Week 4 - Intervention Planning Flashcards

1
Q

ADL performance difficulties arise from:

A
  • Changes in a person’s functional capacities as a result of ageing , injury, impairment
  • Variations in occupational demands or the way activities are undertaken
  • Barriers or challenges presented by the environment
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2
Q

Intervention focus

A
  1. Person
  2. Occupation
  3. Environment
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3
Q

Intervention focus: Person

A
  • Skill development, preparatory methods & purposeful activity
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4
Q

Intervention focus: Occupation

A
  • Grading, adapting task

- Use of assistive devices

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5
Q

Intervention focus: Environment

A
  • Structure and modify physical and social environment
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6
Q

Intervention is a:

A
  1. Preparatory method
  2. Purposeful activity
  3. Meaningful activity
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7
Q

For the case study: a preparatory method, purposeful & meaningful activity

A
  1. Preparatory method: exercises, implementation of a splint
  2. Purposeful activity: activities that work on range, endurance, strengthening (e.g. cone stocking, theraputty)
  3. Meaningful activity: encourage Mrs L to do the laundry as it is an occupation that is part of her role and works on range and strengthening of the upper limb (can be graded)
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8
Q

Occupation as ‘means’

A
  • Occupation as a medium of change *occupational therapy intervention may involve the therapeutic use of occupation as a “means” or method of changing performance.
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9
Q

Occupation as ‘ends’

A
  • Humans as occupational beings
  • goal (and outcome) of occupational therapy intervention is the client’s improved engagement in meaningful occupation and patterns of engagement
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10
Q

What is it meant by ‘grading activities’

A

Changing the complexity of the activity to decrease/increase demand

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11
Q

What is it meant by ‘adapting activities’

A

Modifying or substituting techniques or objects to be used in performing the activity

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12
Q

Grading strategies

A
  • Duration: more time/breaks
  • Complexity: simplify the activity
  • Resistance: the weight of the objects
  • Reach: where the objects are placed
  • Repetition: number of times action is required
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13
Q

Adapting strategies

A
  • Alternative methods/strategies to complete activities

- Assistive devices to enable participation in activities

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14
Q

What are environment-based interventions?

A
  • Concerned with structuring or modifying the environment to support/promote occupational performance
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15
Q

Environmental modification approaches

A
  • Reorganising: restructuring the exisiting environment
  • Repositioning: relocating objects
  • Enhancing: improving aspects of the environment
  • Adding: providing additional resources
  • Removing: taking away challenges
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16
Q

How to address occupational performance issues

A
  • Alternate strategies
  • Tool/AT
  • Social support
  • Environment modification

ALWAYS think about the PEO fit

17
Q

For Mrs L: alternate strategies (toileting difficulties)

A
  • Regulate toileting/water intake
  • Nose over toes
  • Leave walker outside the room
  • Push up on knees
18
Q

For Mrs L: tools/AT

A
  • Toilet frame

- Higher toilet seat

19
Q

For Mrs L: social supports

A
  • Supervision
  • Verbal encouragement
  • Gestures
  • Physical support
20
Q

For Mrs L: environmental modification

A
  • Raise toilet pedestal
  • Install grab rails
  • Widen doorway
  • Increase brightness of lighting
21
Q

Modifications impact

A
  • Costly
  • Permanent
  • Impact on all occupations
  • Change the nature of the spaces
22
Q

Interventions must

A
  • Be practicable and acceptable
  • Adequately control the hazard or enable performance
  • Not cause undue stress & discomfort
  • Not create new hazards
  • Accommodate all people in the environment
23
Q

How to decide on best option

A
  • Clinical evaluation of issues and options - evaluating P, E and O
  • Person’s goals and preferences
  • Relative costs
  • Available evidence
24
Q

Documentation: reports must include

A
  • Statement of client goals
  • Description of function & risks
  • Evaluation of proposed options
  • Client’s preferences and where these differ from therapist’s recommendations, discussion of concerns
  • Any training provided or risks discussed
  • Validation of recommended option
  • Record of decision making NOT just the outcome