The OTPF and The Cardinal Hill Occupational Participation Process – Flashcards

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Background
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-The Occupational Therapy Department in the Cardinal Hill Health System (CHHS) had, in the 1990s, embraced the Uniform Terminology III (UT-3) document from AOTA as the basis for its practice and documentation -When AOTA replaced UT-3 with the Occupational Therapy Practice Framework, the OTs of CHHS moved to revise their documentation, and as it turned out, their practice to match the OTPF -They documented their move and their process in applying the Occupational Therapy Practice Framework
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UT-3 to OTPF Change
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-medical model to occupational model -therapist centered to client centered -language significantly different from what others (insurers) are used to
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Occupational Profile
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-defined as a summary of information that describes the client's occupational history and experiences, patterns of daily living, interests, values, and needs -used ideas from COPM- the identification of occupations the client wants/needs to resume -these identified occupations were used, especially in outpatient settings, to develop goals interventions
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Analysis of Occupational Performance
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-the accomplishment of selected occupations resulting from the dynamic transaction among the client, the context, the environment, and the activity -many assessments
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Intervention Planning
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-created inpatient and outpatient intervention plan forms to speed the planning process -OT diagnoses and medical diagnosis
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Barriers to Implementation
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-regulatory, hospital, and insurer requirements -significant resistance from therapists when the change began -committee suggested that the implementation fit well into the occupational adaptation model -the new process was an occupational environment "demand for mastery" that the therapists needed an occupational adaptation to meet
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Is it a conceptual practice model?
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-no, probably not yet -lack of specific theory driving assessment and technology -lack of treatment models specifically implemented in the model -acceptance of the use of other CPMs as appropriate for client/condition -could be a start of a model on the same lines as what has happened with the Canadian Model of Occupational Performance
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