Functional Outcomes Margo Prim Haynes, PT, DPT, MA, PCS Mary Rose Franjoine, PT, DPT, MS, PCS

Prim Haynes & Franjoine Outcome Developed with Patient and Family Functional Measurable Reproducible Should be Attainable Long-term Short- term Session 2009 Prim Haynes & Franjoine

Prim Haynes & Franjoine Well Written Outcomes Enhance communication Members of the Treatment Team Medical professionals Educators Third-parry payers Demonstrate effectiveness of Intervention Contributes to the “evidence” supporting NDT 2009 Prim Haynes & Franjoine

Prim Haynes & Franjoine Well Written Outcomes Subject Action verb Functional performance Conditions Criteria 2009 Prim Haynes & Franjoine

Prim Haynes & Franjoine Subject Identifies the person Kelly will Child will Patient will Student will 2009 Prim Haynes & Franjoine

Prim Haynes & Franjoine Action Verb What the individual will do Move, Transition Walk, Run, Skip, Jump Reach for Mom’s hand Hold their bottle, Carry a truck Talk, Sing, Yell Dress, Put on Boots, Tie shoes 2009 Prim Haynes & Franjoine

Functional Performance The “How” the individual will do the “Activity” Postures and Movements Right hand Reciprocally Minimal liquid loss Observable Beginning and end point 2009 Prim Haynes & Franjoine

Prim Haynes & Franjoine Condition Circumstance of Performance Minimal assist, Moderate assist Independently Environment: Where the performance occurs In a chair at the kitchen table At the mall School cafeteria Hallway During gym class 2009 Prim Haynes & Franjoine

Prim Haynes & Franjoine Criteria Measurable markers for success Quality Quantity Observable Commonly used markers: Accuracy: 3 out of 5 times, 50%, 100%, 8 out of 10 trials Distance: 20 ft, 50 ft , from the garage to front door, 3 blocks, 1 mile Time: within 10 seconds, within 2 minutes, for 2 hours, within a week 2009 Prim Haynes & Franjoine

Prim Haynes & Franjoine Considerations Changes in Functional Behavior Temporary Permanent Motor Learning has occurred when we have achieved a relatively permanent change in motor behavior Over 5 consecutive sessions Spontaneously demonstrates in the context of a different function 2009 Prim Haynes & Franjoine