week 8 Flashcards
(41 cards)
1
Q
whats an overview of the Canadian practice process framework (CPPF)
A
- Generic framework suitable for a wide range of practice settings and clients
- Evidence based
- Goal driven
- Incorporates aspects of assessment, intervention and evaluation of outcomes
- Focus is on occupational enablement
- The CPPF is congruent with the CMOP-E and CMCE
2
Q
outcomes of the CPPF
A
- Successful completion of occupational performance and / or engagement
- For this to occur ot must apply the CMOP-E, focus on occupation and use the CMCE enablement skills to adapt, advocate, coach, collaborate, consult, coordinate, design/build, educate, engage and specialise.
3
Q
visual representation of the CPPR
A
- dynamic interchange between the client and the ot
- entry and exit points
- eight key action points
4
Q
whats the eight action points of the CPPF
A
- enter/initiate
- set the stage
- assess/evaluate
- agreee on objective and plan
- implement the plan
- monitor and modify
- evaluate the outcome
- conclude and exit.
5
Q
enter/initate
A
- engage in rapport building
- develop a collaborative relationship
- consult team
- helps clarify ot to client
ask about what our looking for
general conversation first about interests and values
6
Q
enter/ initiate enablement skills
A
- collaborate with client to clarify referral
- engage client in discussion
7
Q
set the stage
A
- engage client to understand their values, beliefs, assumptions, expectations and desires form ot
- Negotiate and adopt common ground rules (both of them) eg must both be on time
- Continue to build rapport and the clients readiness/ motivation to process
- Collaborate to identify priority occupational performance issues and goals
8
Q
set the stage enablement skills
A
- Collaborate with client to set rules and responsibilities for practice relationship
- Educate client about OT
- Engage client in discussion
9
Q
assess and evaluate
A
- Assess the clients occupational status, dreams and potential for change
- Draw upon theories, models, research and past experience eg CMOPE
- Identify actors within the person, environment and occupation contributing occupational problems
- Consult and clarify with the client
- Formulate and document potential recommendations
- Eg administer COPM, OSA
10
Q
assese/ evaluate enablement skills
A
- Specialise in assessment and interpretation
- Collaborate with client to determine perceptions of injury on occupational performance
- Educate client about findings and implications
- Coach client to use self-evaluation and self-monitoring techniques
- Coordinate with client and team
11
Q
agree on objectives and plan
A
- Collaborate with the client to prioritise goals and objects
- Power sharing is important
- Encourage clients to participate in discussion and actions eg name their goals
- Agreement on occupational goals, objectives and plan within the time, space and resource boundaries
12
Q
agree on objectives and plan enablement skills
A
- Adapt plan with client as practice unfolds
- Collaborate with client
- Design and build a program design around client
13
Q
implement the plan
A
- Involves clients participation and power sharing
- Engage the client through occupation
- Document process
- Use appropriate frame of reference when implementing change
- Consider timelines, resources
14
Q
implement the plan enablement skills
A
- Coach
- Enable
- Collaborate
- Educate
- Adapt
- Advocate
- coordinate
15
Q
monitory and modify
A
- Consult, collaborate, advocate, educate an engage the client and others to enable success
- Ongoing formative evaluation to determine whether the pan needs to be redesigned or adapted according to the clients progress
16
Q
monitor and modify enablement skills
A
- Coach
- Engage
- Collaborate
- adapt
17
Q
evaluate the outcome
A
- Reassess the client occupational performance goal achievement
- Compare pre and post ot intervention findings
- Has the clients achieve their goals?
- Do new goals need to be agreed upon?
- Document and disseminate findings
- Eg readminister COPM
18
Q
evaluate the outcome enablement skills
A
- Collaborate
- Coach and educate
19
Q
conclude and exit
A
- Depends on your assessment findings
- Decision made to end or re-enter the process with the client to pursue alternative op issues
- Document and disseminate information
20
Q
condole nad exit enablement skills
A
- Educate client option’s for re-entry
- Engage client in concluding their relationship
21
Q
occupational therapy enablement
A
: ot aim to provide effective, client centred, occupation based enablement that promotes health, wellbeing and justice.
