OT Process- Review Flashcards
Review of the OT Process
Method of providing OT services Focus is on occupation Evaluate client’s occupational abilities & needs for: intervention plan & implementation occupational performance outcomes Ongoing
OT Process
Referral Screening Evaluation Intervention plan Implementation Reevaluation Outcomes
Referral
Receive referral from-medical, school, community, work settings
Diagnoses-focused on
Type of therapy-OT
Specific interventions-activity, modalities, etc.
Frequency-times per week
Duration-total length of plan
Screening
Brief review of record
May have contact with client
May use a screening instrument
Determine whether in-depth evaluation is necessary
Evaluation
Gather & interpreting data
Components
-Occupational profile
- Analyzing occupational performance
Occupational Profile
Occupations? Activities? Role competence? Value of each Client priorities? Outcomes desired? Based on this, evaluate ability to plan, initiate & complete various occupations
Other data needed?
Sensorimotor Biomechanical Neurodevelopmental Psychosocial Perceptual-cognitive Other data to understand occupational needs Determine best method of evaluation
Theory:
means to examine occupation, performance & relationship between engagement in occupations & participation in context; determine prior to evaluation
Model of practice:
application of theory; facilitates analysis of occupational profile & determine interventions; lens
FOR:
links theory to intervention strategies
Intervention Plan: Collaborative Process
process-client values & goals; environmental & contextual factors incorporated
Intervention Plan: Outcome
Occupational performance improvement Role competence Adaptation Prevention Quality of life
Intervention plan : Approach or strategy of intervention for client to attain goals
Prevention of disability Health promotion Establish/restore a skill or ability Adapt or compensate Maintain current functioning
Intervention plan : Approach or strategy of intervention for client to attain goals
Client-centered -Long-term goals -Short-term goals Methods based on approaches/strategies Frequency-times per week Duration-total length of plan
Implementation
Intervention methods:
- Therapeutic use of self
- Therapeutic use of occupations & activities
- Consultation
- Education
Reevaluation
Measure outcomes to demonstrate effectiveness of interventions
Review the intervention plan
-Needs being met
-Progress & changes made
Options: continue, change, or discontinue plan
Why outcomes?
Emphasis on evidence-based practice Effectiveness of occupational therapy Research Program evaluation Quality improvement Case management UR/cost containment
Characteristics of Measure
Outcome measures should be: valid reliable sensitive to change over time relevant to population relevant to area of interest Example: FIM used in physical disabilities settings with rehabilitation focus
OT Outcomes
“…supporting health and participation in life through engagement in occupation.” (AOTA, 2002)
determining whether participation in various contexts/environments has been achieved
OT Role & Responsibilities
Initiating & directing eval process, interpret eval info, determining goals, establish intervention plan, further assessment, delegate tasks to OTA
Oversee intervention plan & its implementation
Determine need for continuing, modifying, or discontinuing service
Select, measure & interpret outcomes
OT Role & Responsibilities-AL
Vary state to state according
AL State Board of Occupational Therapy
-OT-practice occupational therapy
-OTA-assist in the practices of OT under supervision of or with consultation of OT
-Aide-assists in delivery of OT under direct onsite supervision; don’t require professional or advanced training based on sciences
OTA Role & Responsibilities
Contributes to eval process Collaborates on intervention plan Implements interventions; modifies Provides info on client response to interventions to OT Provides info on client outcomes Provides discharge resources