Final Flashcards

(45 cards)

1
Q

What is evidence-based practice?

A

Research combined with the experience of clinical, combined with the needs of a given person

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2
Q

What is the definition of occupation?

A

Occupations are a group of activities and tasks of everyday life, named, organized, and given value and meaning by individuals and a culture. Occupations include everything that people do to occupy themselves (self-care), enjoy life (leisure) and contribute to the social and economic fabric of their communities. Occupations are the core domain of concern and therapeutic medium of occupational therapy (CAOT, 2002).

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3
Q

What are the key features of occupation?

A

Determinant of health →your occupation could be detrimental to your health (dangerous or physically exhausting)
o Source of meaning
o Source of purpose →sources of motivation
o Source of choice and control
o Source of balance and satisfaction (work-life balance)
o Means of organizing time
o Means of organizing materials and space
o Means of generating income
o Therapeutic medium

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4
Q

What is a construct?

A

cannot be touched, measured or directly observed
- ex: knowledge of course measured through the exam
o definitions which are broad but clear

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5
Q

What is the definition Quality of life?

A

An individual’s perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns

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6
Q

What is Occupational Performance?

A

refers to the ability to choose, organize and satisfactorily perform meaningful occupations that are culturally defined and age-appropriate for looking after oneself, enjoying life and contributing to the social and economic fabric of a community

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7
Q

Occupational identity

A

Encompasses the expression of the physical, affective, cognitive, spiritual aspects of human nature, in an interaction with the institutional, social, cultural and political dimensions of the environment, across time and space of a person’s life span, through the occupations of self-care, productivity and leisure

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8
Q

What is Self Identity?

A

A comprehensive concept describing the uniqueness of a person; the active and dynamic understanding of self; derived from interactions between self and others.” It is closely linked to what we do, and our identity is central to coherence, meaning and wellbeing; it is our personal life story

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9
Q

What is Personal Identity?

A

includes self-perceptions and self-evaluations that are meaningful to a person

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10
Q

What is Social Identity?

A

Relates to how is one is viewed by others

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11
Q

What is Occupational Culture?

A

Culture is viewed as a social context, relative place and time

Culture is embedded in everything we experience (lifestyles, dress/style, preferences, values and beliefs, activities, language

Ex: Western - progressive occupational culture (no dress code for profs), Culture and occupation intersect at various levels - mirco (individual), meso (collective) and marco (societal)

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12
Q

The Canadian Model of Occupational Performance and Engagement

A

Expansion of COPM - adds engagement to the model

Client-centred and assumes that the human spirit is at the center of functioning.

The outcome of the dynamic interplay between the components of the model which are the person, occupation and environment.
Depicts the relationship of a person with three performance components, 3 areas of occupation, and the environment with four elements

Conceptualizes occupational performance and engagement as the dynamic interplay between person, environment and occupation.

The first framework is to acknowledge and find a place for spirituality (own spirituality not religion) in human occupation and this is positioned at the core of the person.

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13
Q

Explain the “The Person” level of the COMPE

A

Performance components which make up the person are cognitive, affective and physical
Spirituality is shaped and expressed through occupations
It is the essence of self

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14
Q

Explain the “The Environment” level of the COMPE

A

Within which the person exists and where occupations occur
Influences the person and occupation through 4 different ways
The physical environment → classroom lacks outlets, changes performance because the laptop dies
the culture → workplace cultures can help or be detrimental to you
institutional → success at western or in the workplace you are working under
social → social environment can yield better students and better overall well-being

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15
Q

Explain the “Occupation” level of the COMPE

A

Occupation is classified into three categories referred to as occupational purposes: self-care, productivity and leisure
The inner circle represents occupation in the transverse sectional view.
It is through occupation that the person interacts with the environment; therefore, occupation becomes the link between the person and the context, as well as a means through which the environment is acted upon

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16
Q

Explain the concepts of health and well-being

A

Health - A state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” Physical and mental wellbeing is a human right, enabling life without limitation or restriction” (WHO)
health is individualized and subjective

Well-being - Individuals’ perception of their own physical and mental state; integration of a person’s physical, mental, emotional, spiritual and social characteristics” (Orem, 1985)
self-defined and changes over time

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17
Q

What is the definition of Occupation Science?

