Chap 4 Flashcards
Developmental Theories and Concepts:
Neurophysiological development
Functioning of CNS is the foundation for participation in occupations
Developmental Theories and Concepts:
Prenatal development
- Importance of prenatal care and the uterine environment for development and quality of life
- The structures of the brain including cell birth, migration, cell differentiation, and cell maturation occur in the prenatal period
- Synaptogenesis occurs at 28 weeks of gestation
- Neurogenesis begins in first 2 weeks of life
Developmental Theories and Concepts:
Neurophysiological development
- Postnatal development
- Myelogenesis with myelin sheathe production
- Cell death and pruning
- At 12 months: Synaptic overproduction and then pruning again by age 2
Developmental Theories and Concepts:
Critical periods
- Language exposure, sensory motor experiences, and stimulation during the first 3 years of life may determine synaptogenesis, myelination, and neuronal activity making this an critical time for development
Developmental Theories and Concepts:
Dynamic Systems Theory
- Goal of OT treatment is independence and transformation through occupations that are motivating to the child
Development Through Occupational Science Theories
Doing:
- Children may engage actively or passively in the performance of occupations they need to do, want to do, or are expected to do
- This can promote the child’s identity as a dynamic participant in the world
Development Through Occupational Science Theories
Being:
- How one feels about participation in an occupation from a psychological or spiritual sense, and the understanding and advocacy of the self as an occupational being
- The adoption of roles is important in understanding being: the inner essence of the child
What is the Bioecological Model of Development
Transaction between any and among contexts promotes occupational development through building strong relationships and changing environment
Bioecological Model of Development - Individual child
- Genetics
- Adverse childhood experiences
- Resiliency
Bioecological Model of Development - Caregivers
- SES
- Education
- Health
- Availability
Bioecological Model of Development - Extended family
- Support or hindrance
Bioecological Model of Development - Community
- Funded child activities: sports, recreation centers
- Access to playgrounds
- Safe schools
- Public transportations
- Green spaces
Occupations and Co-Occupations for Transformational Development
- Gain knowledge of occupations children want to do, need to do, and are expected to do within their contexts
Occupations and Co-Occupations for Transformational Development - OT practitioners provide
- Instruction
- adaptation
- empowerment
Occupations and Co-Occupations for Transformational Development - Goal
- Development of essential skills of daily living and transformation into an occupational being for improved health, wellness, and quality of life
Development of Occupations from OTPF - ADLs:
Development of daily routine that fits within the family and child’s contexts
Development of Occupations from OTPF - IADLs:
Differences exist among cultures regarding work/chores/play/time spent
Development of Occupations from OTPF - Rest/Sleep:
Sleep deprivation affecting children’s behavior, academic achievement, and social participation
Development of Occupations from OTPF - Education:
Inclusive models of education are effective for both disabled and nondisabled children
- Focus on social-emotional learning and relationships
- Self-regulation
- Functional literacy
Development of Occupations from OTPF - Work:
dependent on contexts, values, and beliefs
Leisure:
- Child initiated and child directed free time improved executive function skills of emotional regulation, organization, and memory
- Adolescent burnout: withdrawal from activities leads to boredom leads to maladaptive behavior
Play:
Ability to play is an important outcome of OT and reflects the “being” of childhood
Development Through the Lens of Doing, Belonging, and Becoming - Infant to toddler: Birth to 2 years
- Sensory functions: Birth to 2 years
- Gross motor and mobility
- Fine motor and manipulation
- Cognitive
- Social
Development Through the Lens of Doing, Belonging, and Becoming - Preschool: 3 to 5 Years
- Sensory
- Gross motor and mobility
- Fine motor and manipulation
- Cognitive
- Environment