Models of Practice
This model has four main components consisting of: Person, Environment, Occupation, and Performance
Person-Environment-Occupation-Performance model (PEOP)
Frames of Reference are only to be used within the practice of occupational therapy, and can not be used interprofessionally across professions. True or False.
False
A _______ is a formal statement about natures of relationships among features of the world. An example of this kind of statement is a hypothesis.
Proposition
Sylvia is working with her new client, Ben, who had just had a R shoulder replacement. Her evaluation reveals that he has approximately ~80* of flexion in his R shoulder. She writes a plan of care with goals that include focus on increasing his R shoulder flexion to at least 150*. What frame of reference is Sylvia using to guide her goal development?
Biomechanical Frame of Reference
OTPs develop and manage their therapeutic relationship with clients by using professional reasoning, empathy, and a client-centered, collaborate approach to care. This is defined as:
Therepautic-Use-Of-Self
Some of the key terms considered within this model include Occupational Identity and Occupational Competence.
Model of Human Occupation (MOHO)
An example of this Frame of Reference is Neurodevelopmental Therapy (NDT).
Motor Control
A _______ is an idea believed to be true, but that can not necessarily be proven to be true or false. These are conclusions without definitive evidence.
Assumption
Psychodynamic Frame of Reference
This occurs in all OT practice settings allowing them to identify the multiple demands, required skills, and potential meanings of activity and occupation AND to gain a deeper understanding of the interrelationships among these aspects that affect performance
Professional (Clinical) Reasoning
In this model of practice, function is evident when a person is able to engage and perform in occupations within a specific environment and with a sense of mastery and accomplishment. Additionally, the person is able to meet the role demands of self and society.
Occupational Adaptation
The core concept of this Frame of Reference is that thinking controls behavior. It is frequently used in mental health settings to address motivation and emotion.
Cognitive Behavioral Frame of Reference
This kind of reasoning is based on information or experiences that cannot be be put into words. These may be described as things that you "just know."
Tacit
Betty is an OT working in the outpatient setting who believes strongly that humans do not just perform occupations, they engage in them. She has a client Laverne who finds the essence of herself in her role as a NICU volunteer, where she has been volunteering for nearly 20 years. Using this model, Betty would label Laverne's passion for volunteering as a manifestation of her spirituality.
The Canadian Model of Occupational Performance and Engagement (CMOP-E)
What are the 8 specific Activities of Daily Living (ADL) listed in the OTPF-4?
Bathing and showering, toileting and toileting hygiene, dressing, eating and swallowing, feeding, functional mobility, personal hygiene and grooming, sexual activity
In this model, health or function is seen as having a broad, expansive performance range. If this is not present, this model presents specific approaches to intervention, which were later included within the Occupational Therapy Practice Framework (OTPF).
Ecology of Human Performance (EHP)
This frame of reference is frequently used with children, though can be used across the lifespan. It addresses disorders of attention, hypersensitivity, poor postural control, apraxia, and inefficient cognitive processing.
Sensory Integration Frame of Reference
How are theories tested?
Through research
Josiah comes from a culturally strong and religious household that has high expectations for what he accomplishes in his life after graduating from college. He himself is more interested in travelling the world before settling down with a steady job and entering a relationship. These are 2 components that would be considered within the Occupational Adaptation model. How specifically would each of these be labeled within the OA model?
Environment - Demand for Mastery
Person - Desire for Mastery
These are observable, goal-directed actions that result in a client's quality of performing desired occupations. Also provide the 3 categories of these actions.
Performance Skills - Motor Skills, Process Skills, Social Interaction Skills
This group of models were partly inspired by the development of the Disability Rights Movement, which felt there should be an emphasis on the disabled person and the accessibility of their environment, rather than the disability itself.
Ecological Models - EHP, PEO, PEOP, CMOPE
What is a major premise of the Motor Learning Frame of Reference as it relates the transfer of learning?
Transfer of learning occurs more consistently when environmental conditions are similar.
What is the first step to developing at theory?
Developing a question
Trayvon has a new diagnosis of Amyotrophic Lateral Sclerosis (ALS). His OT comes to his house and begins to discuss methods of increasing his functional independence using environmental adaptations and compensatory strategies. Which frame of reference is the OT using to guide their intervention?
Rehabilitative Frame of Reference
What are the 9 Occupations listed in the OTPF-4?
ADL, IADL, Health Management, Rest and Sleep, Education, Play, Leisure, Social Participation, Work