Occupational performance is an essential part of a person’s life where it encompasses their physical, cognitive and psychosocial abilities. In order to assess the individual’s current occupational performance issues in preparation for setting goals and determining intervention plans, two clinical assessment tools that could be used are the Canadian Occupational Performance Measure (COPM) and Functional Capacity Evaluation (FCE). When used together, these assessments provide a comprehensive overview of an individual’s current functioning level which can then be used to determine realistic goals for improvement as well as appropriate interventions.
The Canadian Occupational Performance Measure (COPM) is a clientcentered outcome measure developed to assess an individual’s selfperception of their occupational performance. This approach focuses on understanding how the client perceives both desired performance goals and satisfaction with each goal achieved. The COPM has five components: interview questions, scales to rate importance and satisfaction levels associated with activities performed in everyday life, instructions on completing charts related to occupational roles they use or want to use, feedback from family members regarding perceived importance/satisfaction levels with daytoday activities, and overall scoring that allows calculations of changes over time or between multiple clients. Given this comprehensive approach towards assessing occupational performance issues from both a qualitative and quantitative perspective, therapists can gain useful insight into how an individual views their own ability which may not otherwise be captured through other assessments alone.
In contrast to the COPM which focuses on more subjective selfreport elements, Functional Capacity Evaluations (FCEs) offer more objective measurements based off physical strength testing typically conducted by therapist or healthcare professional such as fitness tests involving lifting weights or performing physical tasks like climbing stairs repeatedly at different speeds while being timed. Additionally FCEs analyze flexibility using methods such as having clients reach overhead whilst being observed or executing certain activities commonly required during work settings such as typing on a computer keyboard for long periods of time without rest breaks throughout the day followed by measuring fatigue afterwards via specific scales designed for this purpose. Due its physical nature FCE often require specialized equipment depending on what is being tested making accurate results highly dependent on access to equipment along with proper clinic setup ensuring safety throughout assessment period so injuries don’t occur due improper form when attempting certain exercises .
When combining results from both COPM and FCE assessments therapists gain unique insight into how much individuals understand about their own functional ability versus actual capabilities allowing them make more informed decisions about achievable short term/long term goals tailored specifically for each patient’s needs . By following up both types evaluations regularly clinicians also able track progress over time enabling them adjust intervention approaches according if needed in order maximize outcomes from treatment sessions .
Overall both the COPM & FCE are effective assessment tools when evaluating patients occupation performance problems providing valuable information that helps create personalized strategies leading better overall health outcomes especially among those suffering disabilities either due injury , chronic illness etc.. With easy implementation process requiring minimal resources minus specialized machines some cases these measures can even completed within home environment significantly reducing barriers preventing people accessing necessary care live productive meaningful lives
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