Midterm- The Process Of OT Flashcards
What does the process of OT do?
Outlines the way OTs provide services to clients
Nonlinear and dynamic
Requires knowledge, experience and clinical and professional reasoning
Collab with client
Clients needs and desired outcomes are central to process
What is an evaluation?
Constant reflection and renegotiation of aggregate (combined) info
OT must understand the context of target activity/ occupation and occupation he needs of the client
What do OTs have to consider in their evaluation?
Activity demands
- relevance to client
- objects used or required
- physical environment
- social environment
- cultural context
- sequencing and timing of thoughts and actions
What are the 2 components of an evaluation?
1) occupational profile
2) analysis of occupational performance
What is an occupational profile?
A summary of info that describes the clients occupational history, experiences, patterns of daily living, interests, values and needs
Identifies strength, limitations and needs
OT works on hypothesis regarding for possible reasons for identified problems
Client centered approach
What is the analysis of occupational performance?
Includes interviews, observations, review of record, occupation-based activity analysis, direct assessment of client factors
Therapist uses info to analyze tasks, modify activities and then assess performance
OT considers specific assessments that can be used to support therapy plan
OT works with client to create goals and intervention strategies
What is the OBI?
Occupation based interventions
Central interventions to OT
OBI used as end or as a mean
What does ends mean in OBI?
Occupations
End of therapy
What does means mean in OBI?
Using occupation to get to this point
Use equipment to do occupation
What are the 3 components of an intervention?
1) intervention plan
2) intervention implementation
3) intervention review
What is an intervention plan?
OT sets measurable goals with clients and selects intervention approach
OBI- creatine or promoting occupation
Establishing or restoring a skill that’s impaired or not developed
Maintain performance that has been gained or stuck from disease or illness
Modify context and environmental factors
What should the intervention plan include?
Initial discharge planning needs
Selection of outcomes measures
Plans for making recommendations or referrals
How is the intervention implemented?
Putting the intervention plan into action
OT uses therapeutic use of self, occupations
OT is responsible for directing, monitoring, and supervising interventions is a safe way
What are the 4 types of OT interventions?
1) occupation- based intervention
2) preparatory methods
3) education
4) advocacy
What is the occupation based intervention?
Client engages in client directed occupation that matches his or her goals
What are preparatory methods intervention?
OT selects methods and techniques that prepare the client for occupational performance
Ex: splints, strengthening and range of motion, sensory stimulation
What is education intervention?
OT shares info with the client and others involved that support engagement in occupations
What is advocacy intervention?
OT promotes occupational justice and empowering the client to utilize resources that enable participating in life
What is the intervention review?
OT re-evaluates plan to determine its effectiveness
Modification to the plan are made to improve effectiveness of the intervention
Review is crucial in determining the need for continued changes
Helps in determining if interventions should be discontinued
What are the outcomes?
End really of the OT process
Helps describes impact of OT to clients
Qualitative vs quantitative
What is the top down approach?
Starts with the occupation
More efficient
What is the bottoms up approach?
Looks at performance skills/ body function and starts with building that up
Pain and fatigue