Table 6. Types of Occupational Therapy Interventions – Flashcards
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Types of OT Interventions
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1) occupations & activities, 2) preparatory methods and tasks, 3) Education and Training, 4) advocacy, 5) group interventions
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occupations and activities
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for specific clients and designed to meet therapeutic goals and address the underlying needs of the mind, body and spirit of the client. Consider activity demands and client factors to goals, contexts & environments
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occupations
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client directed daily life activities that match and support or address identified participation goals
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example of occupations
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completes morning dressing and hygiene using adaptive devices
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example of occupations
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purchases groceries and prepares a meal
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example of occupations
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visits a friend using public transportation independently
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example of occupations
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applies for a job in the retail industry
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example of occupations
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plays on a playground with children and adults
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example of occupations
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participates in a community festival by setting up a booth to sell baked goods
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example of occupations
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engages in a pattern of self-care and relaxation activities in preparation for sleep
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example of occupations
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engages in a statewide advocacy program to improve services to people with mental illness
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activities
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actions designed to support the development of performance skills & patterns to enhance occupation. often components and always hold meaning, relevance and perceived utility for client's interest & motiviation
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example of activity
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selects clothing and manipulates clothing fasteners in advance of dressing
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example of activity
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practices safe ways to get into and out of the bathtub
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example of activity
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prepares a food list and practices using cooking appliances
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example of activity
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reviews how to use a map and transportation schedule
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example of activity
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writes answers on an application form
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example of activity
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climbs on and off playground and recreation equipment
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example of activity
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greets people and initiates conversation in a role-play situation
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example of activity
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develops a weekly schedule to manage time and organize daily and weekly responsibilities required to live independently
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example of activity
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uses adaptive switches to operate the home environmental control system
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example of activity
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completes a desired expressive activity, art, craft, dance, that is not otherwise classified
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example of activity
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plays a desired game either as a solo player or in competition with others
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preparatory methods & tasks
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prepare the client for occupational performance, used as part of a treatment session in preparation or with o&a or home-based engagement
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preparatory methods
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modalities, devices & techniques to prepare client for o performance. "done to" the client without client's active participation
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example of preparatory method
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OT administers physical agent modalities to decrease plain, assist with wound healing or edema control or prepare muscles for movement
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example of preparatory method
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OT provides massage
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example of preparatory method
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OT performs manual lymphatic drainage techniques
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example of preparatory method
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OT performs wound care techniques, including dressing changes
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types of preparatory methods
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1) splints, 2) assistive technology & environmental modifications, 3) wheeled mobility
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splints
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construction & use of devices to mobilize, immobilize & support body structures to enhance participation in occupations
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example of splints as preparatory method
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OT fabricates & issues splint or orthotic to support a weakened hand & decrease pain
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example of splints as preparatory method
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OT fabricates & issues a wrist splint to facilitate movement & enhance participation in household activities
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assistive technology & environmental modifications
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identification & use of assistive technologies, high & low tech, application of universal design principles & recommends changes to environment or activity to support client's ability to engage in occupations
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example of assistive technology & env. mod. in PM
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OT provides a pencil grip & slant board
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example of assistive technology & env. mod. in PM
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OT provides electronic books with text-to-speech software
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example of assistive technology & env. mod. in PM
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OT recommends visual supports, a social story, to guide behavior
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example of assistive technology & env. mod. in PM
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OT recommends replacing steps with an appropriately graded ramp
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example of assistive technology & env. mod. in PM
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OT recommends universally designed curriculum materials
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example of assistive technology & env. mod. in PM
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OT makes assessment, selection, provision, education & training in use of devices.
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wheeled mobility
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use of products & technologies that facilitate movement thru space, including seating, positioning to improve mobility, enhance participation and reduce risks: skin breakdown or limb contractures
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example of wheeled mobility in PM
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OT recommends a sip-and-puff switch to allow the client to move wheelchair independently & interface with environmental control unit in home
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preparatory tasks
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actions selected & provided to the client to target specific client factors & performance skills.
