the canadian occupational performance measure and occupation-based treatment nancy dusing, otr/l...

THE CANADIAN OCCUPATIONAL

PERFORMANCE MEASURE AND OCCUPATION-BASED

TREATMENT

Nancy Dusing, OTR/L

Capstone Project

Chatham University

NANCY DUSINGBRIEF BIOGRAPHY

• Over 20 years experience with adults in various settings.

• Currently pursuing doctorate of Occupational Therapy at Chatham University.

• Interested in helping therapists expand their knowledge of occupation-based treatment in the skilled nursing setting.

WHAT IS THE QUESTION?

Does the use of the Canadian Occupational Performance Measure increase the use of occupation-based treatment for therapists in the skilled nursing setting?

MY PERSONAL EXPERIENCE

Is our therapy exercise-based?

OR OCCUPATION-BASED?

“OCCUPATION… REFERS TO THE DAILY LIFE ACTIVITIES IN WHICH PEOPLE ENGAGE” (AOTA, P. S6)

OCCUPATIONAL THERAPY VALUES “ENGAGEMENT IN OCCUPATION…AS A PRIMARY THERAPEUTIC AGENT AS WELL AS THE GOAL OF INTERVENTION” (FISHER, 2013, P. 162)

“OCCUPATIONS ARE CENTRAL TO A CLIENT’S IDENTITY AND SENSE OF

COMPETENCE”(AOTA, 2014. p. S5)

CAPSTONE OBJECTIVES FOR THE OCCUPATIONAL THERAPIST

Develop a greater understanding of the value of occupation-based treatment.

Be able to apply this knowledge when developing his or her client-centered occupational therapy treatment programs.

Demonstrate a good understanding of the Canadian Occupational Performance Measure and its use in the skilled setting.

Will increase his or her use of the COPM and see its benefits in developing occupation-based treatment programs.

THE CANADIAN OCCUPATIONAL PERFORMANCE MEASURE

• A client-centered outcome measure.

• Assesses the client’s perception of their performance.

• Looks at self-care: personal care, functional mobility, and community management.

• Looks at productivity: household management, school, play, and paid or unpaid work.

• Looks at leisure: quiet recreation, active recreation, and socialization.

What is an occupational performance problem?

“It is an occupation that a person

WANTS TO DO, NEEDS TO DO or IS EXPECTED TO DO

BUT

CAN’T DO, DOESN’T DO OR ISN’T SATISFIED WITH THE WAY THEY DO IT” (Law

et al., 2014. p. 4)

CONCLUSION

Client-centered occupation-based treatment can assist a person in “achieving health, well-being, and participation in life through engagement in occupation”(AOTA, 2014, p. S4).

The COPM can help the therapist identify areas of occupational performance that are meaningful to the client.

The COPM can help the therapist develop client-centered treatment plans to address the occupations the client wants to, needs to or is expected to perform.

NEXT SESSION

• How to utilize the COPM• View an actual assessment• Learn how to score the

outcome measure

Questions?

REFERENCES

American Occupational Therapy Association [AOTA]. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), S1-S48. doi:10.5014/ajot.2014.682006

Fisher, A. G. (2013). Occupation-centered, occupation-based, occupation-focused: Same, same or different? Scandinavian Journal of Occupational Therapy, 20, 162-173. doi:10.3109/11038128.2012.754492

Law, M., Baptiste, S., Carswell, A., McColl, M. A., Polatajko, H., & Pollock, N. (2014). Canadian Occupational Performance Measure manual (5th ed.). Ottawa, ON: CAOT Publications ACE.