OT process and basics of OT

Question 1

OT Process

Answer 1

1. Referral
   - pts. must be referred for a therapeutic need
   - varies from state to state
2. Screening
   - to determine if evaluation is needed
3. Evaluation
   - Criterion- referenced assessment
   - norm-referenced assessment
4. Intervention
   - four levels
5. Discharge/ Re-evaluation
   - When goals are met, progress has plateaued, or clt cannot tolerate therapy anymore

Question 2

Four levels of intervention

Answer 2

1. adjunctive
2. enabling activities
3. purposeful activities
4. occupation-based activities

Question 3

Adjunctive interventions

Answer 3

To prepare pt. for occupational performance
- Education, PAMs, and resources

Question 4

Enabling Activities

Answer 4

exercises or ways to condition the body in order to get to the patient’s end goal
- ROM, muscle conditioning, schedules, pacing activities, coping strategies, time management and med management

Question 5

Purposeful activities

Answer 5

Have a relevant goal and are meaningful to the client
- compensatory strategies, adaptations to facilitate clt in meaningful occupations

Question 6

Occupation-based activities

Answer 6

Client-centered activities and goals
- TH involvement begins to decreased as the clt performs ADLs, IADLs, play and leisure to his or her maximum capacity

Question 7

5 intervention approaches

Answer 7

• Create, promote
• Establish, restore (remediation)
  -Maintain
• Modify (compensation, adaptation
• Prevent (disability prevention

Question 8

Compensation vs. Adaptation

Answer 8

• Compensation (use what pt. already has available/their strengths): determining NEW WAYS of accomplishing an activity. Finding strategies/ techniques or using specially adapted tools that work around the patient’s limitations (usually do not involve equipment, technology, or modifications to the environment
• Adaptations (add): altering the setting or demands of a task to facilitate performance

Question 9

Types of Clinical reasoning

Answer 9

1. Procedural
2. interactive
3. Conditional
4. Pragmatic
5. Narrative