Occupational Performance Assessment and Analysis

This assignment delves into the world of occupational performance assessment in therapy. It examines diverse instruments and techniques employed to evaluate an individual's ability to engage in meaningful occupations. The focus lies on understanding how therapists analyze these assessments to identify areas of strength and weakness, ultimately tailoring interventions to enhance a client's occupational performance.

Occupational performance analysis form
Priority occupation you are observing:
Date, time and place of observation:
Persons present:
SATISFACTION WITH OVERALL OCCUPATIONAL PERFORMANCE
Person’s perspective
(captured via interview)
How important is this occupation for the
person?
What is the purpose of this occupation?
How satisfied is the person at present
with their performance in this
occupation?
From the interview, it has been reported by Craig that he likes to be
independent and is self-conscious and alert while doing the activities.
This particular occupation is extremely important for the patient since
he wanted to accomplish the task which he underwent on his own.
The function of this occupation or activity was to go to the cafeteria
to buy a drink.
The person reported that he is very much satisfied with his
performance as he believes that he has accomplished something from
his side and is also looking forward to do such activities independently
in future as well (Ford & Matthews, 2014).
Social support’s perspective
(if applicable; captured via interview)
How important is this occupation for
relevant people in a close relationship to
the person (e.g. family member, partner, friend,
carer, support worker)?
What is the purpose of this occupation?
How satisfied is the supporter(s) at
present with the person’s performance in
this occupation?
As per the interview, it has been reported by the person that this
occupation is really important for the relevant people who are in a
close relationship with the person and that is his wife who constantly
supports the person and encourages him for the activities and
motivates him for his achievements.
The purpose of the occupation is to get a drink by wheeling from the
hospital building to the café independently i.e. without anybody’s
support
In the given scenario, the supporter(s) were not present at the time
when the person was doing that activity and the same has been said
by him during the interview that- “My wife was not present at that
time” but she would have been happy seeing me doing this particular
activity.
Karina Dancza 2013 Canterbury Christ Church University Adapted from Fisher (2009) Page 1

Key stakeholder(s) perspective
(if applicable; captured via interview)
How important is this occupation for the
any relevant stakeholders (e.g. other
professionals involved with this person, service
setting requirements)?
What is the purpose of this occupation?
How satisfied is the relevant
stakeholder(s) at present with the
person’s performance in this occupation?
This occupation is extremely important for the other relevant
stakeholders that are involved with this person. It has been reported
by him that he has a full time care taker, who has the responsibility of
taking his care and helping him in doing his activities.
The purpose of this occupation is to get a drink and drink it by
wheeling from the hospital building to the cafeteria.
In the given scenario, no stakeholder (s) was present at the time
when the person was performing this task. Hence, there is no point of
satisfaction of the stakeholder(s) but the person feels really
accomplished by his side (Gonzalez et al., 2014).
OVERALL PERFORMANCE (please circle)
Physical effort or clumsiness
No increase
Minimal
Moderate
Marked
Efficiency (disorganisation) in use of time,
space or objects
Efficient
Minimal
Moderate
Marked
Social appropriateness
Appropriate
Minimal disruption
Moderate disruption
Marked disruption
Safety (risk of personal injury or environmental damage)
Safe - minimal - moderate - marked
Need for assistance (independence)
Independent - Occasional - Frequent -
Constant
SOCIAL INTERACTION SKILLS
Skill item Please rate each
skill item as:
 No problem
 Mild problem
 Moderate problem
 Severe problem
Comment: (qualify the rating you gave with a description of key observations)
Initiating and terminating social interaction
Approaches / starts No Problem The person is capable of a initiating and terminating a good social
interaction, which is quite evident by listening to his interview
Karina Dancza 2013 Canterbury Christ Church University Adapted from Fisher (2009) Page 2

