Glossary of Occupational Therapy Theories
- deborah caron
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- OT theories are shaped around what activities?
- 1- work
3- leisure (play)
- What is the occupationl therapy assumption? (based on the medical assumption)
- Use an occupation to structure, manipulate & remediate occupational dysfunctions. Should lead to a purposeful activity
- How is leisure defined? (3 points)
- 1- leisure time (the no work or self care time)
2- acitvity (a personal definition)
3- state of mind
- What are the qualifying qualities that indicate a state of leisure?
- 1-freedom of choice
5-sense of relaxation
7- sense of companionship/intimacy (can be with an object/place)
8. lack of evaluation or judgment
- How is play different from leisure?
- Play has the components of leisure PLUS it's spontaneous, random and/or direct.
- What are the themes that constitute work?
- 1-knowledge aquisition of task & social events
2-acquire skills and habits
* help acquire self-confidence
3-acquire economic benefits
4-good citizenship (you feel you're contributing to the comm)
5-prevention and cure
6-religion and morality
7-quality of life
- What are the 4 functions of work?
- #1 is it provides STRUCTURE
#2 provides RELATIONSHIPS
#3 social STATUS
#4 ECONOMIC INCOME
- ADAPTIVE SKILLS OT THEORY:
What are the 6 areas of skills?
- 1-senosry integration skill
3-dyadic interaction skill
4-group interaction skill
6-sexual identity skill
- What theory is adaptive skills based on?
- Erickson developmental model
- What is the shortfall of the adaptive skills theory
- it takes a long time, so it is not well suited to short term treatment.
- ROLE ACQUISITION and SOCIAL TRAINING OT THEORY:
What is role acquisition based on?
- behavioral (learned behavior) and especially from cognitive-behavioral thoery (actions based on beliefs). It also relies on developmental concepts
- What is the goal of the role acquistion approach?
- to help person acquire the specific skills needed to function in the occupational and social roles chosen.
- What are the 10 areas of TX?
- 1-Pt identifying problems and goals
2-Choose goals that reflect pt's interest, culture, values and roles
3-Activities must be challenging but at pt's level
4-Grade activity as pt improves
5-Present skills in their natural developmental sequence
6-Pt should be aware of what s/he is supposed to be learning.
7-Feedback of pt's actions important
8-Practice the role repeatedly
9-Break down task if whole is too much. Teach the whole activity
10-Learn by imitation
- ROLE ACQUISITION and SOCIAL TRAINING OT THEORY:
What is the 4 X 4 in social training?
- that the four groups:
2) other-enhancing skills
3) Assertive skills
4) Communication skills
have to follow the 4 phases to develop social skills for that group:
1) Motivation (WII:fm)
- On what does psychoeducation emphasize its approach?
- Education theory to promote behavioral change.
- How is psychoeduacation approach similar to teaching a class?
- Need to set up lessons that go over what needs to be learned. Direct teaching and training.
- Can this approach be used in the acute setting?
Pt is not ready, may not care, or be in denial
- What is the SENSORY INTEGRATION theory based on?
- Neuroscience studies of the brain.
- Summarize in a quote the non fluidity of movement; that it is not automatic, that it is thought out in the chronic psychotic pts.
- "Decompensation of movement"
- What is the sensory integration assumption?
- that there is a dysfunction in the CNS and through external input re-organization of the CNS is facilitated.
- Why isn't this approach used much currently?
- It is a long treatment process and institutional stays are not as long as they used to be.
- What is MOHO
An open system, where the human acts on the enviornment (output) by taking energy/info from the environment (intake). Intake is scanning/searching environment for info. The feedback can be accepted or not. The process of turning intake and feedback into action (output) is throughput.
- What is throughtput?
- the process of organizing, evaluating and reorganizing info from within SELF (memory)and from environment.
- What are the three categories of throughput
- 1 VOLITION
3 PERFORMANCE skills
- What are the subcategories of volition? and their subcategories?
- - Personal Causation
*belief in skill
*belief in efficacy of skill
*expectancy of success or failure
*meaningfulness of activity
- What are the subcategories of habituation? and their subcategories?
*degree of organization
- What are the subcategories of performance skills? and their subcategories?
- What is the main focus in the (Allen) Cognitive disabilities theory?
- 1) evaluate the cognitive level and follow changes
2) ...so you can Compensate to achieve meaningful function
- Name the 6 cognitive levels:
- Level one: automatic action
Level two: postural actions
Level three: manual actions
Level four: goal directed
Level five: exploratory actions
Level six: Planned Action
- What are the characteristics of level one pts (briefly)?
-autonomic nerv system
-conscious but responds to internal stimuli
-behavior looks reflexsive
- What are the characteristics of level two pts (briefly)?
-walking is a big accomplishment
-may be able to feed self, but may not be able to open containers (no problem solving)
- What are the characteristics of level three pts (briefly)?
-Hands discovered. Everything is about the fine motor action
-some limited knowledge of the 'now'
-can focus about 1/2 hr
- What are the characteristics of level 4 pts (briefly)?
- -Supervision (may live in community)
-ability to process motor and sensory info
-can do immediate STG
-relies on visual cues
-follow routine, do rote activities
- What are the characteristics of level 5 pts (briefly)?
-trial and error
-experimental w/ problem solving
-new learning is being used
- What are the characteristics of level 6 pts (briefly)?
- normal, no disabilities
- How is cognitive disabilities differ from sensori integration?
- cognitive disabilities theory does NOT believe that CNS can be impacted, especially chronic cases.
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