L26: OT and MDT management Lumbar and Pelvic Pain Flashcards
(33 cards)
What is the occupational therapy role in pain?
Occupational therapists utilize interventions that focus on optimizing occupational performance and engagement, developing self-efficacy and pain self‐management skills, acquiring pain health literacy, and the prevention of chronic, enduring pain
What are the 5 levels of occupational therapy theory?
What are the 3 principles basic to Occupational Therapy practice?
- Occupation
- Purposeful Activity
- Function
What is Occupation?
In occupational therapy, occupations refer to the everyday activities that people do as individuals, in families and with communities to occupy time and bring meaning and purpose to life. Occupations include things people need to, want to and are expected to do.
In occupational therapy, occupations refer to the ______ activities that people do as _____, in ____ and with _____ to occupy time and bring meaning and purpose to life. Occupations include things people need to, want to and are expected to do.
everyday; individuals; families; communities
Why is it important to inform practice and process in practice models in OT?
Inform practice and process. They helps us to consider and explain the relationship between the the person, the environment and occupational performance.
What are 3 models that work well in a pain setting on OT?
- Person-Environment-Occupation Model of Occupational Performance
- Model of Human Occupation (MOHO)
- Kawa Model
What is the P-E-O Model in OT?
Person environment and occupation factors
What is the Kawa Model?
Rocks = barriers (eg. LBP)
Logs = personal attributes (eg. determination, perfectionist = keep going uni even though back pain or might do exercises perfectly (compliant))
What are 5 features in the model of human occupation (MOHO)?
- Physical and Social Environment:
- ‘the environment: it’s opportunities, demands and constraints impact on what people do and how they do it.’
- Volition:
- ‘is reflected in the wide range of thoughts and feelings people have about things they have done are doing or might do.’
- These include the things we value, are interested in and our beliefs about our abilities and ourselves.’
- Roles:
- ‘ The roles we carry out in life gives us our identify. There is a substantial cost to personal identity when persons, are no longer recognised as the fathers, mothers, partners, students, workers… friends.’
- Habits:
- Habits enable us to unconsciously organise our actions to carry out the tasks we need to do efficiently.’
- Although the habitual ways of doing almost everything we do go largely unnoticed getting through the day without them would be unbearably cumbersome.’ Performance
- Capacity:
- Our mental and physical capacity interacts with all these other factors to determine our ability to do the things we want and need to do.
What is the physical and social environment in MOHO model?
‘the environment: it’s opportunities, demands and constraints impact on what people do and how they do it.’
What is the vollition in MOHO model?
‘is reflected in the wide range of thoughts and feelings people have about things they have done are doing or might do.’ These include the things we value, are interested in and our beliefs about our abilities and ourselves.’
What are the roles in MOHO model?
‘ The roles we carry out in life gives us our identify. There is a substantial cost to personal identity when persons, are no longer recognised as the fathers, mothers, partners, students, workers… friends.’
What are the habits in MOHO model?
Habits enable us to unconsciously organise our actions to carry out the tasks we need to do efficiently.’ Although the habitual ways of doing almost everything we do go largely unnoticed getting through the day without them would be unbearably cumbersome.’ Eg. showering
What is the performance capacity in MOHO model?
Our mental and physical capacity interacts with all these other factors to determine our ability to do the things we want and need to do.
Specific theoretical frameworks that help guide how deficits, problems, client circumstances are approached and dealt with. For example: The Biopsychosocial frame of reference is commonly used in _____ pain.
persistent
What are the 9 features of pain?
What is the OT approach to pain?
“An approach is a set of ideas and actions that leads to the selection of specific treatment techniques. An approach enables therapists to apply theoretical constructs in a practical way by transforming theory into intervention procedures” Approaches are informed by one or more frame of reference. For example Biopsychosocial + Biomechanical
In OT, “Many tools are not exclusive to occupational therapy, but can be aligned with an approach, frame of reference and theoretical model that are congruent with occupational therapy theory. They are what therapists use to enable client _____ and achieve occupational ____”
performance ; goals
What are 4 example techniques for OT?
- Motivational Interviewing
- Shared Decision Making
- Canadian Occupational Performance Measure (COPM)
- Mindfulness
What are 5 OT information gathering techniques?
- Medical records/ referrals
- Interview (unstructured, semi structured, structured)
- Observations
- Activity analysis
- Specific Assessments ○ OT specifics (such as Canadian Occupational Performance Measure) ○ Generic (Valued Living Questionnaire)
What is the Canadian Occupational Performance Measure?
Listen and rate how well and happy with areas they are having difficulty
- Rate importance, satisfaction
What are 10 Multidisciplinary Pain Centre Occupational Therapy Assessment?
- Background Information
- Pain Description
- Pain rating
- Pain beliefs
- Activity patterns (boom bust or avoidant)
- Identified aggravating factors
- Identified coping strategies
- Psychosocial impact
- Social and Environmental (including home environment)
- Activities of Living (Occupational Engagement): sleep, self- care, mobility, transport, eating and food preparation, financial, leisure, work
Occupational Therapist can use a motivational interviewing (technique) for a resume building intervention (approach), informed by their _____ lens (frame of reference) with a focus of addressing occupational performance (practice model) because the therapist sees ____ as vital to health and wellbeing (paradigm)
biopsychosocial; occupation
