Intro to OT – (Chapters 1-4) – Flashcards

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Therapy
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Treatment of an illness or disability
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Goal
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End toward with effort is directed
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Activity
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State or condition of being involved
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Independence
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State or condition of being self-reliant (independent).
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Function
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Action for with a person is specifically fitted
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Occupation
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Activity in which one engages that is meaningful and central to one's identity.
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AOTA definition of Occupation Therapy for the Model Practice Act.
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The therapeutic use of everyday life activities (occupations) with individuals or groups for the purpose of participation in roles and situations in home, school, workplace, community, and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy addresses the physical, cognitive, psychosocial, and other aspects of performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
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Areas of occupation
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Various life activities, including activities of daily living (ADL), instrumental activities of daily living, education, work, play, leisure, and social participation.
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Occupation-centered activities
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actual occupational activities of the client that are performed in the client's natural setting (physical, social, and temporal). example: preparing lunch at client's home at noon using the client's own kitchen supplies.
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Occupational performance (pg 4) & (pg 30)
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The ability to carry out activities of daily living, ADL (including activities in the areas of occupation).
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Occupational therapist
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(OT) An allied health professional who uses occupation, purposeful activity, stimulated activities, and preparatory methods to maximize the independence and health of any client who is limited by physical injury or illness, cognitive impairment, psychosocial dysfunction, mental illness, or a developmental or learning disability.
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Occupational therapist assistant
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(OTA) An allied heath paraprofessional who, under the direction of an occupational therapist, directs an individual's participation in selected tasks to restore, reinforce, and enhance performance, and promote and maintain health.
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Occupational therapy practitioner
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Refers to two different levels of clinicians, an occupational therapist (OT) or an occupational therapy assistant (OTA).
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Preparatory Acivities
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activities that help the client get ready for purposeful activities. examples: range of motion(moving the limbs through a range), exercise, strengthening,or stretching.
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Purposeful Activity
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An activity used during intervention that is goal-directed and may or may not be viewed as meaningful to the client. These activities typically involve an end product and are goal-directed. Example: making a sandwich is only part of making lunch. Purposeful activities have an end product and involve allowing the client to have choice.
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Media
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objects and materials the OT practitioner uses to facilitate change. examples: games, toys, activities, dressing or self-care activities, work activities, arts, crafts, computers, industrial activities, sports, music, and dance, role-playing, and theater, yoga, gardening, homemaking activities, magic, pet care, and creative writing.
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Contrived Activities
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are made-up of activities tat may include some of the same skills required for the occupation. These activities are used to help stimulate the actual activity and may help get the client ready. Example: a client may work on tying shoes by using a doll to stimulate this activity before actually tying her own shoe. Or a client may practice the components required to spread jelly before actually preparing a sandwich for lunch.
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What is the difference between an activity and a task?
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An activity is a state or condition of being involved (participant); a general class of human actions that is goal-directed (example: cooking) and Task refer to the basic units of action (example: mixing the batter is a task associated with cooking). example: weeding is an activity and the task involved in weeding involves grasping and pulling.
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Psychosocial
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?
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How is the OT different from the PT?
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Occupational therapist OT) have a more holistic approach that addresses the physical, cognitive, psychosocial, and other aspects of performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. The Physical therapist (PT) primarily deals with developing and improving the physical abilities of the patient.
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What does the initials ADL stand for? Give some examples of ADL's.
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ADL stands for: Activities of Daily Living. ADL examples: feeding, dressing, bathing, toileting, hygiene.
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What does the intials IADL stand for? Give some examples of IADL's.
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IADL stands for: Instrumental Activities of Daily Living examples of IADL: meal preparation, budgeting, homemaking, care for pets, care for others.
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Occupational Therapy
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A goal-directed activity that promotes independence in function; the practice of using meaningful occupations and purposeful activities to promote function and participation in life activities.
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Patient
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term used by professionals when working with a person in a hospital or rehabilitation setting.
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Client
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term used by professional use when they are working with an individual in a mental health facility or training center.
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Moral Treatment
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* (1700-1800) * Philippe Pinel and William Tuke are accredited for conceiving this treatment. * Benjamin Rush brought it to the U.S. Grounded in the philosophy that all people are entitled to compassion. This movement sought ways to to make the existence of those confined more bearable. One of the ways was involvement in purposeful activity.
