ISP: TYPES OF OCCUPATIONAL THERAPY INTERVENTIONS Flashcards
Broad and specific daily life events that are personalized and meaningful to the client
Occupations
Components of occupations that are objective and separate from the client’s engagement or contexts. These are interventions that are selected and designed to support the development of performance skills and performance patterns to enhance occupational engagement.
Activities
Example: Client completes morning dressing and hygiene using adaptive devices.
person
selected as interventions for specific clients are designed to meet therapeutic goals and address the underlying needs of the client’s mind, body, and spirit. To use occupations and activities therapeutically, the practitioner considers activity demands and client factors in relation to the client’s therapeutic goals and contexts.
Occupations and Activities
example: Client plays a group game of tag on the playground to improve social participation.
occupations, group
example:Practitioner creates an app to improve access for people with autism spectrum disorder using metropolitan paratransit systems.
population, occupation
example:Client selects clothing and manipulates clothing fasteners in advance of dressin
activities, person
example: Group members separate into two teams for a game of tag.
activities, group
example:Client establishes parent volunteer commit- tees at their children’s school
activities, population
Methods and tasks that prepare the client for occupational performance are used as part of a treatment session in preparation for or concurrently with occupations and activities or provided to a client as a home-based engagement to support daily occupational performance.
Interventions to Support Occupations
Modalities, devices, and techniques to prepare the client for occupational performance. Such approaches should be part of a broader plan and not used exclusively.
PAMs and mechanical modalities
Construction of devices to mobilize, immobilize, or support body structures to enhance participation in occupations
Orthotics and prosthetics
Assessment, selection, provision, and education and training in use of high- and low-tech assistive technology; ap- plication of universal design principles; and recommendations for changes to the environment or activity to support the client’s ability to engage in occupations
Assistive technology and environmental modifications
Actions the client performs to target specific client factors or performance skills. Intervention approaches may address sensory processing to promote emotional stability in preparation for social participation or work or leisure activities or executive functioning to support engagement in occupation and meaningful activities.
Self-regulation
Imparting of knowledge and information about occupation, health, well-being, and participation to enable the client to acquire helpful behaviors, habits, and routines
Education
Products and technologies that facilitate a client’s ability to maneuver through space, including seating and position- ing; improve mobility to enhance par- ticipation in desired daily occupations; and reduce risk for complications such as skin breakdown or limb contractures
Wheeled mobility
Facilitation of the acquisition of concrete skills for meeting specific goals in a real- life, applied situation. In this case, skills refers to measurable components of function that enable mastery. Training is differentiated from education by its goal of enhanced performance as opposed to enhanced understanding, although these goals often go hand in hand
Training
Efforts directed toward promoting occupational justice and empowering clients to seek and obtain resources to support health, well-being, and occupational participation.
advocacy
Advocacy efforts undertaken by the practitioner
advocacy
Advocacy efforts undertaken by the client with support by the practitioner
self advocacy
Use of distinct knowledge of the dynamics of group and social interaction and leadership techniques to facilitate learning and skill acquisition across the lifespan. Groups are used as a method of service delivery.
Group Interventions
Groups used in health care settings, within the community, or within orga- nizations that allow clients to explore and develop skills for participation, in- cluding basic social interaction skills and tools for self-regulation, goal set- ting, and positive choice making
Functional groups, activity groups, task groups, social groups, and other groups
Use of simulated, real-time, and near-time technologies for service delivery absent of physical contact, such as telehealth or mHealth.
Virtual Interventions
Use of technology such as video con- ferencing, teleconferencing, or mobile telephone application technology to plan, implement, and evaluate occupa- tional therapy intervention, education, and consultation
Telehealth and mHealth
An intervention approach that does not assume a disability is present or that any aspect would interfere with performance. This approach is designed to provide enriched contextual and activity experi- ences that will enhance performance for all people in the natural contexts of life
Create, promote (health promotion)
Approach designed to change client variables to establish a skill or ability that has not yet developed or to restore a skill or ability that has been impaired
Establish, restore (remediation, restoration)
Approach designed to provide supports that will allow clients to preserve the performance capabilities that they have regained and that continue to meet their occupational needs.
maintain
Approach directed at “finding ways to revise the current context or activity de- mands to support performance in the natural setting, [including] compensatory techniques . . . [such as] enhancing some features to provide cues or reducing other features to reduce distractibility”
Modify (compensation, adaptation)
Approach designed to address the needs of clients with or without a disability who are at risk for occupational performance problems. This approach is designed to prevent the occurrence or evolution of barriers to performance in context. Inter- ventions may be directed at client, context, or activity variables
Prevent (disability prevention)
Act of doing and accomplishing a selected action activity, or occupation that results from the dynamic transaction among the client, the context, and the activity. Improving or enhancing skills and patterns in occupational performance leads to engagement in occupations or activities.
occupational performance
are the end result of the occupational therapy process; they describe what clients can achieve through occupational therapy intervention.
outcomes
Increased occupational performance through adaptation when a performance limitation is present
improvement
Education or health promotion efforts designed to identify, reduce, or stop the onset and reduce the incidence of un- healthy conditions, risk factors, diseases, or injuries. Occupational therapy promotes a healthy lifestyle at the individual, group, population (societal), and government or policy level
prevention
State of physical, mental, and social well-being, as well as a positive concept emphasizing social and personal resources and physical capacities (WHO, 1986). Health for groups and populations also includes social responsibility of members to the group or population as a whole.
health
“Active process through which individuals become aware of and make choices toward a more successful existence”. Wellness is more than a lack of disease symptoms; it is a state of mental and physical balance and fitness
wellness
Dynamic appraisal of the client’s life satisfaction , hope , self-concept , health and functioning, and socioeconomic factors
Quality of life
Ability to effectively meet the demands of the roles in which one engages
role competence
Engagement in desired occupations in ways that are personally satisfying and congruent with expectations within the culture
participation
Contentment with one’s health, self-es- teem, sense of belonging, security, and opportunities for self-determination, meaning, roles, and helping others
well-being
Access to and participation in the full range of meaningful and enriching occupations afforded to others, including opportunities for social inclusion and resources to par- ticipate in occupations to satisfy personal, health, and societal needs
Occupational justice
