Usually by the time the patient with Rheumatoid Arthritis contains or opts for treatment program, there would have been plenty of joint damage and some degrees of subluxation or deformity regarding joints. Comprehensive occupational therapy assessment will include physical, physiological, psychological, social and environmental perspectives of each patient with Rheumatoid Arthritis. It's been at this stage also that many the patients would at the very least stopped any form including paid employment, except for housewives who would still be doing house work.
The things that the table action occupational therapist will be looking out for includes power, presence of numerous deformity, any signs of their subluxation, skin temperature, pain and the number of motions will be sort of. Given the fact that Rheumatoid Arthritis have their cycles of exarcebations and remissions, it'd be good for keep an assessment mindset through least 3 sessions to determine the hand and it really is function. It'd be good and also breakdown the assessment when compared to what 2-4 sessions depending on patient's tolerance to each session, as not all patients prefer to keep travelling to these kinds clinic.
The hand occupational massage therapist would then perform a series of checks, one of them indicates informal interview. The results of the informal interview is most likely rather inaccurate as the might refer to a time prior to when the onset of the contaminants, and since the contamination is progressive they is not going to very accurate as easily. It'd be best to combine different types of assessment tools eq quantitative and qualitative approach to establish a more holistic idea into their hand function.
Essentially, it is best for the hand occupational therapist to do a practical assessment task coming from the patient, covering the duties (ADL).
The ADL activity assessment should include although not limited to:
1. clothes: able to wear and uncover off own clothing, possessing undergarments and prostheses, in the event the any
2. personal hygiene: washing teeth, wiping/washing face, handwashing
3. toileting: ability to perform voiding activities
4. ingesting: feeding and drinking during meal times
5. mobility: relocating, stairs management, transfers
6. washing: cleaning, laundry, marketing, monetary management
7. communications: using a cell phone to SMS or make calls, writing, typing etc.