4) Interventions for Occupations Flashcards
Module 4
Which occupation-centered model of practice is this?
“occupational actions, thoughts, and emotions arise out of the dynamic interaction of volition, habituation, performance capacity, and environmental context”
Model of Human Occupation (MOHO)
Which occupation-centered model of practice is this?
“enablement, social justice, and environment to promote occupational engagement… spirituality is at the core”
Canadian Model of Occupational Performance and Engagement (CMOP-E)
Which occupation-centered model of practice is this?
“person, environment, occupation, performance factors that support or limit participation… the active ‘doing’ of occupation”
Person Environment Occupational Performance Model (PEOP)
Which occupation-centered model of practice is this?
“people participate in occupations because of a press for mastery”
Occupational Adaptation
Which intervention (occupation-based or cognitive based) fits this description?
“teaching youth strategies to enhance performance”
Cognitive-Based
Which intervention (occupation-based or cognitive based) fits this description?
Top-Down Approach
BOTH
Which intervention (occupation-based or cognitive based) fits this description?
based on models - MOHO, PEOP
Occupation-Based
Which intervention (occupation-based or cognitive based) fits this description?
“problem solving, attention, self-regulation”
Cognitive-Based
List three interventions which combine occupation and cognitive-based interventions.
Cognitive Orientation to daily Occupational Performance (The Co-Op Approach)
Cognitive Functional: Cog-Fun
Cognitive-Behavioral Therapy (CBT)
Describe the “C” and the “O” in the Co-Op Approach.
Cognitive orientation: using problem solving strategies
Occupational performance: based on performance, not components
What are some pre-requisites to using the Co-Op Approach?
sufficient language fluency
cognitive ability
behavioral responsiveness
What is the primary GLOBAL cognitive strategy used in the Co-Op Approach?
Goal
Plan
Do
Check
What is a domain-specific cognitive strategy, within the Co-Op Approach?
Verbal Coaching
Self-Talk
Self-Coaching
Lists
Sensory Cues
Which feature of the Co-Op Approach is this?
“one thing at a time”
“ask, don’t tell”
“coach, don’t adjust”
“make it obvious”
Guided Discovery
Which feature of the Co-Op Approach is this?
“make it fun”
“promote learning”
“work towards independence”
“promote generalization and transfer”
Enabling Principles
Which population was the Cognitive-Functional Intervention (Cog-Fun) designed for?
ADHD
Which intervention approach believes that changing youth’s thoughts and feelings influence behaviors within the environment?
Cognitive-Behavioral Therapy (CBT)
Which of these interventions uses techniques, such as, relaxation, mindfulness, journaling, gradual exposure, and role-playing?
Cog-Fun, Co-Op Approach, or CBT
CBT
Writing fewer or shorter answers. Which intervention approach is this?
Create & Prevent
Restoration
Modification/Accommodation
Modification/Accommodation
Implementing handwriting programs through consultation, collaboration, and workshops. Which intervention approach is this?
Create & Prevent
Restoration
Modification/Accommodation
Creation and Prevention
Providing direct writing intervention. Which intervention approach is this?
Create & Prevent
Restoration
Modification/Accommodation
Restoration
At what age do children get molars for grinding foods?
Age 4
- Utensils with lightweight built up handle or universal cuff
– More involved: deltoid aid, mobile arm support, electronic feeding system
– Drinking: wide base or cups with lids to reduce spillage.
– Long straw allows them to lean forward to drink without needing use of hands
These feeding interventions would be used for which population?
Upper Extremity Weakness & Poor Grasp
Cognitive or Behavioral Issues
Visual Impairment
Tactile Hypersensitivity
Upper Extremity Weakness and Poor Grasp
Backward chaining (decreasing levels of assistance)
These feeding interventions would be used for which population?
Upper Extremity Weakness & Poor Grasp
Cognitive or Behavioral Issues
Visual Impairment
Tactile Hypersensitivity
Cognitive or Behavioral Issues
- Use contrasting colors to enhance visual discrimination
- Keep consistent locations –cup at 2, meats at 4
These feeding interventions would be used for which population?
