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Chapter 9: Occupational Therapy Practice Framework: Domain and Process

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what is the purpose of the OTPF
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“to describe the central concepts that ground occupational therapy practice and build a common understanding of the basic tenets and vision of the profession”
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what does OTPF stand for
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Occupational Therapy Practice Framework: Domain and Process
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why was the OTPF created
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“intended to refine the document (Uniform Terminology) and include language and concepts relevant to current and emerging occupational therapy practice”
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what are the two major sections of the OTPF
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domain process
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explain the domain portion of the OTPF
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” outlines the profession’s purview and the areas in which its members have an established body of knowledge and expertise”
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explain the process portion of the OTPF
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“describes the actions practitioners take when providing services that are client centered and focused on engagement in occupations”
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what are the six areas of the OT domain
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PERFORMANCE IN AREAS OF OCCUPATION CLIENT FACTORS PERFORMANCE SKILLS PERFORMANCE PATTERNS CONTEXT AND ENVIRONMENT ACTIVITY DEMANDS
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name some performance skills
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Sensory Perceptual Skills Motor and Praxis Skills Emotional Regulation skills Cognitive Skills Communication and Social Skills
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name some activity demands
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Objects used and their properties Space demands Social demands Sequencing and timing Required actions Required body functions Required body structures
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describe client factors
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-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
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what are the three components of the OT process
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Evaluation Intervention Outcomes
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what does evaluation consist of
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-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 .
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what does intervention consist of
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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.
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what is the goal of occupational therapy
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to help clients engage in occupation, occupation being everyday things that people do and that are essential to one’s identity
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what does performance patterns refer to
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client’s habits, routines, roles, and rituals
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according to the OTPF, contexts include aspects related to what type of areas
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cultural personal physical social temporal virtual
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what is purposeful activity
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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.
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what’s the difference between health and wellness
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health refers to the state of physical, mental and social well-being. wellness refers to the condition of being in good health