Ot Classifications And Processes

Question 1

Uniform terminology

Answer 1

Describes “domain of concern” of OT
Allows common terminology among OTs
Identifies client strengths and deficits
Guides evaluation and treatment activities
Based on Occupational Performance Model
Performance Areas
Performance Components
Performance Contexts

Question 2

Performance areas

Answer 2

ADL
LEISURE
Work

Question 3

Performance components

Answer 3

1.Sensorimotor
•Sensory
•Neuromusculoskeletal
•Motor
2.Cognitive / Cognitive Integration
3.Psychosocial / Psychological
•Psychological
•Social
•Self-management

Question 4

Performance contexts

Answer 4

1.Temporal aspects
•Chronological
•Developmental
•Life cycle
•Disability status
2.Environment
•Physical
•Social
•Cultural

Question 5

ICF

Answer 5

International Classification of Functioning, Disability and Health
Revised from International Classification of Impairments, Disabilities and Handicaps
Developed by World Health Organization
Provides common framework to describe health and health-related functions

Question 6

Aims of ICF

Answer 6

Provide scientific basis for understanding / studying health related conditions
Establish common language among providers, consumers, policy-makers
Permit comparison of data across countries, disciplines, services, times
Provide systematic coding scheme for health information

Question 7

ICF Components

Answer 7

Part I: Functioning and Disability
A. Body Functions and Structures
B. Activities and Participation

Part II: Contextual Factors
A. Environmental Factors
B. Personal Factors

Question 8

OT practice framework

Answer 8

Reflects evolution of our profession
Considers UT-III and ICF constructs
More clearly articulates OT’s focus on occupation, daily life activities, participation in life
Provides common definitions / language to other professions
Third edition (2014) included re-organization of terms, and moved some interventions to process (ie therapeutic use of self)

Question 9

Intent of the framework

Answer 9

Describe central concepts and core beliefs of OT practice

Incorporates vision of the profession

General guide to practice based on philosophical tenets that formed basis for OT and considering current evidence and practice

Question 10

Key points of the framework

Answer 10

Core belief in positive relationship between occupation and health
The need to engage in occupation is innate, related to health and well-being
OT focuses on enabling person / group / population to participate in meaningful life activities
Evaluation / intervention must focus on client’s priorities (“client-centered”)

Question 11

Domain:

WHAT we do

Answer 11

Occupations
Client Factors
Performance Skills
Performance Patterns
Context and Environment
(Activity Demands removed from former editions)

Question 12

Occupations

Answer 12

ADL

IADL

Rest / Sleep

Education

Work

Play

Leisure

Social Participation

Question 13

Client factors

Answer 13

Values

Beliefs

Spirituality

Body Function

Body Structure

Question 14

Performance skills

Answer 14

Motor

Process

Social Interaction

Question 15

Performance patterns

Answer 15

Habits

Routines

Roles

Rituals

Question 16

Context and environment

Answer 16

Cultural

Personal

Physical

Social

Temporal

Virtual

Question 17

Process:

HOW we do it

Answer 17

Evaluation
Develop occupational profile
Analysis of occupational performance
Requires interview and identification of strengths, deficits, performance, expected outcomes

Intervention
Planning: based on collaboration with client to determine what OT will do
Implementation: actual “treatment,” involving clinical reasoning and core skills of therapist
Review: continuous process of re-evaluation and review of plan and effectiveness

Intervention
Consider evidence-based practice
Role of re-evaluation
Use of theories, models, frames of reference (evaluation and intervention)
Importance of analysis of activity demands
Therapeutic use of self

Outcomes
Health
Participation
Engagement in Occupation