The process of OT Flashcards
the OT process
referral, screening, evaluation, intervention, implementation, review, termination
- client centered, interactive, and dynamic
exam hint - screening
if a Q about screening as the current stage of the OT process, any answer choice that includes goal setting, intervention planning, or implementing interventions would be INCORRECT because goals/tx cannot be established until an evaluation is completed
referral
basic request for OT services
order, consultation
NBCOT will only ask about medicare, AOTA, other national standards
screening
acquisition of info to determine the need for an in depth evaluation
usually brief: chart/medical review, checklists, structured observations, brief interviews
- will determine client factors, areas of occupation, performance skills, and contexts that require further eval
evaluation
obtaining and interpreting data necessary for intervention
- occupational profile and analysis of their occupational performance
- obtain a history
- select appropriate evaluation tools
considerations for selecting appropriate assessments
- person’s baseline level, major concerns, pressing needs
- environmental context where it will be conducted
- facility’s resources
- environmental context of the individual’s expected environment
psychometric properties of assessments
- standardization
- administration protocol
- scoring protocol
- validity measures (accuracy - did it measure what it was supposed to)
- reliability (consistency and stability of the eval)
if a client’s characteristics are different from the normed population of an eval tool….
any interpretation of the eval results based on these norms would be inaccurate
prevention
interventions designed to prevent disabilities and illnesses, promote wellness, maintain health
1. primary: promote wellness and maintain health; reduction of the incidence/occurrence
2. secondary: early detection
3. tertiary: elimination of the impact of dysfunction
meeting health needs
interventions designed to satisfy inherent, universal human needs that are not automatically met
- psychosocial, temporal balance and regularity, safety, love and acceptance, group association, mastery, esteem, sexual, pleasure, self-actualization
the change process
interventions designed to achieve behavioral changes and functional outcomes
“establish/restore/remediation/restoration”
management
interventions designed to reduce or minimize disruptive or undesirable behavior that interferes with therapeutic activities that are the main focus of intervention (ex - person gets anxious with using a w/c. manage interventions for the anxiety so that the w/c training may commence and be effective)
maintenance
interventions designed to support and preserve that individual’s current functional level
no improvement in function is planned
decline is prevented as much as possible
ex- chronic, progressive diseases
intervention planning
- select frame of reference
- collaboration with individual, family, caregivers, others
- prioritize problem areas and values
- format of intervention plans
- LTGs and STGs
- duration, frequency, number and type of sessions are specified
- recommendations for additional OT services/referrals
- clinical reasoning to ensure it is an appropriate plan
reasons for discharge
- goals have been met
- reached a functional plateau
- maximum benefit has been achieved, does not require skilled services
- exacerbation of illness or medical crisis, higher level of care needed
- length of stay is expired
