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45 Cards in this Set
- Front
- Back
a set of ideas or concepts that people use to guide their reasoning and actions
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theory
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what are the attributes of a theory?
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1. well defined
2. testable/ tested |
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What is the function of a theory?
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a set of tools to understand, explain, and or predict occurrences
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What are 4 reasons why we should learn theories?
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1. clinical reasoning
2. shared language 3. improved validity through testing |
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how long do attention spans usually last?
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10 minutes
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the thinking process that guides what we do with clinets
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Clinical/ professional reasoning
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what year did the AOTF seek to fund a study of OT clinical reasoning
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1990
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Who were the funds awarded to from AOTF to study clinical reasoning
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Chreyl Mattingly and Maureen Fleming
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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 |
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what are the 3 levels of clinical reasoning from least to most advanced
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1. procedural reasoning
2. interactive reasoning 3. conditional reasoning |
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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
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what are 3 concepts of procedural reasoning
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- problem identification
- goal setting - treatment plan |
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type of clinical reasoning where the client is an individual
- knowledge gained from observation, interveiw, conversation, informal interactions |
interactive reasoning "narrative reasoning"
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what are 4 concepts of interactive reasoning?
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1. phenomenology
2. therapeutic alliance 3. hope 4. client- centeredness |
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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"
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what are the 2 key concepts of conditonal reasoning?
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1. forming a vision of the future
2. both diagnosis and individual influenced by context |
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theory that facilitates individuals' natural movement toward self- actualization
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humanism
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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
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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
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what are 3 elements of facilitating conditions of client centered therapy
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accurate empathy
congruence/ transparency unconditional positive regard |
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this kind of info helps with which kind of clinical reasoning?
- theories - diagnosis - medical history - personal background |
procedural clinical reasoning
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this kind of info helps with which kind of clinical reasoning?
- outcome - patient desires - asking, listening, observing |
interactive/ interpersonal clinical reasoning
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this kind of info helps with which kind of clinical reasoning?
- talking to family - home visits |
conditional clinical reasoning
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American psychologist (1908- 1970) that came up with the hierarchy of needs
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Maslow
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What are the levels of the hierarchy of needs
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top to bottom
self actualization self esteem belonging/ love safety physiological needs |
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what are a few examples of therapeutic interventions with the humanist approach?
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- establishing safe and supportive environment
- listening to client's stories - engaging in a therapeutic relationship |
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what is the basic theme of humanism
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empathy and understanding
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who were the founding authors of the PEO model?
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Mary Law and Sue Baptiste from McMaster's University
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when was PEO developed?
for who? |
1980s by OTs for OTs
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what was the goal of PEO
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to provide national guidelines for practice
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what are the two main foci of PEO?
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1. client centered practice applied to OT
2. dynamic systems apporach |
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what is client centered?
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- client empowerment
- creating opportunities for clients to self empower |
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the following are components of what part of PEO?
traits, states, beliefs, culture, values and preferences, abilities/ disabilities, diagnoses, roles, identities |
person
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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
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the following are components of what part of PEO?
- xpected and desired roles - tasks and activities required for roles - balance of activity |
occupation
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what are intervention from a PEO frame of reference
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1. client centeredness
2. dynamic system 3. "grand" "meta" theory |
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this theory has shared roots with PT
- reconstruction aides in WWI - response to the polio epidemic of 1920s- 1930s |
biomechanical theory
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what are 3 goals of the biomechanical approach
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1. promote healthy movement/ prevent impaired movement/ pain
2. remediate movement impairment an resulting pain 3. reduce movement impairment and pain |
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what type of client wold be likely for a biomechanical approach?
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arthritis, after surgery, carpel tunnel
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people who have chronic or permanent disabilities may regain and maintain their occupational performance through compensatory methods, adaptive devices, and environmental modifications
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rehabilitation
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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
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alternative ways of performing activities
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compensatory methods
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tools or objects to allow task performance
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adaptive devices
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alterations in the physical, sensory, or social environment to promote task performance
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environmental adaptations
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reduction or elimination of the impairment or disability
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remediation
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