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550 > LECT 6: kawa > Flashcards

LECT 6: kawa Flashcards

1
Q

true or false: the KAWA model Promotes culturally relevant/responsive OT practice

A

true

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2
Q

KAWA is a metaphor for

A

Metaphor of nature for ‘life flow’ and life energy to
translate subjective views of self, life, well-being and the
meanings of occupations

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3
Q

in the KAWA, peoples lives are bounded and shapdd by what

A

surroundings, people and circunstances (flowing water = river = touches the rocks, sides and banks and all other elements that form its context)

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4
Q

true or false: there is no connection between PEO and KAWA

A

false, FOCUS IS STILL ON:
intersection between person,
occupation and environment but it’s
the model eastern roots that offer a
unique approach to illustrate the
concepts

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5
Q

where is the meaning that shapes a persons reality in the KAWA

A

in context

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6
Q

life is akin to what in the KAWA model (metaphor)

A

life is like a river, flowing from birth to end of life

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7
Q

what does flowing water symbolize

A

can symbolize life and occupation and
without water flowing there can be river, no life

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8
Q

what happens when life energy or flow weakens, what does that mean

A

the client (individual or
collective) can be described as unwell or in a state of disharmony

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9
Q

what does it mean when flow stops

A

end of lifewat

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10
Q

what are the 3 elements that help us understand the model

A

symbols, river, narratives

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11
Q

what are the 4 components of the KAWA and 1 sentence description

A

water (flow of a persons life)
riverbanks (natueral context, including social and physical environment)
rocks (barriers to function and life flow)
driftwood (assets and resouces that promote function and hapiness)

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12
Q

true or false: not all clients will necesariliy regard autonomic, individualism, and participation as quinteseential

A

true

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13
Q

what are the main differences in throught process between western and eastern

A

WESTERN: thoughts given to right to life, liberty, pursuit of hapiness and perceives acheiving goals as linear

EASTERN: thoughts are circular,
goal is to acheive balance in masc/fem and active and passive phases of life

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14
Q

what are the value systems in westerm culture

A

individualistic (individual is at the main focus)
autonomy and personal freedom
competition and ahcievebe

PERSONAL GAIN RATHER THAN GAIN OF COMMUNITY

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15
Q

what are the value system of eastern cultures

A

collectivistic: group is valued above the indiviidual
cooperation
sharing and duty to group is prioritized

EMPHASIS ON GOING WITH THE FLOW AND AVOIDING CONFLICT

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16
Q

explain the western concept of human OT

A

indivudally focused
controlling health and destiby
future oriented
egalitarian social structure

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17
Q

explain the eastern concept of human OT

A

collectivistic
naturalistics : nature, self and society as an integrated whole
here and now
hierachcical social strcuture

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18
Q

what does diversity mean

A

present in a common space with inclusion

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19
Q

what is the link between engaging and cultural

A

engage in active self reflection about ones own cultural identity , values, and recognize similaries and differences within ones own cultural groups

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20
Q

cultural compentence relies on what

A

attitudes, knowledge and skills to work effectively with clients unlike unself

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21
Q

what should therapists assume when engaging in cultural compentence

A

assume self-awareness concerning their own biases and assumptions

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22
Q

when talking about cultural relevance, what is the current problem

A

Embedding of Western
cultural assumptions (such as
autonomy and
independence) in the
profession’s theories and
practice frameworks,
reduces relevance to non-
Western clients.

Change rests on an open
interviewing approach that
invites client values and
priorities to emerge.

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23
Q

what is cultural safety (google )

A

Cultural safety is a concept that aims to create environments where people feel safe and respected, regardless of their cultural background, ethnicity, or other differences.

taht requires HCP to check biases and empower and respect all cultures

24
Q

cultural safety requires what of HCP

A

that HCP become respectful of nationality, culturure, age, sex, gender, and sexual portientation, policitcal and religious beliefs

25
Q

how does cultural safety empower people

A

becuase it reinforces the idea that each persons knowledge and reality is valid and valuable

26
Q

what does the space between the barriers,diftwrood etc mean

A

Occupation

27
Q

the spaces between are what

A

where life and energy still flows (sustain a clients hope, opportunities for growth)
=representative of occupation

28
Q

what is the first component of the KAWA

A

life flow and health (water)

29
Q

the life flow and health water can include what aspects

A

Can include client’s work history, medical history, life roles, processes (i.e. aging), self- care and leisure activities, as well as other occupations

30
Q

true or false: water flow should only be considered for the person

A

false, that can potentially go against the wetstern, colectiveistic roots

river flow oOf significant persons in the occupational therapy client’s life (caregivers, spouse, etc.)
should also be considered and incorporated where relevant.

31
Q

what is the second component of the KAWA

A

environmental factors (physical and social)
=riverbank (walls and floors)

32
Q

the social environment in the KAWA can represent what

A
  • friends and family,
  • classmates,
  • colleagues, lovers,
  • pets,
  • deceased relatives, acquaintances etc –
    any social supports that the client considers significant.
33
Q

what is the second component of the KAWA

A

life circumstances and problems (rocks)

34
Q

rocks can be organized into what (4)

A

OP difficulties
fears and concerns
inconventient circunmstances out of OTs control
impairements/medical concerns

35
Q

true or false: only the rocks of that specific person should be considered i nthe model

A

false:
As with River Flow, the Rocks of significant persons in the
occupational therapy client’s life (caregivers, spouse, etc)
should also be considered and incorporated where
relevant.