Concludes / exits
Mild
He finished the activity on his own and managed to perform his job
well.
Produces social interaction
Produces speech No Problem Craig produced speech which was quite audible to the interviewer.
Gesticulates No Problem No concerns were noted with the person’s use of gestures
Speaks fluently Mild Slight interruption i.e. speaks fluently but with little pauses, which
may be due to thinking for the answers that have been asked for
the interview.
Physically supporting social interaction
Turns toward Mild He is partially disabled since he cannot walk and uses wheelchair
for moving from one place to another.
Looks No Problem The person can look clearly which is quite evident from the activity
he did. He went from the building to the cafeteria on his own and
this proves that he is not visually impaired or some minor problems
associated with vision is there in his case.
Places self Mild He moved himself on his own by struggling hard and accomplished
the activity given to him. After buying the drink, he placed it in is
mouth and started to move the wheelchair on his with both his
hands (Kevin, 2017).
Touches No Problem. No concerns were noted related to how Craig responded to or
initiated each touch or bodily contact. He does not have any
problems related to touches or sensations.
Regulates Mild Since the person is physically disabled, but can carry the work on
his own. He did not demonstrate any hand wringing or repetitive
noises.
SOCIAL INTERACTION SKILLS CONTINUED…
Skill item Please rate each
skill item as:
 No problem
 Mild problem
 Moderate problem
 Severe problem
Comment: (qualify the rating you gave with a description of key observations)
Shaping content of social interaction
Questions No Problem The interviewer asked relevant questions that were relevant with
the activity given to the patient.
Replies No Problem Craig answered all the questions appropriately
Discloses No Problem He shared information with the interviewer appropriately and did
not hesitate to give all the answers for all the questions asked by
the interviewer.
Expresses emotions No Problem No Problems had been noted with the person expressing emotions
Disagrees No Problem No concerns were noted with how the person expressed any
differences of opinion. In fact, he is positive in life and is really
motivated.
Thanks No Problem Craig was happy after the interview.
Karina Dancza 2013 Canterbury Christ Church University Adapted from Fisher (2009) Page 3

Maintaining flow of social interaction
Transitions No Problem No transitions were observed at the time of interview. Craig did
not deviate from the topic or the questions asked to him by the
interviewer.
Time response Mild Craig replied with a short pause and was thinking a while at the
time of giving answers to the questions asked by the interviewer.
Times duration Mild Craig spoke for longer durations for each and every question asked
to him regarding his activity, stakeholders etc.
Takes turns Mild Since, Craig was physically disabled an can only move from one
place to the other with the help of a wheelchair but no problems
have been found while taking turns while rotating the wheelchair
(Michael, 2017).
Verbally supporting social interaction
Matches language No problem Craig’s language was appropriate and clear at the time of the
interview.
Clarifies No Problem No problems or issues have been reported by Craig regarding the
understanding of his social partners’ comprehension.
Acknowledges /
encourages
No Problem No issues or problems were noted with how Craig acknowledged
and encouraged the communication of his social partners or
stakeholders.
Empathizes No Problem No Concerns were noted with Craig’s ability to empathize
Adapting social interaction
Heeds No Problem Craig was able to perform and complete the task or activity given
to him
Accommodates No Problem No transitions were observed at the time of communication and
the person did not modify his interaction at the time of the
interview.
Benefits Mild The person is capable of speaking fluently and does not hesitate to
share his feelings with the interviewer. In addition, he was found
interested and willing to have a conversation with the interviewer
(jstage, 2016)
PROCESS SKILLS
Skill item Please rate
each skill
item as:
 No
problem
 Mild
problem
 Modera
te
problem
 Severe
problem
Comment: (qualify the rating you gave with a description of key observations)
Sustaining performance
Paces Mild Craig’s overall pace while doing then task was a bit slow and he did the activity on his
own i.e. independently.
Karina Dancza 2013 Canterbury Christ Church University Adapted from Fisher (2009) Page 4

Attends Mild He worked hard and struggled independently to reach to the café from the building to
buy drink. He reported that he makes judgements how to complete the given task or
activity. In addition, he was also reliant on things being constant
(occupationalperformance , 2017).
Heeds Mild The person completed the task of getting a drink from the café by wheeling himself on
his own and buying the drink and drinking on his own.
Applying knowledge
Chooses No
Problem
Craig chose to go the café by himself and buy the drink without needing the help of
anyone else. He is extremely self-conscious while performing the activity given to him
(occupationalperformance , 2017).
Uses No
Problem
He used his hands for moving the wheelchair in order to reach the cafe. He also
grabbed the drink with his mouth while after buying the drink from the
vendor/shopkeeper and moved away to a nearby space for having the drink.
Handles No
Problem
Craig is capable of handling the things by own and is confident as well despite of his
physical disability.
Inquires No
Problem
He did not had any issues regarding the questions that had been asked to him by the
interviewer. He gave all the answers clearly and his voice was quite audible
(psychosocial, 2017).
Temporal Organisation
Initiates
No
Problem
Craig was fine at the time of interview and was comfortable in giving answers to the
question that had been asked to him by the interviewer. Though he was physically
disabled, but was mentally stable, this is quite evident from hearing his conversations
with the interviewer.
Continues No
Problem
He paused when answering each of the questions asked by the interviewer and then
continued to answer after a short span of time after thinking for a while. In addition,
he did not stop anywhere while wheeling from the building to the café in order to buy
a drink (ray, 2017).
Sequences No
Problem
Craig completed the task or activity assigned to him and was really satisfied with his
accomplishment.
Terminates No
Problem
He accomplished his purpose of occupation and did not take too much time for
completing the activity.
Organising space and objects
Searches/
locates
No
Problem
Craig did not take much of the time to go to the café from the building by wheeling on
his own and calls his activity as “great”. He was easily able to search or locate the café
and buy the drink independently (study, 2018).
Karina Dancza 2013 Canterbury Christ Church University Adapted from Fisher (2009) Page 5