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Philippee Pinel
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* Father of Moral Treatment * French physician that introduced "work treatment" for the "insane" in the late 1700's. He used occupation to divert the patients' minds away from their emotional disturbances and towards improving their skills. He used physical exercise, work, music, and literature n his treatment. He also introduced farming as an important element of institutional life. His works were published in 1801
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William Tuke
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*an English Quaker and wealthy merchant that was credited along with Philippe Pinel for conceiving "Moral Treatment" * He established the "York Retreat" after becoming aware of the horrible conditions of the York, England asylums. The York Retreat's environment was like that of a family in which the patients were approached with kindness and consideration. His work was published in 1813
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Benjamin Rush
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* A Quaker * The first U.S. physician to institute the Moral Treatment practices in the United States.
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Arts and Crafts Movement
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(early twentieth century) *Led by John Ruskin and William Morris and was started in England. * The beginning of the Occupational therapy profession emerged when the idea that a handicapped person is still productive surfaced in sanitariums and hospitals for convalescent individuals. This movement believed that using one's hands to make items connected people to their work, physically, and mentally, and thus was healthier.
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Herbert Hall
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*A physician who graduated from Harvard. *adapted the Arts and crafts movement for medical purposes and treatment. He worked with invalid patients, providing medical supervision of crafts for the purpose of improving their health and financial independence. * 1904 established a facility at Marblehead, Massachusetts, were patients with neurasthenia worked on Arts & Crafts as part of their treatment. *His treatment was called the "Work Cure". *(1920 - 1923) served as the President of the National Society for the Promotion of Occupational Therapy.
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Dr. William Rush Dunton, Jr.
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*Father of Occupational Therapy *He coined the phrase: "OCCUPATION THERAPY" *established the arts and crafts program at Sheppard Asylum *was known for his writings on the value of occupation for treatment. In 1915, he published "Occupational Therapy: A Manual for Nurses" *He served as Treasurer and President of the National Society for the Promotion of Occupational Therapy and edited the association's journal for 21 years.
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George Edward Barton
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*He is known for changing the phrase to an adjective "OCCUPATIONAL THERAPY". *Personally experienced tuberculosis, foot amputation, and paralysis. *used occupation as a method of treatment
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Eleanor Clarke Slagle
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*Mother of occupational therapy *social worker who worked at the Hull House. *worked at the state hospitals *developed: "Habit Training" *organized first OT school *She held each of the offices within the organization and served as the executive secretary for 14 years. * The "Eleanor Clarke Slagle Award" was established in her honor.
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Susan Tracy
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*Is considered to have written the 1st known book on OT, "The Studies in Invalid Occupations". *Trained nurses for the OT field.
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Susan Cox Johnson
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*felt that occupation could be morally uplifting *occupations could improve mental and physical state * Taught OT *ADVOCATED FOR HIGH EDUCATIONAL STANDARDS.
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Thomas Kidner
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*influential in establishing a presence for occupational therapy in vocational rehabilitation and tuberculosis treatment. *In 1915, appointed Vocational Secretary of the Canadian Military Hospitals Commission. *He included occupational therapy in architectural drawings for institutions for physically disabled. *Active in the National Tuberculosis Association.
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National Society for the Promotion of Occupational Therapy
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*Established in 1917, in Clifton Springs, New York. This was the formal birth of Occupational Therapy. *Included in the group: George Barton, William Dunton, Eleanor Clarke Slagle, Susan Cox Johnson, Thomas Kidner, and Isabel Newton (Barton's secretary and later became his wife). Susan Tracy could not attend, but was made a charter member of the Association. *the object of the association as set forth in the constitution was: "To study and advance curative occupations for invalids and convalescents; to gather news of progress in occupational therapy and to use such knowledge to the common good; to encourage original research, to promote cooperation among occupational therapy societies, and with other agencies of rehabilitation."
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Dunton's Principles of Occupational Therapy
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*Any activity should have a cure as its objective. *The activity should be interesting *There should be a useful purpose other than to merely gain the patient's attention and interest. *The activity should preferably lead to an increase in knowledge on the patient's part. *Activity should be carried on with others, such as a group. *The occupational therapist should make a careful study of the patient and attempt to meet as many needs as possible through activity. *Activity should cease before the onset of fatigue. *Genuine encouragement should be given whenever indicated. *Work is much to be preferred over idleness, even when the end product of the patient's labor is of poor quality or is useless.
