Term
current paradigm defines OT practice as: |
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Definition
focused on supporting occupational well being of clients
concerned with occupational problems
based on a holistic viewpoint that integrates concern for the person, occupation/task and environment.
addressing client problems of performing and participating in occupations
using occupational engagement as the central mechanism of therapy
client-centered and based on a positive therapeutic relationship |
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Term
professional responsibility of OTs to show a reflection of the current paradigm in: |
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Definition
one's own definition of OT
how one views one's services and what they accomplish for one's clients
the values that guide one's practice |
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Term
order of paradigms in history |
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Definition
based off human rights for those in asylums
went to medical-mechanical model
Current contemporary paradigm |
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Term
complexity of practice and what might guide a model that is chosen to work within |
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Definition
OTs work with very diverse groups of people
OTs practice is based on the belief that practice should be holistic-attending to every aspect of a person
OT involves supporting clients in engaging in occupations-motives, perspectives, and cooperation are all critical
OT practice involves a relationship with the client and this is critical to the outcomes
OT also see clients in groups |
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Term
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Definition
motion based on joint integrity, strength and endurance
explains: how to enhance or compensate for limitations in range of motion, strength and endurance |
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Term
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Definition
cognitive capacities underlying performance are addresed
explains: how to remediate or compensate for cognitive impairments |
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Definition
addresses: group process influencing individual performance
explains: how to use functional groups to enhance client engagement during therapy |
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Term
intentional relationship model |
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Definition
client interpersonal characteristics are addressed
explains: how to interact effectively with clients in order to support occupational engagement during therapy |
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Term
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Definition
addresses: choices, organization and performance of occupations in environment
explains: how to enhance motivation, roles, habits and skills |
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Definition
addresses: organization of skilled motor action based on CNS organization
explains: how to enhance the control of movement during occupational performance |
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Term
Sensory Integration Model |
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Definition
addresses: organization of sensory information in brain for adaptive movement
explains: how to enhance sensory processing and help clients cope with their unique sensory processing difficulties |
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Term
80% of therapists reported in a national survey that they use this model |
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Definition
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Term
most important determinant to therapy outcomes |
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Definition
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Term
model that should always be a part of your practice |
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Definition
intentional relationship model
It addresses therapeutic use of self and interactions. |
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Term
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Definition
multi-modal
this provides a more holistic and efficacious approach then using only one model |
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Term
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Definition
knowledge borrowed from other fields |
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Term
impt. points in using related knowledge |
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Definition
select appropriate and relevant related knowledge to complement their conceptual practice models
derive their identity and the main elements of practice from the paradigm and practice models and not from the related knowledge |
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Term
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Definition
those theories that you have knowledge of and know when and where to best apply them |
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Term
elements that should be in conceptual portfolio |
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Definition
personal definition of OT
clear sense of nature of on'e clients and of the services one offers to them
a personal set of values to guide practice
identification and clear understanding of the conceptual practice models one uses to address client needs
identification of concepts from related knowledge that inform one's practice |
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Term
use of conceptual knowledge gives therapists: |
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Definition
better sense of their own professional identity
clear vision of the values that guide the work
thorough understanding of the concepts that underlie approach to understanding of the concepts that help meet client's needs. |
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Term
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Definition
process of using the concepts and practical resources of conceptual practice models and related knowledge to understand a client and choose an ongoing course of action to achieve positive outcomes for the client.
how theory is put into practice |
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Term
therapist who is actively using theory: |
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Definition
can be more client-centered than one who is not |
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Term
client centered in therapeutic reasoning means: |
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Definition
-working carefully to understand what the client is experiencing and what the client wants (independent of the client's ability to express these things
-Being an advocate for the client's welfare and desires
-recognizing what the client is capable of bringing into the therapy process and capitalizing on it for the client's benefit |
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Term
client centered may involve |
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Definition
empowering client
collaborating with client
taking time to appreciate and respect client's experience in therapy process
being an advocate |
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Term
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Definition
not just using multi-modal approach
also involves being able to consider all factors of client to make judgements
simultaneous condsideration of many aspects of the clients and their contexts |
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Term
6 steps of therapeutic reasoning |
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Definition
-generate questions -collect info from and with client -use info gathered to create and explanation of the client's situation -generate goals and strategies for therapy -implementing and monitoring therapy -determining outcomes of therapy
not sequential steps can move back and forth through the first five throughout therapy |
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Term
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Definition
guided by model of practice that you are using
model will guide therapist to ask more detailed questions
questions guide therapist in collecting info necessary to know client thoroughly |
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Term
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Definition
reviewing existing documentation observing client talking with client and others (family)
use of both structured and unstructured approaches
structured assessments follow a set protocol
unstructured approaches take advantage of naturally occurring opportunities to gather info.
Knowing concepts of models guides thearpist in using unstructured approaches that occur more naturally in interacting with or observing a client as the opportunity presents |
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