Dynamic Performance Analysis

DYNAMIC PERFORMANCE ANALYSIS

Client Name: Date:

OCCUPATION:
MEANING:
PERFORMANCE PREREQUISITES:
·  Does the client want to do the occupation/activity? yes no
·  Does the client generally know what to do? yes no
PERFORMANCE BREAKDOWNS (describe)
1.
·  Does the client know what to do? yes* no
·  Does the client want to do it? yes* no
·  Does the client have the ability to do it? yes* no
If no, explain:
·  Are environmental demands and supports appropriate?
·  Are task demands and supports appropriate?
*Note: if answer to all 3 is "yes" this is not a breakdown in performance….
2.
·  Does the client know what to do? yes* no
·  Does the client want to do it? yes* no
·  Does the client have the ability to do it? yes* no
If no, explain:
·  Are environmental demands and supports appropriate?
·  Are task demands and supports appropriate?
*Note: if answer to all 3 is "yes" this is not a breakdown in performance….

DYNAMIC PERFORMANCE ANALYSIS – page 2

PERFORMANCE BREAKDOWNS (describe)
3.
·  Does the client know what to do? yes* no
·  Does the client want to do it? yes* no
·  Does the client have the ability to do it? yes* no
If no, explain:
·  Are environmental demands and supports appropriate?
·  Are task demands and supports appropriate?
*Note: if answer to all 3 is "yes" this is not a breakdown in performance….
4.
·  Does the client know what to do? yes* no
·  Does the client want to do it? yes* no
·  Does the client have the ability to do it? yes* no
If no, explain:
·  Are environmental demands and supports appropriate?
·  Are task demands and supports appropriate?
*Note: if answer to all 3 is "yes" this is not a breakdown in performance….

List factors inhibiting occupational performance:

List factors supporting occupational performance:

This form is based on the process described in Polatajko, H.J., Mandick, A. & Martini, R. (2000). Dynamic performance analysis: A framework for understanding occupational performance. American Journal of Occupational Therapy, 54: 65-72.