| Term 
 | Definition 
 
        | volition (having alternatives), habituation, and performance environment impacts individual's
 evaluation focuses on occupational history, goals, volition, habits, occupational performance
 Intervention focuses on occupational engagement purposeful, relevant and meaningful to people
 |  | 
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        | Term 
 
        | Lifestyle performance model |  | Definition 
 
        | a doing environment match the environment with pt.s needs
 Master and competence of society's tasks
 Activity has reality based meanings
 Mastery and competence are achieved with pleasure
 Competence is seen with outcomes
 Ten fundamental human needs:
 Autonomy, individuality, affiliation, volition, consensual validation, predictability, self-efficacy, adventure, accommodation, reflection.
 performance in:  self care, intrinsic gratification, service to others and receprocal relationships
 Intervention focuses on what will enhance person's life and what are they able and willing to do.
 |  | 
        |  | 
        
        | Term 
 
        | Ecology of Human Performance |  | Definition 
 
        | role of individual in their context of environment across lifespan
 constructs include:  person, tasks, context, and personal-context-task-transaction
 evaluation: checklists, task analysis, priorities checklist, the environment (ie: sensory profile)
 Interventions:  Establish restore, Alter, Adapt/Modify, prevent, create.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | pt. goes through process to adapt to environment The person, the occupational environment and the interaction between the two.
 Evaluation is on occupational environment, role expectation and pt.s' potential for adaptation
 Intervention focues on skill for occupational adaptation, the individual and the environment
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | volition (having alternatives), habituation, and performance environment impacts individual's
 evaluation focuses on occupational history, goals, volition, habits, occupational performance
 Intervention focuses on occupational engagement purposeful, relevant and meaningful to people
 |  | 
        |  | 
        
        | Term 
 
        | Lifestyle performance model |  | Definition 
 
        | a doing environment match the environment with pt.s needs
 Master and competence of society's tasks
 Activity has reality based meanings
 Mastery and competence are achieved with pleasure
 Competence is seen with outcomes
 Ten fundamental human needs:
 Autonomy, individuality, affiliation, volition, consensual validation, predictability, self-efficacy, adventure, accommodation, reflection.
 performance in:  self care, intrinsic gratification, service to others and receprocal relationships
 Intervention focuses on what will enhance person's life and what are they able and willing to do.
 |  | 
        |  | 
        
        | Term 
 
        | Ecology of Human Performance |  | Definition 
 
        | role of individual in their context of environment across lifespan
 constructs include:  person, tasks, context, and personal-context-task-transaction
 evaluation: checklists, task analysis, priorities checklist, the environment (ie: sensory profile)
 Interventions:  Establish restore, Alter, Adapt/Modify, prevent, create.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | pt. goes through process to adapt to environment The person, the occupational environment and the interaction between the two.
 Evaluation is on occupational environment, role expectation and pt.s' potential for adaptation
 Intervention focues on skill for occupational adaptation, the individual and the environment
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | acuisition of specific skills, |  | 
        |  | 
        
        | Term 
 
        | Allen's Cognitive Disabilities |  | Definition 
 
        | based on Piaget's stages of cognitive development and biological factors |  | 
        |  | 
        
        | Term 
 
        | ACL Level 1 - Automatic Actions |  | Definition 
 
        | Automatic motor responses and changes in the autonomic nervous system Conscious response to the external environment
 |  | 
        |  | 
        
        | Term 
 
        | ACL Level II - Postural Actions |  | Definition 
 
        | Movement for comfort. Awareness of large objects and assist with care and simple tasks
 |  | 
        |  | 
        
        | Term 
 
        | ACL Level III - Manual Actions |  | Definition 
 
        | Beginning to manipulate objects Perform a limited number of tasks with repetitive training
 |  | 
        |  | 
        
        | Term 
 
        | ACL Level IV - Goal Directed Actions |  | Definition 
 
        | Ability to carry simple tasks to completion Relies heavily on visual cues
 Perform established routines but not unexpected events
 |  | 
        |  | 
        
