OTPF: book notes & OTPF: Performance patterns and client factors
Why do we use the OTPF?
It provides a unified language for our profession & provides the info on the process of providing occupation-based intervention
Define Areas of occupation.
Various kinds of life activities in which people, populations, or organizations engage.
What are the 8 Areas of Occupation?
ADLs, IADLs, Sleep and rest, education, work, play, leisure, social participation
What are ADLs?
Activities of Daily Living; activities that are oriented toward taking care of one's own body. These activities are "Fundamental to living in a social world; they enable basic survival and well-being."
What 10 areas fall under ADLs?
Bathing/showering, bowel & bladder management, dressing, eating, feeding, functional mobility, personal device care, personal hygiene & grooming, sexual activity, and toilet hygiene.
What is functional mobility?
Under ADL: moving from one position or place to another (during performance of everyday activities), such as in-bed mobility, wheelchair mobility, and transfers.
What is personal device care?
Under ADL: Using, cleaning, and maintaining personal care items such as hearing aids, contact lenses, glasses, orthotics, prosthetics, adaptive equipment, and contraceptive and sexual devices.
Activities to support daily life within the home and community that often require more complex interactions than self-care used in ADL.
What are the 12 categories of IADLs?
care of others (including selecting and supervising caregivers), care of pets, child rearing, communication management, community mobility, financial management, health management, health management and maintenance, home establishment and management, meal preparation and cleanup, religious observance, safety and emergency maintenance, and shopping
What areas fall under rest and sleep?
Rest, sleep, sleep preparation, and sleep participation
What areas fall under education?
Formal education participation (including categories of academic, nonacademic, extracurricular, and vocational participation), informal personal educational needs or interests exploration (beyond formal education), and informal personal education participation
What areas fall under work?
Employment interests and pursuits, employment seeking and acquisition, job performance, retirement preparation and adjustment, volunteer exploration, & volunteer participation.
What areas fall under play?
**Play exploration (Identifying appropriate play activities, which can include exploration play, practice play, pretend play, games with rules, constructive play and symbolic play)
**Play participation (participation in play; maintaining a balance of play with other areas of occupation and obtaining, using, and maintaining toys, equipment, and supplies appropriate)
What areas fall under leisure
**Leisure exploration (identifying interests, skills, opportunities, and appropriate leisure activities)
**Leisure Participation (planning and participating in appropriate leisure activities)
What areas fall under social participation?
Community, family, peer/friend
Activities needed for learning and participating in the environment.
Areas of Occupation: Education
Activities needed for engaging in remunerative employment or volunteer activities
Areas of Occupation: Work
Any spontaneous or organized activity that provides enjoyment, entertainment, amusement, or diversion
Areas of Occupation: Play
A nonobligatory activity that is intrinsically motivated and engaged in during discretionary time, that is, time not committed to obligatory occupations such as work, self-care, or sleep.
Areas of Occupation: Leisure
Organized patterns of behavior that are characteristic and expected of an individual or a given position within a social system
Areas of Occupation: Social Participation
What is the top-down approach?
Evaluating areas of performance and occupations that the client hopes to engage in first, then analyzing performance skills or client factors that are interfering with performance
What are client factors?
Client factors include (1) values, beliefs, and spirituality; (2) body functions; and (3) body structures that reside within the client and may affect performance in areas of occupation.
What are values?
A client factor; Principles, standards, or qualities considered worthwhile or desired by the client who holds them.
Give examples of values:
Person: Honesty with self and with others, commitment to family
Organization: Obligation to serve the community, fairness
Population: Freedom of speech, equality for all
What are beliefs?
A Client Factor: Cognitive content held as true.
Give examples of beliefs:
Person: Hard work pays off
Organization: Profits are more important than people
Population: People can influence government by voting, accessibility is a right, not a privilege
What is spirituality?
A client factor: The "personal quest for understanding answers to ultimate questions about life, about meaning, and the sacred"
What falls under body functions?
The Physiological functions of the body systems: *Mental functions
*Sensory and pain
*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 functions
Give examples of spirituality:
Person: Daily search for purpose and meaning in one's life, guiding actions from a sense of value beyond the persona acquisition of wealth of fame
Organization and population: (similar to person)
What categories are under mental functions?
(Client factors: body functions: mental functions)
*Specific mental functions (higher-level cognitive, attention, memory, perception, thought, mental functions of sequencing complex movement, emotional, and experience to self and time)
*Global mental functions (consciousness, orientation, temperament and personality, energy and drive, sleep <physiological process>)
What categories are under sensory functions and pain?
(Client factors: body functions: sensory functions and pain)
*Seeing and related functions (visual acuity, stability, and field functions), hearing, vestibular, taste, smell, proprioceptive, and touch functions, pain, temperature and pressure
What categories are under Neuromusculoskeletal and movement-related functions?
Functions of joints and bones: Joint mobility, joint stability, muscle power, muscle tone, muscle endurance, motor reflexes, involuntary movement reactions, control of voluntary movement, and gait patterns