ISP: OTPF 4 Part 1 Flashcards
Outlines the profession’s purview and the areas in which its
members have an established body of knowledge and expertise.
domain
Describes the actions practitioners take when providing services * Client-centered and focused on engagement in occupations.
process
A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.
health
A general term encompassing the total universe of human life domains, including physical, mental, and social aspects, that make up what can be called a ‘good life’
well being
involvement in a life situation
participation
Outlines the profession’s purview and the areas in which its members have an established body of knowledge and expertise.
domain
Performance of occupation as the result of choice, motivation, and meaning within a supportive context… transactional interaction of the mind, body, and spirit.
engagement in occupatio
____ and ___ rooted in occupation
Core values and beliefs
___ and ___ in the therapeutic use of occupation
Knowledge and expertise
what is under domain
occupations, contexts, performance patters, performance skills, client factors
Central to a client’s health, identity, and sense of competence and have particular meaning and value to that client.
occupations
Refers to everyday activities that people do as individuals, in families and with communities to occupy time and bring meaning and purpose to life.
occupations
Needs to do, wants to do and expected to do.
occupations
Meaningful occupations can hinder performance in other
occupations.
nature of occupations
Occupations can support other occupations.
* Occupations can be shared or done with others.
* Success in occupational performance differs per individual.
nature of occupations
Environmental and personal factors specific to each client that influence engagement and participation in occupations.
contexts
Affects access to occupations and occupational performance.
contexts
Tangible and visible
environmental
Intangible and conceptual
contexts
These are aspects of the physical, social and attitudinal
surroundings in which people live and conduct their lives.
Environmental Factors
Environmental Factors:
Animate and inanimate elements of the natural or physical environment and components of the environment that have been modified by people.
Ex: Geography, plants, animals, climate etc.
Natural and human-made changes to the environment
Environmental Factors:
Natural or human-made products or systems of products, equipment, and technology that are gathered, created, produced or manufactured.
ex: Food, drugs, communication, employment
Products and technology
Environmental factors:
People or animals that provide practical physical or emotional support, nurturing, protection, assistance and connections to other persons in the home, workplace, or school or at play or in other aspects of daily occupations.
ex: Friends, family, service animals etc.
Support and Relationships (formerly Social Environment)
Environmental Factors:
Observable evidence of customs, practices, ideologies, values, norms, factual beliefs and religious beliefs held by people other than the client.
ex: Norms, culture, ideologies etc.
Attitudes (formerly Cultural Context)
Environmental Factors:
Benefits, structured programs, and regulations for operations provided by institutions in various sectors of society designed to meet the needs of persons, groups and populations.
ex: Laws, government offices etc.
Services, systems, and policies (formerly Institutional Context)
Unique features of a person that are not part of a health condition or health state and that constitute the particular background of the person’s life and living.
personal factors
Who the client is
personal factors
Acquired habits, routines, roles, and rituals used in the process of engaging consistently in occupations and can support or hinder occupational performance.
Performance Patters
Helps establish lifestyle and occupational balance.
* Influenced by temporal factors.
Performance Patters
Specific, automatic adaptive or maladaptive behaviors.
- Double edged.
Habits
Established sequence of occupations or activities that provide a
structure for daily life and can be shared.
Performance patterns
Sets of behaviors expected by society and shaped by culture and
context.
roles
Role Title + Expected Tasks
role dimension
Symbolic actions with spiritual, cultural and social meaning.
rituals
Contributes to one’s identity and reinforce one’s values and beliefs.
rituals
Skills that are observable, goal-directed actions.
perfomance skills
How effectively a person moves self or interacts with objects.
motor skills
How effectively a person organizes objects, time, and space.
process skills
Includes sustaining performance, applying knowledge, and adapting performance.
process skills
How effectively a person uses both verbal and non verbal skills to
communicate.
social interaction skills
social interaction skills :
basics: _____ –> ______–> _______
initiating, sustaining, terminating
Specific capacities, characteristics, or beliefs that reside within the person, group, or population and influence performance in occupations.
client factors
Can affect performance skills.
client factors
Client-centered and focused on engagement in occupations.
process
Describes the actions practitioners take when providing services
process
what are the personal factors?
