Scribd
Upload
95 views

Functional Capacity Evaluation

The document outlines the role and structure of an occupational therapist's functional capacity evaluation. The evaluation determines an individual's vocational potential and residual abilities through assessing physical, mental, psychosocial, and work factors. The OT evaluates activities of daily living, leisure activities, specific job tasks, and uses standardized tests and functional assessments. The evaluation concludes with recommendations on work ability and any needed interventions or accommodations.

Uploaded by

Nigel Z Nyambuya
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
95 views

Functional Capacity Evaluation

The document outlines the role and structure of an occupational therapist's functional capacity evaluation. The evaluation determines an individual's vocational potential and residual abilities through assessing physical, mental, psychosocial, and work factors. The OT evaluates activities of daily living, leisure activities, specific job tasks, and uses standardized tests and functional assessments. The evaluation concludes with recommendations on work ability and any needed interventions or accommodations.

Uploaded by

Nigel Z Nyambuya
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 17

Functional Capacity

Evaluation
By Nigel Nyambuya
Role of the OT

• Determining an individual’s future vocational potential through our


understanding of;
1. Physical & mental conditions which often lead to disability
2. Evaluating a holistic picture of an individual in terms of past life, present
situation, interests, roles, motivation, locus of control, attitude towards
disability and towards potential employment
3. Activity/work analysis
Purpose

• Determine residual abilities and the impact of illness on a client’s work


and in ADLs
• Comment on symptomatology which may be impacting on client’s
function
• Appropriate level of work suitable for client, reasonable accommodation,
adaptation, alternative work or incapacity
• Need for rehabilitation and/or other therapeutic interventions
Assessment methods

• Interview
• Physical evaluation
• Functional evaluation
• Observation
• Collateral information
Standardised tests
• Dynamometer grip strength
• MODAPTS
• VCWS
• T/PAL-Cognitive Psychomotor Activities
• Purdue Pegboard
• DTVP-A
• CAM
• RBANDS
Structure of FCE
• Client information
• Educational & work history
• Medical history
• Physical assessment
• Assessment of ADLs
• Leisure
• Assessment of work ability
• Functional assessments
• Conclusion
• Recommendations
Client information

• Cover page
• Personal history
• Facilities in the area
Educational & work history

• Educational history
• Work history
• Prevocational skills
• Ability to perform alternative work
Medical history

• Diagnosis & medical prognosis


• Current treatment
• Assistive devices
• Current complaints
Physical assessment

• Vital signs
• Weight
• Height
• Musculoskeletal assessment- pain, R.O.M, muscle strength, posture,
balance, mobility, endurance, hand function, fine motor coordination
etc
ADL assessment

• Home environment
• Physical environment
• Self-care
• Instrumental ADLs-reading/writing, transport use, financial
management, home management; housework, meal prep, washing
dishes, laundry, shopping, home maintenance, gardening etc
Leisure

• Hobbies
• Interests
Assessment of work ability
• Job information
• Job description
• Main purpose of the job
• Main job tasks
• Training
• Equipment used
• Vehicle/moving equipment
• Work environment
• Quantitative job information
Functional assessment

• Cognitive assessments- RBANS, DTVP-A, CAM, VCWS, T/PAL


• Physical assessments- VCWS, MODAPTS, T/PAL
• Psychosocial assessments- Interview
Conclusion
• Basically connecting the assessment findings to work ability
Recommendations
• Future medical intervention
• OT management-work hardening, ergonomic adaptations etc
• Meets work demands
• Does not meet work demands hence reasonable accommodation
and/or restrictions, temporary incapacity, permanent incapacity,
disability, early retirement or alternative employment
• Vocational exploration
The End

You might also like