        | Term 
 
        | ACL Level V - Exploratory Actions |  | Definition 
 
        | Overt trial and error problem solving, new learning 20% of the population
 |  | 
        |  | 
        
        | Term 
 
        | ACL Level VI - Planned Actions |  | Definition 
 
        | absence of disability Can think of hypothetical situations and
 Do mental trial and error problem solving
 |  | 
        |  | 
        
        | Term 
 
        | The Allen Cognitive Level Screen - 5 |  | Definition 
 
        | 3 increasingly complex leather lacing stitches |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Cognitive Performance test |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Elicit activities at highest level maintain highest level
 environmental changes and activity adaptations
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | effective for depression can alter distorted reality and dysfunctional thought processes
 used with schizophrenia, anxiety, bipolar, panic, OCD, personality, somatoform, eating disorders
 change someones negative thinking
 |  | 
        |  | 
        
        | Term 
 
        | Beck Depression Inventory BDI-II |  | Definition 
 
        | self completed questionnaireneed training and knowledge in BDI and CBT |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | identify current problems use collaborative process
 learn how to identify distorted thinking
 gaining insight and acquiring skills for healthy patterns
 providing homework
 self-monitoring
 behavioral techniques (scheduling activities, self-reliance training, role playing, engage in activities, provide meaningful tasks,
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | form of CBT need diagnosis
 get functional performance levels
 Intervention: teaches assertiveness, coping, social skills,
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Pt. performs stitching Level 3 - running stitch
 Level 4 - whipstitch
 Level 5 - cordovan stitch
 Scores 3.0-5.8
 |  | 
        |  | 
        
        | Term 
 
        | Indicators for 1-1 groups |  | Definition 
 
        | refusal to attend groups inability to tolerate group interaction
 presence of behaviors that are disruptive
 issues that can only be spoken 1-1
 |  | 
        |  | 
        
        | Term 
 
        | Indicators for group intervention |  | Definition 
 
        | more cost effective good for social
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | gather information and eval task and interaction skills helps to establish goals and intervention
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Assist members with issues while performing a task |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Assist people in social interaction |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | individual tasks within group setting |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | some interaction with common activities |  | 
        |  | 
        
        | Term 
 
        | egocentric cooperative groups |  | Definition 
 
        | joint interaction on long term tasks, completion of the task is not finished |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | learn to work together cooperatively to enjoy other's company and meet emotional needs |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | responsive to all members neds and carry out a variety of tasks and good balance |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | discussion of activities and issues outside of group are discussed |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | meeting health needs and maintaining function |  | 
        |  | 
        
        | Term 
 
        | considerations for group planning |  | Definition 
 
        | demographics, gender, age, culture, ethnicity,cognitive level Cog. level, functional level, goals, safety issues.
 Number of people, length, number of times, space, budget, leaders, frame of reference, etc.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | title purpose
 rationale
 theoretical base
 criteria for membership
 goals/anticipated outcomes
 method and format
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | materials, facilitates, safety, QA, |  | 
        |  | 
        
        | Term 
 
        | Considerations for activity selection |  | Definition 
 
        | degree of structure type and degree of instruction provided
 degree of new learning required
 complexity of the activity
 length of time for completion
 nature and degree of skill required for engagement
 degree of challenge to members' skills.
 |  | 
        |  | 
        
        | Term 
 
        | Kaplan's group intervention |  | Definition 
 
        | Orientation Introductions
 Warm up activities
 One or more main activities
 Closure and activity to give meaning
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | SI, Orientation
 Movement and vigorous stimulating and alerting gross motor activities
 Perceptual Motor designed to be calming and focused
 Cognitive activities to promote organized thinking
 Closure for satisfaction
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | create distraction free environment perform reality-based activity
 use simple concrete activities
 redirect w/ reality thinking
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Redirect thoughts to reality based Avoid discussions and experiences that focus on delusional material
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Allow person to move around without causing disruption select gross motor activities over fine motor or sedentary ones
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Set limits Provide reasons why it's not acceptable in non-judgemental manner
 define consequences
 remove pt.s and focus on needs of group
 |  | 
        |  | 
        
