Chapter 9: Occupational Therapy Practice Framework: Domain and Process – Flashcards

"to describe the central concepts that ground occupational therapy practice and build a common understanding of the basic tenets and vision of the profession"

Occupational Therapy Practice Framework: Domain and Process

"intended to refine the document (Uniform Terminology) and include language and concepts relevant to current and emerging occupational therapy practice"

domain process

" outlines the profession's purview and the areas in which its members have an established body of knowledge and expertise"

"describes the actions practitioners take when providing services that are client centered and focused on engagement in occupations"

PERFORMANCE IN AREAS OF OCCUPATION CLIENT FACTORS PERFORMANCE SKILLS PERFORMANCE PATTERNS CONTEXT AND ENVIRONMENT ACTIVITY DEMANDS

Sensory Perceptual Skills Motor and Praxis Skills Emotional Regulation skills Cognitive Skills Communication and Social Skills

Objects used and their properties Space demands Social demands Sequencing and timing Required actions Required body functions Required body structures

-The persons values, beliefs and spirituality as well as: Body Functions -"refers to the physiological function of the body system (including psychological functions)" (AOTA, 2008, p. 633). Cognitive, perceptual, cardiac function, etc... Body Structures -"are the anatomical parts of the body such as organs, limbs, and their components" (AOTA, 2008, p. 633). examples: range of motion, strength, endurance, posture, visual acuity, and tactile functions

Evaluation Intervention Outcomes

-Occupational profile - "a summary of information that describes the client's occupational history and experiences, patterns of daily living, interest, values and needs" (AOTA, 2008, p.649). -Who is the client?Why are they seeking services? What are their goals? -Identify strengths and weaknesses in performance areas (ADLs, IADLs...) and contextual factors that support/inhibit performance, occupational history, and the client's expected outcomes (AOTA, 2008, 648). -Interview, Observation, Formal assessments. -Assess the contexts, activity demands, client factors. -Collaborate with client to create goals that address targeted outcomes .

Intervention plan (four-step process) 1) Develop the plan- done with the client and the OT -Objective, measurable goals with time frames; goals should be occupation-based and relevant to the client. 2)Consider potential discharge needs and plans 3)Selecting outcome measures (has the goal of engaging the client in occupational therapy been met?) 4)Make recommendations or referral to others as needed. -Select activities and occupations that will meet the therapeutic goals: preparatory activities, purposeful activity, occupation-based activity, education, and consultation.

to help clients engage in occupation, occupation being everyday things that people do and that are essential to one's identity

client's habits, routines, roles, and rituals

cultural personal physical social temporal virtual

goal-oriented activities that do not assume meaning for the person. may be part of an occupation. for example, folding towels is a purposeful activity for the occupation of household maintenance.

health refers to the state of physical, mental and social well-being. wellness refers to the condition of being in good health