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Adolf Meyer
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* Swiss physician who immigrated to the U.S. in 1892 and later became a professor of psychiatry at Johns Hopkins University. *Expressed a point of view that eventual formed the philosophical base of the OT profession. *committed to a "HOLISTIC" perspective and developed the psychobiological approach to mental illness.
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Philosophical Base of OT
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*Holistic Psychobiological approach Adolf Meyer Involvement in meaningful activity Rhythms affect performance. OT help develop balance. *Work, play, rest, and sleep
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World War I:
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*Reconstruction aides trained to take care of the veterans *Validation of activity as therapy *Link between occupational therapy and physical disability
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Post World War I: through the 1930's
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*Soldier's Rehabilitation Act *Civilian Vocational Act *Treating tuberculosis *Great Depression (1930 - 1939)
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World War II: 1940-1947
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*New demand for occupational therapy *Accredited schools *Emergency courses
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When did the AOTA establish the first national registry that identified practitioners who had graduated from schools that the association endorsed?
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January 1, 1931
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When were OT's required to successfully pass examinations for registering as an OT practitioner?
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Beginning in 1945
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Rehabilitation Movement
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(1942-1960) The period from 1942 to 1960 in which Veterans Administration hospitals increased in size and number to handle the casualties of war and continued care of veterans.
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When was the American Occupational Therapy Foundation (AOTF) founded?
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1965
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When did the OTA become the second level of the OT profession?
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1958
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What year was the Rehabilitation Act passed?
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passed in: 1973
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When was the Education for all Handicapped Children Act passed? What is the PL # of this act?
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passed in: 1975. (PL 94-142)
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What year was the Handicapped Infants and Toddlers Act passed? What is it's PL # of this act?
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passed in: 1986 (PL 99-457)
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What year was the Technology Related Assistance for Individuals with Disabilities Act passed? What is the PL # of this act?
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passed in: 1988 (PL 100-407)
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Gary Kielhofner
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*return to occupation *developed the Model of Human Occupation (MOHO) *provided the profession with evidence to support occupation-based practice and tools.
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National Board for Certification in Occupational Therapy (NBCOT)
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The organization responsible for administering the national certification examination.
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American's Disability Act of 1990 (ADA)
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(PL 101-336) (1990) Legislation that provides civil rights to all individuals with disabilities
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Individuals with Disabilities Education Act (IDEA) of 1991
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(PL 105-17) In 1991, named changed it was formerly called: Education of All Handicapped Children Act of 1975 (PL 94-142) Legislation that requires school districts to educate students with disabilities in the least restrictive environment.
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Balanced Budget Act of 1997 (BBA)
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(1997) Legislation intended to reduce Medicare spending, create incentives for development of managed care plans, encourage enrollment in managed care plans, and limit fee-for-service payment and programs.
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What are the ongoing issues of OT?
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*Research *evidence-based knowledge *continuing education *state licensure *occupation-based practice
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Active Being
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The view of humans as actively involved in controlling and determining their own behavior.
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Activity
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State or condition of being involved (participant); a general class of human actions that is goal-directed.
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Adaptation
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a change in function that promotes survival and self-actualization.
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Altruism
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Is the unselfish concern for the welfare of others. OT practitioners demonstrate this commitment to the profession and to the client with caring, dedication, responsiveness, and understanding.
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Axiology
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The part of philosophy that is concerned with the study of values.
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Client-Centered Approach
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An approach in which the client, family, and significant others are active participants throughout the therapeutic process.
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Dignity
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The quality or state of being worthy, honored, or esteemed.
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Epistemology
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The part of philosophy that investigates critically the nature, origin, and limits of human knowledge.
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Equality
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refers to treating all individuals equally with an attitude of fairness and impartiality and respecting each individual's beliefs, values, and lifestyles in the day-to-day interactions.
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Freedom
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An individual's right to exercise choice.
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Holistic Approach
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An approach that deems that each individual should be seen as a complete and unified whole rather than a series of parts or problems to be managed.
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Humanism
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The belief that the client should be treated as a person, not an object.
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Justice
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The need for all occupational therapy practitioners to abide by the laws that govern the practice and the legal rights of the client.
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Metaphysical
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One part of philosophy that addresses questions such as "What is the NATURE of HUMANKIND?"
