Theory
theory that focuses on integration of occupation and adaptation with the client
OA
the ability to advocate for a client with an employer to redefine their resume to specifically design towards the individual and their interests
where the client lives when receiving SLS
in homes they own or lease in community
names of the first four cranial nerves
olfactory, optic, oculomotor, trochlear
damage to the optic chiasm results in this visual defect
bitemporal hemianopia- loss of temporal half of vision in each eye due to damage of optic chiasm
theory that believes in an optimal fit of activity and environment within a person's goals, interests or skills
CMOP-E
these are community-based businesses designed with the intention of employing marginalized group
social enterprises
Pros- inclusive workplace, raises community-awareness of skills and potential of identified population/can combat stigma, skill-developing, resume building, provides flexibility
Cons- more visibility for clients, can be complicated to attend to both business and social justice needs of company simultaneously, not as much choice
FHA
Family home agency (FHA)- monitored and vendored by Regional Centers; agency recruits, trains and monitors individual families; clients live in family homes, share responsibilities with family, family is paid, additional supports provided, social service staff make regular visits to family home to ensure necessary services and supports are in place
this nerve has somatic components of sensations on skin or in muscles, visceral components include sensations in organs of the body, and has small role in taste
CN X- vagus
closed vs open TBI
closed head injury (CHI)- movement of brain in skull
penetrating/open- foreign object entering skull
these roles are important to establish for youth as they are working on balancing their public and private lives
Role of OT in work
skill development (pre, during and post)- vocational, IADL training; adaptations/accommodations, advocacy
this type of community living arrangement is time-limited with the goal of independence
ILS
this cranial nerves motor function is chewing and sensory function is to feel facial sensations such as light touch on face
CN V- trigeminal
post traumatic amnesia- can be retrograde or anterograde, length of PTA is time after injury when day-to-day recall returns and full orientation is present
objective and subjective aspects of performance capacity
performance capacity- MOHO
objective- physical and mental components of "doing"
subjective- experience of "lived body" in process of doing
sheltered workshops
This type of vocational service includes supervision and assistance, has repetitive tasks, focuses on development of work skills (adherence to safety regulations, clocking in/out). It is in a protected environment, is guaranteed employment, provides something to do during the day/respite care for caregivers, is cheap labor to businesses, provides experience and familiarity with work and provides socialization
this process is included in supported living services and helps individuals select and move into home, help with: choosing personal attendants and housemates, acquiring household furnishings, common daily living activities and emergencies; becoming a participating member in the community and managing personal financial affairs
Individual Program Plan (IPP)
the sensory nerves
the motor nerves
sensory- olfactory, optic, vestibulocochlear
motor- oculomotor, trochlear, abducens, spinal accessory, hypoglossal
clonus
spasmotic involuntary rhythmic contractions and relaxations of affected muscles (induced by sudden sustained stretching of spastic muscles)
the desire to participate in occupation is the intrinsic motivational force leading to adaptation, greater the adaptive transitional needs, the greater the importance of the process and greater the likelihood that the process will be disrupted
some assumptions of OA
Pros and cons of supported employment
Pros- client-centered, sustainable, market-rate wages, self-esteem, pathway to career goal, integrated in community often without disclosure
Cons- limited programs available, disappointments with job loss and not getting hired, labor-intensive
the two types of residential facilities and their qualities
community care facilities (CCF) vendored by Regional Centers; 24/7 non-medical residential care
Level I- limited care, no behavioral problems
Level II- care, supervision and training; no major behavioral problems
Level III- clients with significant ADL needs and/or disruptive bx
Level IV- clients with severe limitations and/or severely disruptive bx
Adult residential care facilities- vendored by Regional Centers; 24/7 health care and intensive support services
For medically fragile individuals; homelike setting
CN IX main function and it's secondary function
glossopharyngeal (both)- main function is initiating swallowing and gag reflex (motor), also taste (sensory)
OT rehab focus-
Example interventions
focus- functional goals and progress with insurance authorization
interventions: Splinting and casting of UE, Neuromuscular re-education, Cognitive retraining, Participation in self-care (ADLs), Bed positioning, transfers, mobility (WC), WC positioning and mobility, Equipment needs (WC), bath equipment, etc., Caregiver training, Home evaluation, Optional IADLs & other occupations (needs assessment)- will work on if there is the time and the need