OTPF

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Areas of Occupation

ADL's
IADL's
Rest & sleep
Education
Work
Play
Leisure
Social participation

Client Factors

Values, beliefs, and spirituality
Body functions
Body structures

Performance skills

Sensory perceptual skills
Motor and praxis skills
Emotional regulation skills
Cognitive skills
Communication & social skills

Performance patterns

Habits
Routines
Roles
Rituals

Context & environment

Cultural
Personal
Physical
Social
Temporal
Virtual

Activity demands

Objects used & their properties
Space demands
Social demands
Sequencing & timing
Required actions
Required body functions
Required body structures

Bathing & showering

ADL

Bowel & bladder management

ADL

Dressing

ADL

Eating (in mouth manipulation)

ADL

Feeding (bringing food to mouth, etc)

ADL

Functional mobility

ADL

Personal device care (hearing aids, contact lenses)

ADL

Personal hygiene and grooming

ADL

Sexual activity

ADL

Toilet hygiene

ADL

Care of others

IADL

Care of pets

IADL

Child rearing

IADL

Communication management (use of writing tools, telephone, computers, etc.)

IADL

Community mobility

IADL

Financial management

IADL

Health management and maintenance

IADL

Home establishment and management

IADL

Meal prep & cleanup

IADL

Religious observance

IADL

Safety and emergency maintenance (recognizing hazardous situations, etc.)

IADL

Shopping

IADL

Rest (quiet & effortless actions)

Rest & sleep

Sleep

Rest & sleep

Sleep preparation (undressing, saying goodnight to others, etc.)

Rest & sleep

Sleep participation (cessation of activities to ensure onset of sleep, etc.)

Rest & sleep

Formal educational participation

Education

Informal personal educational needs or interests exploration (beyond formal education)

Education

Informal personal education participation

Education

Employment interests & pursuits

Work

Employment seeking & acquisition

Work

Job performance

Work

Retirement preparation & adjustment

Work

Volunteer exploration

Work

Volunteer participation

Work

Play exploration

Play

Play participation

Play

Leisure exploration

Leisure

Leisure participation

Leisure

Community

Social participation

Family

Social participation

Peer, friend

Social participation

Client Factors: Values, Beliefs & Spirituality

*Values - principles, standards or qualities considered worthwhile
*Beliefs - cognitive content held as true
*Spirituality - personal quest for understanding answers to ultimate questions about life, meaning and the sacred

Client Factors: Body Functions

*Mental functions - affective, cognitive, perceptual
*Sensory functions and pain - seeing and related functions
*Musculoskeletal and movement related functions - joint mobility/stability
*Cardiovascular, hematological, immunological & respiratory function
*Voice & speech function
*Digestive, metabolic and endocrine function
*Genitourinary and reproductive function
*Skin function

Client Factors: Body Structures

*Structure of the nervous system
*Eyes, ear, and related structures
*Structures involved in voice & speech
*Structures of the cardiovascular, immunological, and respiratory systems
*Structures related to the digestive, metabolic, and endocrine systems
*Structures related to the genitourinary and reproductive systems
*Structures related to movement
*Skin and related structures

Activity Demands: Objects and their properties

Tools, materials, and equipment used in the process of carrying out the activity

Activity Demands: Space demands (relates to physical context)

Physical environmental requirements of the activity (e.g. size, arrangement, surface, lighting, temperature, noise, humidity, ventilation)

Activity Demands: Social demands (relates to social environment and cultural context)

Social environment and cultural contexts that may be required by the activity (e.g. rules of the game)

Activity Demands: Sequencing and timing

Process used to carry out the activity (e. g. specific steps, sequence, timing requirements) (steps to make tea)

Activity Demands: Required actions and performance skills

The usual skills that would be required by any performer to carry out the activity. Sensory, perceptual, motor, praxis, emotional, cognitive, communication, and social performance skills should each be considered.

Activity Demands: Required body functions

Physiological functions of body systems that are required to support the actions used to perform the activity (e.g. mobility of joints, level of consciousness)

Activity Demands: Required body structures

Anatomical parts of the body such as organs, limbs, and their components that are required to perform the activity (e.g. number of hands, number of eyes)

Performance Skills: Motor & praxis skills

MOTOR: Actions or behaviors a client uses to move and physically interact with tasks, objects, contexts, and environments.
PRAXIS: Skilled purposeful movements.

Performance Skills: Sensory-perceptual skills

Actions or behaviors a client uses to locate, identify, and respond to sensations and to select, interpret, associate, organize, and remember sensory events based on discriminating experiences thru a variety of sensations that include visual, auditory, proprioceptive, tactile, olfactory, gustatory, and vestibular.

Performance Skills: Emotional regulation skills

Actions or behaviors a client uses to identify, manage, and express feelings while engaging in activities or interacting with others.

Performance Skills: Cognitive skills

Actions or behaviors a client uses to plan and mane the performance of an activity.

Performance Skills: Communication & social skills

Actions or behaviors a person uses to communicate and interact with others in an interactive environment.

Performance Patterns - Person: Habits

Automatic behavior that is integrated into more complex patterns that enable people to function on a day-to-day basis. Can be useful, dominating, or impoverished and either support or interfere with performance in areas of occupation. (e.g. automatically put car keys in same place)

Performance Patterns - Person: Routines

Patterns of behavior that are observable, regular, repetitive, and that provide structure for daily life. They can be satisfying, promoting, or damaging; routines require momentary time commitment and are embedded in cultural and ecological contexts. (e. g. follows the sequence of steps with meal prep)

Performance Patterns - Person: Rituals

Symbolic actions with spiritual, cultural, or social meaning, contributing to the client's identity and reinforcing values and beliefs. Have a strong affective component and represent a collection of events (e. g. kisses a sacred book before reading)

Performance Patterns - Person: Roles

A set of behaviors expected by society, shaped by culture, and may be further conceptualized and defined by the client.

Three contexts of performance patterns:

Person
Organization
Population

Contexts & Environments: Cultural

Customs, beliefs, activity patterns, behavior standards, and expectations accepted by the society of which the client is a member; includes ethnicity and values as well as political aspects, such as laws that affect access to resources and affirm personal rights.

Contexts & Environments: Personal

Features of the individual that are not part of a health condition or health status; includes age, gender, socioeconomic status, and educational status.

Contexts & Environments: Temporal

The experience of time as shaped by engagement in occupations; includes stages of life, time of day or year, duration, rhythm of activity, or history.

Contexts & Environments: Virtual

Environment in which communication occurs by means of airways or computers and an absence of physical contact; includes simulated or real-time or near-time existence of an environment via chat rooms, email, video-conferencing, radio transmissions.

Contexts & Environments: Physical

Natural and built nonhuman environment and the objects in them:
*natural environment includes geographic terrain, sensory qualities of environment, plants and animals.
*built environment and objects includes buildings, furniture, tools or devices.

Contexts & Environments: Social

Is constructed by presence, relationships, and expectations of persons, organizations, populations.
*availability and expectations of significant individuals, such as spouse, friends, and caregivers.
*relationships with individuals, groups, or organizations.
*relationships with systems (political, legal, etc) that are influential in establishing norms, role expectations, and social routines.

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