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psychosocial p.311-336,406-441
psychosocial p. 311-336, 406-441
18
Other
Graduate
06/23/2011

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Cards

Term
occupational identity is a prerequisite for what?
Definition
occupational competence
Term
stages in therapeutic reasoning process
Definition
Generating theory-based questions about the client

collecting information gathered to create a conceptualization of the client, including strengths and challenges

identifying goals and strategies for therapy

implementing and monitoring therapy

determining outcomes of therapy
Term
the essence of communication and documentation
Definition
share with someone else the internal thought processes that make up one's reasoning about the client and the client's therapy.

In MOHO it entails sharing theory-based ideas and rationales.

one's communication and documentation can only be as good as one's underlying reasoning.
Term
when should therapist communicate to clients the theory they are using to formulate therapy from?
Definition
at the beginning of therapy.

client needs to know what to expect.

how much one says and how to frame it depend on the client

use everyday language
Term
many times what appears to be a lack of cooperation is really what?
Definition
volitionally driven decision by the client

respect for the client's viewpoint, however different from yours is a constant principle.
Term
how should perspectives of therapy be expressed to clients?
Definition
The process of communicating with the client only begins with the first encounters in therapy. As time goes on, therapists should reveal more and more to their clients about their perspectives. This should be based on what the client is able to grasp and integrate.
Term
who all should know what theory you work from?
Definition
co-workers, clients, family members of clients and anyone that will be in contact with the client and the client's services

This may be done with a brief explanation or a full blown presentation. Everyone should know where you are coming from and what you aim to achieve and why/how.
Term
assessment presentation
Definition
when presenting an assessment you should always explain it. Clients may have no idea why the therapist is asking questions or gathering information. They may worry that negative opinions are being formed.
Term
points to be made when giving an assessment
Definition
explanation of:
why the assessment will be done

what is entailed in doing the assessment

what the assessment is likely to reveal

how the information will be used

the information in the assessment will be shared with the client
Term
important resources in creating a conceptualization of the client
Definition
client's strengths and problems/challenges that are listed in the therapeutic reasoning page 205
Term
reasons for using a structured process for conceptualization of a client
Definition
organizing thoughts more clearly along the lines of the underlying theory

relating different components of information gathered to create a conceptualization of the cient

identifying information not yet gathered that could contribute to an understanding of the client's situation
Term
steps in setting therapy goals
Definition
conceptualizing the client's situation

identifying with/for client (depending on ability of client to engage in process) personal and environmental changes that will support the client's occupational participation

set measurable goals
Term
long term goals
Definition
specify the overall anticipated outcomes of OT

accomplished through a series of short term goals

Usually useful for evaluating the outcome of therapy
Term
elements of a measurable goal
Definition
Action: What the client will do to demonstrate that the occupational goal has been achieved

Setting: The specific setting where the client will do it (e.g., independently, with physical support, with verbal cueing, using adaptive equipment, using compensatory techniques)

Time frame: The period within which the client will be able to do it
Term
progress notes
Definition
important to evaluate if goals are being met.
SOAP notes are common method of progress note.
Term
last step in therapy
Definition
assess client outcomes

collecting info. to determine whether clients have attained goals, therapists can determine and document the effectiveness of OT
Need to document if there was a lack of success.
Term
when to use MOHO terminology
Definition
the primary or exclusive audience is other occupational therapists who are familiar with MOHO language

clients are empowered by learning the MOHO concepts as a means of increasing understanding and control over their own circumstances

Other professionals are receptive to becoming familiar with occupational therapy terminology
Term
MOHO language is intended to:
Definition
facilitate communication of ideas between OTs
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