Final Exam Flashcards
What is reflective practice?
It is a process of consciously reviewing your experience of an event or situation, either for individual projects, or it has regular, recurring cycle, in order to improve your actions in professional practice 
What are the six stages of the cycle of reflective model?
Description, feelings, evaluation, analysis, conclusion, action plan
What are the three key attitudes that formed the basis of reflective practice?
 Open mindedness, responsibility, wholeheartedness
What are the 10 personal attributes that are common across people that actively pursued reflective practice
Reflect on, and learn from experience, engage an ongoing inquiry, solicit feedback, remain open to alternative perspective, assume responsibility for their own learning, take action to align with new knowledge and understanding, observe themselves in the process of thinking, are committed to continuous improvement in practice, strive to my behavior. With thousands, cities government is true.
What are the benefits of reflective practice?
Supporting a greater level of self-awareness about the nature and impact of your work performance,
an opportunity for professional growth and development, and helping learning and strengthening your capacity in a team,
bringing rigor to critical thinking,
honing communication skills 
What does SOAP notes stand for
Subjective, objective, assessment, plan
What is the purpose of documentation?
Justification of services,
record of services,
description of clients journey,
billing,
communication,
record outcome of interventions 
What are some types of documentation?
Evaluation/screening report, intervention plan,
reevaluation,
transition plan,
discharge/discontinuation report, progress, note, contact notes 
What is therapeutic reasoning?
It is the thought process therapists use to evaluate clients and design and carry out interventions.
Therapeutic reasoning strategies
Research has found that most OTP’s use procedural, interactive and conditional strategies
 Other reasoning, strategies are diagnostic reasoning, narrative reasoning, pragmatic reasoning, ethical reasoning, and scientific reasoning 
What is scientific reasoning?
Focuses on the facts, such as impairments, disabilities, and performance contacts. It can be used to identify problems and to develop solutions.
What is diagnostic reasoning
This type of reasoning, specifically relates to the clients diagnosis and how that diagnosis affects the clinical picture it is sometimes considered a component of scientific reasoning
What is procedural reasoning
This type of reasoning focuses on the process of what, when, and how interventions and other solutions will be carried out. It focuses primarily upon the process of therapy. Focuses on the clients disease or disability, and determines most appropriate interventions to improve the clients functional performance.
It looks at problem, identification, goalsetting, and treatment planning
What does ethical reasoning?
This type of reasoning brings in the aspect of right and wrong, as it looks at issues in aims, to develop the best and most moral solution to a problem.
What are the different types of supervision?
Direct, or continuous (onsite)
close (direct, daily)
routine (every two weeks)
general (monthly)
Joint effort to establish, maintain, and or elect a level of competence and performance
What is supervision of OT aid?
OT/OTA supervisor
Directs the development, documentation, and implementation of a supervisory plan
On the job training
Non-client related
Client related tasks
What is the OT/OTA partnership
Knowledge base
Learning styles
communication
Active listening
Giving and receiving feedback
Assertiveness in tact
Conflict resolution
Time and place for supervision
Written agenda
Active participation
What are the type of healthcare teams?
Multidisciplinary – variety of disciples work in a common setting
Transdisciplinary – members share rolls
Interdisciplinary – cooperative approach that is interactive and centered uncommon problem
Intra-professional Dash involves OT, OTA and OT aide
What are the six principles of occupational therapy code of Ethics?
Beneficence, non-maleficence, autonomy, justice, verocity, fidelity
Beneficence
Contribute to the good health and welfare of the client
Treat client fairly and equitably
Advocate for recipients to obtain needed services
Promote health, safety, and well-being
Charge reasonable fees
Nonmaleficence
Do not inflict harm
No exploitation
Identify an address problems to appropriate authority
Autonomy
Freedom to act in freedom to decide
Collaborate to determine goals
Inform client of nature, risks, and outcomes of services
Informed consent
Right to refuse
Maintaining confidentiality
Justice
Provide services in a fair and equitable manner to all
Advocate for clients
Promote activities and provide service for all
Take responsibility to educate
State and national laws governing occupational therapy
Verocity
Tell the truth
Accurately represent qualifications in training
No false advertising or exaggerator claim
Disclose conflict of interest
Fidelity
Faithfulness, respect, fairness, integrity
Confidentiality among team members
Discouraged, prevent, expose, or correct, any breaches of code
Solving ethical problems
Ethical distress
Ethical dilemma
Locus of authority
Ethical distress
Challenge practitioners integrity
Involves feelings that something is off
Requires working through ethical decision making process
Ethical dilemma
 the situation in which two or more ethical principles collide
Two. Possible courses of action
OTP must decide which path to take
Locus of authority
Decision about who should be primary decision maker
Six steps to solve ethical problems
Gather fax
Identify the type of problem
Clarify, duties
Explore alternatives
Complete action
Evaluate outcome
What is the role of the OT?
Directly evaluation, interpret data, develop intervention plans, measure outcomes
What is the role of the OTA?
Contribute to evaluation, outcome processes, carry out intervention plan
What is the education requirements for an OT?
Masters degree
24 weeks of level to fieldwork
Certification (becomes “R”)
What are the education requirements for an OTA?
Associates degree
16 weeks of level two fieldwork MCC requires 18
Certification (becomes C)
Requirements for an OT aid
On the job training
What are supervision requirements for the OTA?
Less than one year equals minimum 5% on site face-to-face per month
OTA that has more than one year experience equals minimum 5% on site face-to-face 2% consist of direct, face-to-face and remaining 3%. She’ll be telephone electronic or face-to-face.
OT is responsible for keeping record of all supervision
Characteristics of the OT/OTA partnership
Knowledge base
Learning styles
Communication
Active listening
Giving and receiving feedback
Assertiveness in tact
Conflict resolution
Time and place for supervision
Written agenda
Active participation
What is narrative reasoning?
Relies on storytelling in order to identify problem, areas and solutions. Interaction between client and therapist in order to gain an understanding of the situation. Use of story creation allows OTP to envision how the future may look for the client and so that they can guide the intervention process.
What does pragmatic reasoning?
Focuses on logistics, such as cost, time, therapist, skills, client wishes and physical location. It looks at the problems in the context and focuses on developing practical and realistic solutions.
What is interactive reasoning?
Interactive reasoning
This type of reasoning is used when the OTP wants to understand the client is a person, takes place during face-to-face interactions between the practitioner in the client.
Allows OTP to understand the disability from clients point of view and engage the client and treatment. Takes into account, the clients identity, goals, environment to personalized intervention.
Conditional reasoning
This type of reasoning is the most complex, and it encompasses both an empathetic understanding of the situation, as well as a vision for its resolution. It incorporates the other types of reasoning into an integrated picture of the client in a framework for selecting the most appropriate course of action in order to achieve the ideal end goal.
