Evaluating Capacity to Live Independently and Safely in the Community: Performance Assessment of Self-Care Skills

Author:

Chisholm Denise1,Toto Pamela2,Raina Ketki2,Holm Margo3,Rogers Joan4

Affiliation:

1. Associate Professor, University of Pittsburgh — Occupational Therapy, Pittsburgh, Pennsylvania, United States

2. Assistant Professor, University of Pittsburgh — Occupational Therapy, Pittsburgh, Pennsylvania, United States

3. Professor Emerita, University of Pittsburgh — Occupational Therapy, Pittsburgh, Pennsylvania, United States

4. Professor, University of Pittsburgh — Occupational Therapy, Pittsburgh, Pennsylvania, United States

Abstract

To determine clients' capacity for community living, occupational therapists must use measures that capture the person—task–environment transaction and compare clients' task performance to a performance standard. The Performance Assessment of Self-care Skills, a performance-based, criterion-referenced, observational tool, fulfills this purpose. In this practice analysis, using data from this tool from multiple clinical studies (N = 941), the authors describe tasks that clients from various diagnostic populations could and could not perform independently and safely. For clinicians, the Performance Assessment of Self-care Skills can be used to identify which daily tasks are compromised and the point of task breakdown, as well as to provide guidance about potential interventions.

Publisher

SAGE Publications

Subject

Occupational Therapy

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