Term
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Definition
An intervention approach that does not assume a disability is present or that any factors would interfere with performance.
Focus-
performance skill
performance patterns
context or contexts or physical environments
Activity demands
Client factors (body functions, body structures) |
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Term
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Definition
An intervention apprach designed to change client variables to establish a skill or ability that has not yet developed or to restore a skill or ability that has been impaired.
Focus-
Performance skills
Performance patterns
Client Factors (body functions, body structures) |
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Term
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Definition
An intervention approach designed to provide the supports that will allow clients to preserve the performance capabilities they have regained, that continue to meet their occupational needs, or both. The assumption is that, without continued maintenance intervention, performance would decrease, occupational needs would not be met, or both.
Focus-
performance skill
performance patterns
context or contexts or physical environments
Activity demands
Client factors (body functions, body structures) |
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Term
| Modify (compensation, adaption) |
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Definition
An intervention approach directed at finding ways to revise the current contest or activity demands to support performance in the natural setting, including compensatory techniques.
Focus-
performance patterns
context or contexts or physical environments
Activity demands |
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Term
| Prevent (disability prevention) |
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Definition
An intervention approach designed to address clients with or without disability who are a risk for occupational performance problems.
Focus-
performance skill
performance patterns
context or contexts or physical environments
Activity demands
Client factors (body functions, body structures) |
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Term
| Largest employer of OT is... |
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Definition
| Hospitals! Non-Mental Health 28.1% |
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Term
| Second largest employer for OT's is... |
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Definition
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Term
| Third largest employer of OT's is... |
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Definition
| Long term care of skilled nursing facilities 15.8% |
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Term
| What is Therapeutic Relationship? |
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Definition
| “The interaction between a practitioner and a client in which the occupational therapy practitioner is responsible for facilitating the healing and rehabilitation process” The difference between a therapeutic relationship is that a friendship is reciprocal. |
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Term
| What are Qualities for Developing and Sustaining Effective Therapeutic Relationships? |
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Definition
Developing Trust
Understanding Verbal and Nonverbal Communication
Developing Empathy
Adaptability of approach to different client needs
Leading Group Treatment sessions
Using Active Listening Skills
Restatement
Reflection
Clarification |
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Term
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Definition
| The ability of the occupational therapy practitioner to place himself or herself in the client’s position and to understand what he or she is experiencing |
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Term
| What is verbal communication? |
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Definition
| Communication through the spoken word |
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Term
| What is nonverbal communication? |
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Definition
| Communication that includes facial expressions, eye contact, tone of voice, touch, and body language |
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Term
| What is active listening? |
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Definition
| A manner of communication in which the receiver paraphrases the speaker’s words to ensure that he or she understands the intended meaning |
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Term
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Definition
| the listener repeats the words of the speaker as they are heard |
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Term
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Definition
| a response wherein the purpose is to express in words the feelings and attitudes sensed behinds the words of the speaker. It seems like you are feeling _____ because of ______ |
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Term
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Definition
| an active listening technique in which the client’s thoughts and feelings are summarized or simplified |
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Term
| What is therapeutic Use of Self- |
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Definition
| “The art of relating to clients which involves being aware of oneself and of the client and being in command of what is communicated” |
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Term
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Definition
| – “Knowing one’s own true nature; the ability to recognize one’s own behavior, emotional responses, and effect created on others” |
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Term
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Definition
| “What an individual would like to be if free of the demands of mundane reality” |
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Term
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Definition
| “The aspect that others see; what they perceive without the benefit of knowing a person’s intentions, motivations, and limitations” |
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Term
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Definition
| “A blending of the internal and external worlds involving intention and action plus environmental awareness” |
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Term
| What is active listening? |
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Definition
| A manner of communication in which the receiver paraphrases the speaker’s words to ensure that he or she understands the intended meaning |
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Term
