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Occupations
The ordinary and familiar things people to occupy themselves and provide meaning to life including self-care, leisure activities, and community engagement.
Context includes
Social, Cultural, Temporal, and Environmental aspects that the Occupation is being performed in.
Occupational Therapy
the art and science of directing a person's participation in occupations to restore and/or enhance performance.
What does OT treat?
1. Developmental deficits
2. Aging process
3.Physical illness or injury
4.Psychosocial impairments or disability
Where do OT's practice?
1. Acute Care
2. Community Mental Health
3. Early intervention
4. Home Health
5. Inpatient Mental Health
6. Inpatient Rehab
7. Long Term Care
8. Outpatient Rehab
9. Private Practice
10. Schools
11. Work Hardening
What are the levels of practice for Occupation Therapy?
Registered Occupational Therapist (OTR)
Certified Occupational Therapist Assistant (COTA)
What degree level meets the requirements for a COTA?
Associates degree or bachelor's degree in OTA.
What degree level meets the requirements for OTR?
Masters degree or doctorate degree in OT.
Is there a difference in the legal or supervisory responsibilities between a Master's lever OT and Doctoral level OT?
No
Is there are difference between the responsibility and supervisory requirements for an associate level or Bachelorette COTA?
No
Purposeful or functional activities are
goal-directed behaviors or tasks that a person considers meaningful and are found within the broad scope of occupations.
Functional Independence
a person's ability to perform a task or accomplish something, with or without adaptations.
Adaptation
a change in the way a task is performed to increase the potential for independence.
Adaptive Capacity
capability of an individual to perceive the need for change and modify behavior accordingly.
Activities of Daily Living (ADLS)
those things we do to take care of our own bodies
Instrumental ADLS (IADLS)
those things which support daily life in the home and community
What are the two parts of the OT practice framework (OTPF)?
Domain and Process
Domain
defines our focus (what we treat)
Process
defines the delivery of OT (how we treat)
The OT Domain of Practice includes
Areas of Occupation
Performance skills
Performance patterns
Contexts
Activity demands
Client factors
Areas of Occupations include
ADL's
IADL'S
Rest and Sleep
Education
Work
Play
Leisure
Social Participation
Performance skills include
Motor and praxis skills
Sensory perceptual skills
Emotional regulation skills
Cognitive skills
Communication and social skills
Performance Patterns
Habits
Routines
Roles
Rituals
Habits
Specific, automatic behaviors performed repeatedly, relatively automatically, with little variation
Routines
established sequences of occupations or activities that provide a structure for daily life
Roles
set of behaviors expected by society shaped by culture, defined by the person.
Rituals
symbolic actions with spiritual, cultural, or social meaning.
Personal Context
age, gender, SES, education level
Cultural
culture to which a person belongs
Temporal
stage of life, time of day or year, duration or history
Virtual
not having physical contact
Physical
natural and built environments, and objects inside (furniture)
Social
relationships and expectations of behavior
Activity Demands consider these 7 areas
Objects and their properties
Space demands
Social demands
Sequencing/timing
Required actions/performance skills
Required body functions
Required body structures
Performance skills
the abilities the clients demonstrate in the activates they perform.
Performance Patters
Habits, routines, roles, and rituals used to engage in occupations/activities.
Context
Conditions of a given occupation
Activity Demands
Specific features of an activity that influence the type and amount of effort required to do it.
Client Factors
are internal to the person
Client Factors include
Values
Beliefs
Spirituality
Body structures
Body functions