A

The basic science that aims to develop a broad and complex understanding of occupation
- OT does home care, work care, disability care, ergonomics, etc

o Multidisciplinary focus to engage with the concept of occupation at varying levels.
o Study of the complexity of occupation and application of knowledge and evidence
- ex: osteoarthritis – modify physical everyday living

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18
Q

What is the CAOT position statement of occupation and health?

A

the statement sets out how the practice of OT should be
o Enables occupations with clients when there is a presence of an occupational challenge (individual, community, group, family, organizational and population level)
o Establish a supportive practice environment that is client-centred and occupation-based
o Grounded in principles of change, justice, power sharing, vision, participation, independence, function, participation
- all required to assess health and well-being
o Guide individuals towards increasing awareness, enablement
o Increased occupational performance leads to enhanced or improved health and well being

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19
Q

What are the core concepts of OT?

A

The main focus of occupational therapy is the occupational needs of people and society
o Unique set of values and beliefs that contribute to a perspective or lens through which to view occupational performance and client centred practice
o Enabling change in occupational performance leads to improved health and wellbeing
o Unique view of health which is strongly influenced by context, culture and environment

20
Q

Explain Fredrich Engels Perspective

A

Studied how poor housing, clothing, diet and lack of sanitation lead directly to infection, disease and early death
Identified the link between social class differences in health and living conditions, stress levels and health-threatening behavior

21
Q

Explain Rudolph Virchows Perspectiv e

A

Known as the “Father of Modern Pathology”
Identified how health-threatening living conditions were established by public policy decisions.
Emphasized the role politics has in health promotion and disease prevention.
“Disease is not something personal and special, but only a manifestation of life under modified conditions.”
“Medicine is a social science and politics is nothing else but medicine on a large scale.”
“If the medicine is to fulfil her great task, then she must enter the political and social life. Do we not always find the diseases of the populace traceable to defects in society?”
we have a lack of healthcare support in communities as well as a lack of housing, employment

22
Q

Explain the black report and the 1992 health divide in the UK

A

Sparked interest in how social causes shape health
Lowest employment-level groups showed a greater likelihood of a wide range of diseases and premature death from illness or injury and every stage of the life cycle
Differences occurred in a stepwise fashion across socioeconomic ranges
Professionals – best health
Skilled workers – average health
Manual laborers – worst health
These differences existed despite having a universal health care system!

23
Q

Explain the new perspective on the health of Canadians

A

identified human biology, environment, lifestyle and healthcare organization as determinants of health
outlined the determinants of health outside of the healthcare system
access to advanced medical care is limited in certain rural communities

24
Q

Explain the 1996 action statement for health promotion in Canada

A

identified human biology, environment, lifestyle and healthcare organization as determinants of health
outlined the determinants of health outside of the healthcare system
access to advanced medical care is limited in certain rural communities

