PEDs Ch. 10 The OT Process Flashcards
Selects assessments for evaluation, interprets results, & develops intervention plan.
OTR
May gather evaluative data & contribute to the assessment process; not responsible for the interpretation of assessment of results; provides intervention
OTA
The worth of the individual is central to this model.
Canadian Occupational Performance Model
Name the components of MOHO.
Volition, habituation, performance, environment
Name the components of the Canadian Occupational Performance Model.
Spirituality, occupation, & context
Name the components of the Person Environment Occupation model.
Person, environment, occupation
Looks at the person in terms of physical, social, & emotional factors. Environment influences the person & occupations.
Person Environment Occupation Model
The worth of the individual is central; spirituality is core. Occupations take place within social, physical, & cultural environments.
Canadian Occupational Performance Model
Pinching w/ thumb, middle & index finger tips in contact.
Three Jaw Chuck
Both sides of the body working together during an activity.
Bilateral
Involuntary posture or movements that occur in response to a specific stimulus not under conscious control.
Reflex
Swiping motion when performing a palmar grasp.
Raking
Moving objects within the hand.
In-hand manipulation
Consciously relaxing grasp.
Release
Flexing fingers to the palm; interferes with releasing objects.
Palmar grasp
Occurs when an object is stabilized against the palm by finger flexion.
Grasp
The stroking of an infant’s cheeks or lips causes the head to turn toward the stimulus to search for food.
Rooting reflex
The extension, flexion, or abduction of the arms with the fingers spread due to sudden loud noise or sudden backward dropping of the head.
Moro’s reflex
Lying prone & suspended in space w/ a support under the chest, passive or active neck extension will cause the back & legs to extend.
Landau reflex
The human is an open system which is driven by volition.
MOHO
What is MOP?
Model of practice
What info will the OPT obtain when using MOHO?
- Volition: child’s or parents’ goals, priorities, & occupational choices
- Habituation or routines
- Performance
- Environment
What info will the OPT obtain when using Person-environment-occupational performance model?
- Child’s physical abilities
- Environment
- Occupational performance
What is the purpose of MOPs?
Provide practitioners w/ framework focusing on factors that influence functioning.
The referral, screening, & evaluation aspects of the OT process are known as…
Evaluation period
In the OT setting, who receives referrals?
OTR
What is the OTA’s responsibility toward referrals?
Forward the referral to the OT & educate the referral source of the process for initiating OT referrals
Who usually submits referrals?
Doctor or nurse practioner
Process that provides a general overview of a child’s functioning to determine if the child requires further evaluation.
Screening
Who may conduct a screening?
OTR & OTA
Who determines the type & scope of the evaluation?
OTR
What does the evaluation consist of?
Assessments of:
- Areas of occupation
- Client factors
- Performance skills
- Performance patterns
- Context & environments
- Activity demands
- Occupational profile
Name the components of the occupational profile.
- Who is the client?
- Why seeking services?
- Occupations are successful or unsuccessful?
- Contexts / environments support or hinder desired outcomes?
- Client’s occupational hx?
- Client’s priorities & targeted outcomes?
The completion of age appropriate activities w/ or w/o the use of assistive devices w/o human assistance
Functional independence
Participation in a specific age appropriate task w/ some assistance from the caregiver
Assisted performance
Unable to perform an age appropriate task. Caregiver is required to perform the task for the child.
Dependent performance
What does the intervention plan include?
- Parental concerns
- Client’s strengths & weaknesses
- Client’s potential
- LTGs
- Short term objectives
- Method, media, & modality
- Frequency & duration of tx
What is the intervention plan based on?
Frame of reference (FOR)
or
Model of Practice (MOP)
What does the OTA utilize to carry out the intervention plan?
- FOR
- Activity analysis
- Selection, gradation, & adaptation of activities
Name the FORs
- Biomechanical
- Developmental
- MOHO
- Motor control
- Neurodevelopmental
- Rehabilitative
- Sensory integration
Is MOHO a MOP or FOR?
It is both MOP & FOR
RUMBA
Relevant
- Understandable
- Measurable
- Behavioral
- Achievable
Instrument or tools that a profession uses to bring about change.
Legitimate tools
Name the legitimate tools of OTPs
- Occupations
- Purposeful activities
- Activity analysis
- Activity synthesis
- Therapeutic use of self
Client’s voluntary active participation, behaviors, or tasks that are directed toward their meaningful goal that constitutes occupations
Purposeful activities
What does purposeful activities focus on?
Focus on the process required for achievement v/s goals
Method of analyzing the physical, social, & mental factors involved in a specific task
Task-focused activity analysis
Identification of the child’s & family’s strengths & weaknesses through analysis of the intervention
Child & family focused activity analysis
What is the purpose of the task-focused activity analysis?
Identifies activity demands, skills, personal & cultural meanings
What are the 3 subsets of activity synthesis?
- Adapting
- Grading
- Reconfiguration
Who developed the top-down approach?
Fisher
What is the other name for the top-down approach?
Occupational therapy intervention process model (OTIPM)
Developer of MOHO
Kielhofner
Developer of COPM
Occupational Therapy Association of Townsend
Developer of PEOM
Law
