Assessment Process

1. Data analysis

1.1. Assemble data in orderly and meaningful manner

1.1.1. Compare data with norms

1.1.2. Synthesize and integrate informaiton

1.1.2.1. Accept or reject hypothesis

2. Data collection

2.1. Non-standardized measures

2.2. Standardized measures

2.3. Interview

2.4. Observations

3. Impressions

3.1. Prognosis

3.2. Diagnosis(es)

3.2.1. Definite, Probable, Possible

3.2.2. Severity

3.3. Recommendations

3.3.1. Education

3.3.2. More Assessment

3.3.3. Referral

3.3.4. Treatment

3.3.4.1. Goals

4. Referral

4.1. Record Review

4.1.1. Educational chart review

4.1.2. Medical chart review

5. Initial Contact

5.1. Patient/client

5.2. Family / caregiver

5.3. Purpose

5.3.1. Gather further information

5.3.1.1. Define / refine the problem

5.3.1.1.1. Develop hypothesis

5.3.2. Clarify referral informaiton

5.3.2.1. Define questions

5.3.2.2. Determine information neeeded