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world health organization
What are the 2 components of either an Occupational Performance Problem or a PT diagnosis?
- origin of patient's problem
- impact of problem on person's life
- --scope goes beyond a medical diagnosis to hone in on the underlying reason for therapy services
Given what you know, what is the difference between PT and OT?
- several variations possible, perhaps depending on the setting and experience.
- -PT works on physical skills and movements
- -OT applies those skills and movements to activities that "occupy" our days
Name ways in which one can distinguish therapy practitioners (professionals) from technicians?
- our patient care decisions shows clear and defensible clinical reasoning as required by COE
- patient instruction emphasizes 'why' along w/ 'what'
- we accept higher responsibility to inform and protect the public
international classification of functioning, disability, and health
How did the ICF come to be?
First the medial model then disablement models
- a bottom up approach, a rather physician- and allied health- oriented approach
- disability or disablement first
- a top down approach, more client-centered model
- functioning first
- client/patient passive
- client/patient victim
- disease/trauma comes before person
- disease/trauma focus of health and healthcare
What is wrong with the medical model and earlier models?
- didn't include voice of individuals with disabilities in their development
- focus is hierarchial and linear
- client/patient active member in decisions and goal setting
- function becomes focus
- person comes before disease [CLIENT CENTERED and PERSON FIRST]
- context/environment and social impact are considered
Disablement models attempt to make sense of and increase awareness of:
effects of disease upon individuals beyond just a medical diagnosis
Disablement models provide scientific basis for:
consequences of health conditions
Disablement models establish:
common language to improve communications
Disablement models permit comparision of:
data across countries, health care disciplines services and time
Disablement models provide a systematic coding scheme for:
health information systems
Disablement models facilitate:
global communication, understanding and research
Name some Disablement models:
- Nagi Disablement model
- National Center for medical Rehabilitation Research Disablement model
- World Health Organization model: International Classification of Functioning, health and participation
What are the dimensions of the Nagi disablement model?
- active pathology
- functinoal limitations
What are the levels of disablement of the nagi disablement model?
- body systems
- whole person
- person's relation to society
when a client has impairments, activity limitations and participation restrictions
problem in body function or structure such as significant deviation or loss
ICF: Body Function:
- "physiological/psychological fxn of body systems"
- ex: thoughts, joint movements
ICF: Body Structure-
- ex: brain, mm, skin
the execution of a task or action by an individual
difficulties in individual may have in executing activities
an individual's "involvement in life situations"
problems an individual may experience in involvement in life situations
Parts of the ICF:
impairment--activity limitation--participation restriction
ICF: Health condition-
an umbrella term for disease (acute or chronic), disorder, injury, or trauma. Includes other circumstances such as pregnancy, aging, stress, congenital anomaly, or genetic predisposition
What are some contextual factors of ICF health conditions?
- environmental factors
- personal factors
physical environment, attitude, technology, policies
age, gender, education, religion, habits
Where can the ICF be used?
- clinical settings
- -functional status assessment
- -goal setting
- -treatment planning and monitoring
- social policy
- -used in disability policy, anti-discrimination law, disability evaluation
- -impact, intervention, and application research
What are some current criticisms of ICF from an Occupational Perspective?
- tendency or desire to classify individuals according to diability
- exclusion of subjective experience of meaning
- lack of emphasis on individual's autonomy
- limitations in capturing different kinds of participation in single person's life situation
What is the focus of the ICF?
describes a patient's health as it relates to the body structures, the individual's life roles and tasks, and his participation in society
Summary of basic steps of HOAC II
- 1. collect initial data
- 2. creat a problems list
- 3. formulate examination strategy
- 4. conduct examination and refine problem list
- 5. establish goals and identify when to re-examine the point
- 6. plan and implement intervention