plan?

Patient's main concerns/goals

Medical conditions or injuries to consider

Allergies (select all that apply)