Midterm- Week 1, PPT 1 Flashcards
What are the four different types of therapy?
Individualized Therapy services
Inclusive and integrated services
Cultural competence
Evidence based practice and scientific reasoning
What are different types of individualized therapy services?
Client- centered
Strength- based
Family- centered
What is a client-centered practices?
Philosophy of respect and partnership
Collaborate to develop common goals and shared responsibility- “fostering a therapeutic alliance”
Provide choices, allow the client to make activity choices and consider culture and context- COPM and PEGS
What is a strength-based approach?
Identifying positive aspects of a child’s behavior
Contrast to the medical model, which focus is on identifying health or performance problem and trying to remedy it
Consider and make use of abilities to facilitate greater self efficacy and self determination
What is a family centered practice?
Establish a relationship and partnership
Share in decision making
Facilitate parental empowerment
Empathy for family
What are the 2 types of family centered interventions?
1) services that foster positive professional- family relationships
2) services that enables family participation in intervention activities
What are inclusive and integrated services?
Transform attitude and assumptions
Increase physical access
Accommodations to increase social participation
Strategies to increase performance and behavioral expectations
What is inclusion in school based settings?
Full participation in school activities
Friends and relationships with peers
Learn and achieve within general education curriculum to the best of their abilities
Children learn to appreciate difference, develop respect and tolerable
Participate the fullest extent in all school environments
What is block scheduling in inclusion?
OT spends 2-3 hours in early childhood classrooms 1:1 or small groups
What is co-teaching?
Emphasizes prevention
OT and teacher collaborate and implement the session together
Ex: handwriting programs
What is cultural competence?
“The ability to think, feel and act in ways that acknowledge, respect, and build upon ethnic, (socio)cultural and linguistic diversity”
In 2011 the US was home to 74 million children…?
53% white
14% African American
- 5% Asian
- 5% Hispanic
Children under 18 represent 23% of the pop, what percentage account for poverty, low income and poor housing?
34% account for poverty
45% live in low income housing
20% live in poor housing
In 2004 how many children were reported poor and what percentage were reported living in extreme poverty by the children defense fund?
16.1 million children were poor
40% live in extreme poverty
What are the 5 steps of evidence based practice and scientific reasoning?
Assess
Ask
Acquire
Appraise
Apply
What is to assess?
Convert need for info into an answerable question
What are the issues?
Is it critical, correctible, common, contextual, comprehensive?
What is it to ask?
What is the questions study category? Prevention? Therapy? Harm/ causation? Diagnosis? Prognosis? Outcomes? Economics? Qualitative? Guidelines?
What is it to acquire?
Search the research databases
What types of evidence and what levels of evidence might exist?
What is it to appraise?
Is the info valid? Are the results valid?
Will the info make an important difference? Impact level of effect
Is the info applicable? How can the results be applied? Clinical meaningfulness?
What is it to apply?
Implement the practice or apply the info
If valid, will it make a difference to the patient?
If important, is it relevant?
If relevant, can it be used?
What is pediatric interventions?
Higher level of function
Compensate for activity limitations
Modify environments
Change systems to increase participation
What is the 7 step dynamic process of interventions?
1) intervention
2) participation and participation restrictions - problem sensing
3) activity and activity limitations, develop a hypothesis and begin to test hypothesis
4) performance components impairments- test hypothesis and interpret results
5) intervention planning
6) long term outcomes, defining goals for the childs participation in a variety of environments, develop a vision for possible outcomes
7) intervention objectives- collaborative decisions making and establish benchmarks
What are the 4 types of clinical reasoning?
Procedural reasoning
Narrative reasoning
Conditional reasoning
Pragmatic reasoning
What is procedural reasoning?
Organize facts about the clients, environment, occupations, and activity limitations
Problem sensing
What is narrative reasoning?
Assess the clients participation in his or her environments
Narrative story unveil meaningful experiences that engage the child
What is conditional reasoning?
Forming an image of future life possibilities for the person
Person, environment, occupation, and performance
What is pragmatic reasoning?
Important in intervention planning
Practical ways of achieving outcomes
What are different types of inclusive and integrated services therapy services?
Natural environments
Integrated services
