Cheatography
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occupational therapy fieldwork cheat sheet
Cutting goals_____will snip with scissors in 4 out of 5 trials with ________ assist and _____% verbal cues to promote hand eye coordination for participation/ success in school setting. | _____will cut out a circle in 4 out of 5 trials with ________ assist and _____% verbal cues to increase hand eye coordination for participation/ success in school setting. | _____ will cut across a piece of paper in 4 out of 5 trials with ________ assist and _____% verbal cues to promote separation of sides of hands and hand eye coordination for optimal participation/ success in school setting. |
AssessmentsPDMS-2 | birth -72 months | grasp and visual motor | BOT-2 | ages 4-21 | Fine motor, manual & body coordination and strength | VMI-6 | ages 2-100 | visual motor, visual perception and motor coordination | Sensory Profile 2 | ages 3-14 years and 11 months | sensory processing, social interaction and praxis |
Levels of AssistIndependent | requires no assistance of any kind | Stand by assist | supervision by one person for safe and effective task completion | Min assist | Patient requires no more than 25% of physical assistance to complete task | Mod assist | Patient requires 50% of physical assistance to complete task | Max assist | Patient requires 75% of physical assistance to complete task | Total assist | Patient requires more than 75%-100% of physical assistance by one or more person to complete task |
Writing goals_________ will draw straight line capital letters ________ times in 4 out of 5 treatment sessions with ________ assist and _____% verbal cues for increased fine motor skills while maintaining a tripod grasp. | ________will write sentences using appropriate size and spacing ________ times with ______ assist and _____% verbal cues for increased fine motor skills while maintaining a tripod grasp. | _____________ write letters of the alphabet with 90%+ accuracy for correct letter formation ________ times in 4 out of 5 treatment sessions with ________ assist and _____% verbal cues for increased dine motor skills and success in school setting. |
| | Grasp goals_____will open ___ hand to grasp a variety of size objects ________ times in 4 out of 5 treatment sessions with ________ assist and _____% verbal cues for increased grasp and release accuracy. | _____will grasp a toy using BUE at midline in 4 out of 5 treatment sessions with ________ assist and _____% verbal cues for increased grasp and release accuracy. | _____will trace first name with pencil/crayon folling correct letter formation with verbal prompts only, with 90% accuracy, 4/5 trials. |
CPT Codes97530 | Therapeutic activities | 97110 | Therapeutic exercises | 97533 | Sensory integration | 97150 | Group therapeutic procedures | 97003 | OT eval | 97542 | W/C management, fitting and training | 97537 | Community reintegration | 97140 | Manual therapy | 97525 | ADL retraining |
SOAPS | Subjective | O | Objective | A | Assessment | P | Plan |
DocumentationChild did something great | accomplished, achieved, created, engaged in age appropriate... | Participated | engaged, explored, attempted, problem solved, performed | Child needed help | OT facilitated, OT encouraged, OT modified, OT guided, OT educated | You modified activity | adapted, graded, adjusted, OT presented multiple strategies for successful task completion |
ResourcesOT toolbox | OTdude | Therapy fun zone | Printpath.org | OT plan | Your therapy source blog |
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