OTPF Table 6- Interventions

anskorczewski12's version from 2016-10-05 19:43


Question Answer
Occupations vs. activitiesoccupations are client-directed daily life activities that match and support identified participation goals and activities are actions to support the development of performance skills/patterns to enhance occupational engagement
to use occupations and activities therapeutically, the practitioner considers...activity demands and client factors in relation to the client's therapeutic goals, contexts, and environments
used to prepare the client for occupational performance, used as part of a treatment session in preparation for/ concurrently with occupations and activities or provided to a client as a home-based engagement to support daily occupational performanceepreparatory methods and tasks
preparatory method typessplits, assistive technology and environmental modifications, and wheeled mobility
modalities, devices, and techniques often "done to" the client without the client's active participation (prepares client for occupational performance)preparatory methods
construction and use of devices to mobilize, immobilize, and support body structures to enhance participation in occupaitonssplints--preparatory methods
ID and use assistive technologiesassistive technology and environmental modifications--preparatory methods
application of universal design principles and recommends changes to the environment or activity to support the client's ability to engage in occupationsassistive technology and environmental modifications--preparatory methods
assessment, selection, provision, and education and training in use of devicesassistive technology and environmental modifications--preparatory methods
use of products and technologies that facilitate a client's ability to maneuver through space, including seating and positioning, and that improve mobility, enhance participation in desired daily occupations such as skin breakdown or limb contractureswheeled mobility--preparatory methods
actions selected and provided to the client to target specific client factors/performance skills, including active participation of client/engagements that use various materials to simulate activities or components of occupations (may not hold meaning)preparatory tasks
types of OT interventions1. occupations and activities 2. preparatory methods and tasks 3. education and training 4.advocacy interventions
imparting of knowledge and info about occupation, health, well-being, and participation that enables client to acquire helpful behaviors, habits, and routines that may/may not require application at the time of the intervention sessioneducation
facilitation of acquiring concrete skills (measurable componenets of function that enable mastery) for meeting specific goals in real-life, applied situationtraining
training is different from education by...its goal of enhanced performance as opposed to enhanced understanding, although these goals often go hand in hand
efforts directed toward promoting occupational justice and empowering client to seek and obtain resources to fully participate in daily life occupations (outcomes support health, well-being, and occupational participation at the individual or systems level)advocacy
advocacy efforts undertaken by the client, which the practitioner can promote and supportself-advocacy
advocacy efforts undertaken by the practitioneradvocacy
use of distinct knowledge and leadership techniques to facilitate learning and skill acquisition across the lifespan through the dynamics of group and social interaction (may also be used as method of service delivery)group interventions
functional/activity/task/social/and others used on inpatient units, within community, or in schools that allow clients to explore and develop skills for participation, including basic social interaction skills, tools for self-regulation, goal setting, and positive choice makinggroups

Intervention Examples :

Question Answer
client completes morning dressing and hygiene using adaptive devicesoccupations
client purchases groceries and prepares a mealoccupations
client plays on playground with children and adultsoccupations
client participates in community festival by setting up a booth to sell baked goodsoccupations
client engages in pattern of self-care and relaxation activities in preparation for sleepoccupations
client practices safe ways to get into/out of the bathtubactivities
client writes answers on an application formactivities
client plays desired game either as solo player or in competition with othersactivities
practitioner administers physical agent modalities to decrease pain, assist with wound healing, or edema controlpreparatory methods
practitioner fabricates and issues orthotic to support a weakened hand and decrease painsplints--preparatory methods
practitioner provides a pencil grip and slant boardassistive technology and environmental modifications--preparatory methods
practitioner recommends replacing steps with an appropriately graded rampassistive technology and environmental modifications--preparatory methods
practitioner recommends universally designed curriculum materialsassistive technology and environmental modifications--preparatory methods
practitioner recommends a sip-and-puff switch to allow client to maneuver the power wheelchair independently and interface with an environmental control unit in the homewheeled mobility--preparatory methods
client refolds towels taken from a clean linen cart to address shoulder range of motionpreparatory tasks
client participates in fabricated sensory environment to promote alertnesspreparatory tasks
client participates in assertiveness training program to prepare for self-advocacypreparatory tasks
practitioner educates town officials about value of and strategies for making walking and biking paths accessible for all community memberseducation
practitioner instructs client in how to operate a universal control device to manage household appliancestraining
practitioner teaches parents and teachers to focus on a child's strength to foster positive behaviorstraining
practitioner collaborates with person to procure reasonable accommodations at a work siteadvocacy
practitioner serves on policy board of an organization to procure supportive housing accommodations for people with disabilitiesadvocacy
practitioner collaborates with adults who have serious mental illness to raise public awareness of the impact of stigmaadvocacy
practitioner collaborates with and educates staff at federal funding sources for persons with disabling conditionsadvocacy
student with learning disabilities requests and receives reasonable accommodations such as textbooks on tapeself-advocacy
grassroots employee committee requests and procures ergonomically designed keyboards for their work computersself-advocacy
a group for older adults focuses on maintaining participation despite increasing disability, such as exploring alternative transportation if driving is no longer an option and participating in volunteer opportunitiesgroups--group interventions
a community group addresses issues of self-efficacy and self-esteem as the basis for creating resiliency in preadolescent children at risk for being bulliedgroups--group interventions
a group in a mental health program addresses establishment of social connections in communitygroups--group intervention

