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activity in which one engages. the ordinary and familiar things that people do every day. |
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treatment of an illness or disability |
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end towrd which effort is directed |
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state or condition of being involved. a general class of human actions that is goal directed. |
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state or condidtion of being independent (self-reliant) |
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action for which a person is specifically fitted |
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skeleton definition of OT |
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goal directed activity that promotes independence in function. |
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various life activities including ADLs, instrumental ADLs, education, work, play, leisure, and social participation |
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ability to carry out ADLs 9including activities in the ares of occupation) |
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an activity used in tratment that is goal directed and that the client sees as meaningful or purposeful |
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used more in a hospital or hehab setting |
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used more in a mental health facility or training center |
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get the client ready for the purposeful activity. (ROM, strenthening, stretching) |
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made up activities that may include some of the some skills required for the occupation. Used to simulate the actual activity and may help get the client ready. |
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occupation centered activities |
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performend in the natural setting (physical, social, and temporal) (preparing lunch at home at noon for example in your own kitchen) |
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means by which therapeutic effects are transmitted. media may include games, toys, activities, dressing or self-care activites, work activities, arts crafts, computers, industrial activities, sports, music and dance, role playing and theater, yoga, gardening, homemaking , magic, dlowning pet care, and creative writing. |
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grounded in the philosophy that all people, even the most challenged, are entitled to consideration and human compassion. previously the insane were confined and frequently abused. |
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credited with conceiving the moreal treatment movement. Physician in france, introduced work treatment for the insane in the late 1700s. used occupation to divert the patients minds away from their emotional disturbances and towrd improving their skills. used exercise, work, music, and literature. |
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also credited with conceiving the moral treatment movement. In york, England become aware of the terrible condtions in asylums. changed the way they were treated and along with Thomas Fowler approached patients with kindness and consideration. |
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fist physician to institute moral trearment practices in the US. |
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Led by Ruskin and Morris who started it in england. they sought to restore the ties b/n beautiful work and the worker, by returning to high standards of design and craftsmanship not to be gound in mass produced items. it was believed using ones own hands to make items connected people to their work, physically and mentally and thus was healthier |
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graduated from harvard med school. worked with invalid patients, providing medical supervision of crafts for the purpose of improving their health and financial indepenence. established facility in marblehead, massachusetts, where patients with neurasthenia worked on arts and crafts as part of treatment. |
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determined to improve the plight of convalescent individuals after experiencing a number of diabling conditions-TB, foot amputation, and paralysis of the left side of his body. |
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considered the father of OT. psychiatrist who spent his career treating psychiatric patients. wrote "occupatoinal therapy; a manual for nurses" |
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Mother of OT. affiliated with Jull House and Jane Addams. Noted for "habit training" |
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re education program designed to overcome disorganized habits, to modify other habits, and to construct new ones, with the goal of restoring and maintaining health. given in increasing doses at patient improves. |
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wrote 1st known book on OT "studies in invalid Occupations" |
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as the director of occupation at the NY state department of public charities she sought to demonstrate that occupatio ncould be morally uplifting, that it could improve the mental and physical state of patients and inmates in public hospitals and almshouses, and that these individuals could contributs to their self-support. |
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influential in establishing a presence for OT in vocational secretary of the canacial Millitary Hospitals Commission. responsible for develping a system of vocational rehabilitation for disabled Canadian vertrans form WWI |
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National Society for the Promotion of Occupational Therapy |
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March 15 1917, smal lfroup of pwople from these varied backgrounds convened the initial organizational meeting and produced the certificate of incorporation with this name. Included in the group were, Barton, Dunton, Slagle, Johnson, Kidner, and Newton. Object-to study and advance curative occupations for invalids and convalescents; to gather news of progress in OT and to use such knowledge to th common good; to encourage original research, to promore cooperation among occupation therapy societies, and with other againcies of rehabilitation. |
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came up wit the holistic perspective and develped the psychobiological approach to mental illness. Key note address "the philosophy of OT" published in its first journal in 1922 |
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each individual should be seen as a complete and unified whole, not merely a serries of parts or problems to be managed |
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reconstruction program purpose to rehabilitate soldiers who had been injured in the war so that they could either return to active duty or be employed in a civilian job. hundreds of women were trained need was very high. after the war only a small percent of aides were actual OTsl others eventually became OTs and others went back to prior roles. |
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established a program of vocational rehabilitation for soldiers disabled on active duty. Injured soldiers were returning home, and OTs had a role in helping soldiers adjust to their "industrial responsibilities" in civilian life. |
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Civilian Vocational rehab act |
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provided federal funds to states on a 50-50 matching basis to provide vocational rehab services to civilians with physical disabilities. |
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New namem in 1921, AOTA, what it is known as now. |
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post WWII- VA hospitals increased in size and number to handle the casualties of war and continued carte of veterans. developed physical medicine and rehab departments to serve veterans with physical disabilities. OTs were employed in these departments |
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amplified the demand for OT servicers even further. those who are 65 and older or those who are permanently and totally disabled receive assistance in paying for their health care. |
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emphasized priority service for person with the most severe disabilities and mandated that state agencies establish an order of selectio nthat would place the most severly disabled person first for service. supportin objectives like physical restoration, counnseling, educational preparation, work adjustment, and vocational training. prohibited discrimination in employment or in admissions criteria to academic programs solely on the basis of disabling condition. |
