Ch. 2: Illness & Disability throughout Continuum of Care Flashcards
Narrative Reasoning
§ Client’s perspective of the disability experience
Scientific/Procedural Reasoning
Practitioner considers client’s diagnosis or condition
Pragmatic Reasoning
Considers context of the practice setting and OTP’s service competency
Ethical Reasoning
Ensures the best interest of the client during the OT process
Interactive Reasoning
Collaborative process of communication
Builds trust and interpersonal relationship
Conditional Reasoning
Response to changing conditions and context
Theoretical Models to Guide Practice
OTPs can select theoretical models to facilitate evidence-based outcomes
MOHO
Developing appropriate Occupational Therapy Goals
Collaboration between client, family members/significant others, and the practitioner
OT goals should reflect client’s goals and needs
Facilitated by EBP
Effective communication strategies
Active listening
Clinical reasoning/critical thinking skills
Gathering of information through collaboration with the client
Client centered care requires:
Agility, flexibility, and reasoning
Recognizing important occupations and environments
Assessment and decision making
Facilitation of the client’s locus of control
The Calmer Approach
Catalyst for change
Alter thoughts to change feelings
Listen to determine what the problem is.
Make an agreement,
Educate the client about what he or she should be doing now and before the next visit.
Reach out and discuss your feelings with your supervisor and other professional supports.
What is the C in Calmer
Catalyst for change—the patient is responsible, and we cannot change others. The question is how we can support change for the person.
What is the A in Calmer
Alter thoughts to change feelings—when uncomfortable feelings arise, take time to reflect on them and the thinking behind them; change the thinking, and the feelings will shift.
What is L in Calmer
Listen to determine what the problem is
what is the M in Calmer
Make an agreement, which might be a restatement of the established plan. Make time for the client to rephrase the plan and ask questions.
