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CE2 A Guide To Problem Identification and Prioritization

This document provides guidance on problem identification and prioritization for occupational therapists. It outlines steps for assessment, problem identification, determining which problems are appropriate for OT intervention, and prioritizing problems. Guidelines are provided for writing problem statements, including focusing on areas of occupation, performance skills and patterns, client factors, activity demands, and context. Levels of assistance and components for writing functional problem statements are also described.

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Charmaine Jerly Nacario
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57 views1 page

CE2 A Guide To Problem Identification and Prioritization

This document provides guidance on problem identification and prioritization for occupational therapists. It outlines steps for assessment, problem identification, determining which problems are appropriate for OT intervention, and prioritizing problems. Guidelines are provided for writing problem statements, including focusing on areas of occupation, performance skills and patterns, client factors, activity demands, and context. Levels of assistance and components for writing functional problem statements are also described.

Uploaded by

Charmaine Jerly Nacario
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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CE2: A Guide to Problem Identification & Prioritization

Assessment  Client needs—assist level—in-performing what


 Professional judgement on functional expectations occupational task—due to—underlying client factor
(rehabilitation potential) or limitations (TD)
 In IE: +/- traits, problem list, rehab potential  Client unable to engage in what occupational task
 In PN: improvements/regressions notes due to what underlying factor (BU)
 Underlying factor—results in—what occupational
Problem Identification deficit (BU)
 Involves synthesizing raw data into a list of
problems and strengths and deciding which Determining Levels of Assistance
problems are appropriate to address by OT  Independent: able to perform entire task
independently and safely
Problems Pertinent to OT  Minimal Assistance: 25% OTT
 Motivation, IPR skills, attention span, orientation,  Moderate Assistance: 50% OTT
concentration, impulse control, frustration  Maximal Assistance: 75% OTT
tolerance, memory  Dependent: 100% OTT
 ROM, GMS, coordination, ability to follow  Supervision: oversight, encouragement, cueing
instructions, ADL skills, strength
 Not limited to those listed above Writing Problem Statements
 Component based
Problem Prioritization  List down the component from which the client is
 To treat all patient’s problems requires: minimal having problems with
attention to each problem and long course of  Group the problems together
treatment  Go back to the “O’ part
 Guide questions: Which problems are appropriate  Identify the problem
for OT intervention? In what order will you work  (+) unilateral neglect [safety first, through
then out? adaptation], P attention span, LOM on RUE,
 Things to consider in prioritizing problem list: Impaired cognitive skills, Delayed scissor skills
easiest to address; problem skill/behaviors that  Identify the task, observe, level of assistance
causes the other problems to exist; immediate
needs of the patient (burns: positioning, ROM, Remember:
strength, pain management) The language we use in speaking of clients reminds us that
they are more than their disabilities or limitations and
Writing Functional Problem Statements deserve our respect
 The diagnosis is not a problems
 Two important considerations: (Top Down)
o Area of occupation that is a concern
o Performance skills, performance patterns,
client factors, activity demands,
context/environment
 Two important considerations: (Bottom Up)
o Area of occupation that is a concern
o The factors that are interfering with the
client’s engagement in that area of
occupation
 3rd component:
o Assist level needed

Some Useful Guidelines


 How? And then Observation. And then the steps.

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