client lives at home and comes in weekly to work on specific skills.
What is a day-treatment practice setting?
Type of outpatient practice that the client lives at home and during the day they go somewhere for supervision.
What are nesting levels of occupation?
EX. homemaker is an occupational role. Occupation is to do laundry. One aspect includes hanging clothes. To hang clothes you must have dexterity to open a clothespin. To do that you need to know what grasp pattern to use. To use a grasp pattern your muscles need to use reflexive group.
Therapeutic use of self, therapeutic use of occupations, occupation based interventions, purposeful activity interventions, preparatory activity interventions, consultation process, education process, advocacy process.
context, demands, and client factors, client learns parts of occupations.
what are Occupation based interventions?
engage in occupation in context. ex. put away groceries, apply for a job, etc.
what are purposeful activity interventions?
where a client practices skills. rehearse, think out loud, role play, practicing for purposeful activity
preparatory activity interventions
prepare client to participate in an occupation. ex. making them splints, working on muscle strengthening.
What are outcomes of OT?
supporting health and participation in life through engagement in occupation: health and wellness, participation, QOL, adaptation, prevention, self advocacy, occupational justice, prevention, occupational performance.
accreditation council for OT education. monitor accred. at all OT schools. makes sure faculty has curriculum appropriate for what students need. composed of OT educators and practitioners.
National Board for Certification in OT. Must have passing grade to get state licenses.
Why did they change Uniform Terminology to OTPF?
It did not describe our focus on occupation, which is the core of our profession
What is the purpose of the OTPF?
clearly articulate OT's unique focus on daily life activities and interventions that promote engagement in occupations to support participation in context (describe our DOMAIN). And give practitioners a way to think about and apply occupation across the OT process (outline an occupation based OT PROCESS)
What does DOMAIN describe?
is where the process is applied.
DOMAIN areas of occupation?
ADL, IADL, sleep, work, play, leisure, education, social participation
DOMAIN Performance skills?
motor and praxis skills sensory - perceptual skills emotional regulation skills cognitive skills communication and social skills
DOMAIN perf. patterns
habits, rituals, roles, routines
DOMAIN context and env.
cultural, social, physical, temporal, virtual, personal
DOMAIN activity demands
Objects used space demands social demands sequencing and timing required actions/perf. skills required body functions required body structures.
DOMAIN client factors
specific abilities, characteristics or beliefs that reside within the client and may affect performance in areas of occupation. Involves values, beliefs and spirituality, body functions and body structures.
what makes PROCESS unique to OT?
what is eval. (occupational needs, problems, risks and concerns)
how the problem is framed (occupational perf. and difficulties with daily life activities)
Type of intervention (selected thereapeutic activites and occupational to facilitate engagement in occupation
Outcome (directed toward facilitating engagement in occupation to support participation)
the evaluation consists of:
The occupational profile and the analysis of occupational performance.
Info that decribes the client's occ. hx and experiences, patterns of daily living, interests, values, and needs. Used to gain understanding of the client's perspective and background.
Analysis of occupational performance
Requires an understanding of the complex and dynamic interaction among performance skills and patterns, contexts and env., general activity demands, and client factors. (identifying underlying factors which support and hinder perf.)
The intervention consists of:
The intervention plan, intervention implementation, and intervention review
develop plan in collaboration with client based on assessment. Select a theory/practice framework. Select an intervention approach. Target desired outcomes.
action to influence and support perf. Includes types of therapy interventions (use of self, use of occupations, occ. based activity, purposeful activity, prep. methods, consultation process, education process, and advocacy)
review plan, process and progress toward outcomes. modify plan if needed. determine future action.
engagement in occupation to support participation. Ex. occ. perf., adaptation, health and wellness, participation, prevention, QOL, etc.
What is a referral and where do they come from?
request for service. ex: referral for a splint. Referrals come from a person's independently request for OT services and/or may receive a variety of health and social services professional referrals.
What is screening?
Brief review of patient record or obs., of pt to determine whether or not OT services are needed.
When would you not accept a referral?
When the client has a problem that can't be addressed by the facility or the referral is inappropriate and should be given to a different discipline.
context and env.
conditions external/internal to a person that influence occ. perf. Contexts are varied and include cultural, physical, social, personal, temporal, and virtual.
What is the purpose of a goal?
to indicate changes in baseline perf. in occupations or activities that are expected to occur as the result of planned intervention.
Re-evaluation may mean:
changing activities, re-testing, writing a new treatment plan, making needed referrals.
What are transition services?
Functional level (max A to min A) Life stage (ex. will retire due to disability instead of RTW) Program (from inpt to outpt Env. (moving from home to nursing home)
d/c or F/O occurs when:
functional goals are reached, there's a plateau in progress, participation is restricted due to complications, OT maintenance program is followed indep. or w/ assistance, or discharge is requested.
d/c or F/O consists of:
preparing plan with goals and outcomes, refer to community resources, doc. changes from initial assessment to d/c, etc