Hello Joan: The patient rated both her performance and satisfaction.
I think one of the unique and greatest contributions of the COPM is that it measures performance and satisfaction. I had many instances where patients are able to complete a task but they aren't satisfied with how they do it. And that the case in this situation. This patient is physically able to feed herself but because of some orthopedic issues, she drops the food from her fork. Ron ----- Original Message ----- From: Joan Riches <[EMAIL PROTECTED]> Sent: Wednesday, January 31, 2007 To: [email protected] <[email protected]> Subj: [OTlist] COPM Scores as the Goal? JR> Hi Ron I'm fascinated as usual. JR> Who rated the performance in self feeding? I can't imagine a client rating JR> performance 10 when she is not satisfied. Is there pain? Is she dissatisfied JR> with the way she holds her cutlery? What? JR> As far as the COPM scores are concerned I think they are valuable for her JR> and for you in monitoring progress. They are also outcome measures to JR> demonstrate effective treatment. As a valid self report they may be JR> unconsciously contaminated if the client knows what you are hoping for and I JR> presume the treatment plan incorporating goals is established JR> collaboratively with the client. You have not included timeliness in the JR> suggested mobility goal. When she gets to the dining room is she in any JR> shape to enjoy her meals? or too tired from the effort? JR> Other questions that spring to mind JR> Are there other issues around meal time such as the setting for meals? food JR> quality? companions? JR> What does she do the rest of the time? JR> What is her cognitive level? Is it reduced by depression? JR> Independently getting to the dining room is often a strong facility JR> expectation. Is it, in fact, the best use of available energy in terms of JR> quality of life? JR> In terms of her living situation what are the barriers to the best quality JR> of life given her medical condition? Can any of them be ameliorated? JR> Somehow I am picturing her as quite a neat lady. Someone I would like to JR> meet. JR> Best wishes to you both for a fruitful collaboration, Joan JR> -----Original Message----- JR> From: [EMAIL PROTECTED] JR> [mailto:[EMAIL PROTECTED] On Behalf JR> Of Ron Carson JR> Sent: Wednesday, January 31, 2007 11:12 AM JR> To: [email protected] JR> Subject: [OTlist] COPM Scores as the Goal? JR> Hello All: JR> I just evaluated a patient with multiple medical issues. As part of JR> the eval, I administered the COPM. The patient scores indicate that JR> she is dissatisfied with her mobility and self-feeding. She has joint JR> ROM issues and pain secondary to RA and is mildly depressed because of JR> her living situation. Here COPM scores are: JR> Performance Satisfaction JR> Mobility 5 3 JR> Feeding 10 5 JR> So here's my question. JR> When drafting the patient's plan of treatment what becomes the goals; JR> 1. Improving the COPM performance and satisfaction scores JR> <or> JR> 2. Improving the patient's actual mobility and self-feeding. JR> To put it another way, if we take the mobility issue, should the goal JR> read: JR> 1. Patient's COPM mobility scores will improve to 8 and 10 JR> <or> JR> 1. Patient will safely and independtly ambulate to/from her ALF dining JR> room using a 4-wheel rolling walker. JR> I like the concept of using the COPM scores but I can only imagine JR> what an MD thinks when he reads this stuff. I don't send them the JR> actual COPM, only my plan of treatment. JR> Ron JR> -- JR> Ron Carson MHS, OTR/L JR> www.OTnow.com JR> -- JR> Options? JR> www.otnow.com/mailman/options/otlist_otnow.com JR> Archive? JR> www.mail-archive.com/[email protected] JR> **************************************************************************** JR> ********** JR> Enroll in Boston University's post-professional Master of Science for OTs JR> Online. Gain the skills and credentials to propel your career. JR> www.otdegree.com/otn JR> **************************************************************************** JR> ********** -- 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 **************************************************************************************
