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45 Cards in this Set

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a set of ideas or concepts that people use to guide their reasoning and actions
theory
what are the attributes of a theory?
1. well defined
2. testable/ tested
What is the function of a theory?
a set of tools to understand, explain, and or predict occurrences
What are 4 reasons why we should learn theories?
1. clinical reasoning
2. shared language
3. improved validity through testing
how long do attention spans usually last?
10 minutes
the thinking process that guides what we do with clinets
Clinical/ professional reasoning
what year did the AOTF seek to fund a study of OT clinical reasoning
1990
Who were the funds awarded to from AOTF to study clinical reasoning
Chreyl Mattingly and Maureen Fleming
How did Cheryl Mattingly and Maureen Fleming form their study design?

5 ways
- videotaped sessions
- participant observers with field notes
- interviews
- focus groups
- master clinicians
what are the 3 levels of clinical reasoning from least to most advanced
1. procedural reasoning
2. interactive reasoning
3. conditional reasoning
type of clinical reasoning that focused toward the disability/ illness/ pathology

- knowledge gained from texts, research, test results, past experience, observation

- linear logic
procedural clinical reasoning
what are 3 concepts of procedural reasoning
- problem identification
- goal setting
- treatment plan
type of clinical reasoning where the client is an individual

- knowledge gained from observation, interveiw, conversation, informal interactions
interactive reasoning "narrative reasoning"
what are 4 concepts of interactive reasoning?
1. phenomenology
2. therapeutic alliance
3. hope
4. client- centeredness
type of clinical reasoning that uses practice/ therapist's context

- clients contexts
.. family, community, places of work, school, worship, leisure, political and economic words
condiional reasoning "prgamatic reasoning"
what are the 2 key concepts of conditonal reasoning?
1. forming a vision of the future
2. both diagnosis and individual influenced by context
theory that facilitates individuals' natural movement toward self- actualization
humanism
awareness of freedom to make choices
- taking responsibilties for one's decisions
- being uninhibited by guilt or blame
- choosing environments that allow growth and self expression
- feeling good about oneself
self actualization
each person is the only expert about himself/ herself
- everyone is capable of making good choices for themselves
- therapy is about providing the right environment to allow clients to grow and develop
client- centered therapy
what are 3 elements of facilitating conditions of client centered therapy
accurate empathy
congruence/ transparency
unconditional positive regard
this kind of info helps with which kind of clinical reasoning?
- theories
- diagnosis
- medical history
- personal background
procedural clinical reasoning
this kind of info helps with which kind of clinical reasoning?
- outcome - patient desires
- asking, listening, observing
interactive/ interpersonal clinical reasoning
this kind of info helps with which kind of clinical reasoning?
- talking to family
- home visits
conditional clinical reasoning
American psychologist (1908- 1970) that came up with the hierarchy of needs
Maslow
What are the levels of the hierarchy of needs
top to bottom

self actualization
self esteem
belonging/ love
safety
physiological needs
what are a few examples of therapeutic interventions with the humanist approach?
- establishing safe and supportive environment
- listening to client's stories
- engaging in a therapeutic relationship
what is the basic theme of humanism
empathy and understanding
who were the founding authors of the PEO model?
Mary Law and Sue Baptiste from McMaster's University
when was PEO developed?

for who?
1980s by OTs for OTs
what was the goal of PEO
to provide national guidelines for practice
what are the two main foci of PEO?
1. client centered practice applied to OT
2. dynamic systems apporach
what is client centered?
- client empowerment
- creating opportunities for clients to self empower
the following are components of what part of PEO?

traits, states, beliefs, culture, values and preferences, abilities/ disabilities, diagnoses, roles, identities
person
the following are components of what part of PEO?

physical: home, neighborhood, community, school, work
social: family, friends, co-workers, neighbors
economic: $ resources, comparison group, insurance
political/ social/ cultural: civil rights, policies, attitudes, acceptance, stigma
environment
the following are components of what part of PEO?

- xpected and desired roles
- tasks and activities required for roles
- balance of activity
occupation
what are intervention from a PEO frame of reference
1. client centeredness
2. dynamic system
3. "grand" "meta" theory
this theory has shared roots with PT
- reconstruction aides in WWI
- response to the polio epidemic of 1920s- 1930s
biomechanical theory
what are 3 goals of the biomechanical approach
1. promote healthy movement/ prevent impaired movement/ pain
2. remediate movement impairment an resulting pain
3. reduce movement impairment and pain
what type of client wold be likely for a biomechanical approach?
arthritis, after surgery, carpel tunnel
people who have chronic or permanent disabilities may regain and maintain their occupational performance through compensatory methods, adaptive devices, and environmental modifications
rehabilitation
the following are precepts for what model?

- client as a learner
- therapist as coach, teacher, advocate
- cure is not the goal
- handicaps are an unnecessary social problem, not the logical outcome of having an impairment or disability
rehabilitation
alternative ways of performing activities
compensatory methods
tools or objects to allow task performance
adaptive devices
alterations in the physical, sensory, or social environment to promote task performance
environmental adaptations
reduction or elimination of the impairment or disability
remediation