OCC 611 Foundations for Practice Study Guide PDF
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Summary
This study guide for OCC 611 provides an overview of foundational concepts in occupational therapy, including theories, models, and clinical reasoning. It covers topics like the occupational therapy process, evidence-based practice, and therapeutic modes.
Full Transcript
Test your Knowledge: One Study Guide Intro to Theory Theories: attempt to explain a specific phenomena and to provide structure - Broad theory: specifies relationships among concepts that share something in common - General - Discrete theo...
Test your Knowledge: One Study Guide Intro to Theory Theories: attempt to explain a specific phenomena and to provide structure - Broad theory: specifies relationships among concepts that share something in common - General - Discrete theory: use hypothesis to test causal relationships among elements of broad theories - Descriptive in nature Conceptual Models: explain WHY OT works - Occupation Based Models Practice Models: explain HOW OT works, give guidelines for specific types of evaluate - Frames of Reference OT Theory Organization: Paradigm, Occupation-based models, Frames of Reference Occupational Therapy Process and Outcomes 1. Explain the components of occupational therapy process a. Evaluation: profile, outcomes, analysis of occupational performance (subjective and objective) b. Intervention: plan and implementation c. Reevaluation: reanalysis of performance, targeted outcomes, actions d. Continue/Discontinue IT 2. Examine how evidence from research and practice is integrated into occupational therapy process a. Evidence focus during evaluation: i. Preferences of client ii. Therapist experience b. Evidence considerations during intervention: i. Relationship between intervention and theories are relevant for client and clinical setting ii. Available research about benefits of interventions c. Evidence focus during reevaluation: i. Available research regarding reevaluate for specific type of client and assessment tools administered at evaluation Professional Reasoning in Occupational Therapy 1. Clinical Reasoning uses: sensory experience, observations, theoretical knowledge 2. Schell's Ecological model: a. Transactional: deeper interactions, need client interaction as well as your own 3. Clinical Reasoning Types a. Scientific: most concrete/least personal, using research evidence i. Diagnostically: clinical problem sensing and definition ii. Procedural: thinking about disease and deciding intervention b. Narrative: Understanding the meaning that disease, illness or disability has to an individual i. Clients story + experience c. Pragmatic: reality check of therapy i. Determines the look of how therapy will present itself d. Ethical: how to navigate situations i. Guids: OT code of ethics, Standards of practice e. Interactive: extending empathy + support, building collaborative relationship f. Conditional: combines all forms of clinical reasoning, time + experience develops this and it will change Intentional Relationship Model: critical need for self-reflection, openness to feedback is vital Principles of IRM 1. Grow your interpersonal knowledge 2. Purely and flexibility applied: modes can work and be utilized 3. Client defines relationship 4. Balance activity focusing with interpersonal focusing 5. Application must be informed by core OF values/ethics 6. Cultural Competence is central to practice Therapist responsibility: remain self aware and disciplines 1. Self awareness 2. Self discipline 3. Recognize limits 4. Self development Empathy: matters for effective relationships Six Therapeutic Modes 1. Problem solving 2. Advocating 3. Collaborating 4. Empathizing 5. Encouraging 6. Instruction Interpersonal Reasoning Process Steps: 1. Anticipate 2. Identify 3. Determine if a mode shift is required 4. Choose a mode for mode sequence 5. Draw on relevant interpersonal skills 6. Gather feedback Modes negative effect: - Used too frequently or inflexible - Use with poor timing relative to client needs - Used in a manner inconsistent with client personality Pure Mode use: communicating single clear message Blended mode use: convoluting the message Therapeutic use of self: use of personality, perception, and judgements Transtheoretical Model Key components 1. Stages of change a. Precontemplation: not ready b. Contemplation: consideration c. Preparation: ready to change d. Action: taking action e. Maintenance: engaged in behavior f. Termination: can maintain behavior g. Noncompliance: no desire to change 2. Decisional balance: a. Benefits of change and barriers to change? 3. Self efficacy: a. confidence in ability to use a healthy behavior 4. Processes of change *Motivational interviewing: reflective listening, careful wording, affirm clients choices Exam Review Takeaways - Occupational therapy = outcome of research - Scope of practice = collaboration between practitioner + client - Occupational profile = evolves overtime - APA citation when referencing a chapter in an edited book = The name of authors of the chapter - Formal theory: set of ideas explaining a specific set of phenomena - Motivational interviewing: conversationally eld, hearing clients thoughts - World Health Organization = most impactful = community + environment