Midterm Flashcards
- Means of providing a financial or other source of reward to support our daily existence and help us to meet our need for food and shelter
- Area of occupation encompassing an enormous number and wide variety of individual occupations
Work
Key drivers of change in work industry
Aging population, evolving technologies, increasing racial diversity and immigration
Includes work skills and patterns, time management, relationship with coworkers/managers/customers, creation, production and distribution of products and services, initiation, sustainment and completion of work, compliance with work norms and procedures
Job performance
Determining community causes, organizations, or opportunities for unpaid “work” in relationship to personal skills, interests, location, and time available
Volunteer exploration
Performing unpaid “work” activities for the benefit of identified selected causes, organizations, or facilities
Volunteer participation
Focus of legislation was federal funding for state vocational education programs
1917 Smith-Hughes Act
Focus of legislation emphasized that vocational rehabilitation of persons with disabilities is a social responsibility and provided permanent authorization of the federal Vocational Rehabilitation Program
1935 Social Security Act
Focus of legislation expanded the VR program, including emotionally and disturbed and intellectually disabled, began physical restoration services, authorized separate blind agencies to administer VR program, and required states to submit a written state plan to the federal government
1943 Barden-LaFollette Act
Expanded services to a broader population of rehabilitation clients and provided federal funds to help construct new rehabilitation centers and workshops
1965 Vocational Rehabilitation Act Amendements
Established the priority to serve persons with severe disabilities. Established title VI civil rights protection for people with disabilities, including section 504, which prohibits discrimination against otherwise qualified persons with disabilities in any program or activity receiving federal funds
1973 Rehabilitation Act
Authorized special cash payments and continued medicaid eligibility for individuals who receive supplemental security income benefits but nonetheless engage in gainful activity
1980 Social Security Act Ammendments
Broadened the act’s purposes, including rehabilitation engineering and supported employment services, and emphasizing services for persons with severe disabilities and individualized service planning. Specified that states must plan for individuals making the transition from school to work
1986 Rehabilitation Act Amendments
Provided a clear and comprehensive national mandate for the elimination of discrimination against individuals with disabilities, including titles on employment, public services, public accommodations, telecommunications, and miscellaneous provisions
1990 Americans with Disabilities Act
Improve support services to students with disabilities, especially in the areas of transition and assistive technology. Placement in the least restrictive environment emphasized
1990 IDEA
Reversed many US Supreme Court decisions that restricted the protections in employment discrimination cases and authorized compensatory and punitive damages under title V of the Rehabilitation Act and title I of the ADA
1994 School-to-Work Opportunities Act
improved HC access to millions of Americans by guaranteeing that private health insurance is available, portable, and renewable and limited pre-existing condition exclusions
HIPAA
Consolidated several employment and training programs including the rehabilitation act into statewide systems of workforce development partnerships.
1998 Workforce Investment Act
Established the ticket to work and self-sufficiency program to provide SSDI and SSI beneficiaries with a ticket they can use to obtain vocational rehabilitation services, and other support services from an employent network of their choice
1999 Ticket to Work and Incentives Improvement Act
Rejected strict interpretation of the definition of disability, prohibited the consideration of mitigating measures such as medication, prosthetics, and AT in determining whether an individual has a disability, reasonable accommodations in the work place
2008 Americans with Disabilities Amendments Act (ADAAA)
Providing individual intervention and indirect consultation to prevent injuries at the workplace through job analysis, workplace redesign, and employee education in proper body mechanics and safety
Injury prevention
Assessment of a potential employee’s capacities to determine if the individual is capable of performing essential job duties
Pre-employment screening
Protective settings that provide employment opportunities for people with disabilities and.or those from disadvantaged backgrounds, such as ethnic minority groups, the long-term employed, and those returning to the workforce after a period of rehabilitation
Sheltered workshops
Provision of job coaching, employment counseling, skills training, and other supportive services to a worker who is employed in a competitive paid position
Supported employment
Designing work systems and environments by applying theory, principles, data, and methods in order to optimize human well-being and overall system performance
Ergonomic assessment and intervention
Preparing students to leave the school setting and enter employment and community living as part of services mandated under IDEA
