Intro to Occupational Therapy- Chapter 8 – Flashcards
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Accreditation
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A form of regulation that determines wether an organization or program meets a prescribed standard
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Accreditation Council for Occupational Therapy Education (ACOTE)
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The national organization that regulates entry-level education for OTs and OTAs. Start OT programs and follow standards.
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Certification
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The acknowledgement that an individual has the qualifications to be an entry-level practitioner. (OTR: Registered OT) or (COTA: Certified OTA). 1930-AOTA provided written exam.
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NBCOT
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National Board for Certification in Occupational Therapy. Registered OT or Certified OTA after passing the national certification exam.
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Doctor of Occupational Therapy (OTD)
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Clinical or practice based doctoral degree; focuses on practice rather than research.
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Fieldwork
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Practical experience applying classroom knowledge to a clinical setting; Level I (may be observational) or Level II (develop. enter-level skills)
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Level I Fieldwork
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purpose: to introduce student to the profession and to various application interventions.
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Level II Fieldwork
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Hands-on clinical training. Full-time fieldwork at a facility minimum 24 wks. OTA-16 wks. By the end of the field work, students are expected to function as entry-level practitioners.
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Occupational Therapist (OT)
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The most highly trained at the professional level.
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Occupational Therapy Assistant (OTA)
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trained at the technical level and works under supervision OT.
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Occupational Therapy Aid
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does not receive specialized training before working in the field; rather, on the job training.
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Registered Occupational Therapist
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OTR- first published in 1932. In 1939, the standards were to pass a essay exam. 1947- changed to multiple choice.
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Registration
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1931- AOTA listed OTs who had completed professional training and 1yr of work experience.
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American Occupational Therapy Association (AOTA)
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The professional organization for OT practitioners in the US. 1917- named National Society for the Promotion of Occupational Therapy. Changed in 1923
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Professional Association
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Organization that exists to protect and promote the profession it represents (1) communication network & channel for info (2) Regulating, development and enforce standards of conduct and performance (3) guarding the interest of those within the profession.
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World Federation of Occupational Therapy (WFOT)
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Established 1952 to help OT practitioner access international info, exchange info, and promote organizations in countries where OT does not exists.
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American Occupational Therapy Political Action Committee (AOTPAC)
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furthers the legislative aims of the profession by attempting to influence the selection, nomination, election, or appointment of persons to public office.
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American Student Committee of the Occupational Therapy Association (ASCOTA)
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student representative from all accredited school who participate in the AOTA, meeting regularly and providing feedback to the organization.
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American Occupational Therapy Foundation (AOTF)
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Non-profit organization in 1965. designed to advanced the sciences of OT and increase public understanding of the value of OT. Promotes educational and research. Operates library with books and journals related to OT. Grant opportunities. 1980- AOTF published OTJR
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National Office
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Organized around 4 divisions: Business Operations (membership, marketing, corporate relationships); Public Affairs (federal affairs, reimbursement and regulatory policy, state affairs, public media); Professional affairs Division(accreditation, education, practice and professional development); Finance, Information Technology, and Administration Division.
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Morals
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related to character and behavior from point of view of right and wrong. Morals develop as a result of background, values, religious beliefs, and society (raised).
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Ethics
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Study and philosophy of human conduct. It guides how a person behaves and makes decisions. *Aspects of morals. It helps work on dilemmas on the job.
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Law
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binding custom. Consequence if not followed. Formally recognized by the Federal and State legislature. Ex. ADA
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Statutes
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Laws that are enacted by the legislative branch of a government. Federal and State.
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Regulations
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describe in specific terms how the intent of the law will be carried out. (Certification, Registration, Trademark, Licensure).
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Mandatory Reporting
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Requirement of certain professional to report any type of neglect or abuse to a minor. The fail of doing so may be criminally liable.
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Clinical Reasoning
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understanding the client's dx, strengths, weaknesses, prognosis and goal. Expected to be developed over time to be more refined. It requires problems solving and professional judgement. Practitioners use it along with Morals and Ethics when making a professional decision.
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Code of Ethics
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Adopted in 1977 by AOTA. Professional guidelines for making correct or proper choices and decision for health care practice in the field. *7 principals (Beneficence, Nonmaleficence, Autonomy & Confidentiality, Social Justice, Procedural Justice, Veracity, Fidelity)
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Beneficence
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Contribute to the good health and welfare of the client. "All about the good." Client centered. Ex. Acts of kindness, mercy and charity. Probing or decreased fees. promote public health.
