Term 1 CAE Flashcards

1
Q

Strengths and limitations of the MOHO

A

Strengths: Client-centered, Occupation focused, Widely supported, Evidence based

Weaknesses: complicated, difficult to implement, time consuming

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2
Q

Sections of MOHO : Person

A

Person
Volition: Values Interests Personal causation
Habituation: Habits, Roles
Performance capacity: Experiences, physical abilities, mental capacity

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3
Q

Sections of MOHO: Environment

A

Political, cultural, social, economic,physical

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4
Q

Dimensions of Doing

A

Occupational Performance: Performings aspects of occupation
Occupational Participation: Occupational engagement
Occupational skills: motor, processing,etc

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5
Q

Consequences of doing (MOHO)

A

Occupational Identity
Occupational Competence- meeting personal expectations
Occupational Adaptations: Adapting occupation to overcome challenges

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6
Q

When is MOHO most used?

A

Mental health

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7
Q

What is Moho used for?

A

To assess the motivations for occupation

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8
Q

Is MOHO a model of practice or is it conceptual?

A

It is conceptual assesses how/ why we engage in occupations

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9
Q

Assumptions of the MOHO?

A

Human behaviour is a result of interactions between inherent human elements and environmental influences

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10
Q

CMCE

A
Canadian model of Client Engagement 
Adapt
Advocate
Coach 
Coordinate
Collaborate
Consult
Design/Build
Educate 
Engage
Specialize 
This model is for the OT and does not have the client at the middle 

Allows for reflection as to what went wrong and critical thinking regarding the enablement of our clients

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11
Q

What are the 8 principles of the CMCE

A
Interwoven 
Dynamic 
Collaborative 
Personal 
Invisible 
Evidence based 
Educational 
constant
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12
Q

What are the strengths and limitations of the CMCE?

A

Strengths: Stimulates reflection, can be used by other health care workers, strong foundation in OT values, recognized blame may not be placed on individual therapists but on the institutions/context

Limitations: Not widely used, not critically reviews, difficult to remember, doesnt account for interdependece of skills
No guarantee that you will succeed with enablement if you do these 8 things

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13
Q

What are the assumptions the CMCE makes?

A

That the client knows what they want out of the therapy session

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14
Q

What is enablement?

A

Powersharing and giving others the ability to participate and make choices in their own lives.
Coach, collaborating, powersharing, educating etc

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15
Q

What are the foundations of enablement?

A
Choice/risk/responsibility 
Client participation 
Visions of possibility 
Change 
Justice 
Power Sharing
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16
Q

Appeciative narrative inquiry vs transformative narrative inquiry

A

Appreciative: appreciating and focusing on the desired outcome - strengths based approach
Transformative: Enables a complete and lasting change of action

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17
Q

EHP- Ecology of Human Performance

A

This model focuses on the context individuals are placed in

Person: Has a unique set of experiences, values and interests
Context: Environment- physical, social, cultural
Temporal- chronological, developmental, life cycle, health status

Task: Individual skills and abilities, objective sets of behaviours

Performance: Cannot be understood outside of context

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18
Q

What are the outcomes of EHP?

A
Establish/Restore
Alter ( match client with context)
Adapt/Modify (change environment) 
Prevent 
Create
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19
Q

What does EHP not assume?

A

That disability is present

20
Q

What are the strengths and weaknesses of EHP?

A

Strengths: Clients-centered, uses generic terms, provides intervention
Limitations: Not widely used , difficult to emasure context, not researched, focus on altering context can be difficult, lack of guidelines

21
Q

What does EHP assume?

A

Assumes environement and PEO elements are always interacting
Environment inhibits or facilitates occupational performance

22
Q

CMOP-E

A

A conceptual model for thinking

Spirituality at centre followed by person, occupation then environment

23
Q

Spirituality

A

sense of meaning or purpos, conectedness with people and environments
Essence of self
Needs to be defined by client

24
Q

Strengths and limitations of CMOP E

A

Strengths: person focused, concepts are generic, related assessment, emphasizes importance of elements that make up the environment

Limitations: Categorization can be limiting, spirituality is confusing, not strengths based, lacks depth, not much research

25
Q

types of spirituality

A

Sacred: Higher power but not religion
Religious: Religion or faith
Secular: power, will and strength found in individuals

26
Q

What are the principles of Health promotion?

A
Community Participation and Autonomy
Empowerment
Social Justice
Collaboration + coordination
Continuous Process
Respect for Diversity
27
Q

What is Health?

A

A tool that allows us to participate - an asset to life but not the reason for living
Based on a persons resilience and capacity to cope

28
Q

What is wellbeing

A

Harmony in ones life

interdependent with health , dynamic and always changing

29
Q

What is the medical approach to health

A

Health is an individual problem
High risk individuals
Drugs, medications surgeries is intervention
tertiary preventative level

30
Q

What is the Behavioural approach to health?

A

Individualized, ability to function properly
high risk groups
health education and social marketing is intervention
secondary and primary preventative level

31
Q

What is the socio environmental approach to health?

A

Health is a positive state- ability to do things tha hold meaning
high risk environments
Intervention: personal empowerment and political action for income, food security etc
Primary preventative level

32
Q

How does the ICF relate to occupation?

A

ICF states that restricted participation and activity limitations with body structuree and impairment can lead to a health condition or disability

33
Q

Do-Live-Well

A

Emphasizes the range of acitivties one should participate in
Dimension of experience
prompts individual reflection re activity patterns
Advocacy+ communication tool

34
Q

What is the purpose of reflective practice

A

Facilitates self-awareness
Accountability for actions
Develops critical thinking
allows us to monitor our growth and competency

35
Q

What is clinical reasoning?

A

THE ART OF DECISION MAKING
ongoing process
Asking yourself why
reflecting helps with clinical reasoning
reasoning should be client centered and use occupation as a means to an end

36
Q

What is the three track mind of OT?

A

Procedural Reasoning - what I need to do for the visit ie assessments etc
Interactive Reasoning - Clients story
Conditional Reasoning- You+ client- a combination of the other two, revising needs to make sure clients needs are met but you are doing your job

37
Q

What is scientific reasoning?

A

Logical+ sequential reponse- usually based on diagnosis

38
Q

What is Pragmatic Reasoning

A

Constraints of system, pracical issues influencing practice

39
Q

Ethical/Moral reasoning

A

what should be done?

Complex decisions through a systematic approach

40
Q

What are the Filing cabinet drawers?

A
Socio-cultural 
Physical 
Cognitive Nuerological
Cultural
Environmental 
Psychological -emotional
41
Q

What is the toolbox separated into?

A

Conceptual models - ways of thinking

Practice Models- Ways of doing

42
Q

What are the five telescope lenses?

A
OPI's
Developmental Perspective
Cause of OPI
Assessment. Intervention
Outcome
43
Q

Ethical reaosning allows us to balance____

A

benefits and risks

allows us to provide therapy in a morally defensible way

44
Q

What are our duties as OT’s/ our clients rights?

A

Quality Evidence based care
Informed decision making
Confidentiality

45
Q

COTO guides us by saying we should practice with

A

Trust: confidentiality, veracity (telling the truth(, fidelity (keeping promises), privacy

Respect: Collaboration, evidence based, justice, beneficence, autonomy (patients have the right to make their own deicisons)

46
Q

Name the three types of justice

A

Distributive justice: health care should be distrubuted fairly
Procedural Justice: Ordering and arranging processes in a fair way
Compensatory Justice: Provision of resources to someone who has been wronged or injured