Transition planning in school settings
Promote a healthy balance of the mind, body, and spirit to result in an overall feeling of well-being. Focused on enabling people to increase control over and improve health
Wellness and health promotion
Intervention, including exercise and work simulation, focused on increasing an individual’s biomechanical, neuromuscular, cardiovascular, behavioral, and vocational functioning
Work hardening and work conditioning
The process of assessing, planning, facilitating, and advocating for options and services to meet an individual’s health needs through communication and available resources to promote quality cost-effective outcomes
Case management
Services provided at a variety of community and nonprofit organizations, including prevocational training, skills training, development of work habits, resume, interview preparation
Community-based organizations
Piaget’s 4 stages in cognitive development
Sensorimotor, preoperational, concrete operational, formal operational
A composite sense of who one is and wishes to become as an occupational being generated from one’s history of occupational participation
Occupational Identity
The incorporation of a socially and/or personally defined status and a related cluster of attitudes and behaviors
Internalized role
The degree to which one sustains a pattern of occupational participation that reflects one’s identity
Occupational Competence
Patterns of thoughts and feelings about oneself as an actor in one’s world that occur as one anticipates, chooses, experiences, and interprets what one does
Volition
Internalized readiness to exhibit consistent patterns of behavior guided by habits and roles and fitted to the characteristics of routine temporal, physical, and social environments
Habituation
The ability to do things provided by the status of underlying objective physical and mental components and corresponding subjective experience
Performance capacity
Particular physical and social features of the specific context in which one performs an activity that impacts what one does and how it is done
Environment
Refers to the goals or rewards people seek through their work
Work values
4 types of work values
Intrinsic, extrinsic, social, power values
Values of personal growth, autonomy, interest, and creativity
Intrinsic values
Values of pay and security
Extrinsic value
Value of contacting people and contribution to society
Social value
Values of prestige, authority, and influence
Power value
The principle that all people are equal and deserve equal rights and opportunities
egalitarianism
The exchange of rewards on the basis of personal needs such as love, service, or status
Particularism
Individualism or collectivism? Self-expression
Individualism
Individualism or collectivism? Communicating dissatisfaction with services
Individualism
Individualism or collectivism? Assertiveness
Individualism
Individualism or collectivism? Self-advocacy and self-realization
Individualism
Individualism or collectivism? Individual’s existence is inseparable from family and community
Collectivism
Individualism or collectivism? Holding a different view of services than views of a family unit or community
Individualism
Individualism or collectivism? Self-interests are sacrificed for those of the family or larger group
Collectivism
Individualism or collectivism? Focus is on the individual’s unique set of talents and potential
Individualism
Individualism or collectivism? Group activities are dominant
Collectivism
Individualism or collectivism? Individual may not accept transportation and work outside his or her community
Collectivism
Individualism or collectivism? Supports to achieve self-sufficiency are not welcomed
Collectivism
Integrated pattern of behaviors, norms, and rules shared by a group and involving their beliefs, values, expectations, worldviews, communication, common history, and institutions
Culture
Having the capacity to function properly
Competence
HC system that acknowledges and incorporates at all levels the importance of culture, cross-culture relations, vigilance toward the dynamics that result from cultural differences, the expansion of knowledge, and adaptation of services to meet culturally diverse needs
Culturally competent
Self-examination of cultural and professional background
Cultural awareness
Process of seeking and obtaining a sound educational foundation about diverse cultural and ethnic groups
Cultural knowledge
Ability to collect relevant cultural data regarding the client’s presenting problem as well as accurately performing a culturally-based assessment
Cultural skill
Process that encourages the healthcare provider to directly engage in cross-cultural interactions with clients from culturally diverse backgrounds
Cultural encounters
Motivation of the HC provider to want rather than to have to engage in the process of becoming culturally aware, culturally knowledgeable, culturally skillful, and familiar with cultural encounters
Cultural desires
Openness to examination of assumptions and beliefs and the possibility of personal change
Qualities of the therapist
Intervention planning and implementation should consider cultural norms of clients and their social groups, such as socially acceptable and expected behavior, customs and traditions, and personal factors such as work ethic, gender, age, race, and religion
Awareness of the sociocultural environment