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Education for all handicapped children act of 1975 |
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right for all children to a free and appropriate education, regardless of handicapping condition. |
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Handicapped infants and toddlers act |
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exteds the provision to include children from 3-5 and initiates new early intervention programs for children from birth to 3 years of age. |
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Tech related assist. for individuals with disabilities acto of 1988 |
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addresses the availability of assistive technology and services to individuals with disablilities |
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Americans with disabilities act of 1990 |
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provides civil rights toa ll individuals with disabilities. It guarantees equal access to and opportunity in employment, transportation, public accommodations, atate and local government, and telecommunications for individuals with disabilities |
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Individuals with disabilities education act |
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requires school districs to educate students with disabilities in the least restrictive environment. requires states to establish procedure assuring that students with disabilities are educated to the maximum extent appropriate. |
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Balanced budget act of 1997 |
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intent to reduce medicare spending, create incentives for the develpment of managed care plans, encourage enrollment in managed care plans and limit fee-for-service payment and programs. |
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set of values, beliefs, truths, and principles that guide the practitioners actions. |
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concerns questions such as, what is the nature of humankind? |
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related to development of professional philosophy |
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concerned with the study of values |
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how OT views humans. "our conception of man is that of an organism that maintains and balances itself in the worl of reality and actuality by being in active life and active use." |
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person's behaviors influence the physical and social environment; inturn the person is affected by changes in the environment |
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sees the human as passive in nature and controlled by the environment in which he or she lives. |
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the ability to carry out ADLs |
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pattern of behavior that involves certain rights and duties that an individual is expected, trained and often encouraged to perform in a particular social situation |
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considered the basic units of behavior and are the simplest form of an action (ex. reaching for a ball) |
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implies that the person is focused on the goal of the activity rather than the processes involved in achieving the goal |
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is the use of a specific occupation to bring about a change in the clients performance, when used as a means it may be equivalent to activity. |
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the desired outcome or product of intervention (ie., the performance of activities or tasks that the person deems as important to life) and it is derived from the persons values, experriences and culture |
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chane in function that promotes survival and self actualization |
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relative and depends upon the individual and his or her idea of what constitutes quality of life. |
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what is meaningful and that which provides satisfaction to an individual. determined by experience of that individual. |
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belief that the client should be treated as a person, not an object. |
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profession understands the importance of having the client, family, and significant others as active participants throughout the therapeutic process. |
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unselfish concern for the welfare of others |
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treating all individuals equally with an attitude of fairness and impartiality and repecting each individuals beliefs, values, and lifestyles in the day to day interactions with the OT practitioner |
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individuals right to exercise choice and to demonstrate independence, initiative and sef direction. |
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the need for all OT practitioners to abide by the laws that govern the practice and to repect the legal rights of the client. |
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uniqueness of each individual is emphasized. OT practitioners demonstrate this value through empathy and respect for each person. |
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value demonstrated through behavior that is accountable, honest, and accuarate, and that maintains one's professional competence. |
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the ability to demonstrate sound judgment, care and discretion. |
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Occupational Therapy’s Domain: |
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Supporting health and participation in life through engagement in occupation |
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Domain: areas of occupation |
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ADL Instrumental ADL Education Work Play- Leisure- Social Participation Rest/ Sleep |
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- habits, routines and roles adopted to carry out occupation. (supportive or can get in the way) |
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Symbolic action w/ spiritual, cultural or social meaning |
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established sequences of occupations that provide structure for daily life Roles- a set of behaviors that have some socially agreed upon function and accepted code of norms |
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specific, automatic behaviors |
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a variety of interrelated conditions that influence performance -Cultural, Physical, Social (relationship we family friends and important others), Personal (how we identify who we are), Temporal, Virtual (on-line, phones) -In therapy consider the contexts that surround the performance of occupations |
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- through activity analysis OT’s determine the demands that an activity places on the performer and how those demands influence skill execution Objects used and their properties, space demands, social demands, sequencing and timing, required actions, required body functions and required body structures |
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-Evaluate the client’s occupational needs, problems and concerns- occupational profile and analysis Deficits are defined as risks in occupational performance Review client’s needs, problems and concerns Identify client’s priorities including problems and success’s Identify contexts that support and inhibit Analyze the client’s actual performance of occupations based |
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Analysis of Occupational performance- |
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Influenced by therapists chosen theoretical approach and frame of reference May do ADL for most information and decide to test a specific area with evaluation (ie. visual perception) Can use observation, clinical reasoning and tests to revise hypotheses and develop intervention plan |
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-focus on fostering improved engagement in occupations Intervention planning- problems and goals are identified and matched with client priorities and concerns Intervention implementation-use a variety of interventions and monitor response Intervention review- reevaluates effectiveness of plan of progress towards outcomes |
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-a tool that can be used to showcase the core of the profession--- helping individuals to engage in occupations to support participation |
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