Term
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Definition
| concept that all interventions must be focused on patient priorities. |
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Term
| interaction required for successful outcome |
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Definition
patient needs to be internally motivated and involved as an active participant in the intervention process.
The patient contains all that needs to be known concerning what is going wrong and what needs to be attended to |
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Term
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Definition
| allows therapist to build rapport and gather necessary information. |
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Term
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Definition
| is on understanding a patient's perspective rather than on checking the accuracy of the information. |
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Term
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Definition
find out what is in a person's mind...to access the perspective of the person... to find out things...we cannot directly observe.
To find out what the person is thinking and feeling and how the patient understands his or her ability to function in a variety of settings and complete a variety of tasks. |
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Term
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Definition
planned oral communication that has a clear purpose, specific content and a format that allows patients to tell their stories.
Can be structured or semi-structured. |
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Term
| assumptions underlying interviews |
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Definition
facts are not actively sought; they emerge from communication
the interview is crucial in setting the stage for future interaction, establishing a relationship and for gathering relevant information
the communication techniques in an interview can function to facilitate or impede the flow of relevant information
it is possible to learn a range of interviewing techniques that can enhance the interview process
tit is important for a practitioner to practice different techniques until a comfortable style of interaction is developed. |
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Term
| communication factors in an interview |
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Definition
patient's reactions, tone of voice, nonverbal noises, pacing and body movements and positioning of the patients arms and legs. Facial expressions are to be observed to seek out emotions the patient may not be able to label or express.
Observation is important even though it is identified as a separate type of assessment. |
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Term
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Definition
| provides a systematic evaluation by standardizing. It uses specific language, sequence and quantification of responses. This process requires a strict adherence to formulated questions. |
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Term
| semi-structured interview |
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Definition
| uses standard questions but allows the interviewer to add non-standardized questions. |
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Term
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Definition
allows the therapist to develop questions in response to the patient's information
Does not mean unplanned |
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Term
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Definition
includes patient's narrative story, perceptions and understanding of his or her own life and function.
It's assumed that an unstructured but planned OT interview will be combined with the results of standardized and other needed assessments.
The therapist then blends the scientific, narrative and pragmatic reasoning in analyzing the person's occupational profile in order to develop an effective intervention plan. |
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Term
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Definition
social interchange involves a give and take of information and concerns between participants.
in a clinical interview most rules of social etiquette DO NOT apply
a professional interchange and relationship has set boundaries, time limits and content and the needs of the patient are the total focus of the interchange.
The therapists statements have a larger purpose than in a social interaction.
The interview is not about the therapist. Personal questions asked of the therapist need to be handled with care. |
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Term
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Definition
OTs should use the domains from the FRAMEWORK.
performance areas
skills
patterns
context
activity
domains
client factors |
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Term
| therapist's theoretical orientation |
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Definition
| determines how the interview data is analyzed, what other assessments will be used and what the total evaluation data indicates as baseline function and what intervention methods will be used |
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Term
| theoretical perspective of OT |
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Definition
needs to be consistent with that of the treatment team.
It is not enough to ask questions regarding the content of occupational performances; must know the meaning and significance of the data accumulated.
The theoretical framework of team should be known before the interview. |
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Term
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Definition
first step of evaluation process
-first meeting
therapist needs to establish a sense of trust and cooperation
Can be helpful for the therapist to return two or three times to the patient indicating patience, understanding and concern. |
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Term
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Definition
directly related to the therapists attitudes, knowledge and skills
-respect-therapists ethical responsibility
-empathy
-self-awareness
cultural awareness |
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Term
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Definition
open and closed questions used appropriately
Listening-active skill-therapist does not agree or disagree during assessment interview.
Silence-part of communication not absence of it
identifying thoughts and feelings-Egan-"you feel_ because_"
use of reflection
clarifying a message
using prompts
shift in topic |
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Term
| identifying thoughts and feelings |
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Definition
| therapist need not worry about identifying the precise feelings expressed. In a statement "you feel_ because_" being wrong can lead to more conversation and it is more about the process then precisely labeling it. |
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Term
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Definition
| this is done so that the patient can hear their words in a different way. Parroting back the information may bring anger. It is important that it is restated in a way that is different then the way the patient has shared it. |
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Term
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Definition
highlighting of a word that is said
positie nod of the head
a gentle touch
must be aware of cultural differences to touch and nonverbal signals for this to be effective |
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Term
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Definition
opening phase-eye contact and introduction, discipline and purpose of the interview. Thank the patient for their cooperation. Asks for a specific amount of time. Personalize the interview. Basically establish rapport.
Body of the interview-data gathering phase. Longer phase but not any more important Planned open questions.
Closing
give a timing reminder
another timing reminder
summarize what the patient has shared. Allows patient to clarify what has been said.
Inform patient of the next step, next meeting time
Thank the patient and say goodbye |
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Term
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Definition
the data that presents the patient's occupational history and experiences such as ADLS, interests, needs.
Priorities are determined
data needs to be grouped and reported according to performance areas, patterns and skills. |
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Term
| parts of an evaluation report |
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Definition
identification and background information
occupational profile
analysis of occupational performance
signature of therapist
printed name
date |
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Term
| Analysis of Occupational Performance |
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Definition
| determine the patient's specific functional assets, limitations and goals with a plan for intervention. Specifies a timeframe and intervention methods and identifies behavioral outcomes expected from the intervention. |
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Term
| CMOP three central elements of practice |
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Definition
person,-affective, cognitive and physical
environment-physical, social cultural, institutional
occupation- |
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Term
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Definition
| Person-Environment Occupation model (PEO) |
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Term
| father of client centeredness |
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Definition
Carl Rogers
-encouraged partnership with patient |
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Term
| challenges for therapist-client partnerships in mental health practice |
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Definition
1. patient reluctance to become involved in the OT process
2. Dissonance between opinion or expectations of patients and therapists
3. difficulty in patients making decisions
4. lack of fit between the patient decision and skill level
5. Difficulties in modifying the patient environment |
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Term
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Definition
semi-structured interview designed to ID problems in occupational performance as articulated by the patient in partnership with the therapist.
meant to be used with CMOP
it has three distinct sections:
1. self-care: ADLs, IADLs
2. Productivity: education and work
3. Leisure: play, leisure and social participation
2 scores at completion of the interview process
performance and satisfaction-self rated by client
good test-retest reliability (only type)
3 types of validity have been evaluated-content, criterion and construct |
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