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Do you need to complete an OT self-care assessment for your client, but you’re not sure where to start or what needs to be covered? Discover how to use a non-standardised self-care assessment to uncover your client's true capacity and support needs.
Episode Summary: In this episode of the How to Be a Better OT podcast, host Clare Batkin breaks down one of the absolute pillars of adult occupational therapy: the non-standardised self-care assessment. Focusing on showering, toileting, dressing, and grooming, Clare explains how observing these routines provides invaluable insights into how a client's physical, cognitive, sensory, and psychological impairments impact their overall functioning. She shares her strategic planning process, tips for navigating hospital ward and community logistics, the "Pause, Prompt, Praise" framework, and how to translate your observations into solid recommendations for home equipment, support packages, or rehabilitation.
Key Takeaways:
- The "Why": Learn why a self-care assessment is about much more than just whether a person can wash; it's a powerful tool to understand baseline function, safety for discharge, and functional cognition.
- Strategic Planning: Discover why you should assess tasks in the way the client normally performs them, and how to choose the right amount of tasks to assess depending on your client’s capacity.
- Hospital vs. Community Logistics: Learn how to book assessments with ward nurses to avoid scheduling clashes, and how community OTs can manage limited funding by using "dry runs" or simulations.
- The Pause, Prompt, Praise Framework: How holding back and allowing safe mistakes reveals true cognitive capacity, and how to deliver graded prompts (from non-specific to direct) to keep the assessment going.
- Tips from the Field: Why you always need at least four towels for a hospital assessment, and how to stay dry when you dare to give the patient full control of a handheld shower hose.
- Standardised vs. Non-Standardised: Why popular tools like the FIM or Modified Barthel Index are actually scored using your non-standardised observations, rather than being completely separate tests.
Links & Resources Mentioned:
- Deep Dive: Access the full recorded webinars on self-care assessments, functional cognitive assessments and functional mobility assessments, along with clinical reasoning guides, and documentation examples by joining the Connector Membership.
- Freebie: Access more than 100 clinical resources in the Free Learning Library.
If you found this step-by-step guide to self-care assessments helpful, please subscribe, leave a review, and share this episode with a colleague! Be sure to tune in next time for the final episode of Series 1, where we will cover how to work collaboratively with support workers.
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