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wellness
conscious, highly personal process of making choices to live a satisfying life, reflecting the mind-body-spirit connection
core elements of living with wellness
living with purpose, engaging in meaningful work and play, cultivating healthy relationships, creating safe environments, and pursuing happiness
surviving vs thriving with wellness
wellness is not just about surviving or the absence of disease, but actively thriving by finding joy, fulfillment, and health
8 dimensions of wellness
emotional, spiritual, intellectual, physical, environmental, financial, occupational, social
emotional wellness in OT
managing feelings, identifying triggers, developing coping strategies, and recognizing personal strengths to participate in daily life
spiritual wellness in OT
engaging in meaningful rituals, religious practices, or living according to personal values and service to others
intellectual wellness in OT
expanding knowledge and skills, engaging in creative or mentally stimulating activities, and exploring new leisure occupations
physical wellness in OT
supporting bodily health through physical activity, proper nutrition, adequate sleep, and restoring physical function or range of motion
environmental wellness in OT
occupying safe, supportive physical and social spaces that foster health and enable daily activities
financial wellness in OT
managing financial resources, budgeting, understanding credit versus debit, and protecting financial security
occupational wellness in OT
seeking personal satisfaction and enrichment through meaningful activities, work, play, or primary life roles
social wellness in OT
building healthy relationships, communicating assertively, initiating social connections, and navigating social boundaries
OTs are uniquely positioned in wellness
OTs see barriers other healthcare professionals miss
emotional wellness approach for adolescents
helping youth with anxiety identify personal triggers, build coping strategies, and leverage personal strengths for everyday participation
spiritual wellness approach in acute care
assisting clients in returning to meaningful spiritual rituals, such as donning a hijab or attending religious services
intellectual wellness approach for anhedonia
exploring new leisure occupations to spark interest and rebuild skills and knowledge
physical wellness approach
restoring joint range of motion in hand therapy or establishing healthy sleep, nutrition, and exercise habits in mental health
environmental wellness approach in street health
helping individuals experiencing housing insecurity locate safe spaces to perform basic ADLs like showering and grooming
financial wellness approach in adolescents
teaching practical life skills such as budgeting, online purchasing, and managing debit versus credit cards
occupational wellness approach in EI
supporting parent-child play, which serves as the primary and most vital occupation of a young child
social wellness approach in adults
coaching clients on conversation skills, assertive communication, and identifying red and green flags in relationships
health inequities
unjust, unavoidable, and preventable differences in disease burden, injury, or health opportunities experienced by socially disadvantaged groups
social determinants of health
conditions crafted by society that influence overall health, including environmental, economic, and social factors
examples of SDOHs
inaccessible sidewalks, lack of affordable nutritious food stores, and being uninsured with limited healthcare access
health inequities impact on occupational participation
disadvantaged communities face systemic barriers and resource limits that restrict access to higher education, travel, and leisure occupations
life expectancy disparity near Rush between East Garfield Park and the Loop
Residents of East Garfield Park live an average of 66 years, which is 14 years less than residents of Chicago's Loop just a few miles away
health equity
state in which every person has a fair and just opportunity to attain their highest level of health
role of OT in health equity
address historical and modern injustices, tackle social determinants of health, and drive health promotion to eliminate health disparities
core focus of occupational therapy practice in the OTPF-4
occupation, advancing participation through evaluation, intervention, and outcomes
5 aspects of the OT domain
occupations, contexts, performance patterns, performance skills, client factors
occupations
various kinds of everyday life activities in which individuals, groups, or populations engage
9 broad categories of occupations
ADLs, IADLs, Health Management, Rest and Sleep, Education, Work, Play, Leisure, and Social Participation
contexts
interrelated environmental and personal factors that surround and influence client engagement in occupations
2 primary context categories
environmental factors (physical, social, attitudinal surroundings) and personal factors (demographics, age, background)
performance patterns
habits, routines, roles, and rituals used in the process of engaging in occupations that can enhance or hinder performance
4 types of performance patterns
habits, routines, roles, rituals
performance skills
observable, goal-directed elements of action comprising motor skills, process skills, and social interaction skills
3 categories of performance skills
motor, process, social interaction
client factors
specific capacities, characteristics, or beliefs that reside within the person and influence occupational performance
5 broad categories of client factors
values, beliefs, spirituality, body functions, body structures
3 phases of OT process
evaluation, intervention, outcomes
medical model view of disability
direct consequence of health conditions, disease, or trauma, viewing the individual as atypical or non-normative
medical model goals of disability
prevent, treat, and cure disease or medical trauma
functional model view of disability
expression of limitations in physical or cognitive capacity to perform activities
funcitonal model goals of disability
adaptive strategies and interventions that improve functional capacity regardless of the underlying impairment
social model view of disability
consequence of societal and environmental inaccessibility, not caused by the impairment itself
social model goal with disability
targeting systemic oppression, removing environmental barriers, and changing stigmatizing societal attitudes
identity/affirmation model view of disability
positive, powerful aspect of self and a shared culture that is often marginalized by society
identity/affirmation model goal with disability
build and celebrate a collective disability culture and foster self-affirmation
models of disability that align with diagnostic reasoning
medical and functional model
models of disbaility that align with narrative reasoning
social and identity/affirmaiton model
person-first language
identifying the person first and using the condition as a secondary descriptor to avoid labeling
identity-first language
language that integrates the condition as a core, positive aspect of personal identity
default language practice when a client's preference is unknown
person-first language
narrative reasoning in OT
striving to understand an individual's unique lived-body experience and life story framed by past, present, and future perspectives
diagnostic reasoning in OT
using deductive logic to analyze causes of disability based on diagnostic criteria, physiological processes, and standardized assessments
data sources that inform diagnostic reasoning
diagnostic criteria, body structures, physiological processes, evidence-based literature, and standardized test scores