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Using a model of practice and a ________________ to guide one's practice is essential to evidence-based practice.

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Frame of Reference

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__________ allows the occupational therapy practitioner to structure and organized his or her intervention and is used to develop hypothesis for intervention.

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Theory

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Occupational therapy ___________________ help practitioner organize their thinking around the philosophical based of the profession, which is occupation.

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Models of Practice

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The ________________________ views occupation in terms of volition, habituation, performance, and environment.

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Model of Human Occupation (MOHO)

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___________________refers to understanding the client's desires and wishes for intervention and outcome.

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Client-centered approach

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Refers to the phenomenon that the brain is capable of change and through activity one may get improve neurological synapses is called brain _________________.

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Plasticity

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A ________________ provides practitioners with specifics on how to treat specific clients.

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Frame of Reference

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_____________ explain between the relationships of two or more concepts. For instance, once the concept of color is learned, such as blue and yellow, a child learns the principle that mixing these two colors produces green.

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Principles

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The ___________________ is derived from theories in kinetics and kinematics (science that study the effects of forces and motion on material bodies).

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Biomechanical frame of reference

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_________________ results when the person's ability to process information is restricted in such a way that carrying out routine tasks is impossible.

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Dysfunction

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Definition for Model of Human Occupation (MOHO)?

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The model of practice that views occupation in terms of volition, habituation, performance, and environment.

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Choosing the intervention techniques based upon the best possible research.

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Evidence-based practice

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Define principles.

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ldeas that explain the relationship between two or more concepts.

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A frame of reference based on the premise that cognitive disorders in those with mental health disabilities are caused by neurobiological defects or defects related to the biologic functioning of the brain.

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Cognitive disability

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Definition for model of practice.

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A way of organizing that takes philosophical base of the profession and provides terms to describe practice, tools, for evaluation, and a guide for intervention.

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A frame of reference derived from theories in kinetics and kinematics and used with individuals who have deficits in the peripheral nervous, muscoloskeletal, integumentary (e.g., skin), or cardiopulmonary system.

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Biomechanical

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The motor, cognitive, and emotional aspects required to act upon the environment.

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Performance

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A person's motivation, interests, values, and belief in skill.

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Volition

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The everyday things people do and in which they find meaning.

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Occupation

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A system that applies theory and put principles into practice, providing practitioners with specifics on how to treat specific clients.

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What is frame of reference?

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One's daily patterns of behaviors, one's roles, and one's everyday routine.

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Habituation

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A model of practice articulated by Schkade and Schultz, that purposes that OT practitioners examine how they may change the person, environment, or task so the client may engage in occupations.

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Occupational adaptation

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ldeas that represent something in the mind of the individual.

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Concepts

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The phenomenon that the brain is capable of change and through activity one may get improved neurological synapses, improved dendritic growth, or additional pathways.

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Brain plasticity

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A set of ideas which help explain things and how they work.

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Define theory?

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The physical, social, and societal surroundings in which the person is involved.

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Environment

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Designed to assist practitioners in defining the process and domains of OT. Defines the process of OT as a dynamic, ongoing process including evaluation, intervention, outcome.

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Occupational Therapy Practice Framework (OTPF)

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?Activity of everyday life, named organized, and given value and meaning by individuals and a culture.

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Definition for occupation

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_________ 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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Occupation

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Occupational Therapy Practice Framework provides what?

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An outline of domain of OT and describes evaluation and intervention process involving the use of occupation.

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The contents of the OTPF do not reflect the detailed information needed by practitioiners that is provided by ____________.

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Model of practice and frame of reference

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Is a tool to guide one's intervention?

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Frame of reference

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A system that applies theory and puts principles into practice, providing practitioners with specific clients.

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Frame of reference

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What to do and how to evaluate and intervene with clients.

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A frame of reference tells you what?

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Have research to support the principles guiding evaluation and interventiion?

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Frame of reference has what?

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An explanation of a natural phenomenon that is supported by a large body of scientific evidence obtained from many different investigations and observations

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Theory

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Psychology, medecine, nursing, and social work.

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Occupational therapy borrows theories from other disciplines such as?

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Theory is the ______________ of a set of facts in their relation to one another.

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Analysis

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There are two major structural components to theory:

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Concepts and principles

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Words or symbols in language used to represent mental images.

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Concepts

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A mental grouping of similar objects, events, ideas, or people. (like the concept CHAIR can refer to high chairs, swings, reclining chairs...).

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Concepts

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How one represents the relationship between two things. Ex: 'A bird is an animal that has wings and flies.'

