USAHS Domain Midterm 100% Correct

USAHS Domain Midterm 100% Correct Key element to OT delivery is Client centeredness Occupation promotes Health and well-being AOTA was established in 1917 Original name is National society for promotion of occupational therapy OT philosophy For a person to feel fulfilled Engaging in occupation will help in meeting that fulfillness Occupation is perceived as meaningful and purposeful to the person that is engaging Values in _______ the client Enabling We want to enable what they need to do Contemporary OT practice (describe and understand) -Evidence based -Philosophically congruent -Impt. to OT bc its where we shifted back to our occupation-based paradigms and shifts -Impt. to occupation in health and wellness -Recognizes occupational problems and challenges as it impacts OT -Identifies occupation as the defining feature and core of OT practice -We look at someone as through occupation 1960-80s: OT profession had conflicts medical model vs occupation-based paradigms § 60s: medically based § 80s: shift to paradigms where occupation-based paradigms came out What is the OTPF Essential guiding doc of our profession up to S28 Domain part of OT tells us that there are -8 occupations -Client factors -Performance patterns -Performance skills -Context and environment -Physical and social enviro -Context: cultural, personal, temporal, virtual A person that goes to church every Sunday Personal ritual If a client is having difficulty arriving on time for appointment OTPF would say client is having difficulty in performance patterns Client factors As individuals age they may experience muscle spasms or other illnesses Cultural context and how it influences a clients identity and activity choices -Customs, beliefs -Activity patterns -Behavioral standards -Expectations that are accepted by society in which the client is a member OT 7 core values -Altruism -Equality -Freedom -Justice -Dignity -Truth -Prudence 6 Principles of standards of conduct § Beneficence § Justice § Veracity § Non-maleficence § Autonomy § Fidelity OT and OTA relationship OTA primary role during phase of provision of services= implementing the plan of care National and state requirements for licensure AOTA, NBCOT, ACOTE, AOTF, AOTPAC, WFOT, state FOTA When there is someone that is sustaining a muscle contracture That is endurance and part of OTPF Looking at domain and client factors and performance skills we know roles and routines are Performance patterns Occupations Various kinds of activities in which individuals, groups or populations engage ADL Taking care of one's own body Fundamental to living in a social world Enable basic survival and wellbeing Ex-Bathing, showering, toileting, toilet hygiene, dressing, swallowing, eating, feeding, functional mobility, personal device care, personal hygiene and grooming, sexual activity iADLs Instrumental ADL Support daily life within home and community that require more complex interactions than those used in ADLs Ex-Care of others, care of pets, child rearing, communication mgmt, driving and community mobility, financial mgmt, health mgmt. and maintenance, home establishment and mgmt., meal prep and cleanup, religious and spiritual activities and expression, safety and emergency maintenance, shopping Rest and sleep Support healthy Active engagement in other occupations Ex-Rest, sleep preparation, sleep participation Education Learning and participating in educational environment Ex-Formal educational participations, informal educational needs or interest's exploration (beyond formal education), informal personal education participation Work Labor or exertion; to make, construct, manufacture, form, fashion, or shape objects; to organize, plan, or evaluate services or processes of living or governing; committed occupations that are performed with or without financial reward Ex-Employment interests and pursuits, employment seeking and acquisition, job performance, retirement prep and adjustment, volunteer exploration, volunteer participation Play Any spontaneous or organized activity that provides enjoyment, entertainment, amusement, or diversion Ex-Play exploration, play participation Leisure Nonobligatory activity that is intrinsically motivated and engaged in during discretionary time, that is, time not committed to obligatory occupations such as work, selfcare, or sleep Ex-Leisure exploration, leisure participation Social participation Interweaving of occupations to support desired engagement in community and family activities as well as those involving peers and friends; can occur in person or through remote technologies like telephone calls, computer interaction, video conferencing Ex-Community, family, peer or friend Client factors Factors that reside within the client and influence the client's performance in occupations Values, beliefs, and spirituality Perceptions, motivations, and related meanings § All have person, group, and population subsets § Values- acquired beliefs and commitments, derived from culture, about what is good, right, and impt to do § Beliefs- cognitive content held as true by or about the clients § Spirituality- the aspect of humanity that refers to the way individuals seek and express meaning and purpose and the way the experience their connectedness to the moment, to self, to others, to nature, and to the significant or sacred Body functions Organized according to ICF (international classification of functioning, disability, and health) § Mental functions- cognitive, affective, perceptual § Specific mental functions, global mental functions, sensory functions, neuromusculoskeletal and movmt related functions, muscle functions, movmt functions, cardiovascular, hematological, immunological, respiratory, voice and speech functions, digestive, metabolic, endocrine, genitourinary, reproductive, skin and related structure Body structures Anatomical parts of body Performance skills Observable elements of actions that have an implicit functional purpose; skills are considered a classification of actions encompassing multiple capacities (body functions and body structures) and when combines, underlie the ability to participate in desired occupations and activities Motor skills Person interacts with and moves task objects and self around the task enviro Process skills Observed as person 1) selects, interacts w, and uses tasks tools and materials; 2) carries out individual actions and steps; 3) modifies performance when problems are encountered Social interaction skills During the ongoing stream of a social exchange Performance patters-person § Habits § Routines § Rituals- brushing hair 100 strokes, certain dishware for a holiday, kisses sacred book before reading it, attends spiritual gathering on a particular day § Roles Performance patterns-group/population § Routines- health practices, business practices, legislative practices, social customs for greeting § Rituals- cultural celebrations, parades, national affiliations or allegiances, touching mezuzah, holy water when leaving, praying facing Mecca § Roles - nonprofit civic group providing housing for ppl w mental illness, humanitarian group disturbing food and clothing donations to refugees, student org in university educating elementary school children about preventing bullying Context and environment -Person, group, population examples -Contexts refers to a variety of interrelated conditions that are within and surrounding the client -Cultural, personal, temporal, virtual -Environment- the external physical and social conditions that surround the client and in which the client's daily life occupations occur -Physical, social