The individual’s personal schema, societal roles, and expectations of therapy should guide the OT assessment, and the practitioner considers the client’s attitudes toward work, leisure, and productive occupation
Individual focus in assessment
The value and importance of specific work and other occupations to clients and their social groups are considered along with cultural norms in choosing what activities to include in intervention
Analysis of activities
Focusing on the functional ability gives the therapist a cultural advantage in choosing appropriate theory and models to guide intervention. Goal setting should be culturally sensitive and reflect the priorities of the client
Approaches to treatment
Attitudes, policies, practices, and structures that are destructive to a cultural group
Cultural destructiveness
Lack of capacity to respond effectively to culturally and linguistically diverse groups
Cultural incapacity
All people are viewed as the same, little value placed on training, encourage assimilation
Cultural blindness
Commitment to human and civil rights, hiring practices that support a diverse workforce, no clear plan for achieving organizational cultural competence
Cultural precompetence
Mission statement, implementation of specific policies and procedures, maintain diverse workforce, dedicate resources for competence
Cultural competency (business)
Employ staff and consultants to liaise with consumers with expertise in cultural competency standards, actively pursue resource development, advocate with and on behalf of populations who are traditionally underserved
Cultural proficiency
Tend to emphasize factual, logical communication, emotions assume a secondary role to logic and facts
Low-context communication
Many contextual elements help people understand the rules for communication, much is taken for granted, draws on physical aspects as well as time and situation in which the communication takes place.
High-context communication
Non-verbal communication AKA
paralinguistics
High or low context culture? Metaphors and reading between lines
High
High or low context culture? Simple, clear messages
Low
High or low context culture? Much nonverbal communication
High
High or low context culture? More focus on verbal communication than body language
Low
Includes conceptual practice models developed in the domain of the field and reflects the nature, purpose, and value of occupational therapy knowledge
Occupational therapy knowledge
Includes theories, concepts, and techniques developed from other fields but also incorporated into OT practice
Related knowledge
Structures behavior into the recurrent patterns that make up the routines and rhythms of every day life
Habituation
An individual’s underlying ability to do things, determined by the status of physical and mental cognitive components involved in work
Performance capacity
A composite sense of who one is and wishes to become as an occupational being generated from one’s history of occupational participation
Occupational identity
The beliefs of what is expected for the worker to be effective at the workplace- MOHO
Personal causation
What the worker sees as good or important in his or her job and about himself or herself as a worker- MOHO
Values
Enjoyment the worker finds inside and outside of employment- MOHO
Interests
How the individual sees himself or herself as a worker, student, son or daughter etc. MOHO
Roles
Routines and use of time both at and away from the workplace- MOHO
Habits
Study of humans, objects, or machines and the interactions among them
Ergonomics
Any object, machine, or activity in which the worker must engage and the context in which they function
Systems
Determined by maximizing use of the skeletal system, minimizing joint and muscular stress, so that the lines of action flow through noncompressible structures
Center of gravity
With good posture, the ____ is aligned over the _____
Gravitation pull over base of support (p.307)
There are increased MSDs when forces are applied ____________
Outside a joint’s center of gravity
Measurements, sizes, and proportions of the human body
Anthropometrics
Standard light intensity for normal activities and intense activities (studying)
200-750 lux, 1000 lux
Best position to sit with sunny window
90 degree angle away from window
Occurs when occasional or constant contact occurs between a hard surface and a part of the human body, such as the wrists, elbows, fingers, thighs, feet. Can restrict blood flow, hinder nerve, tendon, or muscle function, and break down soft tissue over long periods of time
Contact stress
Organizational design structure that allows flexibility in the physical work environment
Macroergonomics
Detailed approach to the application of human anatomy and physiology, body mechanics, disease management, and psychosocial factors as they interact in an occupational environment.
Ergokinesis
______________ are sued for standardized measurements such as sink height, cabinet height, door width
Antropometrics
Sound of any kind, often considered loud and unexpected, unpleasant to the ears
Noise
Noise should not exceed ____ decibels
85
At under ____ decibels, intermittent sounds can cause significant distraction
30
Rare
0-4% of day or 0-23 minutes in 8 hour day
Occasional
5-33% of day or 24 mins to 2 ⅔ hours in 8 hour day
Frequent
34-66% of day or 2 ⅔ hours to 5 ½ hours of 8 hour day
Constant
67-100% or 5 ½ to 8 hours in 8 hour work day