Hi Ron I'm fascinated as usual. Who rated the performance in self feeding? I can't imagine a client rating performance 10 when she is not satisfied. Is there pain? Is she dissatisfied with the way she holds her cutlery? What? As far as the COPM scores are concerned I think they are valuable for her and for you in monitoring progress. They are also outcome measures to demonstrate effective treatment. As a valid self report they may be unconsciously contaminated if the client knows what you are hoping for and I presume the treatment plan incorporating goals is established collaboratively with the client. You have not included timeliness in the suggested mobility goal. When she gets to the dining room is she in any shape to enjoy her meals? or too tired from the effort?
Other questions that spring to mind Are there other issues around meal time such as the setting for meals? food quality? companions? What does she do the rest of the time? What is her cognitive level? Is it reduced by depression? Independently getting to the dining room is often a strong facility expectation. Is it, in fact, the best use of available energy in terms of quality of life? In terms of her living situation what are the barriers to the best quality of life given her medical condition? Can any of them be ameliorated? Somehow I am picturing her as quite a neat lady. Someone I would like to meet. Best wishes to you both for a fruitful collaboration, Joan -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Wednesday, January 31, 2007 11:12 AM To: [email protected] Subject: [OTlist] COPM Scores as the Goal? 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 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] **************************************************************************** ********** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************** ********** -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
