COPM Assessment

Summary

This transcript captures an occupational therapy assessment for a patient with severe osteoarthritis affecting daily life. The therapist discusses challenges the patient faces with personal care, mobility, household chores, leisure activities, and social participation. Key difficulties include getting dressed, applying makeup, mobility issues with low chairs and the whirlpool tub, and struggling with household tasks like lifting baskets and cleaning. The patient also faces issues with holding a pen for writing and limited physical activity. The session focuses on identifying areas for therapy and setting meaningful goals to improve the patient's quality of life.

Takeaways

• 😀 The patient, named Trisha, has severe osteoarthritis in her hands, which significantly impacts her daily life.
• 😀 Trisha has difficulty with personal care tasks, especially dressing and applying makeup, due to impaired fine motor coordination.
• 😀 Putting on shoes is almost impossible for Trisha due to her arthritis, which makes daily routines challenging.
• 😀 Trisha rates the importance of being able to apply makeup as a 10 out of 10, indicating it's a high priority for her.
• 😀 Getting in and out of her whirlpool tub and car is difficult for Trisha, with a rating of 8 and 10 for importance respectively.
• 😀 Trisha struggles with mobility due to weakness in her legs, particularly when getting out of low chairs or vehicles.
• 😀 Trisha is not currently employed and does not participate in paid or unpaid work outside her home.
• 😀 Household management tasks, like lifting laundry baskets, cleaning toilets, and vacuuming, are also major challenges due to her arthritis.
• 😀 Trisha still enjoys quiet recreation activities like watching TV, listening to music, reading, and doing crossword puzzles, but her hand limitations affect her ability to hold pens for writing.
• 😀 Physical activities like walking and caring for a pet are important to Trisha, but she struggles to engage in them for extended periods due to her condition.
• 😀 Social activities, such as hosting or attending gatherings, have become more difficult for Trisha, and she no longer participates in the cooking or cleanup due to physical limitations.

Q & A

What is the primary goal of occupational therapy as described in the transcript?

The primary goal of occupational therapy, as described, is to help individuals function better in their everyday life by identifying meaningful activities and finding ways to perform them effectively, even with any limitations they may have.

What condition does the person in the transcript struggle with?

The person in the transcript is struggling with severe osteoarthritis in their hands, which affects their ability to perform everyday tasks.

What is the Canadian Occupational Performance Measure (COPM) used for?

The COPM is used to assess and identify problems in a person's everyday life, focusing on self-care, productivity, and leisure activities, and helps formulate goals to improve the person’s life.

What difficulties does the person face with personal care and self-care activities?

The person experiences difficulty getting dressed, such as putting on underwear, jeans, socks, and shoes. They also struggle with applying makeup, particularly using fine motor skills for tasks like eyeliner and mascara.

How does the person rate the importance of applying makeup and putting on shoes?

The person rates the importance of applying makeup as a 10, indicating it's extremely important. They also rate the ability to put on shoes by themselves as a 10, considering it crucial.

What mobility-related challenges does the person face?

The person has difficulty getting in and out of their whirlpool tub, car, and low chairs due to lack of strength in their legs. They also struggle with getting out of low chairs and the car if it's too close to the ground.

How important is the ability to get in and out of the car and whirlpool tub for the person?

The person rates the ability to get in and out of the whirlpool tub as an 8, and the importance of getting in and out of the car as a 10, indicating both tasks are very important.

What household management tasks are challenging for the person?

The person struggles with lifting baskets, cleaning toilets (especially behind them), and vacuuming due to the weakness in their hands and difficulty bending or reaching.

What activities does the person enjoy in their leisure time, and what difficulties do they face?

The person enjoys watching TV, listening to the radio, reading, and doing word searches. However, they have difficulty holding a pen due to their hand arthritis, which makes tasks like writing checks or doing word searches challenging.

How important is the ability to walk and engage in physical activity for the person?

The person rates the importance of walking and engaging in physical activity as a 10, as they would like to be more active and would like to walk longer distances than they currently can.