Module 3: Occupational Therapy Process Flashcards

1
Q

It is the general process used in the delivery of occupational therapy services. It parallels the process used by other health-related professionals.

A

Occupational Therapy Process

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2
Q

How can we describe the OT Process?

A
  1. It is neither condition-based nor age-specific. It can be applied in any practice setting.
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3
Q

What are the end goals of OT Process customization?

A

Supporting the client’s health and participation through engagement in occupations

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4
Q

What is the center of OT practitioner services?

A

Occupation-centered

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5
Q

The clear diagram that illustrates the starting points and final destinations of OT Process?

A

Occupational Therapy Process Map

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6
Q

What is OTs’ competency in “map reading” reliant on?

A

On Professional Reasoning, used to calculate or recalculate the best routes for sound therapy decisions

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7
Q

Why is it important for clients to “know where they are going”?

A

Clients will be able to actively and collaboratively participate in the process of engaging in occupations to support themselves better.

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8
Q

What are the steps in Operationalizing the OT Process?

A
  1. Evaluation
  2. Intervention
  3. Re-evaluation
  4. Continuation of OT or Discontinuation of OT
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9
Q

It is the systematic collection and analysis of data. Results and conclusions are used to plan and implement interventions.

A

Evaluation

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10
Q

It is the implementation of actions.

A

Intervention

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11
Q

Types of Reevaluations

A
  1. Formal Reevaluation
  2. Informal Reevaluation
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12
Q

It compares the client’s data during evaluation with the client’s data after receiving intervention. Continuing or discontinuing interventions is decided on.

A

Formal Reevaluation

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13
Q

Making decisions to continue or discontinue select interventions

A

Informal Reevaluation

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14
Q

These are inherent in every phase of the process. The specifically identified results of planned therapy intervention.

A

Outcomes

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15
Q

They provide the background that supports the OT Process map. They facilitate evidence-based practice.

A

Evidence

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16
Q

Factors included in Evidence

A
  1. Theory
  2. Research
  3. Therapist’s experience
  4. Client’s preferences
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17
Q

Frame of reference, conceptual model

A

Theory

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18
Q

What is Theory used for?

A

Used to examine and explain the occuupational performance strengths and needs of each client

Important in the selection of assessment tools and interventions

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19
Q

Why do the clients’ preferences need to be integrated into the OT process?

A

Preferences can significantly influence the outcomes. A disconnect between preferences with other factors redu

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20
Q

What happens when there is a disconnect between evidence, client’s preferences, and process components?

A

The support that the client needs to gain maximum therapeutic benefit from therapy will be reduced.

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21
Q

It is the beginning of the OT process.

A

Evaluation

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22
Q

What data do OTs collect and analyze during the Evaluation stage?

A

Information about the client’s occupational performance

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23
Q

Main components under the Evaluation stage?

A
  1. Occupational profile
  2. Analysis of occupational performance
  3. Targeted outcomes
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24
Q

Primary Question of Evaluation stage

A

Who is my client and does my client need OT services?

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25
Q

It is a profile that provides a description and summary of information related to a client’s history, resources, and performance. It is the collection and organization of subjective data about a client.

A

Occupational Profile

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26
Q

It is to gather the client’s perceptions about their occupations, related performance strengths and concerns. Perceptions may also be from client’s family, peers, other important people.

A

Occupational history

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27
Q

Information that describes the physical and social environments where client performs their preferred occupations.

A

Occupational contexts

28
Q

OTs need to know why clients are seeking services, what their concerns are, what occupations they need or want to perform. It is to know the outcomes client wants to attain.

A

Occupational goals

29
Q

It addresses the collection, organization, measurement, and synthesis of primarily objective data regarding the client’s occupational performance.

A

Occupational Performance Analysis

30
Q

Main components under Occupational Performance Analysis stage?

A
  1. Organization of objective data
  2. Synthesis of objective data
31
Q

How is objective data collected?

A

The client will first perform selected activities important to their occupation. Ideally, client will perform occupations in their usual manner, with their usual equipment, and in their usual settings. Ideal performance situation reflects client’s real life situation.

Therapists also need to rely on valid and reliable assessment tools.

32
Q

What are needed to develop relevant targeted outcomes?

A

Well-defined problem statements and hypotheses

Short-term goals and long-term goals

33
Q

How is Goal Establishment done?

A

In collaboration with the client

34
Q

How should goals be written?

A

They are written as objective, measurable statements with an identifiable time frame and predetermined objective methods to measure progress.

