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Domains, Processes, and CFTO
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What was added as an area of occupation to the OTPF 4th edition?
Health Management
What is the purpose of the OTPF?
provide a structure/base to build a system or concept. It describes central concepts that ground OT practice.
The OTPF is a tool to develop what 3 things?
e
e
e
cornerstone
something of great importance on which everything else depends
What helps distinguish OT from other practices
core values and beliefs rooted in occupation
theraputic use of self
professional behavior
knowledge of an expertise in the threaputic use of occcupation
What type of factors influenced the cornerstone of OT?
client centeredness
self-reflection
leadership
professionalism
What are the 5 OTPF domains?
occupations, contexts, performance patterns, performance skills, client factors
What are the 9 areas of occupations?
activities of daily living (ADL), Instrumental activities of daily living(IADL), health management, rest/sleep, education, work, play, leisure, and social participation.
What is context in terms of the OTPF domain?
environmental factors and personal factors
What is an example of context: environmental factors ?
natural/human made changes to environment, attitudes, services, systems, and policies
What is an example of context: personal factors?
age, education, and lifestyle.
What is Performance patterns in terms of the OTPF domains?
Habits, routine, rituals, and roles used in the process of engaging in occupations and activities associated with different lifestyles
can be used to support or hinder occupational performance
what are habits?
specific automatic behaviors performed repetitively with little variation. Can be good or bad.
What are routines?
patterns of behaviors that are observable, regular, and repetitive that provide structure for daily lives. Time commitment.
ex; morning routine
what are rituals?
symbolic actions with spiritual. cultural, or social meaning contributing to the clients identitfy and reinforcing values and beliefs.
what are roles?
aspects of identity shaped by culture and context that may be further identified by activities and occupations.
Ex: bobby being care taker for his dog, must feed dog.
What are performance skills in terms of the OTPF domains?
observable goal -directed actions that result in a clients quality of performing desired occupations. Can be good or bad.
What are the three main types of performance skills?
motor skills
process skills
social interaction skills
Describe motor skills in terms of performance skills for the OTPF domains
group of performance skills that represent small observable actions related to moving oneself or interacting with tangible objects.
Ex: moves, lifts, walks, bends, grips.
describe process skills for the performance skills OTPF domains
group of performance skills that represent small observable actions related to selecting interacting with, and using tangible task objects. Skills that take multiple steps to complete.
Ex: writing a sentence
describe social interaction skills for the performance skills OTPF domains
observable skills that are related to communicated and interacting with others.
Ex: children playing with others in a sandbox
Ex: touches, looks, approaches, starts
Are performance skills learned and developed over-time?
YES
What are client factors in the OTPF domain?
values, beliefs, and spirituality
body functions
body structures
What are values? as part of client factors
acquired beliefs and commitments derived from culture about what is good and important to do
What are beliefs? as part of client factors
something that is accepted, considered to be true, or held as an opinion
What is spirituality? as part of client factors
deep experience or meaning brought about by engaging in occupations that involve enacting personal values, and beliefs.
Ex: person searching for meaning in life
Describe body function as part of client factors domain
the physiological functions of body systems (psychological functions)
examples: cardiovascular, mental, sensory, voice, reproductive system
Describe body structures as part of client factors domain
anatomical parts of the body, such as organs, limbs, and their components that support body function
ex: eyes, ears, structures within the cardiovascular system
What is the main takeaway for processes in the OTPF.
we must create a safe and supportive environment to enable clients to express themselves authentically
What are the 3 main points of the OTPF process? (In linear order)
evaluation
intervention
outcomes
What are the 6 types of OT interventions?
occupation and activities
interventions to support occupations
education and training
advocacy
group interventions
virtual interventions
describe occupation and activities as part of the process interventions
specifically selected for each client with therapeutic goals and underlying problems of mind or body in mind.
describe interventions to support occupations as part of the process interventions
methods and tasks that prepare the client for occupational performance
not used exclusively
used as part of a treatment session like a PAM (hot or cold pack)
describe education and training as part of the process intervention
education: imparting knowledge about occupation, etc.. to enable clients to acquire helpful behaviors, habits, and/or routines
training: acquiring concrete skills for meeting a specific goal in real-life situations
The goal of training is to enhance performance where education enhances understanding
describe advocacy as part of the process intervention
advocacy: efforts taken by practitioner
self-advocacy: efforts taken by client, supported by practitioner
describe group interventions as part of the process intervention
use of knowledge of the dynamics of a group and social interaction and leadership techniques to facilitate learning and skill acquisition across the life-span.
describe virtual interventions as part of the process interventions
newest type of OT intervention process
use of stimulated real-time technologies for service in absence of physical contact like Telehealth services.
What are the different approaches to OT interventions?
create, promote (health promotion)
establish, restore (remediation, restoration)
maintain
modify (compensation, adaptation)
prevent (disability prevention)
What are approaches to interventions?
specific strategies selected to direct the evaluation and intervention based on the clients desired outcomes
describe health promotion as part of approaches to intervention
an intervention approach that does not assume a disability is present or that any aspect would interfere with performance
describe remediation and restoration as part of approaches to intervention