Re: Evaluation of Endurance

[Guest guest]

I believe it *is* possible to document improvements in endurance, and

proposed a structure for it that was published in AOTAs Home and Community

Health Special Interest Section's Quarterly Newsletter (Dec, 2000).

Very basically, I suggest documenting baseline information and progress

related to three variables:

Specific Occupation, Postural Set, and Time.

In the article, I describe the terms, and provide information and examples

on how to document progress. Here's an excerpt from the article:

" The specific occupation selected for analysis stays the same across

treatment sessions. Progress may be demonstrated by increases in the amount

of time a client remains engaged in a specific occupation, changes in

postural sets, decreases in the number of rest periods required during an

activity, decreases in the length of time of the rest periods required

during or after occupational performance, increases in the amount of the

activity performed during a set amount of time, or changes in the client's

performance related to any other contextual factors identified by the

[occupational therapy] practitioner. "

-M.J. McGuire. (2000) Coming to terms with occupational endurance. Home and

Community Health Special Interest Section Quarterly, vol 7, no. 4.

(Bethesda, MD: AOTA).

For instance, a practitioner may also monitor SOB during the activity, or

complaints of pain, or the client's ability to focus with or without

background noise, or negative/positive comments, or *whatever* the

practitioner identifies as a significant environmental factor or element of

occupational function.

If any of this sounds like it may help, it might be worth reading the whole

article! I'd be happy to send you a copy if you send me a SASE.

Jo

--

Jo McGuire MS, OTR/L, FAOTA

Rehab Educators

2735 Crawfis Blvd. Suite 210

Akron, Ohio 44333

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>From: sue.fleck@...

>To: ptmanager

>Subject: Evaluation of Endurance

>Date: Thu, Feb 7, 2002, 11:38 AM

>

> We are a regional, multi-hospital system serving the continuum of inpatient

> acute, inpatient rehab, and outpatient in all the rehab disciplines. We

> are currently re-evaluating our evaluation and progress note forms and one

> issue that has arisen is how to quantify a patient's endurance or activity

> tolerance. I would be interested in learning what others using in terms of

> rating scales/methods to measure endurance and/or activity tolerance in an

> objective manner, and what are the references you have (if any) to support

> the method/scale you are using?

>

> Thank you in advance for sharing!

>

> Sue Fleck, Manager, Contracted and Support Services

> Aurora Health Care

> Milwaukee, WI

>

> fax 414/328.8172

> sue.fleck@...

>

>

>

>