Comprehensive OT: Domains, Analysis, Interventions & Outcomes

Flow

Deep engagement with a balance of challenge and skill.

Occupational Analysis

Looks at an activity as performed by a specific client.

Activity Analysis

Examines general demands of an activity.

Making an Activity Therapeutic

Example: Cooking while standing to improve balance.

Domain

What OT focuses on.

Process

How OT is delivered.

Aspects of the OT Domain

Occupations, client factors, performance skills, performance patterns, contexts.

Nine Occupational Categories

ADLs, IADLs, Rest/Sleep, Education, Work, Play, Leisure, Social Participation, Health Management.

Client Factor Components

Values, beliefs, spirituality, body functions, body structures.

Identifying Essential Body Functions/Structures

Example: Writing requires fine motor control, vision, finger joint mobility.

Body Functions

Physiological/psychological functions.

Performance Skills

Observable actions (motor, process, social).

Performance Skill Categories

Motor, process, social interaction skills.

Adaptation/Modification

Change task/environment.

Grading

Change difficulty.

Context

Personal: age, education. Environmental: physical, social, cultural, virtual.

Environmental Factor to Modify

Example: Add grab bars.

Health Literacy

Ability to understand and use health info.

Six OT Intervention Types

Occupations/activities, supports, education/training, advocacy, group, virtual.

Intervention Approaches

Create/promote, establish/restore, maintain, modify/adapt, prevent.

OT Outcomes

Performance, improvement, enhancement, prevention, health/wellness, quality of life, participation, role competence, well-being, justice.

Global vs Specific Mental Functions

Global: consciousness, orientation, temperament. Specific: memory, attention, perception.

Values and Beliefs

Values = guiding principles. Beliefs = cognitive truths held.

Performance Patterns

Habits, routines, roles, rituals.

Activity Analysis Usage

Throughout the OT process.

Objects

Tools (scissors), supplies (paint), equipment (wheelchair), resources (internet).

Activity/Task/Occupation

Task = single step. Activity = set of steps. Occupation = meaningful engagement.

Occupational Performance

Ability to complete meaningful occupations.

Therapeutic Use of Self

Intentional use of personality and communication.

Clinical Reasoning

Thinking used to plan and guide OT.

Purpose of OTPF-4

Defines domain and process of OT.

Occupational Science

Study of occupation.

Occupational Perspective

Understanding humans as occupational beings.

Occupational Deprivation

Lack of access to meaningful occupations.

Intervention Approaches Review

Modify environment, restore skills, create opportunities, promote health, prevent issues.

History of Crafts in OT

Crafts were foundational. Now used for motor, cognitive, sensory, and psychosocial goals.

Occupation as Means and End

Means = used therapeutically. End = final goal.