Practice Essentials Flashcards
How many standards of practice are there?
5
What are the standards of practice?
1- professional standing and responsibility
2-service delivery
3-screening,evaluation and reevaluation
4-intervention process
5-outcomes, transition, discontinuation
Standard of practice 1
professional standing and responsibility
- knowledgeable of AOTA guidelines, maintaining license, and professional and clinical reasoning skills
Standard of practice 2
service delivery
-direct service with direct contact with client
-indirect service through consultations with teachers and teams advocating on behalf of client
Standard of practice 3
Screening, evaluation and reevaluation
- accept and respond to referrals in compliance of state/federal laws
- perform occupational profile and analysis
-evidence based assessements
-documents and comminicates results and niterpretation
Standard of practice 4
Intervention process
-implement and document intervention based on client goals
Standard of practice 5
Outcomes, transition, discontinuation
- determine outcomes and measures
-document changes in performance
-implement safe transition or d/c plan
Is a referral requires for OT treatment
AOTA states they are not required BUT must abide by state or federal laws and payment policies
What is the domain of OT
-The focus of OT
-everyday occupations ppl find meaningful and purposful
enable participation in everyday life in desired roles and contexts
What are the categories of occupations
ADLs
IADLs
Health Management
Social Participation
Rest and Sleep
Education
Play
Leisure
What is the Process of OT
-delivery of services
-direct vs indirect services
-delivered at person, group or population level
What are the core values
altruism, equality, freedom, justice, dignity, truth, prudence
Altruism
unselfish concern for welfare of others
equality
maintain fairness and impartiatlity
Freedom
value clients autonomy
Justice value
provide services for all in need and maintain goal directed, objective relationships
dignity
value and promote worth and uniqueness of each client
Truth
be faithful to facts and reality
Prudence
govern and discipline self through use of reason
What are the principles
beneficience, nonmaleficence, autonomy, justice, veracity, fidelity
Beneficience
demonstrate concern for the well-being and safety of others
nonmaleficence
refrain form causing harm, injury, or wrong doing
autonomy
respect right to self-deremination, privacy, confidentiality, and consent
justice principles
promote equity and inclusion
veracity
provide comprehensive accurate and objective information
fidelity
treat clients and colleagues with respect, fairness, discretion and integrity
documentation in schools
must relate to IEP and functional ability to complete school related tasks
documentation in early intervention
related to IFSP, written in lay terms for better parent understandability
documentation in mental health
may be more multidisciplinary or provided in more groups
documentation in SNF
medicare requirements and GG scoring
documentation in outpatient
varies on facility and payers
documentation in home health
Medicare or medicaid must have OASIS completed, focus on function, safety, and environment
When is Medicare used
- adults over 65
-some with disabilities under 65 - people with end stage renal disease
Medicare Part A
- hospital/inpatient services
Medicare Part B
Outpatient services
-covers 80%
Medicare Part C
Medicare advantage plan
Medicare Part D
Prescription drug coverage
Medicaid
- Requires income under certain level
- Covers screening, diagnosis, and treatment for pts under 21
Children’s Health Insurance Program (CHIP)
- Children in low income families with parents who are disabled
-Coverage varies by state