- Chronological age
- Sexual orientation
- Gender identity
- Race and ethnicity
- Cultural identification and attitudes
- Social background, social status and socioeconomic status
- Upbringing and life experiences
- Habits and behavioral patterns
- Psychological assets, temperament, unique character traits, coping styles * 10. Education
- Profession and professional identity
- Lifestyle
- Health conditions and fitness status
what is under evaluation
- screening
- assessment
- occupational profile
- analysis of occupational performance
- synthesis of evaluation process
what is under intervention
- intervention plan
- intervention
- implementation
- intervention review
what is under outcomes
- outcome selection
- outcome measures
Focused on finding out what the client wants and needs to do.
evaluation
Determining what the client can do and has done
evaluation
Identifying supports and barriers to health, well-being, and participation.
evaluation
Evaluation: A summary of a client’s occupational history and experiences, patterns or daily living, interests, values, needs, and relevant contexts.
goal: Understand the client’s perspective and background.
occupational profile
Reason for seeking services
occupational profile
Supports and hindrances to occupational performance.
occupational profile
Occupational history.
occupational profile
Values and interests, Client’s contexts and performance patterns, Client’s targeted outcomes.
occupational profile
Identifying occupations and contexts that needs to be addressed.
Analysis of Occupational Performance
Occupational and activity analysis to identify occupational demands.
Analysis of Occupational Performance
Measurement of client factors and performance skills using specific assessment tools/methods.
Analysis of Occupational Performance
The goal is to identify the client’s ability to effectively complete desired occupations.
May use standardized and non-standardized assessment tools.
Analysis of Occupational Performance
Synthesizing gathered information from occupational profile and analysis of occupational performance to form a conclusion about the client’s case.
Synthesis of Evaluation Process
Consists of services provided by occupational therapy practitioners in collaboration with clients to facilitate engagement in occupation related to health, well-being, and achievement of established goals consistent with the various service delivery models.
Intervention
Provided to clients indirectly on their behalf.
ex: Consultations, case presentations, case study, industrial consultation etc.
indirect services
Provided directly to clients using a collaborative approach.
Direct Services
Function is to direct action of OTs.
intervention plan
Describes the approaches and types of interventions to be used to target the client’s identified outcome.
intervention plan
Should be made in collaboration with the client/s.
intervention plan
Process of putting the intervention plan into action and occurs after the initial evaluation process and development of the intervention plan.
Intervention Implementation
Continuous process of reevaluating and reviewing the intervention plan, the effectiveness of its delivery, and progress toward outcomes.
Can lead to changes in the intervention plan
intervention review
Describes the results clients can achieve through occupational therapy intervention.
Outcomes
Should be measured with the same methods used at evaluation.
Outcomes
To be compared with client’s status during evaluation.
Outcomes
What is under outcomes
Occupational performance * Prevention
* Health and wellness
* Quality of life
* Participation
* Role competence
* Well-being
* Occupational justice
Outcomes may lead to:
- Transition
- Discontinuation
Activities oriented toward taking care of one’s own body and completed on a routine basis.
Activities of Daily Living
Bathing, showering, Toilet and toilet hygiene, Dressing, Eating and swallowing
Feeding, Functional mobility, Personal hygiene and grooming, Sexual activity
ADLs
Activities to support daily life within the home and community.
Instrumental Activities of Daily Living
Care of others, Care of pets and animals, Child rearing, Communication management
*
IADLs
Activities related to developing, managing, and maintaining health and wellness routines, including self-management, with the goal of improving or maintaining health to support participation in other occupations.
health management
- Social and emotional health promotion and maintenance
- Symptom and condition management
- Communication with the health care system * Medication management
- Physical activity
- Nutrition management
- Personal care device management
Health Management
Activities related to obtaining restorative rest and sleep to support healthy, active engagement in other occupations.
rest and sleep
Activities needed for learning and participating in the educational environment.
education
Labor or exertion related to the development, production, delivery, or management of objects or services; benefits may be financial or nonfinancial.
work
Activities that are intrinsically motivated, internally controlled, and freely chosen and that may include suspension of reality.
play
It is a complex and multidimensional phenomenon that is shaped by sociocultural factors.
play
Nonobligatory activity that is intrinsically motivated and engaged in during discretionary time, that is, time not committed to obligatory occupation such as work, self-care, or sleep.
leisure
Activities that involve social interaction with others, including family, friends, peers, and community members, and that support social interdependence.
social participation
interconnected and collectively form the solid foundation on which practitioners build their approach
cornerstones draw upon these
contributors
represent the principles and qualities that hold significance for the individuals who uphold them.
values
This process is ongoing and adaptable for all client interactions
evaluation process
observable manifestations of customs, practices, ideologies, values, norms, factual beliefs, and religious beliefs held by people other than the client.
attitudes
Natural and Human-Made Changes to the Environment
Products and Technology
Support and Relationships
Attitudes
Service, Systems, and Policies
environmental factors
Maintaining friendships, participating in group outings, volunteering, and engaging in social clubs or group activities while adhering to social norms and expectations.
social participation
Promoting social and emotional well-being, managing symptoms and conditions, interacting with the healthcare system, handling medications, maintaining physical fitness, managing nutrition, and using personal care devices.
health management
Pertains to tasks associated with creating, maintaining, and managing health and wellness routines.
health management
Pertains to tasks associated with creating, maintaining, and managing health and wellness routines.