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Which statement refers to concepts?

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A set of interrelated assumptions, concepts, and definitions that presents a systematic view of phenomena by specifying relationships among variables, with the purpose of explaining and predicting the phenomena.

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Theory incorporates ideas and is defined as?

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Students frequently resist ________. There is a desire to "get in there and do something" and not to discuss why it is done. One may ask, "Why is important to know about and use _______ in occupational therapy practice?"

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Theory

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Not applying theory to practice is similar to taking a trip without a __________. The trip will be disorganized and lack structure.

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Road map

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It is necessary to develop an ___________ for theory, because only when an individual knows the reason something is done can he or she do it well; only when a person knows the theory on which various practices and techniques are based will he or she be innovative and employ good clinical reasoning.

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Appreciation

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Theory is a key element in problem setting and in problem solving. It is the tool that enables the practitioner to 'name it and frame it.'

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Parham states the importance of theory:

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1.)To validate and guide practice, 2.) to justify reimbursement, 3.) to clarify specialization issues, 4.) to enhance the growth of the profession and the professionalism of its members, 5.) and to educate competent practitioners.

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Additional reasons for using theory include?

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To validate and guide practice.

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First reason for using theory include?

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To justify reimbursement.

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Second reason for using theory include?

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Third reason for using theory include?To justify reimbursement.

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To clarify specialization issues.

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To enhance the growth of the profession and the professionalism of its members.

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Fourth reason for using theory include?

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To educate competent practitioners.

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Fifth reason for using theory include?

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Science-based disciplines such as biology, chemistry, physics, psychology, and occupational science.

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Theories specific to occupational therapy practice originated in?

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Mosey, Kielhofner, Ayres, Reilly, Llorens, and Fidler

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Theories used in occupational therapy include those developed by?

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Theory is linked to clinical practice through models of practice and frame of reference, the means by which theory relates to intervention.

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How does the practitioner apply theory to practice?

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Model of practice, conceptual model, practice model, and frame of reference

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Which terms have been used interchangeably in texts?

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Using a model of practice ensures a systematic examination of the client and is an important step in providing _____________.

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Evidence-based practice

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Is perhaps the best-researched model of practice in occupational therapy. Model of practice that views occupation in terms of volition, habituation, performance, and environment.

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Model of Human Occupation (MOHO)

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Has also generated a wealth of research to support its design. The core of this model is spirituality, which is defined broadly as anything that motivates or inspires a person.The person, environment (which includes institutions), and occupations are the other parts of the model.

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Canadian Model of Occupational Therapy (CMOP)

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Is a semistructured interview based on this model and provides practitioners with the tool to organize their thoughts.

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Canadian Occupational Performance Measure

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This interview tool helps identify the family's priorities for their child with special needs and assists in developing therapy goals with the child's primary caregivers. Distributed by the AOTA.

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Canadian Occupational Performance Measure

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A model of practice developed by Christiansen and Baum provides definitions and describes the interactive nature of human beings. This model provides generic, broad terms for each area (e.g., person, environment, occupation, performance).

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Person-Environment-Occupation-Performance (PEOP)

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Person includes the physical, psychological aspects of the individual. Environment includes the physical and social supports, and those things that interfere with the individual's performance. Occupation refers to the everyday things people do and in which they find meaning. Peformance refers to the actions of occupations.

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Person-Environment-Occupation-Performance (PEOP)

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Includes the physical, psychological aspects of the individual in the Person-Environment-Occupation-Performance (PEOP) model of practice.

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Person

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Includes the physical and social supports, and those things that interfere with the individual's performance in the Person-Environment-Occupation-Performance (PEOP) model of practice.

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Environment

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Refers to the everyday things people do and in which they find meaning performance in the Person-Environment-Occupation-Performance (PEOP) model of practice.

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Occupation

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Refers to the actions of occupations in the Person-Environment-Occupation-Performance (PEOP) model of practice.

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Peformance

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In this model, occupation is viewed as the primary means for the individual to achieve adaptation. Individual adaptation is seen as both a state of being and a rocess that can be examined at a given time, over a specified time period, or over a lifetime.

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Occupational adaptation

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This model focuses on the person, the occupational environment, and the interaction. It supports compensatory techniques if necessary.

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Occupational adaptation

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Williamson states that "Frames of reference are produced from the body of ___________ of the profession and address a spedific aspect of the profession's domain of concern."

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Knowledge

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Depending on the focus of ____________, the practitioner may use several frames of reference at one time or use them sequentially over time.

