respond to Caroline’s discussion post using the following criteria: Suggest TWO changes that you recommend to positively affect your peer’s time-use pattern and improve their sense of occupational balance. Remember to provide evidence for why this strategy is effective.
Looking at all the assessments that can address performance IADLs it was hard to choose just one assessment. The Everyday Problems Test was most like match the current IADLs that are performed however the Performance Assessment of Self-Care Skills also known as PASS was a close contender. Everyday Problems Test is an assessment utilized in the clinic that looks at health, meal preparation, phone usage, shopping, financial management, household management and transportation (Law et al., 2017). It has a 0.93 reliability, with good validity and utility (Law et al., 2017 pp.322). Even though the Everyday Problems Test looks at most IADLs the PASS assessment still may be beneficial. The Pass would also look at cognition, functional mobility, strength, upper extremity function and dexterity and how it relates to performing IADLs. This could be important to include especially if an individual testing high with the Everyday Problems Test but still having difficulty with performing the task since the PASS has the client perform the tasks. When looking occupational treatment, it is important to address these goals throughout treatment, if ignored it could have a large impact on an individual’s IADL performance and questions and issues may arise when performing these tasks.
The Occupational Questionnaire Outcome Measure can be used to look at the use of meaningful time throughout the day (Scanlan, Bundy, 2011). It is individualized based on how the individual utilities their time and how the day is spent with ADLs and IADLs. When taking this assessment looking at my results personally, I found that I spend ~50% of my time at work, ~26% completing daily living work, only 2% in recreation activities and 21% of my day resting. Out of all 38 sections I felt that I do no activities very well, 45% well, 26% average and no activities poorly or very poorly. Based on importance 1/38 was extremely important, 30/38 important, 5/38 take it or leave it, and 1/38 rather not do it. Finally looking at how much I enjoy doing it 7/38 is like very much, 21/38 like the activity, 7/38 neutral and 3/38 I dislike completing. Looking at a balance of life I spend a lot of time at work, and performing daily living work luckily, I enjoy most of the items that take up majority of the time, the only thing I dislike is driving, which can be hard to change when you need to drive to town for work/groceries. One thing I could changed based of this information, which is no surprise of an area I lack in balance in, is creating more time for recreation. Out of my 38 possibilities only one allowed for recreation, it is important to include this in my balance of life to not burn myself out with work or daily work activities. This assessment is great to utilize to visually see how the day is spent and how it can be changed.
Law, M. C., Baum, C. M., & Dunn, W. (2017). Measuring occupational performance: Supporting best practice in occupational therapy. Slack.
Performance assessment of self-care skills. Shirley Ryan AbilityLab. (2015). Retrieved February 16, 2022, from https://www.sralab.org/rehabilitation-measures/performance-assessment-self-care-skills
Seattle Longitudinal Study. Go to Seattle Longitudinal Study. (n.d.). Retrieved February 16, 2022, from https://sls.psychiatry.uw.edu/researchers/everyday-problem-tests-and-manuals/
Scanlan, J. N., & Bundy, A. C. (2011). Development and validation of the Modified Occupational Questionnaire. American Journal of Occupational Therapy, 65(1), e11–e19. https://doi.org/10.5014/ajot.2011.09042
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