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64 Cards in this Set

  • Front
  • Back
Areas of occupation
ADLs and IADLs, rest and sleep, work, education, play, leisure, social participation
Dimensions of Occupation
performance
contextual
temporal
psychological
social
spiritual
co-occupations
Activities that implicitly involve at least two people
ex: parenting/mothering
Occupational science
Sciences dedicated to the study of form, function and meaning of human occupation.
Occupational justice
Justice related to opportunities and resources related to occupational participation, sufficient to satisfy personal needs and full citizenship.
Occupation and Purposeful Activity
Occupation encompasses purposeful activity.
ex: Tying shoes during therapy on a board is purposeful activity in pursuit of attaining occupation of tying shoes.
Occupation dysfunction: Multidimensional nature
Interplay of biological, psychological, social.. factors
Personal and secondary consequences
Personal: consequences for individual w/ illness/disability.
Secondary: consequences for those that are an immediate part of the individual's life
Occupational imbalance
Inability to participate in occupations that allow one to exercise physical, social and mental capacities. Disruption of body function.
Occupational deprivation
Circumstance or forces that prevent people from participating in health-promoting occupations.
ex: environment that one grows up in
Occupational alienation
Occurs when an individual's life activities fail to be in harmony with their natures or environs. Socially unacceptable behavior.
Who was George Barton?
First president of the NSPOT
architect
Who was Susan Tracy?
Published first American book on OT "Studies in Invalid Occupation"
Who was William Rush Dunton?
Psychiatrist
Founding father of OT
Who was Susan Cox Johnson?
Studied and taught arts and crafts
Taught OT in Dept of Nursing at Columbia University
Who was Eleanor Clark Slagle?
Held every office in NSPOT
Developed habit training
Who was Isabel Gladwin Newton?
Married to George Barton
First secretary of NSPOT
Who was Thomas Kidner?
Canadian born architect
Leader in manual re-training and vocational rehab
Who was Adolph Meyer?
Authored "Philosophy of OT" first journal article in the Archives of Occupational Therapy
Settlement House Movement
Community-based centers for the arts, writing, gardening, etc. could elevate social conditions and alleviate the debilitating effects of poverty and industrialization.
Mental Hygiene Movement
Promoted public health to decrease stigma of those with mental illness and promote improved care in institutions and communities.
Arts and Crafts Movement
Creating art could uplift the human condition and address the negative effects of industrialization on the individual and society.
Reductionism
Viewpoint from a medical model that looked at patients in terms of a specific diagnosis or body part.
Moral Treatment
A regime of occupation, recreation, religious and educational services and supports within structured group living could cure the physical disease of mental illness.
Manual Training
A means of preventing idleness and providing functional or therapeutic re-education and vocational re-education that also served to preserve and develop the love of labor and provide skills for factory work.
Contrived occupation
exercise with added purpose (little relevance to task where the skill will be used)
occupation with a contrived component (objects used in actual task, but occupation is simulated)
Therapeutic occupation
Naturalistic and contextual with real objects in real environments, source of purpose is client, meaningful to client, focus is remediation of impairments.
Compensatory occupation
Assistive devices
Teach alternative or compensatory strategies
Modify physical or social environments
Grading
increase/decrease occupational demands
Scaffolding
help client do part of task that is tood hard, have clients do remainder
Fading
Systematically withdrawing supports so that the task demands increase until the person is doing the whole task or occupation independently.
Coaching
Providing verbal expectations and support to help the individual engage in and sustain growth or changes.
Modified Occupational Performance Model
Occupational performance areas, components, contexts.
Person-activity-environment fit.
Model of Human Occupation (MOHO)
Dynamic interaction of person and environment results in behavior.
Occupation essential to human self-organization.
Volition, habituation, perf. capacity, environment
Volition
Motivates occupational behavior
Habituation
habits and roles
Performance capacity
musculoskeletal
symbolic
memory, emotional states
Person-Environment Occupational Performance Model
Person (intrinsic factors): psychological, cognitive, physiological, neurobehavioral, spiritual
Environment (extrinsic): social support, societal, culture and values, built environments and technology, natural environments.
Therapeutic use of self
Characterizes the interpersonal dynamic of helping relationship
Essential feature of professional skills repertoire
Interpersonal competence crucial variable
Interpersonal competence
Being emotionally available.
Being genuine and empathic.
Assessing coping methods of individual and significant others.
Recognizing role losses.
Determining group experiences to maximize consumer's performance w/ peer support
Being aware of own attitudes and biases.
Sharing treatment plan process
Using consumer's preferred occupations
Providing attention to social skills of consumer in variety of setting
Using rewards and social recognition for consumer's achievements
Using space to foster social interaction and emphasize living and doing.
Therapeutic Use of Occupation
Occupation pursues the consumer's inner life.
Must be meaningful.
Therapeutic Use of Environment
Occupational performance occurs in context of individual's environment.
OT obligated to provide treatment setting that is physically and emotionally safe.
Occupational Therapy Practice Framework
Articulates OT contribution to health.
Outlines professions' purview and areas in which its members have an established body of knowledge.
Explains how we carry out our services.
To persons, organizations, and populations.
Cultural awareness
awareness of differences
Cultural sensitivity
respect for those with different cultures
Culturally sensitive care
make changes to fit needs of client.
But also know your boundaries.
Culturally competent care
Do research
Essentialize (culture)
Take complex, multi-faceted cultural phenomena and reduce to a few essences to explain or describe a group.
Mystify
Refuse to recognize social, economic, or political realities.
Xenophobic
Unreasonably fearful or feeling hatred for those different from oneself.
Ethnocentric
Judge people, their environments, communication patterns, according to standards, values, and customs of one's own culture.
O.T. process steps (5)
1. referral and screening
2. evaluation
3. goal-setting and intervention planning
4. intervention w/ ongoing re-evaluation
5. discharge and follow-up
screening vs. evaluation
screening: initial impressions, is OT appropriate for this person?
evaluation: process to go about therapy
Intervention approaches (5)
create/promote
establish/restore
maintain
modify
prevent
evidence-based decision making: explanatory, exploratory, descriptive, interpretive
explanatory (experiment)
exploratory (correlation)
descriptive (measurement)
interpretive (qualitative)
PICO format
P=patient diagnosis/condition
I=Intervention
C=Comparative Intervention
O=Outcomes (what results interest you?)
Multidisciplinary team
many disciplines
word towards common goal, but working separately
common in hospital settings
Interdisciplinary team
often evaluate, treat together
increased communication
Transdisciplinary team
increased role-sharing
fewer professionals to provide treatment and rest of team consults
role release
decrease direct providers to benefit client
Benefits of team
increased info, skills
shared responsibilities
learn from and support one another
Challenges of team
decision making more difficult
time limitations in communications
clashes of philosophy
Evaluation vs. Assessment
Evaluation: gather info, make judgments, draw conclusions
Assessment: specific tools or instruments used during evaluation process
Purpose of assessment?
Gives you a baseline level of performance to measure progress (for billing, setting goals).
Client priorities
Summary of client's strengths and contextual supports
List of client problems
OT diagnosis
Statement of potential to benefit from OT services
Discharge projection
Goals
Intervention plan
Types of evaluation procedures
Interview
Skilled observation
Testing using formal procedures (ROM)
Testing using standardized assessments (criterion or norm-referenced)