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preparatory tasks
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involve active participation by client & sometimes uses materials to simulate activities or components of activities. May not hold meaning, relevance, or perceived utility as stand-alone entities.
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example of preparatory task
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client refolds towels taken from a clean linen cart to address shoulder range of motion
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example of preparatory task
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client participates in fabricated sensory environment to promote alertness. through movement, tactile sensations, scents
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example of preparatory task
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client uses visual imagery and rhythmic breathing to promote rest & relaxation
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example of preparatory task
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client performs a home-based conditioning regimen using free weights
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example of preparatory task
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client does hand-strengthening exercises using therapy putty, exercise bands, grippers & clothespins
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example of preparatory task
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client participates in an assertiveness training program to prepare for self-advocacy
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Education
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imparting of knowledge & information about occupation, health, well-being & participation that enables client to acquire helpful behaviors, habits & routines not necessary applicable during session
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example of education in Education & Training
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OT provides education regarding home & activity modifications to family member of a person with dementia to support maximum independence
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example of education in Education & Training
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OT educates town officials about value & strategies for making exercise paths accessible by all
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example of education in Education & Training
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OT educates providers of care for clients who have experienced trauma on the use of sensory strategies
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example of education in Education & Training
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OT provides education to clients with mental health issues & families on psychological & social factors that influence engagement in occupation
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training
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facilitation of concrete skills for specific goals in real-life situations. Skills=measurable components of function that enable mastery. different from education by its goal of enhanced performance, not understanding.
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example of training in Education & Training
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OT instructs client in how to operate a universal control device to manage household appliances
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example of training in Education & Training
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OT instructs family members in the use & maintenance of power wheelchair
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example of training in Education & Training
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OT instructs client in use of self range of motion as a preparatory technique to avoid joint contracture of wrist
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example of training in Education & Training
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OT instructs the client in use of handheld electronic device & application to recall & manage weekly activities & medications
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example of training in Education & Training
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OT instructs client how to direct a personal care attendant in assisting with self-care activities
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example of training in Education & Training
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OT trains parents & teachers to focus on client's strengths to foster positive behaviors
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advocacy
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efforts directed toward promoting occupational justice & empowering clients to seek & obtain resources to fully participate in daily life occupations.
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outcomes of advocacy
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& self-advocacy support health, well-being & occupational participation at the individual or systems level.
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example of advocacy
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OT collaborates with person to procure reasonable accommodations at work site
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example of advocacy
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OT serves on policy board of an organization to procure supportive housing accommodations for people with disabilities
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example of advocacy
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OT serves on board of a local park district to encourage inclusion of children with disabilities in mainstream district sports programs when possible
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example of advocacy
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OT collaborates with adults who have serious mental illness to raise public awareness of the impact of stigma
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example of advocacy
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OT collaborates with and educates staff at federal funding sources for persons with disabling conditions
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self-advocacy
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efforts undertaken by client, which the practitioner can promote and support
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example of self-advocacy
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student with a learning disability requests and receives reasonable accommodations such as textbooks on tape
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example of self-advocacy
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grassroots employee committee requests & procures ergonomically designed keyboards for work computers
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example of self-advocacy
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people with disabilities advocate for use of universal design principles with all new public construction
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example of self-advocacy
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young adults contact their internet service provider to request support for cyber bullying prevention
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group interventions
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use of distinct knowledge & leadership techniques to facilitate learning & skill acquisition across the lifespan through group dynamics & social interaction. Also used as a method of service delivery.
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groups
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functional, activity, task, social & other groups used on inpatient units, within community or in schools that allow client to explore & develop skills for participation, including basic social interaction skills, tools for self-regulation, goal setting & positive choice making
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example of group in Group Intervention
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group for older adults focuses on maintaining participation despite increasing disability, such as exploring alternative transportation & volunteer & social opportunities after retirement
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example of group in Group Intervention
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community group addresses issues of self-efficacy & self-esteem as basis for creating resiliency in preadolescent children at risk for being bullied
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example of group in Group Intervention
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group in mental health program addresses establishment of social connections in community