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Evaluating a Client's Occupational Performance in Their Home

Kim Furphy, D.HSc., OT, ATP

February 13, 2017

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Question

Which standardized tool is used to evaluate a client's occupational performance in their home? What other items would you put in a kit to do an evaluation?

Answer

I typically use the PASS-Home. I like the PASS-Home because it is standardized and it breaks down the activities into each individual part. Also, it is criterion referenced, meaning each of the different tasks has been evaluated independently from the others. For example, I can take out specific activities that the client has identified as being problematic and be able to use the standardization in that, without taking out the properties of that particular tool. When you take a standardized tool, and if you only take parts of it out, and it is not criterion referenced, then you lose the standardization for it. Also, if there are norms associated with it then the norms no longer apply. 

I have a tool kit that I bring with me, because sometimes I may go in and something may be loose in a client's home, and I might need to tighten it for them. For example, a lot of times toilet seats are loose, so I will tighten that for them. In my kit, I always keep a tape measure available. I have a lot of evaluation tools on my tablet and I also use my tablet for documentation so I keep my tablet in my kit. Also, I will use a noise meter. 


kim furphy

Kim Furphy, D.HSc., OT, ATP

Kimberly A. Furphy, DHSc, OTR was granted a Doctor of Health Science Degree with concentrations in Assistive Technology and Gerontology at the University of St. Augustine for the Health Sciences, a Master of Science Degree in Occupational Therapy from Temple University, and a Bachelor of Arts in Psychology from the University of Virginia. Her clinical and research interests include assistive technology applications in the treatment and education of individuals with physical and cognitive disabilities as well as pedagogical innovations for professionals working in the field of assistive technology.  She has worked as an Associate Professor and is the current Program Director in the MSOT program at Stockton University teaching courses in assessment and treatment of the adult and geriatric populations, upper extremity rehabilitation and splinting, as well as assistive technology interventions. She has numerous presentations at the American Occupational Therapy Association’s Annual Conference and at the New Jersey Occupational Therapy Association’s Annual Conference on the topics of assistive technology and home modification and is a frequently invited lecturer at local schools and facilities on these topics. Dr. Furphy is also the author of the chapter on assessment tools for Activities of Daily Living in the book Occupational Therapy Assessment Tools: An Annotated Index, 4th Edition and is a co-author of the chapter “Assistive Technology: Supports for Aging Adults” in Occupational Therapy with Aging Adults: Enhancing Quality of Life through Collaborative Practice.


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