Well shit, 90% of clients do not meet their full recovery goals. This analysis is totally wrong. I'm sure leading questions were used. ie. 'Do you want to be able to walk out of the hospital?' when the question should have been open ended, 'What walking/running that you were doing before do you want to get back to?' Whomever was leading this project failed miserably.
https://www.cihi.ca/en/poster_nrs-stokecongressconf-web.pdf
Here is the freaky part of using low FIM scores at admission to make decisions about who gets less therapy. The data reported were group averages. This means some low functioning individuals made good progress while others did not. There is currently no way to look at a client
ReplyDeleteto predict where he or she will end up on the bell-shaped curve that produced the group average. As an OT I did not judge clients by where they began but how quickly they improved.