CASE STUDY

profileSusejOliva
Home>Homework Answsers>Education homework help
case study


  • 2 years ago
  • 50
Report issue
files (1)

CASESTUDY1.docx

1

OTH2300 Psychiatric Disorders, Assessment and Treatment Strategies

OTPF Case study and EBR

OTpf case study

Course Objective and ACOTE Standards:

3. Identify and describe the practice models used in psychosocial OT, and the medical, psychological theories compatible with those practice models.

B.2.1. Apply scientific evidence, theories, models of practice, and frames of reference that underlie

the practice of occupational therapy to guide and inform interventions for persons, groups, and

populations in a variety of practice contexts and environments.

5. Identify and describe OT evaluation methods and treatment activities applicable to performance areas of self-care, work play and social participation, performance skills, patterns and context, through the continuum of preparatory, purposeful and occupation-based activities.

12. Design an OT intervention plan which includes occupation-based interventions, case management, and referrals as needed to improve client function and enhance community reintegration.

B.4.26. Identify and communicate to the occupational therapist the need to refer to specialists both internal and external to the profession including community agencies.

14.Demonstrate ability implement treatment plan, document, and provide referrals as needed under the supervision of an OT

B.5.7. Participate in the documentation of ongoing processes for quality management and

improvement (e.g., outcome studies analysis and client engagement surveys) and implement

program changes as needed to demonstrate quality of services

Skill Evidence:

DIRECTIONS: You mus t initial each number indicating you understand the instructions provided. Include this original as a cover sheet for your assignment. This will be done in APA format.

Part I worth 10%

1. Research the illness, list symptoms, medical treatment (including pharmacology), and prognosis of illness and statistics as they relate to the general population. R esearch should include a minimum of (3) references ( Do not use Internet websites or class text) . (2 pgs.)

1. Choose an OT model/FOR based on the psychological theory you have chosen. Explain how this model/FOR addresses your client’s limitations.

· i.e., MOHO: your client’s limitations are in the areas of volition, habituation, performance capacity; Development of adaptive skills: your client’s limitations are in the subsystems (sensory integration, cognitive skills, group interaction).

1. List 3 referral sources for services from which the client would benefit. (i.e., community; additional therapies, specialties). Indicate why this patient needs these particular referrals. (1 page)

· Please remember, your client is currently receiving services (psychiatrist, OT, etc., you are not going to replace these services, you are to recommend others that may aid the client in being successful, or helpful once discharged).

Part II worth 10%

DIRECTIONS: You mus t initial each number indicating you understand the instructions provided. Include this original as a cover sheet for your assignment. This will be done in APA format

Using the case study from Assignment #1:

1. Select a minimum of 1 assessment which complements the FOR selected in previous assignment.

· Complete as if your patient was answering the assessment; make it as realistically as possible.

· Complete the assessments, score the results, and report your objective findings on the assignment.

· Attach the completed originals to the paper.

· Make sure you have signed the assessment

· Ensure you are using OTPF terminology and reporting finding objectively

1. Develop a list of strengths and weaknesses for clients for your client.

· Ensure that your list is prioritized

· Must use OTPF terminology (occupations, performance skills, client factors and performance patterns, context and environment)

· There should be a list for each Domain Aspect- Occupations, Performance skills, client factors, performance patterns, and context and environment

· Must include measurement of weakness

1. Write one long term goal for treatment (employ COAST method) .

1. Develop 2 short term goals to obtain LTG.

· Each STG must be able to be obtained within a one-hour group treatment.

1. Create a purposeful and EBP activity to obtain each of the 2 STGs. Include article used (attach to assignment)

· Justify the activity you have selected as being relevant to address your patient’s needs and level of function.

· Justify activity as being based on evidence to address STG

1. For each of the 2 STG’s establish medical necessity.

· Explain why this patient’s health would be compromised and/or how their functional independence would be affected if they do not receive this one-hour occupation-based treatment to address STG.

Activity and Process:

Steps required to complete competency or assignment

Resources:

American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process (4th ed.). American Journal of Occupational Therapy, 74(Suppl. 2) 7412410010. https://doi.org/10.5014/ajot.2020.74S2001

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). https://doi.org/10.1037/0000165-000

American Psychological Association. (2022). Diagnostic and Statistical Manual of Mental Disorders 5th Ed –(TR) https://doi.org/10.1176/appi.books.9780890425787

Important Information:

Any additional required specific conditions are noted including points lost for tardy submission, scheduling issues and meetings with instructor etc.