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Occupation
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Activity in which one engages that is meaningful and central to one's identity.
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Occupation as a means
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The use of a specific occupation to bring about a change in the client's performance
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Occupation as an end
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The desired outcome or product of intervention.
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Occupational performance
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The ability to carry out activities in the areas of occupation.
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Phenomenological
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what is meaningful and that which provides satisfaction to an individual and it is determined by the experience of the individual.
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Professional philosophy
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A set of values, beliefs, truths, and principles that guide the practitioner's actions.
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Prudence
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The ability to demonstrate sound judgement, care, and discretion.
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Quality of life
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A relative measurement of what is meaningful and what provides satisfaction to an individual.
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Role
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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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Reductionistic
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This approach is used by the U.S. Health care system with this approach humankind is reduced to separately functioning body parts. Professionals specialize in specific areas and treat these body functions independently for greater expediency and efficiency; their purpose is to isolate, define, and treat body functions and to focus on a specific problem. This approach has been successful in producing cures and technological developments.
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Task
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considered the basic units of behavior and are the simplest form of an action.
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Truthfulness
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The value demonstrated through behavior that is accountable, honest, and accurate, and that maintains one's professional competence.
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The Philosophical Base of Occupational Therapy
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Man is an active being whose development is influenced by the use of purposeful activity. Using their capacity for intrinsic motivation, human beings are able to influence their physical and mental health and their social and physical environment through purposeful activity. Human life includes a process of continuous adaptation. Adaptation is a change in function that promotes survival and self-actualization. Biological, psychological, and environmental factors may interrupt the adaption process at any time throughout the life cycle. Dysfunction may occur when adaptation is impaired. Purposeful activity facilitates the adaptive process. Occupational therapy is based on the belief that purposeful activity (occupation), including its interpersonal and environmental components, may be used to prevent and mediate dysfunction and to elicit maximum adaptation. Activity as used by the therapist includes both an intrinsic and a therapeutic purpose.
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Core Concepts of Occupational Therapy
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* Occupational therapy views human holistically. * Occupational therapy views humans as active beings wherein occupation is critical to well-being. * Occupational therapy classifies occupations under activities of daily living, instrumental activities of daily living, self-care, education, work, play and leisure, and participation in social activities. * Human learning entails experience, thinking, feeling, and doing. * The profession views occupation as both a means and an end. * Every human being has the potential for adaptation. * Occupational therapy is based on humanism wherein the values of altruism, equality, freedom, justice, dignity, truth, and prudence are central to the profession. * The client, family, and significant others are active participants throughout the therapeutic process in what is referred to as a client-centered approach.
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Aging in place
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The trend of more elderly people staying at home and living independently or with minimal assistance.
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Assistive technology
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Devices that aid a person in his or her daily life as necessary.
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Centennial vision
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AOTA's current vision statement is, "We envision that occupational therapy is a powerful, widely recognized, science-driven, and evidence-based profession with a globally connected and diverse workforce meeting society's occupational needs."
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Driver rehabilitation specialists
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An occupational therapy practitioner who evaluates and intervenes in physical, social, cognitive,and psychosocial aspects of functioning that affect driving skills.
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Ergonomics
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The science of fitting jobs to people
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Evidence-based practice
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Basing practice on the best available research evidence.
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Licensure laws
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also called practice acts gives a legal definition of occupational therapy and the domain of occupational therapy practice that differentiates it from other professions. These laws provide important guides for consumers, facilities, and providers, especially with regard to the minimum qualifications for practitioners.
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Participatory research
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Involves the clinician, client, and faculty member in the research process.
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Vision
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A statement or ethos of a profession or organization that is developed with the members and constituents over time and that clarifies values, creates a future, and focuses the mission.
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Definition of Occupation
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"Activities ...of everyday life, named, organized, and given value and meaning by individuals and a culture. Occupation is everything people do to occupy themselves, including looking after themselves... enjoying life... and contributing to the social and economic fabric of their communities."
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What are the laws that effected OT services?
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1) Section 504 the Rehabilitation Act of 1973 2) The Americans with Disabilities Act (ADA) of 1990 3) Individuals with Disabilities Education Act of 1975 (PL # 94-142) 4) The Balance Budget Act of 1997 5) Medicare
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Section 504 the Rehabilitation Act of 1973
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?