25
What are the personal determinants of health
Who they are- age, race, gender, etc. ex: test for sickle cell anemia in African American athletes in the states – prejudice What they do- personal choices, smoking, exercising, employment status, etc.
26
What is the definition of social Determinants. of Health?
Conditions in which they live and develop in- money distribution, social attitudes, environmental barriers, resource accessibility, etc
27
What are the societal factors that shape health and help explain health inequalities?
Income, education, employment conditions
28
What are the societal forces that shape the quality and distribution of these factors?
economic, social, political
29
What are some factors in the social Determinants of the Health framework?
Social exclusion Food insecurity Social safety net Health services Unemployment and job security Immigrant status Geography Employment and working conditions Aboriginal status Gender – white male medicine Disability Housing – may not have their own room/space, where you live, Early life – childhood experiences, basic hygiene, living conditions, cooking, PA Income and income distribution – pay for school, pay rent vs healthy eating Education – access Race – white-sounding name on a resume, immediate interview
30
Explain Occupation as determinent of health
Health depends on people's having sense of meaning and purpose in everyday life
31
What is occupational engagement?
The extent to which a person has a balanced rhythm of activity and rest, a variety and range of occupations, routines, the ability to move around in society and interact socially, and involves interpretation and comprehension emanating from time use experience
32
What is occupational performance?
Refers to the ability to choose, organize and satisfactorily perform meaningful occupations that are culturally defined and age appropriate for looking after oneself, enjoying life and contributing to the social and economic fabric of the community
33
Explain Occupational Choice
the choice to engage in an occupation depends on your individual will occupational choices should be equally available to everyone and everywhere
34
Explain the relationship between occupational identity and competence
they are seen as intertwined entities that co-develop over time competence grows with identity and original identity can split away as you grow
35
Explain Occupational Enablement
Enablement: optimal and positive; clients are able to make choices and decisions to ensure the right challenge that is sensitive to all aspects of “person-centered care”; triggering independence, performance meaning and purpose - Minimal Enablement: underestimation of full enablement possibilities; lacking resources to complete or implement and transfer benefits - Missed Enablement: Services are offered but there is limited follow through - Ineffective Enablement: risk of negative impact; enablement may be disabling or oppressive
36
Explain Occupational Competence
the degree to which one sustains a pattern of occupational participation that reflects ones occupational identity
37
Explain Occupation Culture
a distinctive pattern of thought and behaviour shared by members of the same occupation and reflected in their language, values, attitudes, beliefs, and customs.
38
What is Occupational Balance?
A relative state, recognizable by a happy or pleasant integration of life activities and demands. imbalance can cause physical and mental burnout
39
What are the characteristics of Human Occupation?
Who: the person What: The occupation When: Temporal environment Where: The physical, social, institutional and cultural environment Why: Health, well-being and justice
40
What is the goal of occupational therapy?
enablement
41
What is enablement?
the appropriate methodology to engage people in occupations and extends beyond applying treatment to people who remain passive promotes engagement
42
Who are the clients of enablement?
Individuals o A human regarded as a unique personality. Families o A domestic group of people, affiliated by birth, marriage or analogous or comparable relationships. - ex; roommates can also be considered families Groups o Collection of humans who share certain characteristics, interact with one another, accept expectations and obligations and share a common identity. - ex; roommates can be a group, faculty of health science, this class Communities o Social, religious, occupational or other groups sharing common characteristics or interests and perceived or perceiving itself as distinct in some respect from the larger society within which it exists. - ex: hockey or soccer community Organizations o A group of people united in a relationship and having some interest, activity or purpose in common. - ex: the university -Population o A group of individuals occupying a particular geographic area. Can also refer to a group who share a common medical diagnosis
43
How is occupation influenced across our lifespan?
family dynamics (upbringing), culture/ethnicity (rituals, traditions), environment (where you grew up),
44
How can we categorize occupation?
can be organized in many ways such as time and use: - necessary to meet survival and maintenance needs - gainful or contracted (paid or educational) - committed (volunteering, caring for child/family, home maintenance) - free time (not necessarily leisure0 can also be grouped by goals or events - raising a child/family - completing a degree starting a career/retirement
45
Explain the experience of disability
IMPAIRMENT - Tend to see impairment as medical and impacting their daily life. - Few children said they would change/have their disability taken away if given a chance. · learn to develop with this disability o DIFFERENCE - Many children focus on how they are the same as their peers and notice differences - In this age point, children begin recognizing how their disability can create differences as well. · creates social and emotional conditions for kids o REACTIONS OF OTHERS - Staring, talking down, inappropriate comments, overt sympathy, etc. can make children feel different and of lesser value. · kids do not know what is appropriate to ask and what isn’t - Particularly present with a physical disability. o MATERIAL BARRIERS - Lack of access to facilities, transportation barriers, limited after-school activities lack of communication support. o LACK OF PLANS - Post-graduation many individuals with disabilities experience a lack of employment opportunities and are unsure what to do next o AGING PARENTS - Parents are a joint key support for disabled youth. - At this age, these parents often experience aging, making care more challenging. o LIMITED RESOURCES - In many areas of the world (i.e. Japan, South Africa) there are few or no local services for persons with a disability in this life stage