Occupational Therapy Practice Framework :Domain & process 3rd Edition
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Transcript of Occupational Therapy Practice Framework :Domain & process 3rd Edition
Domain & Process 3rd Edition
OCCUPATIONAL THERAPY PRACTICE
Framework:
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OutlinePreface IntroductionDomainProcessConclusion Reference
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Preface
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The Therapeutic Use Of Everyday Life Activities (Occupations) With Individuals Or Groups For The Purpose Of Enhancing Or Enabling Participation In Roles, Habits, And Routines In Home, School, Workplace, Community, And Other Settings.
Occupational Therapy Services Are Provided For Habilitation, Rehabilitation, And Promotion Of Health And Wellness For Clients With Disability- And Non–disability-related Needs.
Mohsen Eslampanah
Occupational therapy
Preface
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Evolution of This Document first edition: Occupational Therapy Product Output Reporting
System and Uniform Terminology for Reporting Occupational Therapy Services (AOTA, 1979).
second edition of Uniform Terminology for Occupational Therapy (AOTA, 1989).
The third and final revision of Uniform Terminology for Occupational Therapy (AOTA, 1994)
Occupational Therapy Practice Framework: Domain and Process (AOTA, 2002b).
second edition of the Framework (AOTA, 2008, pp. 665–667). 2013…
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Preface
Introduction
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Purpose of framework The Occupational Therapy Practice Framework:
Domain and Process describes the central concepts that ground occupational therapy practice and builds a common understanding of the basic tenets and vision of the profession.
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Introduction
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client
persons groups populations
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Introduction
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OTPF
Domain
Occupations
Client factors
Performance skills
Performance patterns
Contexts and environments
Process
Evaluation
Intervention
Targeting outcomes
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9 Introduction
Domain
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Domain
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Occupations
ADL
IADL
Rest and Sleep
Education
Work
Play
Leisure
Social participation
Client factors
Values, beliefs, and spirituality
Body functions
Body structures
Performance skills
Motor skills
Process skills
Social interaction
skills
Performance patterns
Habits
Routines
Rituals
Roles
Contexts and environment
Cultural
Personal
Physical
Social
Temporal
Virtual
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Occupation “In occupational therapy, occupations refer to
the everyday activities that people do as individuals, in families and with communities to occupy time and bring meaning and purpose to life. Occupations include things people need to, want to and are expected to do”
(World Federation of Occupational Therapists, 2012).
Occupation and activity Co-occupation
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13 Domain
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ADL
Bathing, showerin
g Toileting and
toilet hygiene
Dressing
Swallowing/
eating
FeedingFunction
al mobility
Personal device care
Personal hygiene
and groomin
g
Sexual activity
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14 Domain
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IADL
Care of others
Care of pets
Child rearing
Communication
management
Driving and community
mobility
Financial managementHealth
management and
maintenance
Home establishment
and management
Meal preparation and cleanup
Religious and spiritual
activities and expression
Safety and emergency
maintenance
Shopping
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15 Domain
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Rest and Sleep
Rest
Sleep preparation
Sleep participation
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16 Domain
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PlayPlay exploration
Play participation
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17 Domain
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LEISURE
LEISURE exploration
LEISURE participation
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18 Domain
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Valu
e • Honesty with self and others
• Commitment to family
• Freedom of speech
Bel
ief • Hard work
pays off.• Some
personal rights are worth fighting for Sp
iritu
ality
• Daily search for purpose and meaning in one’s life
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19 Domain
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Bod
y Fu
nctio
nsMental functions
Sensory functions
Neuromusculoskeletal and movement-related functions
Cardiovascular, hematological, immunological, and respiratory system functions
Voice and speech functions; digestive, metabolic, and endocrine system functions; genitourinary and
reproductive functions
Skin and related structure functionsMohsen Eslampanah
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Mental functions (affective, cognitive, perceptual)
Specific mental functions
1.Higher-level cognitive2.Attention3.Memory
4.Perception5.Thought
6.Mental functions of sequencing complex movement
7.Emotional 8.Experience of self and time
Global mental functions
1.Consciousness2.Orientation
3.Temperament and personality4.Energy and drive
5.sleep
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21 Domain
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Body Structure
Structure of the nervous system
Eyes, ear, and related structures
Structures involved in voice and speech
Structures of the cardiovascular, immunological, and respiratory systems
Structures related to the digestive, metabolic, and endocrine systems
Structures related to the genitourinary and reproductive systems
Structures related to movement
Skin and related structuresMohsen Eslampanah
22 Domain
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Performance Skills
Motor Skills
Process Skills
Social Interaction Skills
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23 Domain
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HabitsSpecific, automatic behaviors
that can be useful, dominating, or impoverished
RoutinesEstablished sequences of
occupations or activities that provide a structure for daily
life.
