Therapy Outcome Measures for Rehabilitation Professionals - Speech and Language Therapy, Physiotherapy, Occupational Therapy 2nd Edition

161 Pages·2006·0.61 MB·English

by  Pamela Mary Enderby

THERAPY OUTCOME MEASURES
FOR REHABILITATION
PROFESSIONALS

THERAPY OUTCOME MEASURES
FOR REHABILITATION
PROFESSIONALS
SPEECH AND LANGUAGE THERAPY;
PHYSIOTHERAPY; OCCUPATIONAL THERAPY;
REHABILITATION NURSING; HEARING
THERAPISTS
Second Edition
Pamela Enderby
with
Alexandra John
&
Brian Petheram
Compatible with ICF and incorporating ICD10
Published2006 JohnWiley&SonsLtd,TheAtrium,SouthernGate,Chichester,
WestSussexPO198SQ,England
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LibraryofCongressCataloging-in-PublicationData:
Enderby,PamelaM.(PamelaMary),1949-
Therapyoutcomemeasuresforrehabilitationprofessionals:speech
andlanguagetherapy,physiotherapy,occupationaltherapy,rehabili-
tationnursing,hearingtherapists/PamelaEnderby;withAlexandra
John&BrianPetheram.–2nded.
p.;cm.
Rev.ed.of:Therapyoutcomemeasuresmanual/PamEnderby;with
AlexandraJohnandBrianPetheram.SanDiego:SingularPub.Group,
c1998.
Includesbibliographicalreferences.
ISBN-13:978-0-470-02621-2(pbk.:alk.paper)
ISBN-10:0-470-02621-9(pbk.:alk.paper)
1.Medicalrehabilitation–Evaluation–Handbooks,manuals,etc.
2.Outcomeassessment(Medicalcare)–Handbooks,manuals,etc.
I.John,Alexandra.II.Petheram,Brian.III.Enderby,PamelaM.
(PamelaMary),1949-.Therapyoutcomemeasuresmanual.IV.Title.
[DNLM:1.OutcomeAssessment(HealthCare)–methods–Hand-
books.2.PhysicalTherapyModalities–Handbooks.3.DisabilityEvalu-
ation--Handbooks.4.LanguageTherapy–methods–Handbooks.
5.OccupationalTherapy–methods–Handbooks.6.Rehabilitation
Nursing–methods–Handbooks.7.SpeechTherapy–methods–Hand-
books.WB39E57ta2006]
RM930.E532006
615.8′2–dc22
2006011281
BritishLibraryCataloguinginPublicationData
AcataloguerecordforthisbookisavailablefromtheBritishLibrary
ISBN-13:978-0-470-02621-2
ISBN-10:0-470-02621-9
Typesetin12/14ptMinionbyLaserwordsPrivateLimited,Chennai,India
PrintedandboundinGreatBritainbyTJInternational,Padstow,Cornwall
Thisbookisprintedonacid-freepaperresponsiblymanufacturedfromsustainableforestry
inwhichatleasttwotreesareplantedforeachoneusedforpaperproduction.
PREFACE
The Therapy Outcome Measure (TOM) allows therapists to describe the relative
abilities and difficulties of a patient/client in the four domains of impairment,
activity, participation and well-being in order to monitor changes over time. This
approach has been rigorously tested for reliability and clinical validity and can be
used by physiotherapists, occupational therapists, speech and language therapists,
rehabilitation nurses and hearing therapists. It aims to be quick and simple to use,
taking just a few minutes to complete and has been used for treatment planning,
clinicalmanagement,audit,andresearch.Itallowsfortheaggregationofdatasothat
comparisons can be made for the purposes of internal and external benchmarking.
Theapproachhasbeentrialedinordertoestablishthedifferentialoutcomesbetween
differentclientgroupsanddifferentrehabilitationunits.

CONTENTS
Section1:TheoreticalUnderpinningandTesting 1
Introduction 2
WorldHealthOrganisation Classification 7
InternationalClassification ofFunctioning 10
Developmentofthe Tom 17
Validity 22
Reliability 26
Benchmarking 31
References 46
FurtherReading 51
Section2:UsingTheTom 53
HowtoCheckTheReliability ofYourTeam 54
Introducingan OutcomeMeasuretotheWorkplace 55
FrequentlyAskedQuestions 57
TrainingtousetheTom 60
SecondTraining Session 62
KeyWorker(ForOutcomes) 63
TomScales 64
TomDataSheets 65
UserInvolvement 67
TheOutcomesTomComputerSystem 69
References 72
Section3:ScalesandDataForms 73
APPENDICES 74
APPENDIXI TherapyOutcomeMeasuresDataForm
GuidanceNotes 75
APPENDIXIITherapyOutcomeMeasuresDataCollection
Sheet 78
APPENDIXIIIExampleofCompletedDataSheet 79
viii Contents
APPENDIX IVTherapyOutcomeMeasuresCheckList 80
APPENDIX VLearningPrompt Sheet 82
APPENDIX VITOMCoreScale 84
APPENDIX VIITherapyOutcomeMeasuresAdaptedScales 86
1.Child Speech/LanguageImpairment 88
2.Phonological Disorder 90
3.Dysarthria 92
4.Dysfluency 94
5.Dysphagia 96
6.Dysphasia/Aphasia 98
7.Dysphonia 100
8.HearingTherapy/Aural Rehabilitation 102
9.Laryngectomy 104
10.LearningDisability –Communication 106
11.Dyspraxia – Children with Developmental
Co-Ordination Difficulties 108
12.Cerebral Palsy 110
13.Cognition 112
14.HeadInjury 114
15.Stroke 116
16.Cardiac Rehabilitation 118
17.NeurologicalDisorders (IncludingProgressive
NeurologicalDisorders) 120
18.ComplexandMultiple Difficulty 122
19.Multi-FactorialConditions 124
20.Musculo-Skeletal 126
21.RespiratoryCare ChronicObstructivePulmonary
Disease (COPD) 128
22.Incontinence 130
23.WoundCare 132
24.MentalHealth 134
25.MentalHealth–Anxiety 136
26.Schizophrenia 138
APPENDIX VIIIAdaptedTOMScalesin Development 140
APPENDIX IXClassification ofDisorders –ICD-10 143
Index 151
S E C T I O N 1
Theoretical Underpinning
and Testing