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| a shared vision of the profession which defines the scope of practice (in a profession) |
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| a standard or example for imitation or comparison (Webster’s dictionary), an image diagramming the interrelationship of concepts (M. Cole) |
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1.Occupation has an effect on health and well-being. 2.Occupation creates structure and organizes time. 3.Occupation brings meaning to life, culturally and personally. 4.Occupations are individual. People value different occupations. |
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1.The profession has a mandate to unite at points in time and define the areas of concern on the professional and state levels. 2.OT’s domain of concern is defined by the OT Practice Framework. |
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| Defines occupation as an effective treatment medium. These are broad in nature and non-specific to particular areas of practice (Typically the Grand OT theories) |
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What to do with specific performance concerns, gives guidelines for specific types of evaluation and intervention (Typically referred to as Frames of Reference) |
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1.Focus (domains of concern) 2.Basic Assumptions: Concepts, constructs, relationships, principles, postulates 3.Function/disability continuums: application to individual clients (deductive) 4.Postulates of change: how change occurs provides basis for intervention planning, also includes motivation 5.Evaluations 6.Interventions 9.Research (evidence, outcomes) |
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1.Little known about it 2.Inductive reasoning 3.Qualitative & descriptive research 4.Case Studies 5.Ethnography,narrative analysis 6.Themes, categories |
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1.Well known/researched 2.Deductive reasoning 3.Quantitative, experimental research 4.Assessment of dependent variables 5.Studies of specific concepts/relationships |
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| Theory of Occupational Adaptation was created by who and for what? |
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1987-(1992)Texas Women’s University Created by a faculty workgroup to support their Ph.D. program. Sally Schultz and Janette Schkade wrote papers to describe theory. |
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| The occupational adaptation frame of reference asserts that a person’s occupational functioning may be improved through? |
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| positive changes in his/her adaptive processes |
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| Which framework does not have allot of evidence? |
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| Theory of Occupational Adaptation |
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| The occupational adaptation process is from what theory and is defined as? |
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| Is from Theory of Occupational Adaptation and defined as fundamental to competence in occupational functioning |
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| Competence in occupation is a lifelong process of internal/external demands to perform |
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| Demands to perform occur naturally as a part of roles and context |
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| Dysfunction occurs when a persons ability to adapt has been exceeded by the demands of task |
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| At any stage of life, adaptive capacity can be overwhelmed by impairment |
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| The greater the dysfunction, the greater the adaptive response needs to be. |
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| Success in Occupational Performance is the result of being able to adapt with sufficient ability to satisfy self and others |
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| Which theory's Function/Dysfunction Continuum is "The persons ability to adapt has been challenged past the point where the demands of task are not being met" |
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| Theory of Occupational Adaptation |
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| Competence in the Theory of Occupational Adaptation is found when? |
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| The constant process of adaptation to internal and external demands of task |
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| Per the Theory of Occupational Adaptation, an individual’s adaptive capacity can be overwhelmed by ? |
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1.impairment 2.physical or emotional disabilities 3.stressful life experiences |
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| Demands in the Theory of Occupational Adaptation can be from? |
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-internal (roles, physical, emotional demands) -external (environmental, social) sources |
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| What specific techniques are associated with the Theory of Occupational Adaptation ? |
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| The greater the mismatch between task and ability, the higher demand for adaptation is from what theory? |
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| Theory of Occupational Adaptation |
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| Person- Environment-Occupation (Performance) Model was developed by? |
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Mary Law and the faculty of McMaster University in the Mid 1990’s Paradigm is derived from the Ecological Systems Model (Lawton, 1973) |
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| What theory is supported by Supported by Ecological Systems Theory ? |
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| Person- Environment-Occupation (Performance) Model |
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| Occupational Performance from the Person- Environment-Occupation (Performance) Model utilizes? |
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-A transactional relationship between occupation, environment, and person -The relationship is dynamic and changes over time and the lifespan |
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| Occupational Performance from the Person- Environment-Occupation (Performance) Model foundations are from? |
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-Environmental Psychology -Environment-Behavior Studies -Social Science -Anthropology -Human geography -Architecture |