Gathers Mild He made use of his mouth to hold the drink in order to move himself by making use of
his two hands for moving nearby and for having the drink nearby the table.
Organises No
Problem
Craig was quite organized during the activity given to him and was able to do the task
without needing anybody’s support or assistance.
Restores Mild He is self-conscious and alert while doing this activity or any other activities assigned to
him.
Navigates Mild The person can navigate by working hard with his hands so that he could he could
move his wheel chair from one place to the other.
Adapting performance
Notices/
responds No
Problem
Craig is capable of noticing and responding appropriately since he is
Adjusts No
Problem
He has been noted to be capable enough of adjusting to the surrounding environment
by applying the social interaction skills.
Accommodates No
Problem
He has a strong will power and was capable of integrating his approach with those of
the surrounding environment.
Benefits Moderate He exhibited a strong will power and gave his best in order to complete the task given
to him.
MOTOR SKILLS
Skill item Please rate each
skill item as:
 No problem
 Mild problem
 Moderate problem
 Severe problem
Comment: (qualify the rating you gave with a description of key observations)
Body position
Stabilises Mild Despite of the physical disability, he stabilised himself well at the
time of the task. Though, he faced a little difficulty initially.
Karina Dancza 2013 Canterbury Christ Church University Adapted from Fisher (2009) Page 6

Aligns Mild He aligned his body position after purchasing the drink and tried to
make his way to the table.
Positions Mild He can move his wheelchair with the help of his hands since he is
physically disable other than that he had no problem in his body
positioning.
Obtaining and holding objects
Reaches Moderate Craig demonstrated increased effort due to his physical disability
when reaching for the drink
Bends No Problem While doing the task, there was no bending involved.
Grips Moderate He gripped the drink with his mouth since he had to move his
wheelchair with his two hands
Manipulates No Problem Not observed
Coordinates Mild There were minor co-ordination problems observed at the time of
his activity.
Moving self and objects
Moves Mild He had to use his hands for moving the wheel chair
Lifts No Problem He was able to lift the drink in his mouth
Walks Severe problem Craig cannot walk and thus requires a wheel chair for movement
Transports No Problem He was able to transport himself from building to the café on his
own
Calibrates
Moderate
He requires much effort for moving the wheelchair in order to
move himself
Flows Mild His other bodily movements were fine
Sustaining performance
Endures Moderate Craig demonstrated much effort during the task
Paces Mild Craig’s overall pace for the task was average.
WHAT WAS THE ENVIRONMENTAL CONTEXT WHERE THE OCCUPATION TOOK PLACE?
Describe the social context
where the occupation took
place (consider using a
plan and description):
 Ambiance e.g. rushed or
calm, hostile, sympathetic
 Degree of familiarity e.g.
routine or novel tasks
 Language e.g. complexity,
pace
Ambiance: The occupation took place in a premise of a hospital. The ambiance of the
hospital was sympathetic and calm and involved the exercising of discipline.
The person was given a task to go the café and get a drink of his own. This was really a
challenge for the person since he was physically challenged and was required a wheel
chair for movement.
Degree Of Familiarity: The person was quite favourable with such tasks since he was
confident and had an extremely supportive wife who always motivated her and did not
considered him to be disabled (study, 2018).
Karina Dancza 2013 Canterbury Christ Church University Adapted from Fisher (2009) Page 7