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Definition
| The ability of the occupational therapy practitioner to place himself or herself in the client’s position and to understand what he or she is experiencing |
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Term
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Definition
| Therapist being genuine about who he/she is |
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Term
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Definition
| Done with care and consideration by the therapist; opening up to the client with some carefully chosen personal information to build trust |
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Term
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Definition
| – “more than two people interacting with a common purpose |
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Term
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Definition
| “Refers to the interactions among individuals and how they work together” |
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Term
| What is group leadership? |
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Definition
| – “…involves incorporating the principles of therapeutic use of self , as well as developing an awareness of group dynamics” |
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Term
| What is a therapeutic group? |
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Definition
| “Primary aim of group is individual change; OT practitioner uses therapeutic tasks that are designed to restore or develop functioning in occupational performance … and client factors; other purposes may include prevention and support of existing strengths” Group size ~ 6-10. |
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Term
| What is peer support groups? |
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Definition
| “Primary purpose is to provide support for individuals who have a diagnosis, medically related problem, or disability in common; group may also involve partners” |
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Term
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Definition
| Objective of these small groups is to find out about the attitudes and opinions of the members… a means of investigating a theme to generate research hypotheses or organizing a discussion around a specific topic” |
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Term
| What are consulatation and supervision groups? |
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Definition
| Use of group format for peer support, consultation, and supervision of OTS, aides and caregivers” |
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Term
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Definition
| A pattern of behavior that involves certain rights and duties that an individual is expected, trained, and encouraged to perform in a particular social situation |
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Term
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Definition
| The ability to meet the demands of roles |
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Term
| What is the focus of occupational therapy? |
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Definition
| to support the client’s “health and participation in life through engagement in occupation” |
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Term
| Occupational therapy addresses... |
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Definition
| the needs and goals of the client related to engaging in areas of occupation and considers the performance skills, performance patterns, context and environment, activity demands, and client factors that may influence performance in various areas of occupation. |
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Term
| What is direct supervision? |
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Definition
| Supervising therapist is in the immediate area at all times |
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Term
| what is close supervision? |
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Definition
| Daily, direct contact at work site |
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Term
| What is routine supervision? |
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Definition
| Face-to-face contact at least every 2 weeks at work site with interim supervision through other methods |
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Term
| What is general supervision? |
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Definition
| Face-to-face contact at least once a month with interim supervision through other methods as needed |
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Term
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Definition
(All forms of action intended to benefit other people. Beneficence connotes acts of mercy, kindness and charity.)
Principle 1. Occupational therapy personnel shall demonstrate a concern for the well-being and safety of the recipients of their services. |
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Term
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Definition
BENEFICENCE -
NONMALEFICENCE
AUTONOMY AND CONFIDENTIALITY
SOCIAL JUSTICE
PROCEDURAL JUSTICE
VERACITY
FIDELITY |
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Term
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Definition
obligates us to refrain from harming others. Above all do no harm.)
Principle 2. Occupational therapy personnel shall intentionally refrain from actions that cause harm. |
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Term
| What is autonomy and confidentiality? |
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Definition
| Principle 3. Occupational therapy personnel shall respect the right of the individual to self-determination. |
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Term
| What is social justice ethic? |
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Definition
| Principle 4. Occupational therapy personnel shall provide services in a fair and equitable manner. |
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Term
| What is procedural Justice in eithics? |
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Definition
| Principle 5. Occupational therapy personnel shall comply with institutional rules, local, state, federal, and international laws and AOTA documents applicable to the profession of occupational therapy. |
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Term
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Definition
means truthfulness.)
Principle 6. Occupational therapy personnel shall provide comprehensive, accurate, and objective information when representing the profession. |
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Term
| What is fidelity in ethics? |
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Definition
means loyalty.)
