1520 ch 1

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1520 ch 1
2012-01-12 13:43:44

1520 ch 1
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  1. Frame of Reference
    link theory to inbtervention strategies

    to apply clinical reasoning to the chosen intervention methods

    tends to be a more narrow view copmpared to models of practice of rehabilitative frame of reference

    embraces the philosophy of rehabilitation: to enable a person with physical or mental disability or chronic illness to achieve maximum function in the performance of his or her daily activities

    emphasizes an individual's abilities
  2. the rehabilitative FOR
    focuses on compensatory methods, assistive devices and environmental modification the individual needs to function

    OT practitioners using this model assume that the client's impairment is stabilized and cannot be altered by therapeutic interventions

    the client's capacity to function in daily activities, can be changed through the use of compensatory methods and adaptive equipment


    teach the client compensatory methods to perform ADL, IADL, and ways to apply these new techniques to daily activities and participation in life situations

    successful outcomes depends heavily on client commitment and participation in the teaching-learning process


    mostclosely associated with physical disabilities
  3. Biomechanical FOR
    used to treat individuals with activity limitations due to impairments in biomechanical body structures and functions, including structural instability, decreased strength, limited ROM and poor endurance

    the main tenet of the biomechanical approach is that occupational performance can be regfained through addressing underlying impairments that limit performance of activitiers

    treatment focuses on preventing or decreasing impairments through the use of activity and exercise, which may be purposeful or rote

    treatment modalities may not be inherently meaningful to the client, but focus on the ultimate goal of restoring the client's capability to engage in occupation

    treatment in aimed at reducing biomechanical impairments, however goals must reflect expected improvement in occupational performance
  4. Biomechanical FOR
    Treatment techniques utilized
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    • the OT practitioner is trained to see the connection between the biomechanical impairments and occupational performance deficits

    when using this approach, it is important to explain the purpose of the treatment activiites in relationship to the occupational performance