Therapeutic Reason (Week 11)

Question 1

Intervention Process

Answer 1

Consists of the skilled services provided by
occupational therapy practitioners in collaboration with clients facilitate
engagement in occupations related to health, well-being, and participation.

Question 2

Bottom-up or top-down approach

Answer 2

Bottom-up approach: Involves community members in dealing with issues that affect people in closer proximity.
Top-down approach: Interventions will be most effective when coordinated and implemented through centralized agencies or individuals.

Question 3

TUS

Answer 3

Describe a therapist’s planned use of their own personality, insights, perceptions, and judgments as part of the therapeutic process.

Question 4

Therapeutic Reasoning

Answer 4

Reflect on providing the “rationale” for your choices and/or the reflective process that takes place after service has been delivered
 Process
 Involves thinking and feeling
 Decisions about evaluation and intervention
 Based on evidence-based practice
 Foundation skill

Question 5

Elements of Therapeutic Reasoning

Answer 5

-Scientific
-Ethical
-Artistic

Question 6

Thought Process

Answer 6

1. Formation of pre-assessment image
2. Cue acquisition
3. Hypothesis generation
4. Cue interpretation
5. Hypothesis evaluation

Question 7

Therapeutic Reasoning Strategies

Answer 7

Procedural, Interactive, Conditional, Narrative, Pragmatic

Question 8

Procedural

Answer 8

Reviewing conditions to see what will work best for that condition.

Question 9

Interactive

Answer 9

Understanding the person by gathering data from their point of view, their goals, and the environment -TUS

Question 10

Conditional

Answer 10

Considering the condition of the person, and the environment, applying the results to implement change when the client requires it.

Question 11

Narrative

Answer 11

Storytelling/story creation (using other client’s stories to help them reframe their own story.

Question 12

Pragmatic

Answer 12

Considering outside factors that may impact the therapy process such as reimbursement, space, and equipment, plus the therapist’s own skills and expertise.

Question 13

Development of Therapeutic Reasoning Skills

Answer 13

1. Novice
2. Advanced Beginner
3. Competent
4. Proficinet
5. Expert

Question 14

Techniques to Improve Therapeutic Reasoning

Answer 14

1. Chunking
2. Supervision
3. Coaching
4. Role Modeling
5. Self-Awareness
6. Observation
7. Setting Personal Goals

Question 15

Theory

Answer 15

A set of ideas to explain things or the analysis of a set of facts in relation to each
other.
-Enough evidence to support a hypothesis
-Observation and research lead to the hypothesis
-Concepts, and principles, provide a basis for practice

Question 16

Models of Practice

Answer 16

 Philosophical base
 Organize one’s thoughts
 Occupation
 Describe practice
 Overall view of profession

Question 17

Model of Human Occupations (MOHO)

Answer 17

Garyu Kelihofner and colleagues
 Volition: motivation, interests, values, and belief in their skills
 Habituation: habits/daily patterns of behaviors, roles and routines
 Performance: capacity for doing: motor, cognition, and emotional aspects required
of the task
 Environment: Context and environment aspects

Question 18

Canadian Model of Occupational Performance (CMOP)

Answer 18

Canadian OTs
 Lots of research to support
 Spirituality as core: motivation or inspiration
 Client-centered
 Person, environment, occupations
 Semi-structured interview (COPM)
 PEO FOR comes from this model

Question 19

Person-Environment - Occupation - Performance (PEOP)

Answer 19

Charles Christiansen and Carolyn Baum
 Person—physical, social, psychological
 Environment—supports
 Occupation—everyday things people do
 Outcome
 Performance

Question 20

Occupational Adaption (OA)

Answer 20

Schkade and Schultz
 Change person, environment, or task for success
 This model supports adaptation and compensatory techniques

Question 21

Frame of Reference

Answer 21

Is a guideline for practice that provides direction for the evalution and treatment of particular deficits in the OT domain of concern.
-Tool to guide one’s intervention
-Has research to support evaluation and intervention
-Guide one’s practice is an essential part of evidence-based practice.

Question 22

Identifies a population or condition (Frame of Reference)

Answer 22

Age, condition, or type of deficit

Question 23

Continuum of function/dysfunction (Frame of Reference)

Answer 23

What they can or cannot do

Question 24

Theory regarding change (Frame of Reference)

Answer 24

How the brain may change or how muscles may work

Question 25

Principles of intervention (Frame of Reference)

Answer 25

We know there are certain developmental milestones that most children go through in order to develop normally

Question 26

Role of the practitioner (Frame of Reference)

Answer 26

What to do, what not to do, how to respond, facilitation, inhibition

Question 27

Evaluation instruments (Frame of Reference)

Answer 27

What tools to use to assess the client

Question 28

Deciding on a FOR

Answer 28

Population, definition of function/dysfunction, setting, evidence supporting FOR, match client to FOR

Question 29

Physical/motor control/motor learning function

Answer 29

1. Biomechanical
2. Neurodevelopmental Treatment (NDT)
3. Motor Control

Question 30

Pediatric - Focused

Answer 30

1. Developmental
2. Sensory Integration