New community OT - I need help! I really would love some advice or tips in setting up the OT role within a community care practice. I am the first piece of the allied health team with a view to expand in the near future. Caseload is predominately aged living at home, post hospital discharge, short term rehab, home mods, assistive tech and equipment to assist clients in staying at home longer. My question is, what assessments are you using any why? At this point I am thinking I will need Environmental Ax, Cog Ax, Falls risk Ax, functional Ax and possibly FIM and/or MBI. I am new to this setting and would love some advice/feedback on set up!- Thank you :)
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Hi Hayley,
In terms of cognitive assessments, have you considered using the MoCA? It is a cognitive screening tool validated for various illnesses and for use on those aged 55-85. It is often used in inpatient settings but I know community teams also use it. It has been translated in to many languages and for the visually impaired too, it also has various versions available to help avoid test re-test bias.
It assessed various cognitive domains in order to establish areas of difficulty - Orientation, STM/delayed recall, executive function/visuospatial ability, language ability, abstraction, clock drawing test, animal naming, attention
It can be found at this link and has really good explanations on the site as to its validation and use: https://www.mocatest.org/about/
However, I believe training is now mandatory for its use and i am unsure as to the cost of this for an organisation.
Hope this helps and best of luck !
Hi Hayley, with individuals with chronic conditions, I like to use the IPA (Impact on Participation and Autonomy questionnaire). It has 5 testing domaines: social relations, self-care, mobility and leisure, family role, work and educational opportunities. Easy, relatively fast to conduct or self-report and great global assessment of everyday living at home.
Hi @Hayley, Your query was shared on The OT Hub's social media. Alice's response: "I’m not doing that now but I would suggest the COPM is a good start for clients that you get to go more in-depth with than a quick equipment solution... good luck with your new project!"
Hi Hayley, Thanks for your forum post! Are you happy for us to raise awareness of it to our Members across social media? This should bring them here and get you answers quicker! The OT Hub Team hubteam@theOThub.com