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What are the 3 B’s and the “D” of OT?
1) Doing (Action/Carrying something out)
2) Being (Reflection of self)
3) Belonging (Affinity with social groups)
4) Becoming (Change/Transformation)
What are the 3 OT processes?
1) Evaluation
2) Intervention
3) Outcome
Domain vs Process (What is the difference?)
Domain: ESTABLISHED knowledge
Occupations
Context
Performance Patterns
Performance Skills
Client Factors
Process: ACTION to support engagement in occupation
1) Evaluation
2) Intervention
3) Outcome
Well-Being vs Health
Well-being: Subjective
Health: Objective
Performance
Participation
Well-being
(Define)
Performance: How well you do something (QUALITY)
Participation: Level of ENGAGEMENT (QUANTITY)
Well-Being: Subjective view of satisfaction in life
A stroke survivor can now button their own shirt in under a minute, using a modified technique. Which category does this best reflect?
a) Well-being
b) Performance
c) Participation
B
A man with depression is capable of attending his weekly book club but has stopped going for the past two months. Which category is most directly affected?
a) Participation
b) Performance
c) Well-being
A
After starting a new exercise routine, a client reports feeling more energetic, less anxious, and generally happier with life. Which category does this describe?
a) Participation
b) Well-being
c) Performance
B
A student with a learning disability completes math homework accurately but only after significant extra time and support. What is being measured?
a) Performance
b) Participation
c) Well-being
A
A retired teacher volunteers less at the community center than she used to, even though her physical and cognitive abilities haven't changed. Which category is this?
a) Well-being
b) Performance
c) Participation
C
A woman with a traumatic brain injury struggles to remember the steps of her morning routine and has trouble problem-solving when something unexpected happens. Which subcategory is most affected?
a) Psychological
b) Cognition
c) Sensory
d) Motor
B
A teenager recovering from an eating disorder has low self-esteem and struggles to find the motivation to attend social events. Which subcategory does this best reflect?
A) Psychological
B) Physiological
C) Cognition
D) Spirituality
A
A client with a cardiac condition needs to closely monitor his blood pressure and heart rate throughout the day. Which subcategory is this related to?
a) Physiological
b) Motor
c) Sensory
d) Cognition
A
A child with a sensory processing disorder frequently bumps into furniture because she has difficulty knowing where her limbs are in space. Which subcategory does this reflect?
a) Sensory
b) Psychological
c) Motor
d) Cognition
A
Following shoulder surgery, a patient has significant muscle weakness and reduced range of motion in his arm. Which subcategory is most impacted?
a) Motor
b) Cognition
c) Sensory
d) Physiological
A
A man who does not identify with any organized religion says that spending time in nature gives him a sense of meaning and connection to something greater than himself. Which subcategory does this describe?
a) Physiological
b) Spirituality
c) Psychological
d) Cognition
B
A student has trouble distinguishing the teacher's voice from background noise in a busy classroom. Which subcategory is this an example of?
a) Cognition
b) Sensory
c) Physiological
d) Motor
B
An adult with ADHD has difficulty sustaining attention on a task and is easily distracted by irrelevant stimuli. Which subcategory is primarily involved?
a) Motor
b) Psychological
c) Cognition
d) Sensory
C
A person with a chronic illness experiences persistent fatigue and disrupted sleep patterns that affect her daily energy levels. Which subcategory does this best reflect?
A) Cognition
B) Motor
C) Physiological
D) Psychological
C
Fatigue and disrupted sleep patterns due to a chronic illness are bodily functions
During a difficult diagnosis, a patient finds comfort by praying daily and reflecting on her faith. Which subcategory does this represent?
a) Psychological
b) Cognition
c) Physiological
d) Spirituality
D
What are the 6 subcategories of Person Factors (They’re not considered separate from Person)
1) Cognitive
Attention
Memory
Learning
Social Awareness (Theory of Mind)
Communication (LANGUAGE)
Executive Function
2) Psychological
Person’s mental state/perception of the world and themselves
Identity
Emotional regulation
Motivation
3) Physiological
Skin integrity/ Muscle + Cardiac endurance/ Flexibility
Sleep
Nutritional status
Stress
Pain
4) Sensory/Perception
Vision, Audition, Tactile, Olfactory, Gustatory
Proprioceptive, Detection, Perception, Recognition
5) Motor
Motor control —> ABILITY TO MOVE
Motor learning
Strength
Muscle tone
Balance
Coordination
6) Spiritual
Meaning
Mind-Body connections
Motivation
Values and beliefs
A family declines a recommended therapy approach because it conflicts with beliefs and customs important to their heritage. Which subcategory does this reflect?
a) Social support
b) Physical and natural environment
c) Assistive technology
d) Cultural environment
D
An elderly client relies on her daughter, neighbor, and close friends to help with meal preparation and transportation to appointments. Which subcategory does this describe?
A) Social support
B) Health education and public policy
C) Cultural environment
D) Social determinants and social capital
A
A client living in a low-income area has limited access to affordable housing, health insurance, and stable employment. Which subcategory is most relevant here?
A) Cultural environment
B) Health education and public policy
C) Social support
D) Social determinants and social capital
D
Through his church community, a man learns about a job opening and receives a small loan to help him get back on his feet. Which subcategory best describes this?
A) Social support
B) Assistive technology
C) Cultural environment
D) Social determinants and social capital
D
This is about the network being a resource, not direct hands-on help
A new state law requires insurance companies to cover a minimum number of occupational therapy visits per year. Which subcategory does this fall under?
A) Physical and natural environment
B) Social determinants and social capital
C) Health education and public policy
D) Cultural environment
C
A community center hosts a free workshop teaching residents how to manage diabetes through diet and exercise. Which subcategory does this reflect?
A) Social support
B) Social determinants and social capital
C) Health education and public policy
D) Cultural environment
C
A wheelchair user finds it difficult to navigate her neighborhood due to icy sidewalks in winter and a lack of curb ramps. Which subcategory does this best reflect?
A) Social determinants and social capital
B) Cultural environment
C) Assistive technology
D) Physical and natural environment
D
A man with limited hand mobility uses a voice-activated smart home device to turn on lights and lock doors independently. Which subcategory does this represent?
A) Physical and natural environment
B) Assistive technology
C) Health education and public policy
D) Social support
B
A farmer's ability to safely work outside is limited by extreme summer heat and uneven, rocky terrain on his property. Which subcategory does this reflect?
A) Assistive technology
B) Physical and natural environment
C) Cultural environment
D) Social determinants and social capital
B
A veteran with PTSD credits his recovery in part to a close friend who checks in daily and listens without judgment. Which subcategory does this best represent?
A) Social support
B) Health education and public policy
C) Social determinants and social capital
D) Cultural environment
A
What are the 6 subcategories of Environmental Factors? (FINISH EDITING)
1) Cultural Environment
2) Social Support
3) Physical/Natural Environment
4) Social Determinants/ Social Capital
5) Health Education/ Public Policy
6) Assistive Technology