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The Americans with Disabilities Act (ADA) of 1990
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(PL 101-336) Legislation that provides civil rights to all individuals with disabilites
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Individuals with Disabilities Education Act of 1991 (IDEA)
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(PL 105-17) In 1991 name changed from: Education of All Handicapped Children Act of 1975; (PL 94-142) Legislation that requires school districts to educate students with disabilities in the least restrictive environment.
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The Balanced Budget Act of 1997 (BBA)
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Legislation intended to reduce Medicare spending, create incentives for development of managed care plans, and limit fee-for- service payment and programs
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Medicare
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(PL 89-97) Enacted in 1965 Legislation that provides health care assistance for individuals 65 years or older or those who are permanently and totally disabled.
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Education of All Handicapped Children Act of 1975
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(PL 94-142) In 1991 named changed to: Individuals with Disabilities Education Act of 1991 (IDEA); (PL 105-17) Act that established the right of all children to a free and appropriate education, regardless of handicapping conditions.
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Handicapped Infant and Toddlers Act of 1986
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(PL 99-457) An amendment to the Education for All Handicapped Children's Act of 1975; includes children from 3 to 5 years of age and initiates new earlier intervention programs for children from birth to 3 years of age.
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Rehabilitation Act of 1973
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Act that guaranteed certain rights for people with disabilities, emphasized the need for rehabilitation research, and called for priority service for persons with the most severe disabilities.
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Soldier's Rehabilitation Act
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Act that established a program of vocational rehabilitation for soldiers disabled on active duty.
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Technology Related Assistance for Individuals with Disabilities Act of 1988
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(PL 100-407) Act that addressed the availability of assistive technology devices and services to individuals with disabilities.
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Civilian Vocational Rehabilitation Act
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(PL 66-236) Act that provided federal funds to states to provide vocational rehabilitation services to civilians with disabilities
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Public Law 94-142
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The Education for All Handicapped Children Act of 1975 In 1991, renamed: Individual's with Disabilities Education Act (IDEA); (PL 105-17).
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Public Law 66-236
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Civilian Vocational Rehabilitation Act of 1920 also known as: Smith Fess Act Act that provided federal funds to provide vocational rehabilitation services to civilians with disabilities.
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Public Law 101-336
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Americans with Disabilities Act of 1990 (ADA) Legislation that provides civil rights to all individuals with disabilities.
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Public Law 100-407
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Technology Related Assistance for Individuals with Disabilities Act of 1988 Act addressed the availability of assistive technology devices and services to individuals with disabilities
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Public Law 89-97
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Medicare enacted in 1965 Legislation that provides health care assistance for individuals 65 years or older or those who are permanently and totally disabled.
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Public Law 99-457
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Handicapped Infants and Toddlers Act of 1986 An amendment to the Education for All Handicapped Children Act; includes children from 3 to 5 years of age and initiates new early intervention programs for children from birth to 3 years of age.
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Public Law 105-17
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Individuals with Disabilities Education Act of 1991 In 1991, renamed formerly known as: The Education for All Handicapped Children's Act (PL 94-142) Legislation that requires school districts to Educate students with disabilities in the least restrictive environment
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History 1970's -1980's
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*Personal computers *Increase in drug and alcohol abuse *AIDS *Community practice *Legislaton
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History 1980's
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*Social Security Amendments *Medicare Prospective Payment System Diagnosis-related groups *State regulations *Reductionistic model of practice *NBCOT
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Return to Occupation
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*Leaders urging practice to return to Moral Treatment and Occupation. *Yerxa, Shannon, Reilly, Fidler, Kielhofner
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Who established the "York Retreat"?
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William Tuke
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History 1990's
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*Information age *Americans with Disabilities Act of 1990 *Individuals with Disabilities Education Act of 1991 *Balanced Budget Act of 1997
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Who advocated for high educational standards?
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Susan Cox Johnson
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What does an occupational therapist do?
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the OT engages clients in (ADL) that are goal-directed to get them back to doing their everyday living activities that are important to them.
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Why do occupational therapist use an holistic approach?
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Because OT considers every aspect of the client the physical, cognitive, and psychosocial in their realm of what they want to do in their desired occupation
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Why does the occupational therapist consider the psychosocial?
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Almost just as important as the physical and cognitive aspects of therapy because it addresses the mental and emotional states of the client.