 Interaction e.g.
communication between
people
 Norms and rules e.g.
explicit and implied
Language:
Verbal communication was involved to gain the attention of the vendor so that he could
get a drink. In addition, the interviewer had also communicated verbally with Craig.
Interaction: The interaction was quite formal and comfortable for the person as well as
the interviewer.
Norms and Rules: There were no such hard and fast rules that were instructed to the
person at the time of doing the task or activity.
Describe the physical
space where the
occupation was performed
(consider using a plan and
description):
 Visual e.g. lighting,
distractions
 Auditory e.g. noise level
 Tactile e.g. textures of
materials
 Movement e.g. space to
move, flow of movement
 Temperature
The activity was conducted in the premise of a hospital:
Visual: The activity started off from the hospital building and the patient moved
independently in a wheelchair through the garden area to the café. The garden had a
number of trees and small plants. On the other hand, the café has entry and exit gates
that are made of glass and it also has several chairs and tables inside (Ford & Matthews,
2014).
Auditory: In the initial scene, there is a sound of a bird when the person starts moving
from the hospital and heads towards the café. On the other hand, the café had a
comparatively higher noise level and was a bit crowded with the people (tandfonline,
2010).
Movement: There was enough space for the patient to move freely in the park as well in
the café.
List any equipment /
tools / objects which were
used.
 Provide a physical
description of key objects
 What is the meaning of
the object to the person
(if relevant)
Wheelchair- The person used wheelchair for movement since he was physically disabled.
Without it, the patient cannot move and therefore, the wheelchair helped him to do the
task or activity assigned to him in an efficient manner. The task object required him to go
out of the hospital building and get himself a drink from the café. To acquire the drink by
himself meant an accomplishment for the patient and he was really satisfied with it
(Kevin, 2017).
Chairs- Medium-sized chairs were present in the café. They were not much relevant to
the patient since he was already seated on the wheelchair.
Tables- Medium-sized tables were present in the café. He kept the drink on one of the
tables’ in order to move an empty chair beside him. m
Karina Dancza 2013 Canterbury Christ Church University Adapted from Fisher (2009) Page 8

References
Ford, T.M. & Matthews, A.R., 2014. How do occupational stressor-strain effects vary with time? A review
and meta-analysis of the relevance of time lags in longitudinal studies. Work & Stress, 28(1), pp.9-30.
Gonzalez, E.M., Michael, M.K. & In, O.S., 2014. A meta-analysis of the relationship between general
mental ability and nontask performance. Journal of Applied Psychology, 99(6), p.1222.
jstage, 2016. Analysis approaches and interventions with occupational performance. [Online] Available at:
https://www.jstage.jst.go.jp/article/jpts/28/9/28_jpts-2016-397/_article [Accessed 2016].
Kevin, B., 2017. Occupational Therapy Assessments for Older Adults: 100 Instruments for Measuring
Occupational Performance. [Online] Available at:
https://www.healio.com/books/health-professions/occupational-therapy/%7B52b30ede-b37b-4c75-a286-
7fd9669c36cc%7D/occupational-therapy-assessments-for-older-adults-100-instruments-for-measuring-
occupational-performance [Accessed 2017].
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Edition. [Online] Available at: https://evolve.elsevier.com/cs/product/9780702054464?role=student
[Accessed 2017].
occupationalperformance , 2017. OPM(A) ASSESSMENTS. [Online] Available at:
http://www.occupationalperformance.com/assessments/ [Accessed 2017].
psychosocial, 2017. The Validity of Occupational Performance Measurement in Psychosocial Occupational
Therapy: A Meta-Analysis using the Validity Generalization Method. [Online] Available at:
http://www.psychosocial.com/IJPR_13/Validity_of_Occy_Performance_Ikiugu.html [Accessed 2017].
ray, 2017. Key tools of the occupational therapist: occupational profiling, activity analysis and occupational
performance analysis. [Online] Available at: https://ray.yorksj.ac.uk/id/eprint/2470/ [Accessed 2017].
study, 2018. Introduction to Occupational Therapy Practice GE. [Online] Available at:
https://study.unisa.edu.au/courses/106111/2018 [Accessed 2018].
tandfonline, 2010. Enabling Occupational Performance of Children Through Coaching Parents: Three Case
Reports. [Online] Available at: http://www.tandfonline.com/doi/abs/10.3109/01942630903337536?
src=recsys&journalCode=ipop20 [Accessed 2010].
Karina Dancza 2013 Canterbury Christ Church University Adapted from Fisher (2009) Page 9