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OT Theory Test 1
Occupational Adaptation, PEO, and EHP OT Models
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09/14/2012

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Term
Philosophy
Definition
a fundamental belief
Term
Paradigm
Definition
a shared vision of the profession which defines the scope of practice (in a profession)
Term
Model
Definition
a standard or example for imitation or comparison (Webster’s dictionary), an image diagramming the interrelationship of concepts (M. Cole)
Term
Philosophy Of OT
Definition
1.Occupation has an effect on health
and well-being.
2.Occupation creates structure and
organizes time.
3.Occupation brings meaning to life,
culturally and personally.
4.Occupations are individual. People
value different occupations.
Term
The Paradigm of OT
Definition
1.The profession has a mandate to unite
at points in time and define the
areas of concern on the professional
and state levels.
2.OT’s domain of concern is defined by
the OT Practice Framework.
Term
Conceptual Models
Definition
Defines occupation as an effective treatment medium. These are broad in nature and non-specific to particular areas of practice (Typically the Grand OT theories)
Term
Practice Models
Definition
What to do with specific performance concerns, gives guidelines for specific types of evaluation and intervention
(Typically referred to as Frames of Reference)
Term
frame of reference
Definition
1.Focus (domains of concern)
2.Basic Assumptions: Concepts,
constructs, relationships,
principles, postulates
3.Function/disability continuums:
application to individual clients
(deductive)
4.Postulates of change: how change
occurs provides basis for
intervention planning, also includes
motivation
5.Evaluations
6.Interventions
9.Research (evidence, outcomes)
Term
Theory building
Definition
1.Little known about it
2.Inductive reasoning
3.Qualitative & descriptive research
4.Case Studies
5.Ethnography,narrative analysis
6.Themes, categories
Term
Theory Testing
Definition
1.Well known/researched
2.Deductive reasoning
3.Quantitative, experimental research
4.Assessment of dependent variables
5.Studies of specific
concepts/relationships
Term
Theory of Occupational Adaptation was created by who and for what?
Definition
1987-(1992)Texas Women’s University
Created by a faculty workgroup to support their Ph.D. program.
Sally Schultz and Janette Schkade wrote papers to describe theory.
Term
The occupational adaptation frame of reference asserts that a person’s occupational functioning may be improved through?
Definition
positive changes in his/her adaptive processes
Term
Which framework does not have allot of evidence?
Definition
Theory of Occupational Adaptation
Term
The occupational adaptation process is from what theory and is defined as?
Definition
Is from Theory of Occupational Adaptation and defined as fundamental to competence in occupational functioning
Term
Competence in occupation is a lifelong process of internal/external demands to perform
Definition
An Assumptions of OA
Term
Demands to perform occur naturally as a part of roles and context
Definition
An Assumptions of OA
Term
Dysfunction occurs when a persons ability to adapt has been exceeded by the demands of task
Definition
An Assumption of OA
Term
At any stage of life, adaptive capacity can be overwhelmed by impairment
Definition
An Assumption of OA
Term
The greater the dysfunction, the greater the adaptive response needs to be.
Definition
An Assumption of OA
Term
Success in Occupational Performance is the result of being able to adapt with sufficient ability to satisfy self and others
Definition
An Assumption of OA
Term
Which theory's Function/Dysfunction Continuum is "The persons ability to adapt has been challenged past the point where the demands of task are not being met"
Definition
Theory of Occupational Adaptation
Term
Competence in the Theory of Occupational Adaptation is found when?
Definition
The constant process of adaptation to internal and external demands of task
Term
Per the Theory of Occupational Adaptation, an individual’s adaptive capacity can be overwhelmed by ?
Definition
1.impairment
2.physical or emotional disabilities 3.stressful life experiences
Term
Demands in the Theory of Occupational Adaptation can be from?
Definition
-internal (roles, physical, emotional
demands)
-external (environmental, social)
sources
Term
What specific techniques are associated with the Theory of Occupational Adaptation ?
Definition
None
Term
The greater the mismatch between task and ability, the higher demand for adaptation is from what theory?
Definition
Theory of Occupational Adaptation
Term
Person- Environment-Occupation (Performance) Model was developed by?
Definition
Mary Law and the faculty of McMaster University in the Mid 1990’s
Paradigm is derived from the Ecological Systems Model (Lawton, 1973)
Term
What theory is supported by Supported by Ecological Systems Theory ?