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What does an Occupational therapist do?
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Engage client in goal-directed (ADL) to get them back to their everyday living activities and their occupations that they desire to do.
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Who developed "habit training"?
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Eleanor Clarke Slagle
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Who wrote the first known book on occupational therapy?
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Susan Tracy
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Who was considered the Father of occupational therapy?
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William Rush Dunton, Jr.
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Who developed the "work cure"?
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Herbert Hall
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Who coined the phrase "occupational therapy"?
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George Barton
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Who was considered the Mother of occupational therapy?
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Eleanor Clarke Slagle
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Who brought Moral treatment to the U.S.?
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Benjamin Rush
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Post World War II (1950 - 1960)
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*New drugs and technology *Rehabilitation Movement *Medicare *Deinstitutionalization *AOTF *Occupational Therapy Assistant (1958) Began in psychiatry
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Who coined the phrase "occupation therapy"?
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William Rush Dunton, Jr.
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Prospective Payment System (PPS)
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created by these amendments, a nationwide schedule was established that delineated what the government would pay for each inpatient stay of a Medicare beneficiary.
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Instrumental Activities of Daily Living(IADL)
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more advanced activities of daily living. require a more advance function example: (care giving, balancing checkbook, pet care, and so on...)
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Activities of Daily Living (ADL)
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Activities that are basic functions. examples: (bathing, eating, dressing, and walking)
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Seven terms of Ethiscs
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*Altruism- the unselfish concern for the welfare of others. *Equality- The treatment of all individual with an attitude of fairness & the respecting of each individual's beliefs, values, and life styles. *Freedoms- And individual's rights to exercise choice. *Justice- The need for all OT practitioners to abide by the laws that govern the practice & the legal rights of the client. *Dignity- The quality or state of being worthy, honored, or esteemed *Truthfulness- The value demonstrated through behavior that is accountable, honest, and accurate, and that maintains one's professional competence. *Prudence- The ability to demonstrate sound judgement, care, and discretion.
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Reconstruction Aides
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Civilians who helped rehabilitate soldiers who had been injured in the war so that they could either return to active military duty or be employed in a civilian job.
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Occupational Therapy
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*Therapeutic use of everyday activities *Participation in home, school, workplace, community *Physical, cognitive, and psychosocial *Promoting health and wellness *Engagement in everyday life
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American Occupational Therapy Association (AOTA)
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founded in 1921 Originally was called the National Society for the Promotion of Occupational Therapy
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Habit Training
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developed by: Eleanor Clarke Slagle a re-education program designed to overcome disorganized habits, to modify other habits, and to construct new ones, with the goal of restoring and maintaining health.
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Deinstitutionalism
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(mid 1950's) The discovery of neuroleptic drugs in mid - 1950's changed the course of psychiatric treatment. Successful Drug treatment of psychotic behavior lead to a national plan to re-lease clients and to the development of community mental health programs.
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Emerging Areas Of OT Practice
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*Aging in place *Driver assessment and training *Community health and wellness *Needs of children and youth *Ergonomics consulting *Technology and assistive-device developing and consulting
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What is occupational therapy based on?
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on the belief that purposeful activity (occupation) may be used to prevent and mediate dysfunction and to elicit maximum adaptation.
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Adaptation
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*Humans have the capacity for change *OT's use occupation to promote adaptation and facilitate mastery *Comes from within an individual *OT's help patients adapt by using the environment, materials, and arrangement of the surroundings.
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Occupation as a means
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*use occupation to bring about change *Example: Go to the art museum to meet people and initiate light conversation (improve socialization skills)
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Occupation as an End
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*Engaging in the occupation is the goal of the intervention *Example: Go to the art museum as a leisure activity.
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Quality of Life
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*Phenomenological view: what is meaningful and provides satisfaction to an individual *OT seeks to improve the quality of life for an individual who has a disability or dysfunction
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Important Legislation
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*Rehabilitation Act of 1973 *Education for All Handicapped Children Act of 1975 *Handicapped Infants and Toddlers Act of 1986 *Technology Related Assistance for Individuals with Disabilities Act of 1988.
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OT's Philosophy
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*Defines the nature of OT *Guides the actions of practitioners *Supports the profession's domain *Helps OT practitioners explain why we do what we do: Theories, FOR, Model of practice are derived from the OT Philosophy
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