Hello All:

I  just  evaluated  a patient with multiple medical issues. As part of
the  eval,  I  administered the COPM. The patient scores indicate that
she  is dissatisfied with her mobility and self-feeding. She has joint
ROM issues and pain secondary to RA and is mildly depressed because of
her living situation. Here COPM scores are:

                Performance     Satisfaction

Mobility            5                 3
Feeding            10                 5


So here's my question.

When drafting the patient's plan of treatment what becomes the goals;

1. Improving the COPM performance and satisfaction scores

                                 <or>

2. Improving the patient's actual mobility and self-feeding.

To  put it another way, if we take the mobility issue, should the goal
read:

1. Patient's COPM mobility scores will improve to 8 and 10

                                 <or>

1. Patient will safely and independtly ambulate to/from her ALF dining
room using a 4-wheel rolling walker.

I  like  the  concept  of using the COPM scores but I can only imagine
what  an  MD  thinks  when  he reads this stuff. I don't send them the
actual COPM, only my plan of treatment.


Ron

-- 
Ron Carson MHS, OTR/L
www.OTnow.com


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