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26 Cards in this Set

  • Front
  • Back
Steps of Top-Down Evaluation. List 5 steps.
1. Chart Review
2. Occupational History
3. Occupational Performance (Functional Assessment)
4. Standardized ADL Assessment
5. Consideration for TX Planning
Rehabilitation Frame of Reference
1. Maximize function.
2. Enable the person to live as indepndently as possible with residual disability.
3. Emphasized on abilities vs. disabilities.
4. Compensatory strategy.
5. Performance area = larger area and not a task.
6. Minimize barriers.
What is the goal of Rehabilitation FOR?
Independence. It could be modified-independence.
Assumption of the Rehabilitation FOR
1. Through the use of compensation strategies and technique to achieve independence.
2. Person's motivation.
3. Enviornment.
4. Have cognitive skiils to learn and apply compensatory methods. NOT remediating cognitive skills.
List general procedure of evaluation.
1. Chart review.
2. Respect client's privacy.
3. Establish raport.
4. Explain test.
5. Obtain "subjective report" = Occupational hx interview.
6. Occupational performance assessment = Strictly adhere to specific test procedure.
7. Occupational Performance Skills/Client Factors Assessment.
8. Synthesis and summary = tx planning.
Canadian Occupational Performance Measure (COPM)
1. Standardized structured occupational history interview.
2. Client-centered.
Functional Independence Measrue (FIM)
1. Assessment of "Burden of Care".
2. Part of the Inpatient Rehabilitation Facility Patient Assessment Inventory (IRF-PAI).
3. Evaluate 18 critical tasks.
4. 7 points scale.
5. Non-standardized evaluation tool.
Klein-Bell ADL Assessment
1. 170 items.
2. Validity and relieability established.
3. Sensitive to small change over time.
4. Score: Achieved or Failed.
5. Provide information of tx planning.
Assessment of Motor and Process Skills (AMPS)
1. OT Occupational Performance Assessment.
2. Rates functional performance & motor and process skills.
3. Client choose 3-5 tasks they are assessed on from 56 personal and domestic ADLs.
4. 4 points scale.
Barthell Index (BI)
1. 10 categories of activities.
2. Broad profile.
3. Score: Yes/No.
4. Used for research, placement, etc.
Rehabilitation Movement
1. Howard Rusk.
2. Influenced by WWII.
3. Emphasis on productive life.
4. Return to work is the primary goal.
5. Medical model of rehabilitation..
Rehabilitation Movement Emphasis. List 6.
1. Independence.
2. Compensation.
3. Safetly.
4. ADL.
5. Return to productivity.
6. Advocacy.
Limitation of Rehabilitation Movement.
1. Too diable or too sick to return to payable work.
2. House wife and domestic work.
3. Lacked patient perspective.
Independent Living Movement (ILM)
1. Grass root movement started by 4 severely disabled college student.
2. New perspective toward disability.
3. Wanted to secure rights for individual with disabilities.
ILM Legistration
1. 1973 Rehabilitation Act.
2. Rehabilitation for people who are not going back to work.
ILM Premises. List 4.
1. Independence.
2. Risk taking.
3. Full participation.
4. External barriers to independence.
What is "Independence" in ILM?
1. Autonomy.
2. Freedome to choose what one wants done to one's body, time or environment.
3. The right to control one's own life and make day to day decisions that affect what he/she will do.
What is "Risk taking" in ILM?
1. Dignity of risk.
2. Linked to "right to choose".
3. Possibility of failure.
What is "Full participation" in ILM?
1. Participate in all of life's situation.
2. Linked to "risk-taking".
What is "External barriers" in ILM?
1. Architecture.
2. Rehabilitation process.
3. Political control.
4. Social attitude.
Occupation as Ends
1. End=Goal.
2. Restoration of reorganization of skill, habit and role.
3. Returning the patient to some useful and satisfying occupational role.
4. Emphasizes the person's ability to perfomr functional activities in context.
5. Incorporate temporal aspect: routine, organization, rhythm/balance, etc.
6. Personal meaning and satisfaction!
Occupation as Means
1. Means=Method.
2. OT is tx with activities.
3. Use of therapeutic occupation as the tx modality to advance someon toward and occupational outocome.
What is "Context"?
1. External: physical, social, vertual.
2. Internal: personal, spiritual.
3. External features that are internalized: culture.
4. Time dimension: temporal=time of day, one's age, etc.
What are the contexts relates to occupation.
1. Physical.
2. Social.
3. Personal.
4. Spiritual.
5. Temporal.
6. Virtual.
7. Cultural.
A culturally competent therapists are...
1. Aware of his/her own biases and open to examine their validity.
2. Reinforce the beauty of culture and incorporate it into therapy.
3. Open to different ways of engaging the client in tx.
4. Focus on individual.
5. Evolving.
Therapeutic use of self. List 4.
1. Self-reflection.
2. Empathy.
3. Disability awareness.
4. Client centered care.