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OT Models

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anskorczewski12's version from 2016-12-18 23:45

Models

Question Answer
MOST accurate commonality among all models?Focus on person, occupation, and environment for the client
author of a modelOTs
How do models explain a client's ability to progress through the therapeutic process?Through change and motivation
what do all occupation-based models have: 1. tell us relationship between person/environent/occupation 2.enhance health&well-being of individual through occupational engagement 3.overarching theories to support what we are doing 4.prevent occupational performance disruptance across the lifespan
focus is on relationship between people, environment, occupations, and the process by which OTs can enable clients to achieve optimal performanceCMOP
theory is worth of person, holistic view of man, health thru engagement in activityCMOP
change in any part of the system can cause problems with performanceCMOP
motivation is considered to be intrinsic and is facilitated by client's participation in IDing meaningful goals and occupational prioritiesCMOP
function is satisfactory performance and participation in meaningful occupationsCMOP
function is balance and harmony between person/environment/occupationsCMOP
dysfunction is inability to perform meaningful occupationsCMOP
spirituality, motivation, therapeutic relationship, teaching the learning process, ethical appraoch to client and treatment will help engage the client in OT processCMOP
therapist facilitates goal selection and intervention approaches within OT code of ethicsCMOP
client-centered therapy for CMOPthe therapist will engage the client and seek out his/her priorities
model that focuses on spirituality as the "central core of the person" and a "pervasive life force"?CMOP
what are the occupation categories of CMOPself-care, productivity, leisure
therapist evaluates sybsystems to determine interruption in performanceMOHO
therapist helps patient develop sense of volition/skills/habits/and change environment to maintain/change functioning for permanent disabilitiesMOHO
a goal is to develop skills and habitsMOHO
a goal is role balance; regulation of choice, lifestyle, and performance; healthy functioning in roles of choiceMOHO
a focus of the MOHOUnderstand how people are motivated toward their occupations
major focus of practice is on the person & how the environment contributes to one's source of motivation patterns of behavior & performanceMOHO
any shift in one part of the system will cause a change in the other partsMOHO
motivation comes from competenceMOHO
function is when subsystems function optimallyMOHO
function is ability to choose, organize, and perform occupational behaviors that are personally meaningfulMOHO
order is exploration, competence, and achievementMOHO
dysfunction is absence of occupation due to impairment in 1 of 3 subsystemsMOHO
dysfunction is inability to perform occupations/interruption of role performance/inability to meet role responsibilitiesMOHO
disorder is helplessness, incompetence, and inefficacyMOHO
MOHOs definition of healthbalance among roles
differentiating feature of the MOHOrelies on theoretical construct for client motivation
main role of the OT when evaluating a client from MOHOGather data to help clients understand how their personal perceptions and subjective views lead to occupational performance actions and patterns.
what are the life role categories for the OFM & where does leisure fallself-maintenance, self-advancement (work/education), self-enhancement (play, leisure, social participation)
therapist evaluates the client's competence to accomplish roles, and assesses environment where the client will life/work/play to determine if it enables/hinders functioningOFM
a goal is to restore competence in doing activities and tasks of valued rolesOFM
a goal of treatment could be to modify the context/environment or teach specific tasks/activities using goal-directed trainingOFM
a goal is to teach compensatory ways to accomplish tasks/activitiesOFM
focus is self-fulfillment through role competence (competentcy in roles give self-efficacy, esteem, and life satisfaction)OFM
use occupation-as-end as means to achieve role competenceOFM
goal directed therapeutic approachoccupation-as-end
therapy approach that brings change in impaired capacities and performance skillsoccupation-as-means
function is task performance that allows satisfactory engagement in life rolesOFM
dysfunction is inability to accomplish a necessary/desired occupational goalOFM
what is a combination of related activities (according to OFM)tasks
is practicing functional/meaningful activities and accomplish a functional goal occupation as end or meanend
a combination of endowed talents and acquired skills (according to OFM)ability
ability to use one's knowledge to effectively and readily execute performance (according to OFM)skill
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Clinical Reasoning

Question Answer
professional reasoninglooking at your decisions for multiple clients;
clinical reasoningmake judgements on one client from rationale (with knowledge, experience, client's situation)
types of clinical reasoning1.procedural 2.interactive 3.narrative 4.conditional 5.pragmatic 6.scientific 7.ethical
narrative reasoningmake sense of people's particuar circumstances; imagine effect of illness, disability, etc. on daily life; create collaborative story that is enacted with clients and families through intervention
procedural reasoningthink about client's performance; identify problems; select treatment to compensate for identified deficits; use protocols/specific procedures
pragmatic reasoningused to understand the practical issues that may have an impact on the situation with client/family; find resources available to the family that can be used for intervention; (teamwork/scheduling/space/equipment/caseload/insurance/discharge options should all be considered)
ethical reasoningused to make morally justifiable choices; what 'should' be done
scientific reasoningto understand the condition that may be affecting the person/family; logical thinking about client's problems (background knowledge)
interactive reaosningindividual therapeutic approach & understand client as human being; use non/verbal cues to engage the client; therapeutic use of self
conditional reasoningcombination of the other types of reaonsing to respond to ever-changing environment and client and the context/experience of the disability
what are the steps to clinical reasoning process1.ID your goal 2.ID problem 3.look at clinical information 4.move client forward in therapeutic process (what model is best) 5.make sound assumptions grounded in clinical knowledge 6.decide the clinical implications for our decisions (pros/cons/consquences
what is the base of clinical decisions?rules & regulations (state practice act/NBCOT), followed by AOTA stuff, folled by practice setting, followed by self
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