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Occupations
personalized, meaningful, client-specific
Activities
General, objective, not tied to one person
Activity Analysis
how an activity is done in general
Occupational Analysis
how a specific client does the activity
OT Domains
Occupations
Client Factors
Performance Skills
Performance Patterns
Contexts
Environmental Contexts
External Factors(physical, social, cultural, etc.)
Personal Contexts
Internal demographics/identity (age, gender, education, etc.)
Activity Analysis Steps
1. Define activity + meaning (sets success & relevance)
2. Identify tools/objects (physical resources needed)
3. Define space demands (environmental conditions)
4. Define social demands (expected behaviors, rules)
5. Sequence & timing
6. Required body functions
7. Required body structures
8. Performance skills
9. Synthesize into goals, outcomes, interventions
ADLs
Basic Self Care
IADLs
More complex life tasks
Leisure
discretionary, intrinsically motivated, nonobligatory
Play
More often associated with development & children
Occupational Profile
Identifies client’s goals, values, needs, and priorities (not just impairments)
First OT step
Values
What is “good, right, important” (culturally derived)
Beliefs
Accepted truths/opinions held
Rituals
Ways clients seek/express meaning
Personal Health Literacy
Ability to find, understand, and use health info
Organizational Health Literacy
How well systems/providers communicate info
Who is most vulnerable to limited health literacy
Non English speaking people, older adults, lower education
Indicators of limited health literacy
Nodding without asking questions, avoiding engagement
Tools in activity analysis
Items used during task
Social Demands
Influence expectations rules, and behaviors
Cultural/Familial expectations for activies like meals, caregiving, or rituals
Habits
Automatic behaviors
Routines
Established sequences
Roles
Social Defined Expectations
Rituals
Symbolic, cultural, and spiritual meaning
Co-occupations
Involves two or more people
Dependent on others participation
Body Functions
Physiological Processes
Body Structures
Anatomical Parts
Proprioception
Sense of body position in space
Vestibular
Balance, Movement through space