Domain

Domain

• Occupations

• context

• performance patterns

• performance skills

• client factors

Occupations

• Activities of daily living (ADLs)

• Instrumental activities of daily living (IADLs)

• Health management

• Rest and sleep

• Education

• Work

• Play

• Leisure

• Social participation

ADL

• Bathing

• Grooming

• dressing

• swallowing/eating

• feeding

• functional mobility

• sexual activity

• personal device care

IADL

• child rearing

• pet care

• financial management

• religious and spiritual activities

• meal prep

• shopping

• home managment

Context

• Environmental factors

• Personal factors

Environmental factors

factors are aspects of the physical, social, and attitudinal surroundings in which people live and conduct their lives

Environmental factors points

• Natural environment and human-made changes to the environment

• Products and technology

• Support and relationships

• Attitudes

• Services, systems, and policies

Personal Factors

factors are the unique features of a person that are not part of a health condition or health state and that constitute the particular background of the person’s life and living

Personal factor points

• Chronological age

• Sexual orientation (sexual preference, sexual identity)

• Gender identity

• Race and ethnicity

• Cultural identification and attitudes

• Social background

• social status

• Socioeconomic status

• Upbringing and life experiences

• Habits and past and current behavioral patterns

• Psychological assets

• temperament

• unique character traits and coping styles

• Education

• Profession and professional identity

• Lifestyle

• Health conditions and fitness status

Performance Patterns

• Habits

• Routines

• Roles

• Rituals

Habits

specific, automatic adaptive or maladaptive behaviors.

Routines

established sequences of occupations or activities that provide a structure for daily life; they can also promote or damage health

Roles

have historically been defined as sets of behaviors expected by society and shaped by culture and context; they may be further conceptualized and defined by a person, group, or population

Rituals

symbolic actions with spiritual, cultural, or social meaning. Rituals contribute to a client’s identity and reinforce the client’s values and beliefs

Performance Skills

• Motor skills

• Process skills

• Social interaction skills

Motor skills

refer to how effectively a person moves self or interacts with objects, including positioning the body, obtaining and holding objects, moving self and objects, and sustaining performance.

Process skills

Process skills refer to how effectively a person organizes objects, time, and space, including sustaining performance, applying knowledge, organizing timing, organizing space and objects, and adapting performance.

Social interaction skills

refer to how effectively a person uses both verbal and nonverbal skills to communicate, including initiating and terminating, producing, physically supporting, shaping content of, maintaining flow of, verbally supporting, and adapting social interaction.

Client Factors

• Values, beliefs and spirituality

• Body functions

• Body structures

Values, beliefs, and spirituality

influence clients’ motivation to engage in occupations and give their life or existence meaning.

Values

principles, standards, or qualities considered worthwhile by the client who holds them.

Belief

something that is accepted, considered to be true, or held as an opinion

Spirituality

“a deep experience of meaning brought about by engaging in occupations that involve the enacting of personal values and beliefs, reflection, and intention within a supportive contextual environment”