OTPF Table 7-Activity and occupational demands

Question Answer
Demands of an activity or occupation include1.relevance and importance to client 2. objects used and their properties demands demands 5.sequencing and timing 6.required actions and performance skills 7.required body functions 8.required body structures
alignment with client's goals, values, beliefs and needs and perceived utilityrelevance and importance to client
driving a car equates with independencerelevance and importance to client
tools, supplies, and equipment required in the process of carrying out the activityobjects used and their properties
preparing a holiday meal connects with family traditionrelevance and importance to client
the inherent properties (heavy, rough, sharp, colorful)objects used and their properties
physical environment requirements of activity (size, arrangement, surface, lighting, temperature, noise, humidity, ventilation)space demands
bathroom door and stall width to accommodate wheelchairspace demands
elements of the social environment and virtual and cultural contexts that may be required by the activitysocial demands
rules of the gamesocial demands
expectations of other participants in the activity to share supplies and use appropriate languagesocial demands
process required to carry out the activitysequencing and timing (has steps, sequence, or timing)
actions (performance skills--?) required by the client that are an inherent part of activityrequires actions and performance skills (motor, process, and social interaction)
feeling heat of stoverequired actions and performance skills
gripping handlebarrequired actions and performance skills
choosing ceremonial clothesrequired actions and performance skills
answering a questionsrequired actions and performance skills
physiological functions of body systems requires to support the actions used to perform the activityrequired body functions
anatomical parts of the body such as organs, limbs, and components that support body functions and are required to perform the activityrequired body structures
mobility of jointsrequired body functions
level of consciousnessrequired body functions
cognitive levelrequired body functions
number of hands/feetrequires body structures
olfactory or taste organsrequired body structures

OTPF Table 8-Approaches to interventions

Question Answer
What are the approaches to interventions1.create, promote (health promotion) 2.establish, restore (remediation, restoration) 3.maintain 4.modify (compensation, adaptation) 5. prevent (disability prevention)
designed to provide enriched contextual and activity experiences that will enhance performance for all people in the natural contexts of life (does not assume a disability is present or that any aspect would interfere with performance)create, promote
designed to change client variables to establish a underdeveloped skill/ability or to restore an impaired skill/abilityestablish, restore
designed to provide supports to allow clients to preserve performance capabilities they have regained/continue to meet occupational needsmaintain
the assumption of maintaining is...that without continued maintenance intervention, performance would decrease, occupational needs would not be met (and this would affect health, well-being, and quality of life)
directed at finding ways to revise current context/activity demands to support performance in natural setting (compensatory techniques, enhancing some features to provide cues or reducing other features to reduce distractibility)modify
compensatory techniquesmodify
enhancing some features to provide cuesmodify
reducing other features to reduce distractibilitymodify
designed to address the needs of clients with/without disability who are at risk for occupational performance problems (directed at client, context, or activity variables)prevent

Recent badges