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OT theories > EHP > Flashcards

EHP Flashcards

1
Q

what is not used in EHP?

A

occupation!

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2
Q

what does EHP highlight?

A

context and interdisciplinary model

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3
Q

what does EHP include?

A

inclusion of intervention options

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4
Q

has EHP evolved since?

A

nope

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5
Q

How does EHP developed?

A 
Several influences from social sciences
Environmental psychology
Czikszentmihalyi’s Flow
Transactional Contextualism
Environmental Competence
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6
Q

Development of EHP was by

A 
Lela Llorens
Mary Reilly
Gary Kielhofner
Florence Clark
David Nelson
Charles Christiansen
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7
Q

Focus of EHP

A

Persons of varying ages & needs across the age span
Emphasizes a preventive and health promotional attitude, as well as rehabilitative
“Task performance”

Dynamic in nature
Transaction between the person and context

4 main constructs
Person
Task
Context
Person–Context–Task Interaction
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8
Q

4 main constructs of EHP

A

Person
Task
Context
Person–Context–Task Interaction

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9
Q

PERSON

A

An individual with his own configuration
Unique & complex
Personal meaning

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10
Q

EHP Definitions – Person

A 
Includes 
Past experiences
Personal values/ interests
Sensorimotor skills
Cognitive skills
Psychosocial skills

Person brings these things to the tasks
Influences what tasks are chosen
Person is embedded within the context (toostie roll center of a tootsie pop)

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11
Q

EHP – The Person

A 
Past experiences
Personal values/ interests
Sensorimotor skills
Cognitive skills
Psychosocial skills
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12
Q

Context

A

Conditions in which the person exists and performs
- Temporal context
- Physical context
- Social context
- Cultural context
Supports or hinders the person
Interacts with the person and serves as a lens resulting in performance

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13
Q

CONTEXT – 2 aspects

A 
Temporal Aspect 
chronological age 
life cycle 
disability status 
developmental stage or phase 
period or measurable span of time during which a task exists or continues

Environmental Aspects
Physical
nonhuman aspects
Social
norms, role expectations, and social routines that are
organizations, institutions, political and economic systems, etc.
significant relationships

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14
Q

Cultural context

A

Cultural context
includes customs, beliefs, activity patterns, behavioral standards
shared by the person’s associated group
politics, laws, opportunities for education, services, employment, financial assistance, etc.

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15
Q

Context continued…

A 
Considers availability of:
Materials
People
Resources
Expectations and norms of performance
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16
Q

TASK

A

Objective sets of behaviors combined to allow for engagement in performance
Behaviors are determined by the demand of the task
Combinations of tasks represent responsibilities of roles
Defined differently and have different meaning by different people

17
Q

EHP – The Tasks

A

Interaction between the person and the context
Interactions serves as lens which dictates the performance range
Tasks within the performance range are available to the person

18
Q

Person–Context–Task Confluence

A

Major variable in task performance
Ecology
Task performance
This interaction leads to human performance

19
Q

Performance Range

A

Dictated by the person–context match
Includes all the tasks available to a person
Tasks inside the range are able to be performed
Tasks outside the range are not available to the person

20
Q

Function vs. Dysfunction

A

Function
Determined by the range of task being performed

Dysfunction
Occurs when there is a mismatch between the person and the contexts and tasks

21
Q

Intervention Strategies

A

Establish / Restore
Remediation, done to person

Alter
Change to a different context

Adapt
Modify the context or the task

Prevent
Work with person, context and/or task to prevent negative outcomes

Create
Generating circumstances through contexts or tasks

22
Q

Interventions in Practice

A

Establish / Restore – Through education, the therapist can establish or restore skill/knowledge by developing or refreshing the therapists’ knowledge of driving as an IADL and how to address it

Adapt – The context can be made more supporting through adaptation by establishing Medicare reimbursement, changing the medical reporting guidelines in the state, educating the physicians in the role of OT in driving leading to a more cooperative team approach

Create – One can create a more supportive context by establishing a referral pathway, changing the assessment form to include inquiry about driving or developing a reporting protocol

Prevent – The lack of attention to driving can be prevented through education and establishment of contextual supports

23
Q

EHP Assumptions

A

It is impossible to understand the person without also understanding the person’s context
Persons influence contexts and contexts influence persons
A person’s performance range is determined by the transaction between the person and the context
It is through engagement in tasks that person and contexts transact

24
Q

EHP Perspective on Contexts

A

When compared to natural environments, contrived contexts may either facilitate or inhibit performance
Assessments and intervention best approximate the person’s true performance when enacted in natural environments

25
Q

EHP Client – Centered Perspective

A

The OT process begins when the person / family served identifies what the person wants or needs
OT practice includes making changes in systems so that persons with disabilities receive the full rights and privileges they are due

26
Q

EHP Perspective on Independence

A

The use of assistive devices or other person does not mean a person is dependent
Intervention strategies that adapt or alter the environment are not reserved for use only when restorative interventions have failed

27
Q

Application to Practice

A

The ecological models provide a framework for thinking about OT practice but do not delineate specific assessments or techniques.
Using an ecological model requires OTs to consider the environment as extensively as they consider the person.
The process begins by identifying what the person wants or needs to do in his or her life.
The client and OT collaborate throughout the OT process.

OT theories (5 decks)

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