Midterm Flashcards
ACOTE Standard & Association Definition
Demonstrate knowledge of how the role of a professional is enhanced by participating and engaging in local, national, and international leadership positions in organizations or agencies.
Ethics
it is about reflective, thinking, critical reasoning, justifying, acting, and evaluating moral decisions. Involves systemic study and reflection providing language, methods, and guidelines to study and reflect on morality
Ethical Dilemma
Having 2 choices that both have as aspect of right and wrong, posing a moral conflict.
Moral Distress
Knowing what’s right but not being able to do it.
Ethical Analysis
- Identify the Issues (recognize and define the ethical question)
- Outline the Options (gather relevant data)
- Construct Ethical Arguments (problem solve alternatives)
- Evaluate the Arguments
- Make an informed Decision
Later, evaluate and reflect on the process, action, and results.
Teamwork
The ability to recognize and respect the expertise of others and work with them in the client’s best interest.
*Multidisciplinary: Shares information but carries out own discipline-related evaluation and interventions.
*Interdisciplinary: Goals and interventions are planned collaboratively. Interventions may be carried out jointly.
*Transdisciplinary: Most cost-efficient, blurred roles, discipline-specific expertise may be weakened
Characteristics of Helpful Feedback:
-Descriptive, not evaluative, and is “owned” by the sender.
-Specific, not general.
-Honest and sincere.
-Expressed in terms relevant to the self-perceived needs of the receiver.
-Timely and in context.
-Desired by the receiver, not imposed on him or her.
-Usable; concerned with behavior over which the receiver has control.
Organizations
An organization of members who have shared interests and relationships. It defines practice & education, advances the interest of practitioners, and serves public needs
Resources
crucial for dealing with the uncertainties related to ethical issues that practitioners encounter at all levels of practice
Regulatory agencies
AOTA (Code of Ethics)
NBCOT
State Regulatory Boards
*In the clinic:
Supervisor and team members
Human resources
Areas of Domain: Occupations
Daily activities that people do as individuals, in families, and with communities to occupy time and bring meaning and purpose to life occupations can involve the execution of multiple activities for completion and can result in various outcomes.
*Includes:
-ADLs
-IADLs
-Health management
-Rest and sleep
-Education
-Work
-Play
-Leisure
-Social participation
Areas of Domain: Client Factors
Specific capacities, characteristics, or beliefs that reside within the person and that influence performance in occupations.
*Includes:
-Values
-Beliefs
-Spirituality
-Body functions
-Body structures
Areas of Domain: Contexts
The construct that constitutes the complete make-up of a person’s life as well as the common and divergent factors that comprise groups and populations.
*Includes:
-Environmental factors
-Personal factors
Areas of Domain: Performance Skills
The observable, goal-directed actions that result in a client’s quality of performing desired occupations. Skills are supported by the context in which the performance occurred and by underlying client factors.
Areas of Domain: Performance Patterns
Habits, routines, roles, and rituals that may be associated with different lifestyles and used in the process of engaging in occupations or activities. These patterns are influenced by context and time and can support or hinder occupational performance.
Process: Evaluation
This process focuses on finding out what a client wants/needs to do, determine what the client can do/has done, and identify supports and barriers to health, well-being, and participation.
*Consists of:
Occupational Profile
Analysis of occupational performance
Process: Intervention
Process and skilled actions taken by OTs in collaboration with the client to facilitate engagement in occupation related to health and participation.
*Includes:
-Plan
-Implementation
-Review
Process: Outcome measures
Emerge from the occupational therapy process; what clients can achieve through occupational therapy intervention.
Occupational profile
This organizes clinical reasoning, beginning with the purpose of the referral. This information alone prompts the therapist to think about the client’s areas of competence (function) and challenge (dysfunction) as part of the client report.
-As this information is being collected, and one gathers the influences of the environment and context, a clinical hypothesis should begin to emerge from what was collected.
-This leads the therapist to create a profile that is client-centered with regard to goals that are directed toward resolving areas of dysfunction listed in the profile.
-Final portion of the intervention is to revisit the client’s goals and determine whether they’ve been met.
SMART Goals
Specific
Measurable
Achievable
Relevant
Time-bound
Theory
Generated by inductive strategies (naturalistic inquiry) and is a way to describe or organize and idea.
Assumption
Ideas we believe to be true but cannot be tested.
Proposition
It is a formal statement that can be tested.
KAWA (Japanese river)
Developed by Dr. Michael Iwama
Kawa means river in Japanese
*The elements:
-Water represents life flow and health; can be representative of one’s life from birth (river source) to death (mouth where river meets the sea), or it can represent the life of a whole group or collective.
-Rocks represent life circumstances and problems; rocks vary in size and impede the water’s flow. Could indicate injuries, illness, misfortunes, as well as developmental health conditions.
-Driftwood represents personal assets and liabilities, attributes that can help or hinder the water flow. Driftwood can create logjams in the river, but can also clear away rocks or other barriers, and create new pathways of flow.
-River bottom and sides represent external environmental factors, including width and depth (range and opportunity of flow) and the effect of social factors and relationships.
-Spaces between elements provide opportunities for occupational therapy interventions. We’re shifting elements can create new pathways of flow.
*Functioning is equated to the flow of the water in the river grader speed in volume, represents grader, health, and well-being.