35
Q

What do STGs address?

A

Performance skills or body functions (strength, movement, actions, behaviors, etc.)

36
Q

What do LTGs address?

A

Performance of the client’s meaningful and important daily occupations

37
Q

It follows the Evaluation stage. Data collected during the prior stage serve as navigational information for determining the best therapeutic role for the planning and implementation of this stage’s services.

A

Intervention

38
Q

Main components of Intervention stage

A
  1. Intervention plan
  2. Intervention implementation
39
Q

Intervention stage Primary Question

A

What occupational therapy interventions can best help my client?

40
Q

It determines the selection of specific occupational therapy activities used to address the client’s targeted outcomes.

A

Intervention Plan

41
Q

Who collaborates with the therapist to determine the Intervention Plan?

A

The client

42
Q

What is considered in order to develop an intervention plan?

A

Client’s current occupational performance

43
Q

Categorizations of OT Interventions

A
  1. Occupation-based intervention
  2. Purposeful activity
  3. Preparatory method
44
Q

This intervention focuses on the client engaging in client-directed occupations that match the client’s targeted outcomes.

A

Occupation-based Interventions

45
Q

This intervention involves specifically selected activities that allow clients to develop skills that enhance occupational performance. These interventions engage clients in practicing activities related to occupations versus performing their desired daily occupations.

A

Purposeful activities

46
Q

These are techniques used to prepare the client for or used concurrently with purposeful activities and occupation-based interventions.

A

Preparatory methods

47
Q

The process of carrying out the interventions and monitoring the client’s response.

A

Intervention Implementation

48
Q

What happens during Intervention Implementation?

A

The OT practitioner observes and examines the client’s performance while the client engages in the intervention.

The practitioner then adjusts aspects of the intervention as needed to better accommodate or challenge the client’s occupational performance in order to achieve targeted outcomes.

49
Q

The targeted outcomes established during evaluation are assessed using the same measures employed during the initial evaluation.

A

Reevaluation

50
Q

Components of Reevaluation

A
  1. Re- analysis of occupational performance
  2. Review of targeted outcomes
  3. Identify action
51
Q

Primary question of Reevaluation stage

A

How has occupational therapy affected my client’s occupational performance?

52
Q

Steps in Reanalysis of Occupational Performance

A
  1. Measure and re-collect
  2. Compare the data obtained during the original evaluation with the current data obtained during reevaluation.
53
Q

Why should we use the same measures during reevaluation that were used during the evaluation phase?

A

If we do not use the same measures, then we are not measuring comparable aspects of occupational performance.

54
Q

These are used to determine whether occupational therapy interventions achieved the intended targeted outcomes through goal attainment

A

Changes in occupational performance

55
Q

How is degree of goal attainment determined?

A

By comparing the client’s performance measured at evaluation with performance measured at reevaluation

56
Q

It is the achievement of intended targeted outcomes

A

Goal Attainment

57
Q

What is done to identify next appropriate actions?

A

Targeted outcomes and goals are reviewed and reevaluated

58
Q

After reevaluation, the therapist considers whether to continue therapy, refer the client to another service, or discontinue services

A

Action Identification

59
Q

This is justified when client is making progress toward the overall goals or if there is reason to believe alternate approaches might work to improve progress. New or altered targeted outcomes and goals may emerge as a result of the therapy process

A

Continuation of Services

60
Q

This is done when client has reached targeted outcomes or there is evidence to suggest that further intervention will not substantially improve occupational performance.

A

Discontinuation of Services

61
Q

Provided to client when therapy services are terminated

A

Aftercare or follow-up recommendations

62
Q

Why is it important to determine the “right time” for reevaluations?

A

If reevaluation occurs too early, a course of intervention may be prematurely considered unsuccessful because the client hasn’t had enough time to show change in performance.

If reevaluation occurs too late, client may have already achieved a targeted outcome and progression in occupational performance is not continuing because outcomes, goals, and intervention plan have not been appropriately modified to accommodate positive change.

63
Q

What are essential in determining the attainment of targeted outcomes?

A

Measurable goals with identifiable time frames and predetermined objective methods to measure progress

64
Q

The all-encompassing goal of OT services

A

“Supporting health and participation in life through engagement in occupation”

65
Q

When are targeted outcomes revisited to address progress?

A

Reevaluation

66
Q

Primary question during Outcome: Continue or Discontinue stage

A

Does my client continue to need occupational therapy services?