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| Who published the Model of Occupational Performance and Client-Centered Practice ? |
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| The Canadian Association of Occupational Therapists with the Department of Health and Welfare (1983) |
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| Which theory is inherit in AOTA’s Framework Document (2002)? |
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| Person- Environment-Occupation (Performance) Model |
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| In the Person- Environment-Occupation (Performance) In what Model does different points of life will demonstrate different levels of overlap? |
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| The Person- Environment-Occupation (Performance) Model |
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| In the PEOP model, environment incorporates what elements? |
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-cultural -social -physical -industrial/organizational |
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| The outcome of the transaction of PEO is? |
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| Human agency, a process of the PEOP model is defined as? |
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| Persons have an innate drive to explore their environment and demonstrate mastery within it |
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| Competence is reached in the PEOP model when? |
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| A person is able to perform skills that meet his own personal needs. A person is also able to use the resources (personal, social, material) within one’s environment. |
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| Adaptation is defined in the PEOP model as? |
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| A process whereby persons confront the challenges of daily living and are able to use their resources to master these demands |
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| What do people get from the PEOP model? |
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| Persons derive a sense of self fulfillment from mastery and a sense of self identity from meaningful participation in occupations. |
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| In the PEOP model, Occupational Performance is influenced by ? |
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1)person 2)unique environment in which one functions 3)occupations that consist of one’s actions and tasks and ultimately create one’s life roles. |
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| In PEOP, Occupational performance is defined as? |
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| the actions that are meaningful to the individual as he self manages, cares for others, works, plays and participates fully in home and community life. |
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| In PEOP, Occupational performances two components? |
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a) occupations b) performance. |
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| What is PEOP model'S evaluation(s)? |
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-Canadian Occupational Performance Measure -Activity Card Sort -OT assessments that is concerned with the 3 areas of the Canadian Occupational Performance Measure -Standardized and observational screenings |
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| What model requires the practitioner to initially assess the client’s perception of problematic occupational performance? |
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| Person- Environment-Occupation (Performance) Model |
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| assesses the performance components of an activity that are not congruent with the client’s ability at that time. |
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| What is the goal of assessment in the PEOP model? |
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| To attain a summary of strengths and issues/problems in occupational performance |
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| PEOP model see's the client and patient model as? |
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| a collaborative relationship |
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| Competency is in the PEOP model is seen as? |
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-An ability to perform and master occupations. -Demonstrates performance in meaningful activities and meets a balance of personal and environmental demands. ---Can self manage, care for others, work, play and participate fully in home and community life. -Shows adaptation in occupational performance as challenges naturally evolve in his life. -Establishes healthy role patterns that fulfill personal and societal expectations |
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| Dysfunction patterns are noticeable when |
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| a person cannot perform roles to a level of personal or social satisfaction (competency) because of deficits in abilities and skills due to a health condition and/or barriers and a lack of resources within the environment. |
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| Per the PEOP model, what has a significant impact on poor occupational performance? |
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-conflicting demands of multiple roles (role conflict) -unclear role expectations from one’s culture |
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| PEOP's treatment guidelines are: |
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1.Recognize the role of the environment as it impacts a person’s health and participation in meaningful a activities, tasks, and life roles 2.Enhance occupational performance by structuring occupations for meaningful participation and competent mastery. 3. Adapt and/or modify the actions, tasks, and ultimately one’s occupations. 4.Teach compensatory techniques when appropriate. Foster temporal adaptation 5.Enhance role functioning by increasing and modeling skill development, managing multiple role participation, clarifying role expectations from an internal and external perspective |
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| Ecology of Human Performance was created by: |
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-Dr Winnie Dunn -Dr Catana Brown -The OT Faculty of KUMC |
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| Ecology of Human Performance (EHP) theory draws from: |
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| Ecology of Human Performance (EHP) theory focuses on: |
