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36 Cards in this Set

  • Front
  • Back
OT theories are shaped around what activities?
1- work
2- self-care
3- leisure (play)
What is the occupationl therapy assumption? (based on the medical assumption)
Use an occupation to structure, manipulate & remediate occupational dysfunctions. Should lead to a purposeful activity
How is leisure defined? (3 points)
1- leisure time (the no work or self care time)
2- acitvity (a personal definition)
3- state of mind
What are the qualifying qualities that indicate a state of leisure?
1-freedom of choice
2-intrinsic motivation
4-aesthetic appreciation
5-sense of relaxation
6-novelty (exploring)
7- sense of companionship/intimacy (can be with an object/place)
8. lack of evaluation or judgment
How is play different from leisure?
Play has the components of leisure PLUS it's spontaneous, random and/or direct.
What are the themes that constitute work?
1-knowledge aquisition of task & social events
2-acquire skills and habits
* help acquire self-confidence
3-acquire economic benefits
4-good citizenship (you feel you're contributing to the comm)
5-prevention and cure
6-religion and morality
7-quality of life
What are the 4 functions of work?
#1 is it provides STRUCTURE
#3 social STATUS
What are the 6 areas of skills?
1-senosry integration skill
2-cognitive skill
3-dyadic interaction skill
4-group interaction skill
5-self-identity skill
6-sexual identity skill
What theory is adaptive skills based on?
Erickson developmental model
What is the shortfall of the adaptive skills theory
it takes a long time, so it is not well suited to short term treatment.
What is role acquisition based on?
behavioral (learned behavior) and especially from cognitive-behavioral thoery (actions based on beliefs). It also relies on developmental concepts
What is the goal of the role acquistion approach?
to help person acquire the specific skills needed to function in the occupational and social roles chosen.
What are the 10 areas of TX?
1-Pt identifying problems and goals
2-Choose goals that reflect pt's interest, culture, values and roles
3-Activities must be challenging but at pt's level
4-Grade activity as pt improves
5-Present skills in their natural developmental sequence
6-Pt should be aware of what s/he is supposed to be learning.
7-Feedback of pt's actions important
8-Practice the role repeatedly
9-Break down task if whole is too much. Teach the whole activity
10-Learn by imitation
What is the 4 X 4 in social training?
that the four groups:
1) self-expressive
2) other-enhancing skills
3) Assertive skills
4) Communication skills
have to follow the 4 phases to develop social skills for that group:
1) Motivation (WII:fm)
2) demonstration
3) practice
4) feedback
On what does psychoeducation emphasize its approach?
Education theory to promote behavioral change.
How is psychoeduacation approach similar to teaching a class?
Need to set up lessons that go over what needs to be learned. Direct teaching and training.
Can this approach be used in the acute setting?
Pt is not ready, may not care, or be in denial
What is the SENSORY INTEGRATION theory based on?
Neuroscience studies of the brain.
Summarize in a quote the non fluidity of movement; that it is not automatic, that it is thought out in the chronic psychotic pts.
"Decompensation of movement"
What is the sensory integration assumption?
that there is a dysfunction in the CNS and through external input re-organization of the CNS is facilitated.
Why isn't this approach used much currently?
It is a long treatment process and institutional stays are not as long as they used to be.
What is MOHO
An open system, where the human acts on the enviornment (output) by taking energy/info from the environment (intake). Intake is scanning/searching environment for info. The feedback can be accepted or not. The process of turning intake and feedback into action (output) is throughput.
What is throughtput?
the process of organizing, evaluating and reorganizing info from within SELF (memory)and from environment.
What are the three categories of throughput
What are the subcategories of volition? and their subcategories?
- Personal Causation
*belief in skill
*belief in efficacy of skill
*expectancy of success or failure
*internal/external control
- Value
*Temporal orientation
*meaningfulness of activity
*occupational goals
*Personal Stds
- Interest
What are the subcategories of habituation? and their subcategories?
*perceived incumbency
*internalized expectations
*degree of organization
*social appropriateness
What are the subcategories of performance skills? and their subcategories?
-Perceptual Motor
What is the main focus in the (Allen) Cognitive disabilities theory?
1) evaluate the cognitive level and follow changes
2) you can Compensate to achieve meaningful function
Name the 6 cognitive levels:
Level one: automatic action
Level two: postural actions
Level three: manual actions
Level four: goal directed
Level five: exploratory actions
Level six: Planned Action
What are the characteristics of level one pts (briefly)?
-autonomic nerv system
-conscious but responds to internal stimuli
-behavior looks reflexsive
What are the characteristics of level two pts (briefly)?
-walking is a big accomplishment
-may be able to feed self, but may not be able to open containers (no problem solving)
What are the characteristics of level three pts (briefly)?
-Hands discovered. Everything is about the fine motor action
-some limited knowledge of the 'now'
-can focus about 1/2 hr
What are the characteristics of level 4 pts (briefly)?
-Supervision (may live in community)
-ability to process motor and sensory info
-can do immediate STG
-relies on visual cues
-follow routine, do rote activities
What are the characteristics of level 5 pts (briefly)?
-trial and error
-experimental w/ problem solving
-new learning is being used
What are the characteristics of level 6 pts (briefly)?
normal, no disabilities
How is cognitive disabilities differ from sensori integration?
cognitive disabilities theory does NOT believe that CNS can be impacted, especially chronic cases.