Placement Setting: The team is based in an NHS teaching PCT. Practice takes place in the community and/or in the hospital gym or therapy rooms. +++ Overarching philosophy of care/NHS frameworks/standards: The overarching philosophy of care is based on the Social Model of Disability (Oliver 1983) and the empowerment of the client in enhancing his/her level of independence, which may consequently prevent hospital admission. A key paper used in this setting is the NSF for Older People (Department of Health 2001) particularly its second standard: client-centred care. +++ Client population & health needs (age range, ethnicity, service user profile): The profile of a typical service user describes an adult experiencing a long-term neurological condition. Health needs vary but typically include the need for adaptive equipment in order to improve self-care skills.
Table of Contents
Section 1
Summarised Context and Client Details
Section 2
Critical discussion of occupational therapy practice
Introduction
The FACE Overview Assessment
Client Example One: Mrs X
Main focus of FACE
Clinical Utility and Acceptability of FACE
Validity and Reliability
Usefulness and Client-centredness
Interprofessional teamworking and the OT role
Informal Kitchen Assessment
Client Example Two: Mr. Y
Focus of the informal kitchen assessment
Cinical Utility and Acceptability
Validity and Reliability
Usefulness and Client-centred practice
Interprofessional teamworking and the OT role
Conclusion
Section 3
References & Appendices
Objectives and Research Themes
This paper aims to provide a critical discussion on the application of specific occupational performance assessments within a community neurological rehabilitation team, focusing on how these tools align with evidence-based practice and client-centred care principles.
- Critical analysis of the Functional Analysis of the Care Environment (FACE) assessment tool.
- Evaluation of informal kitchen assessments as a clinical measure.
- Integration of client-centred approaches in occupational therapy practice.
- Examination of interprofessional collaboration and professional role boundaries.
- Assessment of the clinical utility, validity, and reliability of chosen tools.
Excerpt from the Book
Clinical Utility and Acceptability of FACE
SAP tools, such as FACE, have been introduced in order to improve communication and co-ordinate assessment processes across social and health care services resulting in an integrated response (DoH 2004). This means that data collection does not have to be reiterated by each service to which the client is referred (DoH 2004).
FACE was completed on paper and was normally carried out in the client’s own home, during the course of a one-hour session. Depending on the variety and extent of the client’s needs, the therapists in this particular placement setting acknowledged that the form sometimes needed to be completed at the beginning of a second session and/or after returning from the home visit. The consultations during the Australian study (2004) included ratings of the assessments tools by 89 members of a workshop, who rated FACE third amongst six tools in terms of its applicability (AIPC 2004).
Summary of Chapters
Section 1: Provides a comprehensive overview of the placement setting, the philosophy of care based on the Social Model of Disability, and the types of referrals handled by the team.
Section 2: Presents a critical discussion of the FACE Overview Assessment and an informal kitchen assessment, evaluating them through the lenses of clinical utility, validity, reliability, and client-centred practice.
Conclusion: Synthesizes findings regarding the strengths and weaknesses of the assessed tools and encourages further research into the validity of standardized and informal assessment methods.
Section 3: Contains the reference list and supporting documentation cited throughout the assignment.
Keywords
Occupational Therapy, Evidence-Based Practice, FACE Assessment, Client-Centred Care, Neurological Rehabilitation, Clinical Utility, Validity, Reliability, Informal Kitchen Assessment, Multi-disciplinary Team, Functional Analysis, Patient Empowerment, Assessment Tools, Professional Roles.
Frequently Asked Questions
What is the core focus of this assignment?
The assignment provides a critical review of how specific occupational therapy assessments—namely the FACE tool and informal kitchen assessments—are utilized within a community neurological rehabilitation setting to support patient care.
What are the central thematic fields?
The main themes include evidence-based practice, the application of standardized versus informal assessment tools, and the importance of maintaining a client-centred approach within a multi-disciplinary team.
What is the primary objective of the author?
The primary goal is to evaluate the clinical effectiveness and theoretical consistency of these assessment tools in practice, particularly in how they influence intervention goals for patients with long-term neurological conditions.
Which scientific methodology is applied?
The author uses a critical reflection framework based on Laver Fawcett’s (2002) criteria, combined with an analysis of existing study reports and clinical observations from the practice setting.
What topics are covered in the main section?
The main section discusses the FACE assessment's utility for Mrs. X, the role of informal kitchen assessments for Mr. Y, and the impact of 'blurred' professional roles within the team.
Which keywords define this work?
The work is defined by terms such as Occupational Therapy, FACE assessment, Client-centred care, Neurological rehabilitation, and Clinical reasoning.
How does the FACE tool specifically contribute to the Single Assessment Process?
It acts as an initial assessment tool to provide baseline data across health and social care, reducing the need for redundant data collection and facilitating an integrated response for older patients.
Why was the informal kitchen assessment deemed valuable?
Despite a lack of standardized validity, it was found to be highly useful for its naturalistic, client-centred approach, allowing the therapist to observe functional performance in the patient's own home.
What challenges did the therapists face regarding the assessment tools?
Therapists expressed concern over the generic nature of the FACE form and noted a lack of specific training for certain assessment items, as well as the inherent difficulty in establishing quantitative reliability for qualitative, informal observations.
- Citar trabajo
- Linda Mathews (Autor), 2008, Evidence-Based Practice - A critical discussion of occupational therapy practice with a focus on assessments, Múnich, GRIN Verlag, https://www.grin.com/document/111662