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| the interaction between the person and the environment |
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Which theory scope covers: -Persons of varying ages & needs across the lifespan -Emphasizes a preventive and health -- promotional attitude, as well as rehabilitative. |
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| Ecology of Human Performance |
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| “Task performance” In the EHP model is defined as: |
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-ADL -work -productive activities -education -leisure/play -social participation |
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| What is the Targeted area in EHP? |
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| In the EHP model the interaction is between: |
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-person -context -task performance |
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| An transaction in the EHP influences the: |
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| context and therefore the person's range of future occupations |
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| In EHP, the task is defined as: |
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| an objective set of specific behaviors required to attain a particular goal |
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| Task only takes on meaning in EHP when |
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| in the transactional relationship of person-task-and context = occupation |
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| Performance, in EHP, is comprised of: |
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-the process -the outcome of interacting with context and engaging in task |
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| Context in the EHP theory encompasses: |
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-Temporal Aspect -Environmental (inc. social & cultural) |
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checklists (that have a set of worksheets for each of the 4 constructs that compose the model) |
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| The 4 constructs of the EHP model are: |
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-the person -context -tasks -performance |
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| The 4 constructs of the EHP model are: |
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-the person -context -tasks -performance |
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| EHP’s Intervention effects one of two areas: |
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| EHP intervention may include |
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1. Establish/restore a person’s ability to perform in context (establishment or reestablishment of a skill or ability) 2. Alter actual context of the task in which people perform 3. Modify (adapt) contextual features that support performance in context 4. Prevent the occurrence or evolution of performance problems in context(Proactive & look at future concerns) 5. Create circumstances that promote more adaptable or complex performance in context |
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-Sensorimotor -Cognitive -Psychosocial |
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| Altering the actual context of the task in which people performs in the EHP model means: |
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-Allow person to participate with currently possessed skills -Places person in a task that better matches their skills or desires -Alter where the occupation occurs to accommodate current skills |
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| In EHP, Therapists are asked to modify (adapt) contextual features that support performance in context. This means to: |
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-Revise context or demands of activity to meet current capabilities -Compensatory techniques (ie: duration,sequence) |
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| In EHP, therapists are encouraged to prevent the occurrence or evolution of performance problems in context. This means to: |
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| Proactive & look at future concerns |
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| The EHP model suggests to create circumstances that promote more adaptable or complex performance in context. This means to: |
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| Creating intervention strategies without assuming that a disability is present or that any factors would interfere with performance |
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| The EHP model suggests to create circumstances that promote more adaptable or complex performance in context. This Intervention method resembles: |
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| The health promotion model |
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1.(Please choose the best answer): Which of the following statements about a Frame of Reference are false? a.A shared vision of the profession b.Interrelated, internally consistent concepts c.A systematic description of a domain of concern d.Provides prescription for client treatment e.All of the above are true |
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| A shared vision of the profession |
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2.(Please choose the best answer): Jamie has developed a peripheral nerve injury, causing numbness and weakness in her upper extremity. Her therapist develops a plan that provides a modified chair, so she can return to work as a secretary. According to EHP, what type of intervention is her therapist attempting? a.Prevent b.Modify/adapt c.Alter Context d.Establish/restore e.Create |
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3.(Please choose the best answer): According to the Theory of Occupational Adaptation, which of the following can overwhelm adaptive capacity? a.Stress b.Emotion c.Physical disabilities d.External factors e.All of the above are true |
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| All of the above are true |
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4.(Please choose the best answer): In the PEO(P) Model, an enlarging area of overlap in the occupational performance intersection (think the PEO illustration) is not an indication of… a.Possible Increasing dysfunction b.Possible adaptations of task c.The ability for the person to engage in an activity d.The ability to successfully face a relatively large amount of barriers to performance e.All of the above are true |
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| Possible Increasing dysfunction |
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