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Intervention

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One of the most efficient and practical ways to conduct evidence-based practice is to examine frames of reference, __________________.

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Which apply theory and put principles into practice.

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Population, theory regarding change, function and dysfunction, principles of intervention, role of the practitioner, and evaluation information.

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A frame of reference includes a description of the?

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Population, continuum of function and dysfunction, theory regarding change, principles, role of the practitioner, assessment instruments.

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Necessary parts of a frame of reference?

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The frame of reference identifies the types of diagnoses that would benefit from the intervention. For example, clients who experience decreased strength and endurance are typically treated using the biomechanical FOR.

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Population

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The FOR defines behaviors that are characteristics of function and dysfunction according to the principles. The therapist evaluates these behaviors, which vary according to the FOR, during the assessment process.

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Continuum of function and dysfunction

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The FOR will describe the theory and hypotheses regarding change. For example, many of the neurological FOR (e.g., neurodevelopmental theory [NDY], sensory integration [SI], motor control) are based upon of brain plasticity, which refers to phenomenon that the brain is capable of change and through activity one may get improved neurological synapses, improved dendritic growth, or additional pathways. Therefore intervention is aimed at improving neuronal firing and generating improved activity through repetition.

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Theory regarding change

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The FOR defines the underlying principles behind the evaluatiion and intervention.These statements, which relate back to the theoritical base, describe how an individual is aided to make changes and progress from a state of dysfunction and function.

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Principles

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The principles of the FOR allows practitioners to use clinical reasoning to determine whether the FOR may benenfit their client (although it may not be originally intended for that population). For example, the principle of strengthening is that by repetitive muscle contractions, more fibers are recruited and the muscle is able to lift more. Practitioners benefit from knowing the principle behind strengthening is the recruitment of more muscle fiber.

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Why is important to understand principles?

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The _____________ is based upon the principles and theory of the FOR. These statements provide a guide as to how the practitioner will interact with the client and the environment. This is based upon research evidence that supports the expectation that if an OT employs a certain technique the client's function will improve. Subsequently, OT practitioners can be assured when using a FOR that it worked for someone else.

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Role of the practitioner

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To reward positive behaviors and ignore negative ones.

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Behavioral frame of reference

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Requires that the practitioner touch the client throughout the movement and facilitate a normal movement pattern.

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Neurodevelopment frame of reference

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The FOR also provides the OT practitioner with a variety of instruments to operationalize the principles. For example, Allen's Cognitve Levels was designed to identify the level of cognitive functioning for clients and to be used with the cognitive disability frame of reference.

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Assessment instruments

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Proposed by Claudia Allen this frame of reference Is based on the premise that cognitive disorders in those with mental health disabilities are caused by neurobiologic defects or deficits related to the biologic functioning of the brain. derived from research in neuroscience, cognitive psychology, information processing, and biologic psychiatry.

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Cognitive disability frame of reference

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Are based upon SI principles and designed to assist the therapist in determining hoe the client would benefit from the FOR

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The Sensory Integration and Praxis Tests, Miller Assessment for Preschoolers, Adult Sensory Profile, and clinical observations.

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SIPT administered by OTR- measures sensory integration process that affects learning and behavior in kids 4-9. looks at visual perception, praxis, vestibular skills

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Sensory Integration and Praxis Tests

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School readiness assessment for 2-5 y.o. children- looks at language, cognitive, sensory/motor, complex tasks- are kid ready for school?

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Miller Assessment for Preschoolers

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A frame of reference derived from theories in kinetics and kinematics; used with individuals who have deficitis in the peripheral nervous, musculoskeletal, integumentary, or cardiopulmonary system

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Biomechanical frame of reference

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Identifies the highest level motor, social, cognitive skills in which a client can engage, and facilitate improvements in function from the staring point. Grade activities so that the client cane achieve them, but is slightly challenged. Help "close the gap" in the areas in which the client is unable to perform.

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Developmental frame of reference

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Work with the client impaired motor skills through activities in the natural environment. Allow the client to make mistakes and learn from them. This FOR suggests that the practitioner provide verbal and physical cues as necessary. Practice should take place in short sessions with frequent breaks.

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Motor control frame of reference

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Work with the client on improving his memory, cognitive skills, safety awareness, and visual perception through a variety of table top activities. May include many computer-type games and strategies.

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Perceptual motor training FOR

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Work on improving the client motor skills through practice of occupations. The OT practitioner sets up activities in which the client practices his coordination.

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Sensorimotor frame of reference

Ch. 14 Models of Practice and Frames of Reference – Flashcards

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