Exam 2 Flashcards
Professional Roles
responsibilities and expectations associated with a specific job.
What are the 5 minimum requirements for practitioners delivering OT services
- Professional standing and responsibility
- Service delivery
- Screening, evaluation, and reevaluation
- Intervention
- Outcomes, transition, and discontinuation
What is direct supervision?
Involves the supervisor being on site and available to provide immediate assistance to the client or supervisee if needed.
Close Supervision
Direct, daily contact
Routine Supervision
includes direct contact at least every 2 weeks, with interim supervision as needed
General Supervision
Requires at least monthly face to face contact
Continuing competence
when professionals develop and advance their knowledge, performance skills, and ethical reasoning skills necessarily to perform their professional responsibilities.
Define Supervision
A cooperative process in which two or more people participate in a joint effort to establish, maintain, and/ or elevate a level of competence and performance.
Define theory
A set of interrelated assumptions, concepts and definitions that presents a systematic view of phenomena by specifying relationshps amoung variables, with the purpose of explaining and predicting the phenomena
Why were OT practice models created?
To help OTs apply concepts in practice that were made with theory and research evidence.
What are the two main structural components of theory?
Concepts-Ideas that represent something in the mind of the individual
Principles-explain the relationship between two or more concepts
What is theory compared to?
Theory is like a map for OT practice it provides research evidence to support the therapeutic reasoning used to create and implement effective intervention.
What is a practice model?
It provides practitioners with terms to describe practice, and overall view of the profession, tools for evaluation, and a guide for intervention
What is conceptual practice models divided up into?
Occupation based models of practice and Frames of reference
Occupation based models of practice is?
Provides structure to organize ones thinking regarding factors influencing a clients ability to engage in desired activities.
Practice models that are focused on specific components of occupation are called..?
Frames of reference- They inform the practitioner on how to evaluate and intervene with clients.
Includes:
-population
-continuum of function to dysfunction
-theories regarding change
-principles
-role of the practitioner
-associate assessments
What does the MOHO focus on?
Volition- a persons motivation, interests, values and beliefs
Habituation-Ones daily patterns of behaviors, ones roles, and ones everyday routine
Performance Capacity-
Environment-
It suggests that occupation arises from an interaction between volition, habituation, performance capacity, and environment
What does the PEOP focus on?
Focuses on the persons narrative (past, present, and future; persons story; choices; interests; goals and needs), person factors (cognition, psychologial, physiological, sensory, motor, spirituality) Occupation Factors (Activites, tasks, roles) and the environment factor (culture, social determinants, social support and capital)
What is Occupational Adaptation?
proposes that OT practitioners examine how they may change the person, environment, or task so the client may engage in occupations.
How do OTs apply occupation based models of practice?
Provides a framework for evaluating clients and designing OT interventions that examine multiple aspects of a persons engagement in daily activities.
AFTER using an occupation based model of practice to understand the clients story, life circumstances, and occupational history, they select frames of reference that further inform the intervention process.
What is activity analysis/what does it examine?
Examines the typical demands of an activity, completed to get a basic understanding of the demands of an activity
What is occupation based analysis/what does it examine?
Examines the actual occupations of a specific client, considering the specifics of how they participate in the occupation and the contexts in which they perform them in
Activity/Occupation Based Analysis Process: How many steps?
- Determine what is being analyzed: will you conduct a basic activity analysis or an occupational analysis? What activity are you analyzing?
- Determining the relevance and importance: Identify the meaning the activity has within a given culture and gather information on the importance of this occupation to the client
- Determining object, space, and social demands: Understand what objects are needed for the client to engage in the occupation, understand the physical environments the occupation will be completed in and understand the social demands of engaging in the activity or occupation
- Determining the sequencing and timing demands: Break down the activity or occupation into specific steps to understand the sequencing and timing of each step
- Determining required body functions: understanding physiological functions of the body needed to complete the activity or occupation, this includes strength and mobility of joints, sensory, cognitive and emotional functions
- Determining required body structures: Determining what anatomical parts of the body are needed to participate in the activity or occupation (organs, limbs and their components)
- Determining required performance skills: Determining what actions and skills the client will need to demonstrate
When should you break down occupations into smaller tasks?
More than 10 steps, multiple criteria for success, different space demands for different parts of the activity
What are the areas of occupation?:
Activities of daily (ADLs), Instrumental Activities of Daily Living (IADLs), Health Management, Rest and Sleep, Education, Work , Play, Leisure, Social Participation
What is Occupational Awareness
When conducting an occupation based analysis, we must gain an understanding of the meaning behind the occupation that is important to the client, determining how they define their occupation.
Define IADLs
Activities to support daily life within the home and community.
What are the 5 aspects of the Frame Work Domain?
Occupation
Context
Performance Patterns
Performance Skills
Client Factors
What falls under context?
Environmental factors
Personal Factors
What falls under Performance Patterns
Habits, routines, roles, and rituals
What falls under Performance skills
motor skills, process skills, and social interaction skills
What is under client Factors
Values, beliefs, spirituality,
Body functions and body structures.
What factors are included in activity demands?
“The relevance and importance to the client, tools used and their properties, space demands, social
demands, sequencing and timing, required actions, required body functions, and required body
structures”
What are the 4 main areas we look at in the PEOP model?
Person, environment, occupation and performance.
What are the 4 main areas in the MOHO model?
Volition, habituation, performance, environment
What is an occupational profile?
Information regarding the client’s age, gender identity, pronouns, reason for
referral, diagnosis, medical history, living situation and level of function, as well
as social, educational and vocational backgrounds.
What are Transition Services mainly Preparing the Client for?
-They typically prepare the client for some sort of change in environment, function level, program, or life
stage