Week 1 Workshop 1 student worksheet COPM PDF

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WEEK 1 - WORKSHOP 1: CANADIAN OCCUPATIONAL PERFORMANCE MEASURE (COPM)

Workshop Learning Outcomes: 

Apply the Canadian Occupational Performance measure

Required Reading: •

Sumsion, T., Tischler-Draper, L. & Heinicke, S. Applying the Canadian Model of Occupational Performance. In Duncan, E. A. S. 2011. Foundations for practice in occupational therapy (pp. 81-91). Edinburgh: Elsevier.

Workshop Activities: ACTIVITY 1: COPM Instructional DVD Using the laminated copies of the COPM form follow through the DVD. Complete the worksheet questions while watching the DVD using information provided in the DVD:

COPM Instructional DVD – Worksheet Questions 1. What is the purpose of the COPM? Identify problem areas in occupational performance, provide a rating of the clients priorities in occupational performance, evaluate performance and satisfaction relevant to these problem areas, provide the basis for goal setting, measures change in a clients perception of his/ her occupational performance over the course of occupational therapy interview. Also can form a basis to start or know where to begin with therapy sessions. Is a outcome measure. 2. What areas of occupational performance does the COPM address?

Self- care: personal care, functional mobility, community management Productivity: paid or unpaid work, household management, school and/or play Leisure: quiet recreation, active recreation, socialization You want the client to come up with the problem areas to express the issues and concerns, therapist to prompt not lead ideas. 3. How is the information gathered from the client? Through the initial period being the initial consultation interview, questions, conversations & reports by the client (self- report not observations) Therapist to just help guide conversation lead by client.

4. What client groups can the COPM be used with? Anyone, all ages. Individuals with a variety of disabilities.

5. Identify from the video some specific interviewing and communication skills used by the OT? Showing empathy, asking about OT and what that may mean, name preference, respect, broad explanations, probing questions, actively listening ad taking in what the person is saying, paraphrasing what the person said, physical setting to make it a comfortable space to have this open conversation with the person,

6. List some question types used by the OT to elicit useful information? Establish areas of need, problems of performance in those areas, Goes into depth, probing questions to get more information from the client on a topic/ problem they have briefly identified. Letting the client speak, listening and waiting

until they completely finish what they have to say before asking more, language choice for the client, focusing on what the priorities are for that client being what they need to do as well as what they want to do, open ended questions eg what does a typical day look like/ what does a typical morning look like for you. Bringing up social supports, is there a particular part of that task, anything you’d like to do better, anything you are having difficulties with. 7. How is the COPM scored? How is the Visual Analogue Scale utilized to score particular areas of interest? Importance to client (how important is it for yourself to be completing this “task” independently now) / *this is used to get the top 5 if there is heaps, only do performance & satisfaction with top 5* Performance (how well do you think you are performing this task atm / Satisfaction (how satisfied are you with your current performance) when the OT is asking for these scores from the client, like in the video, if they are unsure on what to score they work through it together. For example if they were to say “in the middle” therapist would say perhaps a 5 and let the client explain if this is correct. Always let the client speak and not put in their suggestions or if they believe they are rating it how they’d like them to. 8. The COPM is an outcome measure. What does this mean and how is it used to assess outcomes? Reassess at different intervals and different stages,

Steps of performing the COPM assessment: Step 1: Identification of occupational performance issues Step 2: Step 3: Scoring the COPM Step 4: Reassessment

Activity 2: COPM Interview – Application to case study Working in pairs, each student takes a turn to role play the client, either Mark or Sylvia. 

Practice your interviewing, communication and rapport building skills including: o Introducing yourself, the OT role, the purpose of assessment and how it will be conducted o Be aware of your body language and positioning o Utilise active listening, reframing and open ended or probing questioning o Allow for time for the ‘client’ student to answer

 The ‘Client’ student may interpret and expand on the information provided in the case study to fit the questioning  ‘OT’ student fills out the COPM form as the interview progresses  Students agree on rating and complete the scoring Swap roles using the second case study.

Activity 3: 

Reflection

At the end of each interview, reflect with each other on: o Your interviewing technique – what worked? What didn’t? What could be improved? o Further information would you like collect to inform your intervention program and how you would gather this?

