OTA 101: Fieldwork – Flashcards
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What is the general difference between the supervised clinical experiences between fieldwork 1&2?
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Level 1- Small taste: observational Level 2- Hands on
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What are the exams for COTA and OTR?
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COTA- Certification exam OT- Registration exam
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According to ACOTE, how is level 1 fieldwork defined?
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"Experiences designed to enrich didactic course work through directed observation and participation in selected aspects of the OT process"
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What are students exposed to in level 1 FW?
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The values and traditions of OT practice and have the opportunity to examine their reactions to clients, systems of service delivery, related personnel, and potential roles within the profession. Also to maximize learning experiences by proactively seeking opportunities to practice skills and experience occupation-based practice
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What is the goal for level 2 FW?
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Develop competent, entry level generalist practitioners
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According to ACOTE, what does level 2 aim to promote?
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"Clinical reasoning and reflective practice; to transmit the values, beliefs, that enable ethical practice; and develop professionalism and competence as career responsibilities"
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What does level 2 FW consist of?
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Level 2 AOTA, two 8 week full time rotations, can be in any setting, must be supervised by an OTR or COTA with 1 year or more of experience in that field of practice, can complete level 2 in US or abroad
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What is professional development?
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OT is constantly changing in response to new practice evidence, advancements in technology, health policy modifications, institutional changes, and emerging areas of practice the create new employment options. Therefore, treating therapists must be competent in their knowledge of all areas of OT
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What is competence?
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Knowledge or critical thinking motives, traits, characteristics or skills to achieve a specific goal or perform job responsibilities
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What is the actual performance of competence?
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Competency
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What is practice excellence?
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Engaging in the highest quality of work as long as the work reflects social as well as ethical responsibilities coupled with contemporary, evidence based application
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What are professional organizations?
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Higher standards of professionalism are continuously evolving to serve the profession through professional development activities, conferences, adherence to core values, and the professions code of ethics
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Wha are important professional organizations?
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1. ACTOE- Accreditations Councils for OT Education 2. ASD- Assembly of Student Delegates 3. AOTA- The American Occupational Therapy Association 4. EC- Ethics Commission
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What is the American Occupational Therapy Foundation?
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A nonprofit organization that was established in 1965 to advance the science and increase public awareness of OT
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Who is the AOTF composed of?
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OT practitioners, corporate partners, and sponsors that support OT education and research
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Who does the AOTF support?
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Students and scholars through educational scholarships and research grants
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What is the National Board for Certification in Occupational Therapy?
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The credentialing body for OTs and OTAs practicing in the US. The NBCOT develops and administers the initial certifications that OTs and OTAs take following their level 2 FW. The exam is based on extensive practice analysis of entry-level OT practice
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What is the World Federation of Occupational Therapists?
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The official international organization for the promotion of OT which was created in 1952. Has 70 member countries, 6,000 individual members, which represents more than 160,000 OT practitioners globally
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What is the WFOT recognized as?
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An official partner with the WHO and is recognized as a non-profit non-governmental organization
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What does the WFOT promote?
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International cooperation to more than 70 national OT associations, advances the international standard for OT education and research, and coordinated with other allied health organizations
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What is the American Occupational Therapy Political Action Committee?
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A political committee that process financial support to candidates the support the profession and its initiatives through private donations from members
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What is the American Journal of Occupational Therapy?
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The official publication of the AOTA. It is published 7x per year with peer reviewed articles, and a special interest section that has 11 practice areas. Membership includes access to AJOT, BJOT, and CJOT
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What are traits of a good therapist regarding emotional intelligence?
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-Empathy (understand what people, think, feel) -Good, effective communication skills (active listening) -Body language -Acknowledge and clarification skills -Listening
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What is the scope of OT services?
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OT is practiced both in traditional and new practices areas which makes the demand for services high and the field is still expected to grow
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Roots in OT began are in psychiatry because..
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It began with the moral treatment movement
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Why are only 5% of OTs working in mental health settings?
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Because activity and recreational therapists are replacing OTs in this setting
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What three components make up psychosocial practice?
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1. Interacting with others 2. Time management 3. Other client factors to address
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Regarding psychosocial practice, what are examples of interacting with others?
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Dyads or small group sessions, working on crafts, or talk therapy
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Regarding psychosocial practice, what are examples of time management?
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Organizing a schedule or habit training (Meyer and Slagle said this is finding occupational balance between self-care, relationships, work, and leisure)
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Regarding psychosocial practice, what are examples of other client factors to address?
