question

what is meant by "legitimate tools" of OT

answer

how a therapist brings about change in a client

question

what are two core tools used by all OTS

answer

critical reasoning conscious use of self

question

besides these two tools, what are some other tools used in OT (depending on the Frame of Reference)

answer

teaching and learning activities nonhuman environment sensory simulation

question

according to Dr. Tons, what tools does a pediatric OT need to use (6)

answer

therapeutic use of self critical reasoning activities nonhuman tools temporal aspects play

question

what is critical/clinical reasoning

answer

ability to understand and incorporate multiple concepts as well as views of culture, society, and the individual for effective problem solving complex process used by OTs to plan, direct, perform, and reflect on client care

question

name some aspects of critical reasoning that are essential to OTs (2)

answer

-being able to determine what is important and what is not important based on priorities of therapist and client -being able to identify problems

question

describe therapeutic (conscious) use of self

answer

-changing own behavior to get best result from patient (using self as agent to effect positive change for the patient)

question

describe conscious use of self in pediatrics

answer

entering the child's world and relating to a child on his or her own level using emotional, developmental, physical and sensory components

question

what are some examples of how to use conscious use of self in pediatrics

answer

- physically get down on their level (position self low) -change voice/facial expressions -change what you wear - not scrubs (intimidating) but be comfortable

question

describe how to develop rapport with a child

answer

make a child aware that the OT cares and accepts the child at the current level of performance

question

besides socially and emotionally, name another aspect of conscious use of self

answer

physical use of self - think NDT and handling techniques

question

how can an OT use a sensory component in conscious use of self

answer

choose outfits with color contrast wear sweatshirt inside out to provide softness wear the same combo of shampoo, soap, and lotion to provide olfactory consistency (perhaps for a blind child)

question

name four components of conscious use of self

answer

emotional developmental physical sensory

question

describe how a pediatric OT uses activities as a tool (according to Dr. Tons)

answer

-the activities are defined, chosen by the client - purposeful/meaningful activities -activities depend on chronological and developmental age

question

name some purposeful/meaningful activities for children (3)

answer

play self-care productive (chores, school)

question

how does an OT choose toys for a child

answer

need to be at child's developmental level or slightly higher to stimulate the child's growth

question

describe the use of activities as a therapeutic medium

answer

selecting the most appropriate activity for the client to create an environment within which the client can learn, develop skills, express feelings, and act on the environments toward a positive outcome

question

name the two categories of how therapists use activities as a therapeutic medium

answer

purposeful activities preparatory activities (activities with a therapist-defined purpose)

question

what is an integral part of selecting activities for children

answer

make it playful for example, goal is for child to put on snowsuit - the child isn't going to want to practice putting on a snowsuit but they may want to play dress-up

question

name four examples of preparatory activities

answer

bed mobility weight-bearing transfers modalities

question

describe use of slow vestibular input

answer

use if kids need to calm down

question

describe use of fast vestibular input

answer

increases alertness

question

describe purposeful activities

answer

goal-directed behaviors or tasks that the individual considers meaningful

question

define play

answer

purposeful activities that are fun

question

name four types of play

answer

sensorimotor constructional imaginary group play

question

describe sensorimotor play

answer

characterized by the use of sensory stimulation with a motor component

question

describe constructional play

answer

promotes pleasure through building and creating things

question

what is integral to using play in therapy

answer

child-selected activities

question

name several reason why OTs would use a play based assessment

answer

1) keeps them engaged 2) fun 3) less threatening to parent and kid 4) build rapport 5) enter at their level, not intimidating 6) if they fail a standardized test you have to stop, then what do you do - play-based assessments are not fail or pass

question

what are three strategies to use if a child cannot draw a person upon your request

answer

- can trace it - break down the task for them - do it with them - first a line, then a circle, etc -say oh i like your colors - be positive

question

what do you do if you do have to do a standardized test

answer

don't start with it - build rapport first

question

true or false - if you do a standardized test, it's a good idea to tell the child it's a game

answer

false

question

name two good pieces of advice about working with children

answer

- imitate the child - if they feed the baby, you feed the baby - don't force separation from parent

question

why would a therapist choose a preparatory activity

answer

because it has the greatest potential as a therapeutic medium - not because client finds it meaningful but because participation in activity will lead to a projected outcome or address a specific deficit -means to an end

question

what is one way to get a child to participate in an undesirable preparatory activity

answer

- use another more desired activity as a reward

question

define activity analysis

answer

breaking down the activity (identifying) the component parts of an activity

question

what is the point of activity analysis

answer

to determine whether the client has the necessary skills to perform or complete the activity

question

describe activity synthesis

answer

changing or creating an activity so that it meets the therapeutic goals and the child can participate in it before an activity can be synthesized, the therapist must decide on the key elements that define the activity reconfiguring an activity

question

name three ways activities can be adapted

answer

child's position presentation of materials characteristics of materials (shape, size, weight, texture)

question

name three benefits of activity groups

answer

social participation interpersonal skills reciprocity

question

define activity groups

answer

members have a common goal that involves an activity

question

describe human tools

answer

the parents - use them if the child is slow to warm up - the kid will be more likely to participate if parent does activity

question

name two ways to modify the physical surrounding environment

answer

-minimize distraction -increase stimulation

question

describe nonhuman environment or context

answer

elements of space elements of time natural environment human-made environment products and technology

question

explain a way an object can facilitate transitions for a child

answer

-teddy bear -transition from crib to big girl bed - to hotel from home it provides comfort and continuity across different routines or developmental stages

question

name three kinds of nonhuman environments that are used by pediatric OTs

answer

toys pets technology

question

name four different therapeutic uses for pets

answer

pleasure companionship nurturing responsibility

question

how can movies and video games be used within acquistional FORs

answer

rewards or positive reinforcement for completed specified tasks

question

teaching-learning process is a tool in the OT encounter - describe in a pediatric context

answer

caregiver education

Chapter 4: Contemporary Legitimate Tools of Pediatric Occupational Therapy – Flashcards

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