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OT Process Final Review
Terms in this set (47)
Model of Human Occupation
stresses the importance of the mind/body connection depiction of how motivation (internal) and performance occupations (external) are interconnected.
Parts of a Frame of Reference
Theoretical base, function/dysfunction continua, indicators of function/dysfunction, postulates regarding change
concepts drawn from various theories
describes the deficits addressed by the FOR
Indicators of function/dysfunction
used to guide evaluation
Postulates regarding change
guide the intervention process
Frames of Reference provide
a coherent conceptual basis for therapy
A single FOR may be supported by
several major theories
A FOR takes a major theory and
frames it to OT practice specifically
A FOR is more specific than a
Model of Practice.
is used to guide an action, it sets an idea to explain the nature of something
Why is theory important?
it forms a knowledge base of the field, it is a thinking frame behind everything we do, and it's evidence based
Models of practice
integrate theory and practice
A model of practice is more specific than
basic assumptions, values, and perspectives of a discipline. Provides an overview of what the profession is concerned with, and what practitioners do and do not do.
The biomechanical FOR is focused on
client factors of body functions. ROM, strength, endurance, and structural stability
In the biomechanical FOR the client must have
an intact nervous system that can produce isolated, coordinated movement.
The goal of the rehabilitation FOR is
to restore occupational functioning
The theoretical basis for the biomechanical FOR is
anatomy, physiology, and kinesiology.
the function/dysfunction continua in the biomechanical FOR is
structural stability, endurance, edema, ROM and strength
The theoretical basis for the rehab FOR is
systems theories and learning theories
The theoretical assumption for the rehab FOR is
a person can regain independence when underlying deficits cannot be remediated.
Clinical reasoning in the rehab FOR should be
the top down approach. Focus is first on environmental demands and resources. then volitional and habitual subsystems should be c considered followed by functional capabilities and then prerequisite skills/deficits.
The function/dysfunction continua in the rehab FOR addresses
ADLs, work and leisure activities
Postulates regarding change in the rehab FOR
the use of adaptive devices, modifications, etc will foster independence in ADLS, home management, work and leisure.
The 6 FORs we studied
Biomechanical, Rehabilitation, NDT, Acquisition, Cognitive Rehabilitation, Sensory Integration
NDT (Neurodevelopment treatment)
facilitate normal movement, inhibit tone.
Proprioceptive input to modulate is
Acquisition FOR primary goal is
learning, mastering each skill or subskill required for an activity.
Reinforcement, operant conditioning really important for internal and external learning
Cognitive Rehabilitation FOR
2 phase model. (1) remediation through cognitive training (2) Compensation/adaptation
occupational profile and analysis of occupational performance
compares general performance to general standards in cohort. Determines need for more comprehensive eval.
obtaining and interpreting data necessary for understanding of the individual, system or situation
Focus of Eval
occupation (roles, performance, context) & information gathered (what person wants/needs & barriers/facilitators to performance)
the specific tools (instruments, tests, interactions) that are used to gather data for the evaluation process.
Theoretical basis, function/dysfunction continua, indicators of function/dysfunction, and postulates regarding change are components of
Frame of Reference
Assumptions, principles and rules of procedure that analyze, predict or explain the nature of behavior of a specific set of phenomena
In this approach, assessment measures can include ROM, muscle strength, duration, speed, number of reps, distance or any other precise quantifiable factor
The theoretical base for this approach is learning theories, and the learning and mastery of skills appropriate behaviors is the primary objective
These approaches are used with individuals with brain damage in the CNS that results in difficulty controlling movement
In this approach, the primary intervention consists of training in compensatory methods, provision of assisstive devices, and environmental modification
In this approach, handling is used to inhibit normal tone and patterns while facilitating active movement performance at next developmental level
NDT, neurodevelopmental treatment
This approach is based upon the conceptualization in how the brain functions as an organizer and interpreter of sensory information
This approach is based upon the understanding of the brain's information processing capability and its impairment in the case of TBI. Deficits in safety awareness, visual perception and the ability to sequence the steps of a task would be common.
Your client is a 63 woman who had a total hip replacement and is being discharged to her home in 2-3 days. She lives alone. The best approach to use with her so that she can be independent and safe in her home at discharge is
Basic assumptions, values and perspectives of a discipline
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