Definition
Person- Environment-Occupation (Performance) Model
Term
Occupational Performance from the Person- Environment-Occupation (Performance) Model utilizes?
Definition
-A transactional relationship between
occupation, environment, and person
-The relationship is dynamic and
changes over time and the lifespan
Term
Occupational Performance from the Person- Environment-Occupation (Performance) Model foundations are from?
Definition
-Environmental Psychology
-Environment-Behavior Studies
-Social Science
-Anthropology
-Human geography
-Architecture
Term
Who published the Model of Occupational Performance and Client-Centered Practice ?
Definition
The Canadian Association of Occupational Therapists with the Department of Health and Welfare (1983)
Term
Which theory is inherit in AOTA’s Framework Document (2002)?
Definition
Person- Environment-Occupation (Performance) Model
Term
In the Person- Environment-Occupation (Performance) In what Model does different points of life will demonstrate different levels of overlap?
Definition
The Person- Environment-Occupation (Performance) Model
Term
In the PEOP model, environment incorporates what elements?
Definition
-cultural
-social
-physical
-industrial/organizational
Term
The outcome of the transaction of PEO is?
Definition
Occupational Performance
Term
Human agency, a process of the PEOP model is defined as?
Definition
Persons have an innate drive to explore their environment and demonstrate mastery within it
Term
Competence is reached in the PEOP model when?
Definition
A person is able to perform skills that meet his own personal needs. A person is also able to use the resources (personal, social, material) within one’s environment.
Term
Adaptation is defined in the PEOP model as?
Definition
A process whereby persons confront the challenges of daily living and are able to use their resources to master these demands
Term
What do people get from the PEOP model?
Definition
Persons derive a sense of self fulfillment from mastery and a sense of self identity from meaningful participation in occupations.
Term
In the PEOP model, Occupational Performance is influenced by ?
Definition
1)person
2)unique environment in which one
functions
3)occupations that consist of one’s
actions and tasks and ultimately
create one’s life roles.
Term
In PEOP, Occupational performance is defined as?
Definition
the actions that are meaningful to the individual as he self manages, cares for others, works, plays and participates fully in home and community life.
Term
In PEOP, Occupational performances two components?
Definition
a) occupations
b) performance.
Term
What is PEOP model'S evaluation(s)?
Definition
-Canadian Occupational Performance
Measure
-Activity Card Sort
-OT assessments that is concerned with
the 3 areas of the Canadian
Occupational Performance Measure
-Standardized and observational
screenings
Term
What model requires the practitioner to initially assess the client’s perception of problematic occupational performance?
Definition
Person- Environment-Occupation (Performance) Model
Term
task analysis
Definition
assesses the performance components of an activity that are not congruent with the client’s ability at that time.
Term
What is the goal of assessment in the PEOP model?
Definition
To attain a summary of strengths and issues/problems in occupational performance
Term
PEOP model see's the client and patient model as?
Definition
a collaborative relationship
Term
Competency is in the PEOP model is seen as?
Definition
-An ability to perform and master
occupations.
-Demonstrates performance in meaningful
activities and meets a balance of
personal and environmental demands. ---Can self manage, care for others,
work, play and participate fully in
home and community life.
-Shows adaptation in occupational
performance as challenges naturally
evolve in his life.
-Establishes healthy role patterns that
fulfill personal and societal
expectations
Term
Dysfunction patterns are noticeable when
Definition
a person cannot perform roles to a level of personal or social satisfaction (competency) because of deficits in abilities and skills due to a health condition and/or barriers and a lack of resources within the environment.
Term
Per the PEOP model, what has a significant impact on poor occupational performance?
Definition
-conflicting demands of multiple roles
(role conflict)
-unclear role expectations from one’s
culture
Term
PEOP's treatment guidelines are:
Definition
1.Recognize the role of the environment
as it impacts a person’s health and
participation in meaningful a
activities, tasks, and life roles
2.Enhance occupational performance by
structuring occupations for meaningful
participation and competent mastery.
3. Adapt and/or modify the actions,
tasks, and ultimately one’s
occupations.
