This page has downloadable documents and forms that may be helpful to you and your practice. The resources are catergorized as "Evaluations/Assessments" and "Education".
The files are from multiple sources and represent either my personal works or files that are freely available on the Internet. If possible, the file's source is cited.
If you reporduce these works, please give credit to the originator. No rights are implied or afforded.
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NOTE: Some links point to locations off the OTnow.com web site
- St.
Louis University Mental Status (SLUMS) Exam
A small mental status exam that is reported to be more sensitive than the MMSE.Source: St. Louis University
- The
Geriatric Depression Scale-Short Version [on-line]
"This scale was developed as a basic screening measure for depression in older adults. We will consider this page to be under continuous development and try to keep translations of the scale available."Source: Electronic form developed at the Palo Alto Veterans Affairs Hospital by Wes Ashford, M.D., Ph.D. and Anil Sharma, M.D. Neither the GDS nor this electronic form are protected by copyright.
- The
Functioning Everyday with a Wheelchair (FEW) Seating-Mobility Outcomes
Measure
This site provides information and background on the development of this self-report tool as well as instructions for the administration, scoring, and interpretation of the tool.Source: Margo Holm, Ph.D., OTR/L, FAOTA, ABDA, Tamara Mills, Ph.D., OTR/L, ATP, Mark R. Schmeler, Ph.D., OTR/L, ATP and Elaine Trefler, M.Ed., OTR, ATP, FAOTA
- Berg
Balance Scale
A well-known and highly used assessment of balance.Source: unknown
- Wheeled
Mobility Evaluation
A 3-page evaluation developed to assess clients' medical necessity for powered mobility. It is not designed for severely challenged individuals requiring highly customized mobility needs. NOTE: The evaluation is 3 separate images contained in one zip file. Zip and image viewer programs are required to see these files.Source: Ron Carson/HOPE Therapy Services
- Senior's
Fall Risk Assessment
A 10 page evaluation developed by Broomfield Senior Fall Prevention Program and Home First.Source:Broomfield Senior Fall Prevention Program and Home First
- Home
Safety Checklist
Use this list to identify fall hazards and accessibility issues of the homeowner and family members. This checklist can be used by a therapist or given to family members to report on home conditions or to prepare for a family member's discharge to home.Source: Rebuilding Together
- Short
Blessed Form
"A well-studied test, which is (so far) little used. It has been validated against neuropathology, and was derived from the longer Blessed scale."Source: Internet Stroke Center
- CMS 700
Form
The CMS 700 is Medicare's plan of treatment for outpatient rehabilitation.Source: CMS
- Occupational
Activity Score Record - Generic Form
A very simple form that provides quantitative data for occupational activity. There is zero evidence supporting the accuracy of this document, but I find it helpful.Source: Ron Carson/HOPE Therapy Services
- Occupational
Activity Score Record - Meal Prep
A very simple form that provides quantitative data for meal preparation activity. There is zero evidence supporting the accuracy of this document, but I find it helpful.Source: Ron Carson/HOPE Therapy Services
- Mini
Mental Status Exam
The MMSE is a well-known screening tool that can be used to quickly determine the need for treatment and/or further testing.Source: Unknown
- Role
of Occupational Therapy in Home Health
A PowerPoint presentation (converted to PDF) developed by Jane Ryan, LOTRSource: Jane Ryan, LOTR
- Functional
Goal Writing for Occupation-Based Practice
A PowerPoint Presentation (converted to PDF) developed by Debbie Amini.Source: Debbie Amini M.Ed., OTR/L, CHT
- Enabling
Occupation
A PowerPoint presentation (converted to PDF) that was given as part of a "human occupation" course I instructed. The presentation is based on the book "Enabling Occupation: An Occupational Therapy Perspective", published by the Canadian Assoc. of Occupational Therapy. The presentation is also available as a Flash fileSource: Ron Carson MHS, OT
- Evidence-Based
Treatment of the UE in the Patient with CVA
An 11-page handout developed to help therapists with anatomy, testing and clinical management suggestions for testing shoulder impingement. This document is also available as a PDF file.Source: Judy Hamby, OTR/L, BCN
- Establishing
a Tripod Grasp Using Phrases
A document providing phrases that may help children use an efficient grasp pattern with a writing utensil.Source: Jorge A. Ochoa, OTR
- Living,
Despite Arthritis
A brief presentation that can used as an education session for older adults.Source: Ron Carson MHS, OT HOPE Therapy Services
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