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Self-care, relaxation, and anger management
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When did treatment in physical disabilities begin?
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Post-WW2 because of the attachment to the medical model
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Where do OTs who treat physical disabilities work?
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Hospitals, rehabilitation facilities, outpatient facilities, and home health
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What is treatment in Acute Care Hospitals like?
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Treatment is usually brief, patients are discharged to another facility quickly
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What are conditions commonly seen in Acute Care Hospitals?
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Strokes (CVAs), orthopedic problems, burns, and cardiac problems
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What is Inpatient Rehabilitation?
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Therapy is very structured and intensive (2-3x per day, 5-6 days a week) , patients are usually accepted based on perceived potential for strong recovery, and the conditions are similar to acute care
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What is the goal for inpatient rehab?
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Obtaining maximum results
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Who does Outpatient Therapy treat?
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Clients who are able to leave their home to come to treatment. These patients are discharged from inpatient and/or home health treatment. They are active but require therapy for a specific problem
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What are the common conditions for outpatient therapy?
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Hand injuries, repetitive stress disorders, residual problems from a stroke, and cardiac rehabilitation
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Regarding outpatient therapy, what is work hardening?
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Therapist who works specifically with the client on returning to his/her job
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What does outpatient therapy address?
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Muscle strengthening, endurance training, simulate work activities (graded from easy to difficult), pacing, client education Therapist will make adaptations to accommodate for impairment and facilitate successful performance
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Who does Home Health treat?
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Patients classified as "homebound" and does not qualify for inpatient or outpatient therapy. They are not able to leave the house to safely receive treatment
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What causes home health care?
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Bed-bound, wheel-chair bound, fall risk, unsafe in ambulation, condition where leaving the home is contraindicated (not recommended), or unable to drive
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What is the goal of home health therapy?
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Prepare the client for another level of care (inpatient or outpatient therapy), maximize function
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What does long-term care include?
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Assisted living facilities (ALF) and skilled nursing facilities (SNF)
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Who is long-term care geared towards?
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Client who have grown old or have an illness and can no longer care for themselves/be cared for by family and friends
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What are treatment examples for long-term care?
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Splinting, adapting devices (ie utensils, pens, pencils)
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What is the goal for long-term care?
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Participation in life through occupation
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What does pediatrics and school systems address?
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-Prenatal complications (before birth) -Perinatal complications (during birth) -Postnatal complications (after birth) -Developmental problems (spina bifida, cerebral palsy, autism, etc) -Birth defects -Injuries -Diseases (cancer)
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What are the settings of pediatrics?
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Specialty treatment centers (children hospitals)
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What does the intervention of pediatrics and school systems consists of?
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-Facilitation of normal development patterns -Neurodevelopmental treatment (NDT) -Splint fabrication -Range of motion (ROM) -Using play wherever possible
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Regarding school-based OT, what is Public Law PL 94-142 (1975)?
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Education for all Handicapped Children Act; this stated that public school education is available for all children
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Regarding school-based OT, what is Public Law PL 105-17 (1997)?
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Individuals with Disabilities Education Act (IDEA); this provides for students with special education needs
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What is the goal for school-based OT?
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Enable children to participate in the occupation of education
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What is the intervention for school-based OT?
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Handwriting training, assistive technology, feeding, dressing, and toilet training
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When did hospice and palliative care begin and why?
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Began in England in the 1960s to seventh terminally ill and their families to improve the quality of life by allowing a client to participate in valued occupations
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Why is prison an emerging area of practice where OT can be valuable?
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Many prisoners are released back into society and will need to find occupational balance, new roles, and ways to engage
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How will OT be an asset to prisoners?
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OT will help habilitate and rehabilitate clients to teach them the skills necessary to function within the boundaries of society
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What is the intervention for prison therapy?
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Time management, addressing needs related to illnesses (mental and physical)
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Why is OT needed in homeless shelters?
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Because many homeless people are mentally ill, substance abusers, have other conditions, or are forced onto the streets by other circumstances (hurricanes)
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What is the intervention for therapy in homeless shelters?
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Help and guidance to get back on track, reestablish themselves, find work
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Why is therapy in women's shelters a growing area of practice?
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Because many of these women have low self-esteem, children, and few skills necessary to function independently
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What is the intervention plan for women's shelters?
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Promoting self-esteem, child care skills, time management, independent living skills