Student Evaluation Rubric:

Grading Rubric Assignment #1

Objectives

Low Performance

Average

Exemplary Performance

APA style:

Grammar & citations

10%

0-1 points

2 points

3 points

Definition of illness, description of symptoms, medical pharmacology, therapy models, prognosis and statistics affecting general population.

40%

0-1 points

Incomplete or vague information, disorganized, lack of clarity. Old pharmacology. Statistics are few 2-3 or omitted.

2 points Some areas are complete others omitted. Lacks organization or train of thought. Statistics average 4-6.

3 points All indicators are evidenced, (examples & several sources cited). New pharmacology discussed. Therapy models of intervention discussed.

OT Model.

Use of specific model to clinically reason clients issues and performance areas and skills 40%

0-3 points

Missing section. Analysis is incorrect. lacks basic understanding of the OT model

4-7 points

Analysis is vague, superficial of brief. Not all issues of the model are included to make analysis thorough.

8-10points

Well-reasoned. Good use of terminology, depth of analysis, addressing all issues within OT model

Referral sources:

List referral sources from which client may benefit. Provide rationale for services.

10%

0-1 points

1 referral source lacks rationale or poor rational.

2 points

1-2 relevant referral sources. Vague rationale for these sources.

3 points

3 relevant resources comprehensive and clear rational for referral to these.

Total ___________/100%_

Grading Rubric Assignment II 10%

Objectives

Low Performance

Average

Exemplary Performance

Assessment tool:

Completed as if patient was answering in realistic manner. Report of results are scored, summarized, and signed.

5%

0-1 points

Assessment is present yet filled out incorrectly, in scores or summary. Selection is unrelated to client’s issues.

2 points

Accurate assessment is present and filled out correctly, scores are not accurate, or summary is incomplete, not signed.

3 points

Accurate realistic assessment present and filled out correctly. Scores are accurate and represent a realistic assessment of client. Data is reported accurately with OTPF terminology and signed.

Problem list and list of strengths.

5%

0-1 points Lacking 50% of limitations, not prioritized, confusing.

2 points Limitations omitted, limitations not addressed, not using OTPF terminology.

3 points List addresses problems deduced from case study information. List is prioritized.

LTG:

Addresses client’s functional skills and addresses the OT model. Outcome measure is considered.

10%

0-1 points

Goal lacks clarity, outcome above or below patient’s functional level, outcome context or theoretical model. Not understanding how to write a goal.

2 points

Goal is well written

Outcome at patient’s functional level, outcome context or theoretical model. Discussion on how

3 points

Goal is exceptional, address outcome at patient’s functional level, outcome context or theoretical model.

STGs:

Goal writing that addresses client’s functional skills; 2 STG that can be obtained with 1 hour group treatment.

20%

0-1 points Goals lack clarity and priorities are not well organized, do not meet criteria for FEAST or functional outcomes.

2 points Goals are well written yet lack progression in outcome. Need tweaking

3 points Goals are well written, address functional outcomes and can be realistically implemented in treatment.

Activity & Activity rationale:

Choose EBP treatment idea to meet stated goals.

5%

0-1 points

Activities chosen are not evidence based as per research. Articles are not included.

2 points

Activities chosen are evidence based and research provided

3 points

Activities chosen are evidence based and research provided and relevant

Justify activity as being relevant to address your patient’s needs and level of function

10%

0-1 points

Justification of activities do not address client’s needs/level of function. The task and the patient’s level of function do not match.

2 points

Justification of activities is fair. Not well developed and rationale addresses client’s needs however not consistent.

3 points

Justification for activities are well developed and thought out, and good rational. Justification is based on client’s needs and level of function.

Medical necessity:

Justify the activity you have selected in terms of medical necessity.

10%

0-1 points

Rationale of activities do not explain medical necessity.

2 points

Rationale for activities’ medical necessity explain briefly. Lacking in detail.

3 points

Rationale for activities’ medical necessity is thorough. Justification based on clients medical needs.

Total Points

Comments/Notes:

Likert scales calculations

Poor

Satisfactory

Excellent

Points

1

2

3

2%

0.01

0.01

0.02

5%

0.03

0.03

0.05

10%

0.05

0.07

0.10

15%

0.08

0.10

0.15

20%

0.10

0.13

0.20

25%

0.13

0.17

0.25

30%

0.15

0.20

0.30

Date Revised: