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Low Tech Week 1 Lecture 1

Terms in this set (18)

The goal is improved functioning for the individual
Remember.... No Matter the technique...
Definition: approach designed to change client variables to develop a skill or ability that has yet been developed or to restore a skill or ability that has been impaired. To improve the deficit
Focus: on performance skills, performance skills, patterns, client factors
Example: increase ROM to improve function, grip strength—give them therapudy
Remediation
Definition: focus on remaining abilities to overcome the deficit areas. It is person centered. Can involve assisted devices such as a reacher. Allows for optimal performance. Work around for deficits. Involves something the person does to change how he/she does a task or activity. Strategy to work around.
Focus: person centered
Example: reacher to done pants for LB dressing
compensation
Definition: makes performing an activity easier. Change in the structure, function or form of the activity.
Focus: change in structure/function/form of activity
Example: long handled tool for reaching. Grip for utensils, pencil grip. Velcro sneakers
adaptation
Definition: change to the environment or a behavior. Changes made to physical spaces, objects and/or behaviors to enhance occupational performance
Focus: change environment or behavior
Example: wheelchair ramp now making it accessible to those in wheelchair. Show grab bars. Elevators
modification
a. Remediation or compensation should not be considered an either/or approach.
b. Client should have both available so that they are able to regain as much as possible.
c. With persistent impairments, the goal is continued work toward the highest level of functioning under these new conditions.
either/or phenomenon
should not
Remediation or compensation ____________________ ___________ be considered an either/or approach.
both
Client should have ___________ available so that they are able to regain as much as possible.
continued work toward the highest level of functioning under these new conditions.
With persistent impairments, the goal is _________________________________________________________________________________________________
...
Not going to fix it right away (remediate) since they still need to get dressed etc. so that is where compensation comes into play
•Measurable increasing or decreasing of an activity to provide "just right challenge"

•Alteration of factors such as size, effort, energy, attention , judgment or discrimination

•Increase or decrease performance demands
what is the just right challenge
•Involves analyzing an activity or task

•Uses clinical reasoning to decide which parts are appropriate to expect the client to perform, providing an opportunity for gradual improvement in occupational performance
grading
•Activity should be graded up when the client is able to accomplish the task and further progress is desired
rules for grading up
•Activity should be graded down when the client is having difficulty with performance
rules for grading down
•Method of grading

•Provides support or assistance at times where client might struggle or be unable to successfully complete a step

•SUPPORT

•Forward and backward chaining are an example
scaffolding
teaching the client multiple step tasks, mastering one step at a time and 'chaining; the, together until all step are mastered.
chaining
i. You as the therapist do all of the steps until the last step and let them do the last step. You do all of the steps of shoe ting until you get to the part of pulling the bow. Do this with each step until independent and then let them do the last few steps.

a. Pros: people with motor planning problems. If they have cognitive ability in tack then this works better.

b. Cons: have to be ale to reverse the steps which can be hard. Seems like they are working to failure.
backward chaining
i. start by focusing on mastery of the first step of the process. Then, moving forward t the next steps of the process until complete task is mastered. Given the cognitive complexity that comes with multi-step tasks, expecr it to tak longer and longer to achieve mastery with each step added. Don't move on until they can perform the first few steps. Independent with step 1... then they move onto step 2. You just keep building

a. Pros: Get to see the process in real time, they get to master each step

b. Cons: involves memory.
foward chaining
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