COPM C ASE STUDY 1: SYLVIA Goodmorning Sylvia, im stephanie and I’ll be you occupational therapist today and ill just be here to have a quick chat and conversation with yourself. So Tatiana, is that how you’d like me to address you? Ok perfect, so before we begin have you ever seen an OT or know what we do? That’s all good so basically im someone who can help treat clients through therapy to get back into everyday life activities and help you achieved the things you’d like or want to do better.

Sylvia is a 38 year old woman who acquired a brain injury from a motor vehicle accident. She lives in a two-bedroom house with her husband and 10 year old son, Ryan. Sylvia has been involved with the outpatients program of the local hospital since being discharged from rehabilitation 3 months ago, however they are now discharging her. Sylvia has been referred to the community occupational therapist following an initial intake assessment by the team leader. The occupational therapist used a COPM as an initial assessment to identify Sylvia’s perceived difficulties in occupational performance, and the areas she would like to address as part of her occupational therapy program. Use the information below about Sylvia to inform a COPM interview: 1. Having a shower regularly – you sleep late and wake tired and do not always feel like showering in the morning, and often the day goes by and you haven’t showered at all 2. The mornings are the worst times and you struggle to get up to see your son off to school (he rides his bike). Luckily he is pretty independent, however sometimes he goes to school without lunch. When he goes to school you often go back to bed and don’t get up until much later. 3. Don’t go to sleep until late – by the evening you find you are more alert and active after resting during the day and find it hard to get to sleep before midnight 4. The housework rarely gets done properly. You tend to do this at night, however only do the main areas and your husband and son do their share to help. 5. Money is tight as you aren’t working. Your husband is working long hours as a mechanic to make ends meet. You are finding it difficult to budget and pay the bills on time as you are forgetful. There are often outstanding bills and you incur late notices and extra payments. 6. You liked to cook but you are not driving so find it hard to do the shopping and plan meals. You’re husband tends to pick up take-away meals or do some shopping on his way home from work. 7. You’d like to get back to work. You worked in the office at a local furniture retailer. You have computer, admin and customer service skills. You have a home computer but haven’t spent much time on it since getting home. 8. You used to like to spend your spare time swimming and walking for exercise, however haven’t felt like doing this much lately. You also enjoyed working at your son’s school tuckshop but have not been put back on the roster since the accident. You enjoy reading but find it hard to now concentrate on a magazine for long, 9. Most of the time you spend resting, sleeping or watching TV at home. You like to help your son with his homework some days. 10. Socially you are in close contact with your family who all live nearby. You have lost contact with work colleagues since the accident. They did visit for awhile however

you don’t go out much now to see them. You used to like having a meal out with your husband or friends or catch up at a movie, however you find this hard now to organize and follow through with, especially as you are not driving yet.

COPM Case Study 2: MARK Mark is a 25 year old man with intellectual disability. He also has diabetes and a congenital heart condition which are treated with medication. He has recently moved from home into supported accommodation with three other young men and receives daily assistance from the community support organization. He is generally well, communicates with those around him and gets on with his new housemates and support workers. He needs assistance with his daily activities and is not doing much outside of the house. He is referred to the occupational therapist who uses a COPM as an initial assessment (with the support worker and mother is present) to identify Marks level of occupational performance, and the areas he would like to address. Use the information below about Mark to inform a COPM interview: 1. You get help from the support worker with bathing and dressing, mainly for safety in the shower and using hot water. 2. You need reminders to complete all your personal grooming tasks in the morning. 3. When living at home you could do these activities yourself. 4. You have a lot of ‘down-time’ and get bored. There doesn’t seem to be much to do anymore. 5. You are putting on weight. This is of concern for your diabetes and heart condition. 6. You are helping out with the meals in the house, however it’s not always food that you like so your mother brings in extra meals and snack foods. 7. You used to volunteer at the local pet shelter, however this is now too far away to continue with. You like animals. 8. You do the cleaning and housework jobs in the house as per the roster. 9. You don’t drive but you can catch a bus if you learn the timetable and the route. 10. You like ten pin bowling but don’t get there too often now since moving suburbs. 11. You get a pension, and have are responsible for a small allowance each week. You are finding this is all being used up on phone charges 12. You like using the computer to play games, however your laptop is not working at present. 13. You mother visits several times each week, and you spend some weekends at home. You have few friends your own age....