36
Q

explain the appearance of the rocks

A

some appear instansneously injury, illeness, transient

some remain unremarkable until they bump up against certain aspecst of the social and phydsical environment (like a fear or environment)

37
Q

what are the 4th compoent of the kawa

A

personal assets and liabilities (driftwood)

38
Q

what are the 4 things that driftwood could be

A

personal traits or characteristics (personality, traituts, attitudes ex: stubburn, likeable, sense of humor, addiction, pragmatic)

special skills, abilities and experiences (ie: person good a sports, trade, sociable with people, artisitic)

also represents beliefs, values, principles

represnt material and or social capitle (finiancial wealthm, access to money and socual connections to power/influence)

39
Q

true or false: the sides of the rivers represent the subjects oscia , physical and cultural contexts

A

true

40
Q

what are the most important determinants of a persons life flow in a collectivistic social context AND WHY

A

river sides/bank

its importance in determining the experiences of self and subsetquent meanings of personal action

41
Q

=if there are obstructuons (rocks and driftwood in the water) when reiver walls and bottom are thickneded and constricting leads to what

A

then there is disruptions in the flow of water

42
Q

what is OTs general job in using the KAWA model

A

maximimze the space ebtween the rocks through treatment, intervention, adaption

improve harmoney between elements to enhance life flow and quality of life

43
Q

what is the main caution with the rocks

A

CAUTION: Rocks are often ingrained and a major part of the river system
so they may not be easily removed, if at all.

44
Q

what are the 5 ways OTs can use the KAWA model

A

assessing clients life flow
identifying barriers
understanding social support
cultural sensitivity
empowering clients

45
Q

explain how OTs can use the KAWA model to assess clients life flow

A

The river represents the flow of the clients life, and the therapist helps understand what supports or hinders his flow. Flow represents health, well-being, and occupational performance.

46
Q

explain how OTs can use the KAWA model to identify barreirs

A

Rocks in the river symbolize obstacles in a person’s life, such as injury, illness, or emotional struggles. OTs
can work with clients to identify these barriers and develop strategies to address or overcome them.

also identity and use the strengths (driftwood and river walls) to overcome those barriesrs and maximize OP and well-beinga

47
Q

explain how OTs can use the KAWA model to understand social support barreirs

A

Therapists help clients analyze how these elements shape their lives and provide opportunities for them to leverage social support or adapt their
environments to improve their life flow

48
Q

explain how OTs can use the KAWA model for cultural sensitiviy

A

Since the Kawa Model emphasizes a person’s social and cultural context, OTs can use this model to work
with clients from diverse cultural backgrounds by framing their therapy goals in ways that are culturally
meaningful to them

helps develop meaningful inteventions considering context and values

49
Q

explain how OTs can use the KAWA model to empower clients

A

use the Kawa Model to engage clients in the therapy process by allowing them to illustrate their
journey and what they see as meaningful, empowering them to take an active role in their therapy.

50
Q

what are the application steps of the KAWA model

A

draw the river (client and therapist collaborative create a visual representation of the river of life)

place the elemnts

analysis and AP: helps identify areas where flow is obstructred and develop action plan to navigate/clear obstacles

51
Q

examples of questions you may ask about river flow (life flow and priorities)

A
  1. If your life was a river, what does your river look like? How
    would you describe the flow of your river right now?
  2. Can you describe to me how you typically spend your day
    from the time you wake up to the time you go to bed?
  3. What do you enjoy doing? Why do you enjoy it?
  4. What makes you happy? How does it make you happy?
    Why?
  5. Have you experienced any significant changes in your life
    recently?
  6. How do you typically go around doing your everyday
    activities?
52
Q

examples of questions you may ask about driftwood (personal ressources that can be asseets of liabilites)

A
  1. How do you see challenges in life?
  2. How do you typically cope with stress?
  3. How would you describe yourself? Why?
  4. Do you have any special skills or abilities?
  5. Can you tell me about your education?
  6. Are there activities that you are good at or enjoy doing?
    (This can also be a River question)
  7. Are there any things or thoughts that get in the way of your life going better? (This can also be a Rock)
53
Q

question examples that you may ask about the rocks (obstances, challenges)

A
  1. Are you having any difficulties right now? What are they? Why
    do you think (those things) are difficult for you? How is it difficult?
  2. Do you have anything in particular that you would like to do but you are
    unable to do because of your current situation? Why do you think you are
    unable to do them? How are these things typically done? How is doing
    them right now different from back then? What would you like to be able
    to do?
  3. Is there anything about your life right now that you would like to change?
    What is it? Why? How would you like things to change? If things were
    better, what do you think would be different?
  4. I understand what you have been through a lot lately and things can be a
    bit overwhelming. Is there anything in particular which you are worried or
    unsure about that you would like to discuss?
54
Q

examples of questions you may ask about the riverbanks (social and physical social environment)

A
  1. Who are you currently living with right now?
  2. Who do you typically spend most of your time with? How
    do you spend your time with them? What do you usually
    enjoy doing together? (As you can see, this question leads
    us back to the River Flow.)
  3. Where do you typically spend most of your time? (This is
    yet another question that can lead back to the River Flow.)
  4. Can you describe to me the place where you live / work?
    How do you find your ability to get around there? (This
    can lead to Driftwood or Rock!)
  5. Do you live in a single storey / double storey terrace /
    apartment / flat / wooden house?
  6. Is your room upstairs or downstairs? Are there lifts?
  7. Are your toilets sitting or squatting?
55
Q

what are the 3 ways we can use interventions to create/widen space for water to flow and explain

A

1) rocks between smaller ( Client adapts to dysfunction over time and dysfunction is no longer as big of a hindrance to their daily life And/or remedial interventions have resulted in the dysfunction becoming less severe and client has regained more function

2) adjust riverbanks (univeral design, other adaptations to the environment)

3) use existing diftwood.,introduce new driftwood to push away rocks (client lerans new skills to overcome the inability to do soemthign )

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