Midterm Contextual analysis

the focus of the ICF is

health and well-being

is defined and conceptualized as the functioning of an individual in the context of their daily life.

The ICF conceptualizes health status as two-way interactions between three components:

body systems, body structures, and activities & participation.

body functions

are both physiological and psychological functions of the body

body structures

refer to the anatomical structures of the body parts and their components

activity

is the execution of a task or action by an individual.

a form of action that is objective and not related to a specific clients engagement or context.

participation

is the involvement of the individual in life situations

environmental factors

physical, social, and attitudinal environments in which people live and conduct their lives

personal factors

provides background information about the life of the individual such as gender, race, age, lifestyle, habits, life history, coping styles, social background, education, behaviour patterns, and other personal characteristics.

limitation of ICF

the codes are defined according to observable performance criteria and dont include the subjective meaning that an individual or their cultural context might ascribe to these activities

activity analysis

indicates the requirements for successful performance of the activity and indicates the therapeutic potential of that activity

• doesnt consider all aspects of the individual nor does it consider the contexts that surround the activities.

• the demands of how it is typically done in society

• isolates the required actions in appropriate sequence, lists the equipment used in analysis, and particular skills required for safe performance of the activity

occupational analysis

the demands of how the client typically does it, not specifically their performance

• personalized and meaningful engagement in daily life events by a specific client

OTPF4 five approaches to intervention

• create/promote (no disability present provides enrich experiences to engage performance and engagement)

• establish restore (invoke change to establish new ability or restore diminished)

• maintain (preserve performance or roles without intervention. well-being would diminish)

• modify (compensating and adapting)

• prevent (prevent barriers to performance or, well-being)

steps to occupational and activity analysis

• step one determine what is being analyzed

• step two determining the relevance and importance

• step three determining object space and social demands

• step four determining the sequencing and timing demands

• step five determining required body functions

• step six determining required body structures

• step seven determining required performance skills

Activities of daily living ADLs

(activities oriented toward taking care of ones own body and completed on a routine basis)

bathing, showering, dressing, toileting and toilet hygiene, eating and swallowing, feeding, functional mobility, personal hygiene and grooming, sexual activity

Instrumental activities of daily living IADLs

(activities that support the daily life within the home and the community. IADLs are essential to living independently)

care of others, including selection and supervision of caregivers

care of pets and animals

child rearing communication management

driving and community mobility

financial management

home establishment and management

meal preparation and clean up

What area of occupation is social and emotional health, promotion and maintenance a part of?

health management

What area of occupation is symptom and condition management a part of?

health management

What area of occupation is communication with the health care system a part of?

health management

What area of occupation is physical activity and and medication a part of?

health management

What area of occupation is nutrition and personal care device management a part of?

health management