- Goal directed: based on the clients and professionals agreement
- Distinguished by a client centred approach to occupation
22
Q
enabling occupation
A
- Enable people to choose, organise and perform those occupations they find useful and meaningful ot their environment
- Refers to concepts of giving power, strengthening, providing with the ability or means to do something and with the means to do or be something and making something possible
- Encompasses a range of strategies
23
Q
canadian model of client centred enablement CMCE clients include
A
- Individuals
- Families
- Groups
- Communities
- Organisations
- Populations
24
Q
whats the 10 enablement skills of the CMCE
A
adapt advocate coach collaborate consult coordinate design/build educate engage specialise
25
adapt
: altering an occupation or the environment to make a just right challenge suitable to the clients needs, eg breaking down a task, selecting a different environment
26
advocate
: to plead, argue and speak in favour of, and to act with or for people. Championing a cause to those who have the power to make change. Eg policy change, program proposals, change in laws, talking to a teacher about a child
27
coach
an ongoing partnership that encourages clients to reflect and discover their own motivation in their desired occupations eg listening, encouraging and mentoring
28
collaborate
this involves power sharing, working with people to work towards a common goal. Eg negotiating with the client to decide upon meaningful ot goals, families, health practitioners
29
consult
to exchange views, brainstorm and confer with clients, families, team members, government and non-government groups. eg case reviews
30
coordinate
: involves harmonising, synthesising and combining information, people, services and supports eg linking people with different resources: housing, education, health
31
design/build
: to formulate a plan, to devise or to form a strategy eg creating a splint, accessible buildings
32
educate
learning through doing. To collaborate with the clients and to design learning opportunities and recourse
Eg student fieldwork or e health
33
engage
involves the client, learn through doing or participating in activities. To engage the client, their perspectives, choice and decisions eg engaging the disinterested, uninvolved or disconnected
34
specialise
the sue of specific techniques in particular situations. The composite of skills that contributes to OT roles as an expert in enabling occupation. Eg group therapy, falls prevents, hand therapy.
35
principles of the enablement skills
1. Evolve and unfold to respond to the clients needs and contact
2. 2. Ot employ a combination of skills
3. Strive for mutual and reciprocal collaboration and are unique to the ot field. Depends on our own skills, interests, experiences.
4. Visible and invisible to others. Articulation of our clinical reasoning is important
5. Based on best practice evidence available
6. Enablement skills must be educated to stand and students
7. Utilise across the eight points of the CPPF
36
disablement/enablmetn continuum order
1. effective enablement
2. minimal enablement
3. missed enablemetn
4. ineffective enablement
37
1. effective enablement
- Focus on occupation
- Seamless services to met client goals
- Client is encouraged to make choices and decisions
- Client participation is respected
- Interventions are sensitive to sociocultural diversity
- Outcome may include: overcoming occupational deprivation, new occupational routines and satisfaction with ot services
38
2. minimal enablement
- Single issue focus
- Mechanistic perspective, risk rather than a just right challenge
- Minimal resource allocation: health care funds, ot to client ration, increased costs
- Stressed technical intervention: focus on self care and not enough funds to support meaningful goals
- Both client and ot may underestimate the potential for enablement
39
3. missed enablement
- Occurs when a lack of opportunity resource, or vision result in unnecessary loses to health, wellbeing and justice
- Insufficient resource
- Unsuitable sociocultural, physical and emotional
40
4. ineffective enablement
- Negative and potential destructive
- Knowing best with limited input from other
- Co-dependence
- Alienation through expert dominance
- Ineffective use of resources
- Irrelevant to the client: intervention is not meaningful.
41
what do Occupation Therapy do
determine possibilities of enablemtn
