OTA 1120- Role of the OTA – Module 5- Referral and Evaluation (part 2) Summary and Practice Question

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St. Catherine University *

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1120

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Mechanical Engineering

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Feb 20, 2024

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pdf

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OTA 1120: Role of the OTA – Module 5: Referral and Evaluation (part 2) Summary and Practice Questions with Answer Key Summary: Module 5 of OTA 1120 explores the post-evaluation phase in occupational therapy, emphasizing documentation, reports, and intervention planning. It covers the importance of dynamometers in measuring grip strength and introduces critical documents like the Evaluation Report, Contact Notes, and Discharge Report. The responsibility for reevaluation, transition, and discharge reports lies with the occupational therapist, while occupational therapy assistants can contribute through delegated assessments. The intervention plan, an integral part of the evaluation report, outlines specific areas of occupation, expected outcomes, and services. The evaluation process involves reviewing records, gathering information, and administering various assessments, with the initial evaluation report categorized using SOAP note format. Recommendations, performance patterns, rehabilitation potential, and occupation-based interventions are crucial in delivering effective occupational therapy. Multiple Choice: 1. What part of the evaluation report outlines specific areas of occupation, expected outcomes, and services in occupational therapy? • A) Contact Notes • B) Intervention Plan • C) Discharge Report • D) Occupational Profile 1. How is rehabilitation potential estimated in occupational therapy? • A) Excellent potential for any goal • B) Evaluated based on the client's preference • C) Estimated as good or excellent for goals set by the occupational therapist • D) Not considered in the evaluation process 1. According to the Guidelines for Documentation of Occupational Therapy, what should the intervention plan include? • A) Client's medical history • B) Recommendations for other services • C) Analysis of occupational performance • D) Evaluation results True/False: 1. The occupational therapy assistant (OTA) is solely responsible for reevaluation, transition, and discharge reports. (True/False) 2. Occupation-based interventions in occupational therapy focus on engaging the client in meaningful activities and occupations to improve their functional abilities. (True/False) 3. Documentation requirements in occupational therapy are standardized across all practice settings. (True/False) Short Answer: 1. Name two types of information that can be obtained from a client's health record during the evaluation process. 2. Define occupational justice in the context of occupational therapy. 3. Briefly describe the purpose of the Discharge Report in occupational therapy. 4. What criteria are recommended for the content of an evaluation report in occupational therapy? Case Study: Case Study 1: A client has just completed an occupational therapy evaluation. What comes next in the occupational therapy process? Case Study 2:

You are an occupational therapy assistant (OTA) responsible for documenting each client encounter. Describe the key elements that should be included in Contact Notes. Case Study 3: During the evaluation process, you find that a client cannot communicate verbally. Who can provide information in such cases, and how is this information obtained? Answer Key: 1. B) Intervention Plan 2. C) Estimated as good or excellent for goals set by the occupational therapist 3. B) Recommendations for other services 4. False 5. True 6. False 7. Primary and secondary diagnoses, medical orders, medications, test results, living situation, and past medical history. 8. Occupational justice in occupational therapy promotes fair and equitable access to meaningful and inclusive participation in occupations for individuals and communities, regardless of their abilities or social circumstances. 9. The Discharge Report summarizes services provided, makes recommendations, and notes changes in the client's ability to engage in meaningful occupation. 10. Referral information, client information, occupational profile, assessments used and results, analysis of occupational performance, and summary and analysis.

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