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Nonmaleficence
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Do not inflict harm to client.
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Autonomy and Confidentiality
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Collaborate to determine goals. Inform clients of nature, risks, and outcomes of services allowing clients to decide for themselves if they agree with the plan, goal, etc. Right to refuse services and maintain confidentiality. ***Autonomy (freedom to decide and freedom to act). ***Confidentiality (information kept private).
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Social Justice
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Individuals and groups should receive fair treatment and be afford the same opportunities.
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Procedural Justice
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Practice within the law of the profession. Be aware of State, Federal and Local Law; Medicare, Medicaid. Accurately report and document information. Continue to invest on your education in the profession. Sustain licensure.
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Veracity
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Refers to being honest. Disclose Conflict of interest. Ex. Do not promise things you can not deliver. OT represents qualifications, education, training and competency.
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Fidelity
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"Loyalty." Confidentiality among team members/colleagues.
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Informed consent
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refers to the "knowledgeable and voluntary agreement by which the client undergoes intervention that is in accord with the patient's values and preferences"
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Solving Ethical Problems
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3 categories: Ethical distress, Ethical dilemma and Locus of Authority.
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Ethical distress
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situations challenged how a practitioner maintains his/her integrity or the integrity of the profession. "Something not right"
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Ethical dilemma
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a situation in which two or more ethical principals collide with one another, making it difficult to determine action.
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Locus of Authority
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require decisions about who should be the primary decision-maker. (Solutions: find a way).
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Roles
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a pater of behavior that involves certain rights and duties that an individual is expected, trained, and encouraged to performed in a particular social situation.
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Relationship
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a connection of different roles to one another.
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Career development
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the process of advancing within the service delivery path or transitioning into a role outside of service delivery. *Vertical movement within a setting; (UP) *Lateral movement across setting; (different position) * Maturation within a role (intermediate, advance)
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Entry-level practitioner
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a practitioner who is still developing skills and is expected to be held responsible for and accountable in professional activities related to the role.
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Intermediate-level practitioner
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a practitioner who has increased responsibility and typically purses specialization in a particular are of practice.
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advanced-level practitioner
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considered an expert, or a resource, in the respective role.
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activity director
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responsible for planning, implementing, and documenting ongoing program of activities that meet the needs of residents.
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The Standards of practice for Occupational Therapy
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Professional standing and responsibilities; screening, evaluation and reevaluation; intervention; and outcomes.
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Direct Supervision
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(Continuous) The supervising occupational therapist is on site and available to provide immediate assistance to the client or supervisee if needed.
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Routine Supervision
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direct contact at least every 2 weeks with interim supervision as needed.
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Close Supervision
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the need for direct, daily contact with the supervisee
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General Supervision
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at least monthly face-to-face contact with the supervisee.
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Service competency
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useful mechanism to ensure that service are provided with the same high level of confidence.
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Non-client-related tasks
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includes the preparation of the work area and equipment, clerical tasks, and maintenance activities. Ex. setting group activities
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client-related tasks
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routine tasks in which the aide my interact with the client but not as a primary service provider of the occupational therapy.
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Multidisciplinary Team
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various disciplines working together in a common setting. However, the relationship between members is not interactive.
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Transdisciplinary Team
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Members cross over professional boundaries and share roles and functions.
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Interdisciplinary Team
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Most commonly used today. Members maintain their own professional roles while using a cooperative approach that is interactive and centered on a common problem to solve.
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professional development
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organizing personally managing a cumulative series of work experiences to add to one's knowledge, motivation, perspectives, skills, and job performance.
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Continuing Competence
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to maintain knowledge, performance skills, interpersonal abilities, critical reasoning skills, and ethical reasoning skills necessary
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Specialty certification
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a credential for OTs and OTAs that indicate advanced knowledge in a particular area of practice.
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Board Certification
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Certification fro the OT and OTAs that incorporates more generalized areas of practice that have an established knowledge base in occupational therapy.
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Six Steps to Solve Ethical Problems
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-Gather facts -Identify type of problem -Clarify duties -Explore alternatives -Complete action -Evaluate outcome