        | Term 
 
        | lack of initiation / participation |  | Definition 
 
        | Identify reasons (skill, attention deficits, depression) personalize and client centered
 succes
 fun
 positive feedback
 food, curiosity
 |  | 
        |  | 
        
        | Term 
 
        | Manic or monopolizing behavior |  | Definition 
 
        | design structured activities that hold attention thank individual for participation
 and re-direct to others
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Avoid challenging behavior maintain comfortable distance
 actiely listen
 use cal nonpatronizeing tone
 speaker softer and lower
 speak simple, clear
 do not communicate value judgements
 present clear instruction
 avoid feelings of trapped
 If these do not work. . . . . .. .
 Remove Pt.
 Get other staff to help
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | make ey-contact validate person
 be positive and friendly
 don't give orders
 use short simple words
 do not argue
 use non-verbal communication
 create a routine
 grade activities carefully
 go slow
 attend to safety
 |  | 
        |  | 
        
        | Term 
 
        | Reasons for failure to report abuse or leave situation |  | Definition 
 
        | Economic pressure, religious beliefs, feeling of love, believe its deserved, viewed as normal, fear or retailiation, belief things will change, nowhere to go, concern for children, lack of support |  | 
        |  | 
        
        | Term 
 
        | Developing a trusting relationship RADAR
 |  | Definition 
 
        | Routinely ask Affirm and Ask
 Document findings
 Assess and Address safety
 Review options and referrals
 
 Discuss, stress, safety, fear, abuse, family, friends, support network and emergency plan
 provide information and intervention
 inform supervisor
 mandatory reporting is required
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Ask about potential abuse, is first step |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Acknowledge and support person who discloses, ask direct questions to determine risk. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | record client statements and quotes, describe bruises,  etc. |  | 
        |  | 
        
        | Term 
 
        | Review options and referrals |  | Definition 
 
        | Refer person to hotlines, shelters, safe houses, etc. |  | 
        |  | 
        
        | Term 
 
        | Psych. Reaction to Disability |  | Definition 
 
        | Factors - permanancy, sudden or chronic, appraisal of life, spiritual, support, cultural |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Active participation in all areas of life successful negotionation of environment
 awareness of strengths and weaknessness
 |  | 
        |  | 
        
        | Term 
 
        | Phases of adjustment to Disability |  | Definition 
 
        | Shock Anxiety
 Denial
 Depression
 Internalized anger
 Externalized anger
 Acknowledgement
 Adjustment
 |  | 
        |  | 
        
        | Term 
 
        | OT intervetnion to Disability |  | Definition 
 
        | Focus on what pt. is able to do Assist is looking at pt.s active roles
 provide empowerment
 reduction of limitations
 adaptation, modification
 development of skills
 acquistion of resources
 |  | 
        |  | 
        
        | Term 
 
        | Suicide - Identification of Risk |  | Definition 
 
        | Are they trying to hurt themself The degree of detail indicates seriousness
 Potential of plan to succeed increases risk
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Previous attempt ansiety depression exhaustion, hopelessness
 availability of firearms for example
 concern for family members
 verbalized it
 preparation of a will
 life crisis
 family history
 violence
 clinical diagnosis
 alcohol and substance abuse
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | identify motivation develop problem solving skills
 stress management
 positive gal setting
 interest identification
 recovery motivation
 identification of positive attributes
 successful activities
 physical activities
 new skill development
 |  | 
        |  | 
        
        | Term 
 
        | Adjustment to death and dying Stages
 |  | Definition 
 
        | Denial Anger
 Bargaining
 Depression
 Acceptance
 
 This may vary
 |  | 
        |  | 
        
        | Term 
 
        | Death and dying interventions |  | Definition 
 
        | Maintain control respond honestly
 assist with coping skills
 positive life review
 make gifts and mementos for others
 assist in pursuing interests
 actively listen
 incorporate family and friends
 never deprive of hope
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