Principle 7. Occupational therapy personnel shall treat colleagues and other professionals with respect, fairness, discretion, and integrity. (plagiarism applies) |
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Term
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Definition
| “The thought process that therapists use to design and carry out intervention; involves complex cognitive and affective skills” |
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Term
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Definition
| “One of the three elements of clinical reasoning that demands careful and accurate assessments, analysis, and recording” |
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Term
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Definition
| “The element of clinical reasoning that takes into account the client’s perspective and his or her goals for intervention” |
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Term
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Definition
| “the element of clinical reasoning in which the occupational therapy practitioner guides the treatment process and selects the ‘right action’ in the face of uncertainties inherent in the clinical process” |
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Term
| Strategies Used by Occupational Therapy Practitioners in Clinical Reasoning |
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Definition
Procedural Reasoning
Interactive Reasoning
Conditional Reasoning
Narrative Reasoning
Pragmatic Reasoning |
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Term
| Procedural reasoning is... |
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Definition
| “A clinical reasoning strategy used by the occupational therapy practitioner when he or she focuses on the client’s disease or disability and determines what will be the most appropriate modalities to improve functional performance” identifying the problem and coming up with the correct treatment |
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Term
| Interactive reasoning is... |
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Definition
Interactive reasoning –
“A strategy used by the occupational therapy practitioner when he or she wants to understand the client as a person”. Meet w/client and having the face to face conversations with them |
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Term
| Conditional Reasoning is... |
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Definition
| “The clinical reasoning strategy in which the occupational therapy practitioner implements intervention and cognitively checks along the way to compare the client’s progress in treatment and goals for the future”. check to see how client is doing in regards to goals and progress |
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Term
| Narrative reasoning is... |
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Definition
| “The type of clinical reasoning in which storytelling and story creation are used”. Tell another clinician about their day or the situation… |
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Term
| Pragmatic Reasoning is... |
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Definition
“the type of clinical reasoning that takes into consideration factors in the context of the practice setting and in the personal context of the occupational therapy practitioner that may inhibit or facilitate intervention”
How many days you have, the materials available |
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Term
| Name the stages of development in clinical reasoning. |
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Definition
1. Novice
2. Advanced Beginner
3. Competent
4. Proficient
5. Expert |
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Term
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Definition
| Uses procedural or scientific reasoning, knowledge from coursework (when we first exit the program) |
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Term
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Definition
| Recognizes additional cues and begins to see client as an individual (attend to additional cues from the patient) |
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Term
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Definition
| Sees more facts, understand client’s problems, individualizes treatment, may lack creativity and flexibility (able to treatment and use more information given) |
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Term
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Definition
| Views situations as whole instead of in isolated parts, able to develop a vision of where the client should go, able to modify easily |
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Term
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Definition
| Recognizes and understands rules of practice, uses intuition to know what to do next, uses conditional reasoning (so automatic) Sometimes don’t make the best supervisors because they can’t rally explain whey they do what they do. |
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Term
| Public agencies include... |
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Definition
| Health care agencies operated by federal, state, or county governments (VA-federal), State hospital for state, County hospital-county |
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Term
| Private not for profict agencies are... |
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Definition
| Organizations that receive special tax exemptions and typically charge a fee for services and maintain a balanced budget to provide services The money they make they put back into the hospital |
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Term
| Private for profit agencies are... |
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Definition
| Organizations owned and operated by individuals or a group of investors |
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Term
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Definition
| “The first level on the continuum of care in which a client has a sudden and short-term need for services and is typically seen in a hospital” |
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Term
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Definition
| “The level of care in which the client still needs care but does not require an intensive level or specialized service” |
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Term
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Definition
| “The level of care needed for clients who are medically stable but have a chronic condition requiring services over time, potentially throughout their lives” |
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Term
| Biological (medical) sphere is... |
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Definition
“Sphere of practice in which clients have medical problems caused by disease, disorder, or trauma”
Biological (medical)
Hospitals (general, state and federal, specialty)
Clinics
Work sites (industry)
Home health
Skilled nursing facilities |
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Term
| Psychological sphere is... |
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Definition
Psychological sphere
“A sphere of practice in which client problems manifest as emotional, cognitive, affective, or personality disorders”
Psychological
Institutions (psychiatric, mental retardation)
Community mental health
Teen centers
Supervised living
After school programs
All-inclusive
Long-term care
Private practice
Self-defined
Nontraditional
Correctional facilities
Hospice
National societies |
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Term
| Sociological (social) sphere is... |
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Definition
Sociological (social) sphere
“A sphere of practice wherein clients have problems meeting the expectations of society”
Sociological (social)
Schools (public, special – visual impairment, hearing impairment, cerebral palsy)
Day treatment
Hippotherapy centers
Sheltered workshops
Special Olympics
Special camps (e.g. Summer camps) |
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Term
| Purpose of the framework? |
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Definition
| Describe our domain and Outline an occupation based OT PROCESS |
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