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Make sure to include: Observations of how the client is performing in a specific task. How the client is performing throughout their occupational therapy session. Details about specific interventions or therapeutic activities the client engaged in and their response.
The purpose of an evaluation visit is to assess areas of function so that the occupational therapist can develop a treatment plan to meet the patients specific needs. The areas assessed during an OT evaluation depend on the patients age, diagnosis, and rehabilitation needs.
What happens in an Occupational Therapy Evaluation? Fine motor (small movements of hands) Handwriting skills. Gross motor (large movements of the body including balance and coordination) Motor planning (the ability to conceive, plan, and carry out movements) Self care (bathing, dressing, feeding, grooming, toilet use)
The evaluation requires that the OT gather accurate and useful information to identify the needs and problems of the client to plan intervention. The techniques used during the evaluation process can be classified into three basic procedures: (1) interview, (2) skilled observation, and (3) formal evaluation procedures.
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