4.Teach compensatory techniques when
appropriate. Foster temporal
adaptation
5.Enhance role functioning by
increasing and modeling skill
development, managing multiple role
participation, clarifying role
expectations from an internal and
external perspective
Term
Ecology of Human Performance was created by:
Definition
-Dr Winnie Dunn
-Dr Catana Brown
-The OT Faculty of KUMC
Term
Ecology of Human Performance (EHP) theory draws from:
Definition
Social Science theories
Term
Ecology of Human Performance (EHP) theory focuses on:
Definition
the interaction between the person and the environment
Term
Which theory scope covers:
-Persons of varying ages & needs across
the lifespan
-Emphasizes a preventive and health --
promotional attitude, as well as
rehabilitative.
Definition
Ecology of Human Performance
Term
“Task performance” In the EHP model is defined as:
Definition
-ADL
-work
-productive activities
-education
-leisure/play
-social participation
Term
What is the Targeted area in EHP?
Definition
context
Term
In the EHP model the interaction is between:
Definition
-person
-context
-task performance
Term
An transaction in the EHP influences the:
Definition
context and therefore the person's range of future occupations
Term
In EHP, the task is defined as:
Definition
an objective set of specific behaviors required to attain a particular goal
Term
Task only takes on meaning in EHP when
Definition
in the transactional relationship of person-task-and context = occupation
Term
Performance, in EHP, is comprised of:
Definition
-the process
-the outcome of interacting with
context and engaging in task
Term
Context in the EHP theory encompasses:
Definition
-Temporal Aspect
-Environmental (inc. social & cultural)
Term
The EHP assessments are:
Definition
checklists
(that have a set of worksheets for each of the 4 constructs that compose the model)
Term
The 4 constructs of the EHP model are:
Definition
-the person
-context
-tasks
-performance
Term
The 4 constructs of the EHP model are:
Definition
-the person
-context
-tasks
-performance
Term
EHP’s Intervention effects one of two areas:
Definition
-Target
-Goal
Term
EHP intervention may include
Definition
1. Establish/restore a person’s ability
to perform in context (establishment
or reestablishment of a skill or
ability)
2. Alter actual context of the task in
which people perform
3. Modify (adapt) contextual features
that support performance in context
4. Prevent the occurrence or evolution
of performance problems in
context(Proactive & look at future
concerns)
5. Create circumstances that promote
more adaptable or complex
performance in context
Term
Skills in the EHP:
Definition
-Sensorimotor
-Cognitive
-Psychosocial
Term
Altering the actual context of the task in which people performs in the EHP model means:
Definition
-Allow person to participate with
currently possessed skills
-Places person in a task that better
matches their skills or desires
-Alter where the occupation occurs to
accommodate current skills
Term
In EHP, Therapists are asked to modify (adapt) contextual features that support performance in context. This means to:
Definition
-Revise context or demands of activity
to meet current capabilities
-Compensatory techniques
(ie: duration,sequence)
Term
In EHP, therapists are encouraged to prevent the occurrence or evolution of performance problems in context. This means to:
Definition
Proactive & look at future concerns
Term
The EHP model suggests to create circumstances that promote more adaptable or complex performance in context. This means to:
Definition
Creating intervention strategies without assuming that a disability is present or that any factors would interfere with performance
Term
The EHP model suggests to create circumstances that promote more adaptable or complex performance in context. This Intervention method resembles:
Definition
The health promotion model
Term
1.(Please choose the best answer): Which of the following statements about a Frame of Reference are false?
a.A shared vision of the profession
b.Interrelated, internally consistent
concepts
c.A systematic description of a domain
of concern
d.Provides prescription for client
treatment
e.All of the above are true
Definition
A shared vision of the profession
Term
2.(Please choose the best answer): Jamie has developed a peripheral nerve injury, causing numbness and weakness in her upper extremity. Her therapist develops a plan that provides a modified chair, so she can return to work as a secretary. According to EHP, what type of intervention is her therapist attempting?
a.Prevent
b.Modify/adapt
c.Alter Context
d.Establish/restore
e.Create
Definition
Modify/adapt
Term
3.(Please choose the best answer): According to the Theory of Occupational Adaptation, which of the following can overwhelm adaptive capacity?
a.Stress
b.Emotion
c.Physical disabilities
d.External factors
e.All of the above are true
Definition
All of the above are true
Term
4.(Please choose the best answer): In the PEO(P) Model, an enlarging area of overlap in the occupational performance intersection (think the PEO illustration) is not an indication of…
a.Possible Increasing dysfunction
b.Possible adaptations of task
c.The ability for the person to engage in an activity
d.The ability to successfully face a relatively large amount of barriers to performance
e.All of the above are true
Definition
Possible Increasing dysfunction