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Flashcards in week 1 Deck (38):
1

the relationship between values, philosophy and practice

Practice: what we do
Values: how we do
Philosophy: why we do

2

define philosophy

- A conscious framework of assumptions and beliefs that guides actions
- Framework for thinking and processing ideas

3

define assumptions

ideas or principles that are taken for granted as the basis for argument and action.

4

define beliefs

convictions about what is true

5

whats the three principles of philosophy for OT

ontology
epistemology
axiology

6

whats ontology

"what is most real for occupational therapy" science or study of being
as ever changing occupational beings, interconnected with their environment and trasformation and health
SEEING

7

whats- “the nature of humans: as ever changing occupational beings”:

human beings are unfused with an innate biological need for occupation (need for growth), humans are an indivisible whole.

8

whats- “The nature of humans: as interconnected with their environments”:

human beings are part of their daily living environments, cannot be separated with the environment.

9

whats- “the nature of: transformation and health”:

through occupation, people transform and are transformed by their actions and environments

10

whats epistemology

"what is knowledge is oT?"
- What knowledge is most important to OT
- How is knowledge used
- Knowledge of occupation is primary for occupation therapists
- Organises and integrates all other knowledge
- Clarifies desired consequences of action
- In for and with present practice situation that is continuously changing (every client is different)
- Tentative, fluid and contingent with the arising practice moment

11

whats axiology

"what is right action in OT?"- The study of values including what is good, beautiful and morally desirable.
occupation centred practice
collaborative practice
clients and environments as a whole

12

core values for OT

- Essential humanity and dignity for all people
- Perspective and subjective of clients and their significant others
- Empathy, caring and engagement
- Use of imagination and integrity in creating occupational opportunities
- Inherit potential of people to experience wellbeing

13

whats the 5 things occupation provides a source of

1. Source of meaning
2. Source of purpose/ function
3. Source of choice and control
4. Source of integrating body and mind
5. Source of balance and satisfaction (balance=happy)

14

whats the 4 things occupation provides a mean of

1. Means of organising and structuring time
2. Means of organising materials and space
3. Means of contributing to general community
4. The basis of occupational development across the lifespan

15

Occupational problems and challenges

- Reduction in quality of life
- Restriction of development
- Occupational disruption or deprivation

16

Occupation- therapeutic agency

- Opportunities
- Modification
- Compensatory techniques
- Counselling and problem solving to facilitate participation

17

what OTs do

- Promote health and well being
- Enhance quality of life
- Facilitate engagement and interaction with environment
- Promote skill development
- Improve occupational performance
- Facilitate changes in pathology and disease

18

enabling occupation

- Collaborating with people to enable them to choose, organise and perform occupations
- They find useful and meaningful
- Client focused
- Doing with rather than doing for people

19

whats client centred practice

- Embraces respect and partnership
- Ethical position
- Recognises clients experience and knowledge
- Involved clients in decision making about their occupational needs
- Advocates with and for clients in meeting needs

20

define values

views people hold about what is important, worthwhile

21

whats the Canadian model of client centred enablement look at

adapt
advocates
coach
collaborate
consult
coordinate
design/build
educate
engage
specialised

22

whats the paradigm

the fields inner most core of knowledge for OT

23

2 reasons why to is important for OT

knowledge that defines the nature, purpose, scope and value of OT.
unifies the OT field

24

Conceptual practice model

diverse concepts organised into unique OT knowledge
- Provide rationale for guide to practice
EXAMPLES: COPM

25

Components of conceptual practice model

- Theory that explains some phenomena for a problem or circumstance
- Practice resources materials and tools for assessment. eg performance Tests, checklists or interviews.
- Research and evidence based that test the theory and demonstrate how the model works in practice. establishes validity, reliability and ultility
Use in practice

26

Process of development of a conceptual practice model

- Models are developed
- Assessments related to model are developed
- Guidelines and protocols for applying the model are developed
- Therapy programs based on model are developed
- Practice resources such as journals, books and presentations based on the model are disseminated
- Research and evidence allow the model to be scrutinised and revised
- Research findings provide for model to be modified
- Each conceptual model represents a dynamic process in which knowledge is developed and used through theorising, application and revision.

27

whats related knowledge

collection of concepts, facts and techniques from other fields that therapists use to supplement unique OT knowledge
- Content: concepts, facts and techniques borrowed from other disciples eg. psychology, physiology
- Purpose: supplement unique knowledge of the filed, applied in practice

28

an example of the paradigm conceptual practice and related knowledge

Paradigm= importance of occupation
Conceptual practice model= MOHO and biomedical model
Related knowledge= medical knowledge, physiology of healing, psychology for human behaviour.

29

how to select a model

Will this structure best meet the clients needs?
Can I used it effectively and be comfortable with it?
Is there a reasonable body of empirical evidence and knowledge about the model?

30

conceptual practice models guide

- How to frame problems
- How to develop hypotheses
- Select and test assessments
- Principles of intervention
- Tools and techniques to use

31

three types of assessments

performance tests
observation
interviews

32

examples of conceptual practice models

- Biomechanical model
- Cognitive model
- Model of human occupation
- Sensory integration model
- Intentional relationship model
- Functional group model
- Motor control model

33

whats the three areas the COPM looks at and what do they mean

self care- personal care, functional mobility and community management
productivity- paid or unpaid work, household management, school or play
leisure- quiet recreation, active recreation and socialisation.

34

whats self care classified for the copm

occupations aimed at getting ready for the day and getting around

35

whats productivity classified for COPM

occupations aimed at earning a living, maintaining home and family, providing services to others or developing ones abiltiies

36

whats leisure classified as for COPM

occupations performed by an individual when freed from the obligation to be productive.

37

what does COPM rate

Rates on a sale of 10 (or happy and sad faces for a child)
Importance
Performance
Satisfaction (with perform)

38

whats the five step process for COPM

Problem identification: talks to client to find out what they are struggling with
Problem weighting: rate of the scale from 1 to 10
Scoring: top 5 important written on the back and re scored, add all up and work out an average score
Re assessment: at the end of therapy re assess to see the improvement
Follow up: establish date for reassessment