OTA 215_Phys. Dys.: Ch1_Principles of Occupational Therapy in Rehabilitation, Physical Dysfunction, and Continuum of Care

Vocabulary flashcards covering OT practice models, treatment continuum, and professional reasoning modes from Chapters 1 and 2.

Adjunctive Methods

Treatment methods used to prepare the patient to engage in activity, often used in acute stages, including exercise, facilitation, selected PAMs, splints, and braces.

Enabling Activities

Activities requiring active patient participation, coordination of sensory, motor, psychosocial, and cognitive systems, and an autonomous goal beyond motor function.

Purposeful Activities

A core tenant of OT practice that is part of daily life routine and occurs in the natural context of occupational performance.

Occupational Performance and Occupational Roles

The time period in the treatment continuum when the patient resumes or assumes occupational roles in the living environment or community.

Model of Human Occupation (MOHO)

A holistic model based on the basic tenet that human beings have intrinsic motivation to explore, interact with, and master their environment.

Volition

A subsystem of MOHO representing the motivation to engage in occupation, encompassing personal causation, values, and interests.

Personal Causation

A component of volition within the MOHO framework that refers to an individual's locus of control.

Values

A component of volition within the MOHO framework defined as what is meaningful and important to an individual.

Interests

A component of volition within the MOHO framework defined as what is satisfying and interesting to an individual.

Habituation

A subsystem of MOHO encompassing habits (which conserve energy and free up cortical space), internalized roles, and role changes or transitions.

Performance Capacity

A subsystem of MOHO referring to the ability to participate in activities and occupations, including subjective experience and beliefs about capabilities.

Lived Body

A concept in MOHO defined as "the experience of being and knowing the world through a particular body."

Biomechanical Approach

An approach considering the human body as a living machine, most appropriate for patients with an intact CNS who have lower motor neuron or orthopedic disorders.

Kinetics

The study of motions of objects and forces acting on them, utilized within the biomechanical approach.

Statics

The study of forces acting on objects at rest, utilized within the biomechanical approach.

Sensorimotor and Motor Learning Approaches

Intervention approaches developed for CNS dysfunction that use neurophysiologic mechanisms to normalize muscle tone and elicit more normal motor responses.

Rehabilitation Approach

An approach using measures that enable a person to live as independently as possible despite residual disability by learning to work around or compensate for physical limitations.

Clinical Reasoning

Reasoning that facilitates the client's understanding of the information they are receiving in the intervention process to discover meaning and build hope.

Professional Reasoning

The most current term for clinical reasoning, defined as a complex, multifaceted, metacognitive process utilized to plan, direct, perform, and reflect on client care.

Narrative Reasoning

A form of professional reasoning that provides OTPs with the opportunity to understand the client's perspective of the disability experience.

Scientific/Procedural Reasoning

A form of professional reasoning in which the practitioner considers the client's diagnosis or condition to formulate a hypothesis based on the referral.

Pragmatic Reasoning

A form of professional reasoning that considers the context of the practice setting, resource availability, reimbursement, realities of service delivery, and practitioner competency.

Ethical Reasoning

A form of professional reasoning ensuring that choices made during the OT process are morally justified and in the best interest of the client.

Interactive Reasoning

A collaborative process of communication between the OTP and client that helps build trust.

Conditional Reasoning

A blending of all forms of professional reasoning in order to make modifications in interventions to respond to conditions and context.