Intervention/Re-eval/Intervention Review/Tools of Practice

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Author:
brau2308
ID:
300177
Filename:
Intervention/Re-eval/Intervention Review/Tools of Practice
Updated:
2015-04-07 11:17:42
Tags:
NBCOT
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Description:
Ch. 3 intervention
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  1. Types of intervention
    • prevention
    • meeting health needs
    • the change process
    • management
    • maintenance
  2. Primary Prevention
    reduction of the incidence or occurrence of a disease or disorder within a population that is currently well or considered to be potentially at risk

    aka "create/promote" and "health promotion"
  3. Primary Prevention interventions focus on:
    providing enrichment experiences to enhance person's occupational performance in their natural contexts
  4. Secondary prevention
    the early detection of problems in a population at risk to reduce the duration of a disorder/disease and/or minimize its effects through early detection/diagnosis, early appropriate referral and early/effective intervention
  5. Tertiary prevention
    the elimination or reduction of the impact of dysfunction on an individual
  6. Interventions used for "meeting health needs"
    • psychophysical
    • temporal balance and regularity
    • safety
    • love and acceptance
    • group association
    • mastery
    • esteem
    • sexual
    • pleasure
    • self actualizaiton
  7. The change process
    aka "establish/restore/remediation/restoration"
  8. Management
    "modify/compensation/adaptation"
  9. While maintenance is not often reimbursed by third-party payers,
    it is a major type of OT intervention due to the chronic progressive nature of many disorders with which we work
  10. Consideration of individual v group intervention:
    Individual
    • learning capacity of the person
    • amount of attention and skill required from the OT owing to body structure and function impairments
    • need for privacy
    • need for greater control over the context and environment
    • difficulty or complexity of occupation and activity demands, performance skills and performance patterns
    • inappropriate or dangerous behavior of the person
  11. Consideration of individual v group intervention:
    Group
    • developing interpersonal skills
    • engaging in socialization
    • receiving feedback from people experiencing similar conditions
    • being motivated by peer role models
    • learning from other people
    • placing one's own condition into perspective
    • developing group normative behavior for successful performance in shared occupations
  12. Reasons for discharge
    • goals have been met
    • reached functional plateau
    • does not require skilled services, for maximum benefit has been achieved
    • exacerbation of illness or medical crisis requires discharge to higher level of care
    • LOS has expired and extension not possible
  13. Activity synthesis
    • designing an activity for OT evaluation or intervention
    • combines info obtained from activity analysis w/ assessment info about individual to ensure that a suitable match is made b/w the activity requirements and the person's needs and abilities
    • effective activity synthesis often requires adaptation/gradation of selected activity
  14. Procedural reasoning/scientific reasoning
    • identify OT problems, goal setting, and treatment planning
    • implement tx strategies via systematic gathering and interpreting of client data
    • "doing" of practice
    • documented most for reimbursement
  15. Interactive reasoning
    • how disability/disease affects person; focuses on client as person
    • therapeutic relationship
    • facilitates effective tx, focuses on personal meaning of illness/disability
  16. narrative reasoning
    • deals w/ individual's occupational story
    • focus on process of change to reach imagined future
    • activities/roles important to person prior
    • finds valued activities to perform now
    • individual prioritizes activities
  17. pragmatic reasoning
    • thinking occurs
    • mental activities shaped by situation
    • considers tx environment and OT values, knowledge, abilities, and experiences
    • focus on tx possibilities
  18. conditional reasoning
    • involves ongoing revision of tx
    • focus on current/possible future social contexts
    • integration of interactive, procedural, and pragmatic reasoning in context of client's narrative
    • requires multidimensional thinking
  19. transference
    • unconscious response to an individual that is similar to the way one has responded to a significant person
    • e.g., the therapist is responded to as a parent
  20. countertransference
    • unconscious response to transference in which the individual responds in a manner that is expected and desired by the person who has transference toward him/her
    • e.g., therapist assumes a parental role toward a client

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