Upper Extremity Weakness & Poor Grasp
Cognitive or Behavioral Issues
Visual Impairment
Tactile Hypersensitivity
Visual Impairment
- Finger feeding may be decreased; upset with spillage
- Children: Work on this outside of mealtime (pudding painting with parent; vanilla and chocolate)
- Variety of spoons, moist cloth, napkin to reduce discomfort
These feeding interventions would be used for which population?
Upper Extremity Weakness & Poor Grasp
Cognitive or Behavioral Issues
Visual Impairment
Tactile Hypersensitivity
Tactile Hypersensitivity
Best positioning for a patient with poor SSB pattern.
sidelying
Best positioning for preemies at risk.with GERD.
upright and on their left side to avoid regurgitation
At what age should foods be introduced to diminish potential food allergies?
4-6 months (not past 6 months)
At what age should lumpy food be introduced by, to avoid picky behaviors and enhance chewing skills?
9 months
4 ESSENTIALS in positioning for oral motor skills.
Neck Flexion
Upright Posture (hips/trunk aligned)
Support at Anterior Trunk and Neck
Stable Position of Pelvis, Legs, and Feet
Reclined Position (occasional use)
Name some of the strategies used for High Sensory Registration in feeding.
Desensitization (behavior FOR)
Deep Pressure/Prop. (S.I. FOR)
Motivating
Calming Activities
Gradual Intro of New Foods.
Name some of the strategies used for Low Sensory Registration in feeding.
Close supervision for safety (d/t over-stuffing and mouthing)
Alerting Activities
Cold Temperatures
Strong Flavors
health cooking group for teens
Which type of Intervention Approach is this?
Create/Promote
Establish/Restore
Modify/Adapt
Prevent
Create/Promote
Work on grip strength and coordination for opening detergent or washing dishes.
Which type of Intervention Approach is this?
Create/Promote
Establish/Restore
Modify/Adapt
Prevent
Establish/Restore
Financial Mgmt Apps, placing dog food in small container for ease of lift and pour
Which type of Intervention Approach is this?
Create/Promote
Establish/Restore
Modify/Adapt
Prevent
Modify/Adapt
ID bracelet for safety and visual supports for a safety plan
Which type of Intervention Approach is this?
Create/Promote
Establish/Restore
Modify/Adapt
Prevent
Prevent
What type of individualized skill training is this?
Helping parent coach teen to manage school prep for the next day.
Occupational Performance Coaching
Advanced Drivers Assistance System (ADAS). What is this?
integrated system that helps the driver control the vehicle in high risk situations
In-Vehicle Information Systems (IVIS). What is this?
technologies aimed at providing the driver information of traffic congestion, navigation, and potential hazards
Recommendations for accessible bathroom; Provide presentation to teachers about self-care strategies for preschoolers
Which Intervention Approach is this?
Create/Promote
Establish/Restore
Maintain
Modify/Adapt
Prevent
Create/Promote
Enhance finger strength and coordination to manage fasteners
Which Intervention Approach is this?
Create/Promote
Establish/Restore
Maintain
Modify/Adapt
Prevent
Establish/Restore
Establishing health maintenance routines (e.g., self- catherization, ROM exercises)
Which Intervention Approach is this?
Create/Promote
Establish/Restore
Maintain
Modify/Adapt
Prevent
Maintain
Lower hook so child in w/c can hang up coat; Use electric toothbrush to provide extra stimulation
Which Intervention Approach is this?
Create/Promote
Establish/Restore
Maintain
Modify/Adapt
Prevent
Modify/Adapt
Educate family about strategies to decrease frustration and prevent meltdowns
Which Intervention Approach is this?
Create/Promote
Establish/Restore
Maintain
Modify/Adapt
Prevent
Prevent
Describe a Lower Motor Neuron Bladder.
a lesion at or below the lumbar area, means reflex arc is not intact and bladder is flaccid, requires assistance emtying
Describe an Upper Motor Neuron Bladder.
a lesion above the level of bladder innervation, automatic bladder exists, child can be trained to empty
Describe the A.T.P. in Audio Tactile Performance, using tooth brushing as an example.
Audio - reminded of importance of brushing teeth and how to brush
Tactile - felt teeth on model
Performance - taught to brush with assistance
