Abstract：
While occupation began as the central concept of occupational therapy at the dawn of the profession, the use of occupation throughout the therapy process, including assessment, has wavered in recent decades. Occupation is defined as meaningful and purposeful activities that individuals do to occupy their time and attention. The use of occupation-based assessments is vital to establishing care with an occupational focus. The purpose of this paper is to review the outcome assessment tools commonly used in the burn literature to evaluate hand function and critique the presence of occupation in each assessment using the Occupation-Based Practice Assessment (OBPA). Knowledge of the occupational nature of assessments is important to the delivery of an occupational therapy evaluation comprised of a battery of assessments inclusive of discrete measures of movement as well as performance-based tools to represent the person from an occupational perspective. Many outcome measures used in upper extremity burn rehabilitation are discrete in nature and do not measure occupations of clients. The Suitcase Packing Activity (SPA) may be a viable addition to an assessment battery to address this essential need.
摘要：
虽然职业在职业初期开始是职业治疗的核心概念，在整个治疗过程中使用职业，包括评估，近几十年来一直在动摇。职业被定义为个人为占据他们的时间和注意力而进行的有意义和有目的的活动。使用基于职业的评估对于建立以职业为重点的护理至关重要。本文的目的是回顾烧伤文献中常用的结果评估工具，以评估手的功能，并使用基于职业的实践评估（OBPA）在每次评估中批评职业的存在。评估的职业性质的知识对于提供职业治疗评估非常重要，该评估包括一系列评估，包括离散的运动测量以及基于绩效的工具，以从职业角度代表个人。上肢烧伤康复中使用的许多结果指标本质上是离散的，无法衡量客户的职业。手提箱包装活动（SPA）可能是评估电池的可行补充，以满足这一基本需求。