Pertains to tasks associated with creating, maintaining, and managing health and wellness routines.
commences during the initial evaluation, involving safe and effective discharge planning, education, caregiver training, and environmental modification.
discontinuation planning
essential to ensure clients’ well-being during transitions.
collaboration
represents a shift from one life role or experience to another, and transition planning is crucial to accommodate changes effectively.
transition
is integral throughout the occupational therapy process, from evaluation to intervention planning, implementation, and review, ultimately aiming for improved health, well-being, and engagement in occupation.
focus on outcomes
involves the client’s effective response to occupational and contextual demands, underlies these outcomes.
Occupational Adaptation
encompasses various domains
outcomes
results achievable through occupational therapy intervention and should be assessed using the same methods as in the evaluation process, comparing the client’s status from evaluation to discharge or transition.
outcomes
If necessary, the plan is adjusted based on the assessment.
modifying the plan
This step involves assessing how the intervention plan is being carried out in relation to achieving the desired outcomes.
Reevaluating the Plan
It provides an opportunity for potential adjustments in the intervention plan.
intervention review
a continual process involving the reevaluation and assessment of the intervention plan, the effectiveness of its implementation, and the progress toward desired outcomes.
intevention review
Continuously assess and reevaluate the client’s response to the intervention as it progresses.
monitor the clients response
phase where the intervention plan is put into action.
Intervention Implementation
Involves setting objective and measurable occupation-based goals with specific time frames, selecting appropriate intervention approaches, and determining the methods of service delivery, including who will provide the interventions and the service delivery approaches to be used.
developing the plan
serves to guide the actions of occupational therapy practitioners.
It outlines the selected approaches and types of interventions to achieve clients’ targeted outcomes.
intervention plan
Can take various forms, including consultations, case presentations, case studies, and industrial consultations.
indirect services
collaboratively developed with clients or their proxies and is influenced by client goals, values, beliefs, and occupational needs, as well as client health and well-being.
intervention plan
customized for individual clients, groups, or populations, depending on the service context.
intervention methods
service delivery aimed at enhancing clients’ well-being and engagement in meaningful activities, achieved through collaborative efforts.
intervention
can be measured through a combination of standardized, formal assessments, and informal approaches when necessary.
occupational performance
identify and measure the impact of the client’s contexts on their occupational performance.
contextual assessment
assessments on what influence performance skills and patterns
factors
breaking down the demands of various occupations and activities to understand their impact on the client.
Occupational or Activity Analysis
examines the information gathered from the occupational profile to determine which specific occupations and contexts require attention.
Identification of Occupations and Contexts
performance focuses on evaluating the client’s ability to effectively engage in their chosen occupations
factors such as their strengths, limitations, and potential challenges.
Analysis of Occupational Performance
focuses on the collection and interpretation of data to identify both supports and barriers affecting the client’s occupational performance and to establish targeted outcomes.
Analysis of Occupational Performance
Involves gathering information about the client’s needs, problems, and concerns related to their daily activities and occupations.
Occupational profile
This process is ongoing and adaptable for all client interactions
evaluation process
centered on understanding the client’s wants and needs, determining their capabilities, and identifying factors influencing their health, well-being, and participation.
evaluation process
a client-centered approach and active engagement in meaningful occupations.
Occupational Therapy Process
client-centered approach to delivering occupational therapy services.
Occupational Therapy Process
convictions individuals accept as truths or opinions.
beliefs
motivating individuals to participate in occupations and ascribing meaning to their lives.
Values, beliefs, and spirituality
what one accepts as true or holds as personal convictions.
belief
principles, standards, or qualities that individuals hold dear and deem meaningful.
values
can be shaped by factors like illness, disease, personal life encounters, and the existence or lack of disability.
client factors
encompass specific attributes, qualities, or beliefs inherent to clients that exert an influence on their performance across diverse occupations.
client factors
skills encompass initiating, sustaining, and terminating social interactions and
social interaction skills
Revolves around how effectively a person employs both verbal and non-verbal communication abilities.
social interaction skills
maintaining performance, applying knowledge, organizing timing, managing space and objects, and adapting performance.
process skills
Involves how adeptly a person organizes objects, time, and space, which includes
process skills
serve as the fundamental underpinning for practitioners, offering a core perspective through which they approach clients and their occupational needs
cornerstones