RolesSets of behaviors expected by
society, shaped by culture, and may be further conceptualized
and defined by the client.
RitualsSymbolic actions with spiritual, cultural, or social meaning that
contribute to the client’s identity and reinforce the client’s values and beliefs.
Performance patterns
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CONTEXT• Cultural: customs, beliefs, activity patterns, behavior standards,
and expectation accepted by the society• Personal: demographic feature of the individual such as age,
gender, socioeconomic status, and educational level • Temporal: stage of life, time of day or year, duration, rhythm of
activity, or history.• Virtual: interaction in simulated, real-time, or near time
situations absent of physical contact.
ENVIRONMENT• Physical: natural and built nonhuman environment and objects
in them. • Social: relationships, and expectations of persons, groups, and
organizations Mohsen Eslampanah
25 Domain
Process
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Overview of the Occupational therapy process Service delivery models Clinical reasoning Therapeutic use of self Activity analysis
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Process
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Acti
vity
and
oc
cupa
tion
al
Dem
ands
Relevance And Importance To Client
Objects Used And Their Properties
Space Demands (Related To The Physical Environment)
Social Demands (Related To The Social Environment And Virtual And Cultural Contexts)
Sequencing And Timing
Required Actions And Performance Skills
Required Body Functions
Required Body Structures Mohsen Eslampanah
Process
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Process
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EVALUATION
OCCUPATIONAL PROFILE
ANALYSIS OF OCCUPATIONAL PERFORMANCE
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Occupational profile Why is the client seeking service, and what are the client’s current
concerns relative to engaging in occupations and in daily life activities? In what occupations does the client feel successful, and what barriers are
affecting his or her success? What aspects of his or her environments or contexts does the client see as
supporting engagement in desired occupations, and what aspects are inhibiting engagement?
What is the client’s occupational history (i.e., life experiences)? What are the client’s values and interests? What are the client’s daily life roles? What are the client’s patterns of engagement in occupations, and how
have they changed over time? What are the client’s priorities and desired targeted outcomes related to
occupational performance, prevention, participation, role competence, health and wellness, quality of life, well-being, and occupational justice?Mohsen Eslampanah
31 Process
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Analysis of occupational performance Synthesizing information from the occupational profile to focus on specific occupations and
contexts that need to be addressed Observing a client’s performance during activities relevant to desired occupations, noting
effectiveness of performance skills and performance patterns Selecting and using specific assessments to measure performance skills and performance
patterns, as appropriate Selecting and administering assessments, as needed, to identify and measure more
specifically the contexts or environments, activity demands, and client factors that influence performance skills and performance patterns
Selecting outcome measures Interpreting the assessment data to identify supports and hindrances to performance Developing and refining hypotheses about the client’s occupational performance strengths
and limitations Creating goals in collaboration with the client that address the desired outcomes Determining procedures to measure the outcomes of intervention Delineating a potential intervention approach or approaches based on best practices and
available evidence.Mohsen Eslampanah
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Intervention process
INTERVENTION PLAN
INTERVENTION IMPLEMENTATI
ON
INTERVENTION REVIEW
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Intervention plan 1. Developing the plan
Objective and measurable occupation focused goals with a timeframe
Occupational therapy intervention approaches
Methods for service delivery2. Considering potential discharge
needs and plans3. Making recommendation or
referral to others as needed.Mohsen Eslampanah
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Create, promote (health promotion)
Establish, restore (remediation, restoration)
Maintain
Modify (compensation, adaptation)
Prevent (disability prevention)
Occupational therapy intervention approaches
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Intervention implementation1. Determining and carry out the type of OT
intervention 2. Monitoring the client’s response to
interventionsTypes Of
Occupational Therapy
Interventions
Occupation And
Activities
Prepratory Methods And Tasks
Education And
TrainingAdvocacy
Group Interventi
ons
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Intervention review Re-evaluating the plan Modify the plan Determining the need for continuation or discontinuation
of OT services and for referral to other services
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Outcomes process stepsSelecting types of
outcomes and measures
• Occupational performance• Improvement• Enhancement
• Prevention• Health and wellness• Quality of life• Participation• Role competence• Well-being• Occupational justice
Using outcomes to measure progress and
adjust goals and interventions
• Comparing progress toward goal achievement
• Assessing outcome use and results to make decisions about the future direction of intervention
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38 Process
Conclusion
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Conclusion
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Reference American Occupational Therapy Association.(2014). Occupational
therapy practice framework: Domain and process (3rd ed.).American Journal of Occupational Therapy, 68(Suppl.1), S1 S48.http://dx.doi.org/10.5014/ajot.2014.682006
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Thank You For Your Attention