OT Occupational Therapy Practice Framework: Domain and Process, 4th ed.

Vocabulary flashcards covering the main domains and terms from the Occupational Therapy Practice Framework (Domain and Process, 4th edition), including Areas of Occupation, Context, Performance Patterns, Performance Skills, Client Factors, and Activity Demands.

Occupational Therapy Practice Framework (OTPF) 4th edition

A professional document that delineates the unique focus of OT and defines occupations and the domain and process of OT practice.

Occupations

Everyday activities people do to occupy time and give life meaning; what people need to do, want to do, and are expected to do.

Areas of Occupation

Different kinds of life activities in which people engage, including ADLs, IADLs, rest and sleep, education, health management, work, play, leisure, and social participation.

ADLs (Activities of Daily Living)

Activities oriented toward taking care of one’s own body; examples include bathing, toileting, dressing, eating, feeding, mobility, personal hygiene, and sexual activity.

IADLs (Instrumental Activities of Daily Living)

Activities that support daily life within the home and community; includes care of others, pet care, child rearing, communication management, driving, financial management, meal prep, safety, shopping.

Health Management

Activities related to developing, managing, and maintaining health and wellness routines to support participation in other occupations.

Rest and Sleep

Activities related to obtaining restorative rest and sleep to support active engagement in other occupations.

Education

Activities needed for learning and participating in the educational environment, including formal and informal education activities.

Work

Labor or exertion related to development, production, delivery, or management of objects or services; may include employment and volunteer activities.

Play

Intrinsically motivated activities that are internally controlled and freely chosen, often including exploration, humor, risk taking, and contests.

Leisure

Non-obligatory activities that are intrinsically motivated and engaged in during discretionary time.

Social Participation

Activities that involve social interaction with others and support social interdependence, such as community, family, friendships, and peer relationships.

Environmental Factors

Environmental aspects that influence participation, including physical, social, and attitudinal surroundings, plus products, technology, and services.

Personal Factors

The individual's background and feature factors (age, race, gender, culture, socioeconomic status, habits, education, lifestyle, etc.) that influence performance.

Performance Patterns

Habits, routines, roles, and rituals that influence how occupations are performed.

Habits

Automatic, repetitive behaviors performed with little variation that can support or interfere with performance.

Routines

Patterns of behavior that are observable, regular, repetitive, and provide structure for daily life.

Roles

Identity aspects shaped by culture and context, defined by the client and the activities they engage in.

Rituals

Symbolic actions with cultural, spiritual, or social meaning that reinforce values and beliefs.

Performance Skills

Observable, goal-directed actions used to perform activities and occupations.

Motor Skills

Small, observable actions related to moving oneself or interacting with objects.

Process Skills

Small, observable actions related to selecting, interacting with, or using task objects.

Social Interaction Skills

Small, observable actions related to communicating and interacting with others.

Client Factors

Values, beliefs, spirituality, body functions, and body structures residing within the client that influence performance.

Values

Acquired beliefs about what is good, right, and important to do.

Beliefs

Something that is accepted as true or held as an opinion.

Spirituality

A deep experience of meaning brought about by engaging in occupations that involve personal values and reflection within a supportive context.

Body Functions

Physiological functions of body systems, including mental, sensory, neuromusculoskeletal/movement-related, cardiovascular/immune/respiratory, voice/speech, digestive/metabolic/endocrine, genitourinary/reproductive, and skin functions.

Body Structures

Anatomical parts of the body such as organs, limbs, and their components, including systems like nervous, eyes/ears, voice/speech, and movement-related structures.

Activity Demands

What is typically required to carry out an activity, regardless of client or context; includes objects, space, social demands, sequencing/timing, required actions, and body functions/structures.

Objects used and their properties

Tools, materials, and equipment used to carry out an activity.

Space Demands

Physical environment requirements needed to complete an activity.

Social Demands

Social and attitudinal environments required for performing the activity.

Sequencing and Timing Demands

Temporal processes required to carry out the activity.

Required Actions and Performance Skills

The actions and skills typically necessary to perform the activity.

Required Body Functions

Physiological body functions required to perform the activity.

Required Body Structures

Anatomical body parts required to perform the activity.