Ot 425 6 d_2017
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Transcript of Ot 425 6 d_2017
Session 6D
OT Theory
Person – Environment – Occupation (PEO) Model
Environment
Occupation
Person
Occupational Performance
•Person: A unique being who, across time and space, participates in a variety of roles important to him/her
•Environment: Cultural, institutional, physical, and social factors outside a person that affect occupational performance
•Occupation: Any self-directed, functional task or activity in which a person engages over the life span
PEO Model -Key Terms
PEO Model - Key Terms (con’t)
Occupational Performance
• Performing a task related to participation in a major life area• Shaped by transaction that occurs between person,
occupation, and environment• Requires ability to balance occupations and views of self and
environment that sometimes conflict – and to encompass changing priorities
• Best measured by self-report
Central Features
Person – Environment – Occupation – Performance (PEOP) Model
Key Terms
• Person –physical, social, and psychological aspects of the
individual
• Environment – physical and social supports and those
things that interfere with the individual’s performance
• Occupation – everyday things people do and find
meaningful
• Performance – the actions of occupations
O&H p. 137)
Assessment Procedures• Identify the intrinsic and extrinsic factors
that support and/or limit the occupations, activities, or roles of the client.•Determine the client’s occupational
performance status.•Consider the environmental context in
which the client typically performs.•Assess the person’s “assets and deficits.”
Central Features
A review of both models
“Perhaps the most therapeutic action the occupational therapy practitioners can do is to always hold in mind each person’s hopes, dreams, and experiences while at the same time understanding all the many person and environmental factors that affect that person and his or her occupation.”(Boyt Schell & Gillen, 2014, p. 747)
Theory of Occupational Adaptation
Occupational Adaptation (OA)
Adaptation is a normative process that is most pronounced in periods of transition.
adaptiveness active participationin occupations
OA: Key Terms• Occupational Adaptation: specifically to how
occupation and adaptation become integrated into a single internal phenomenon within client.
• Occupations: activities characterized by three properties - active participation, meaning to the person, and a product that is the output of a process (tangible or intangible)
• Adaptation: a change in functional state of the person as a result of movement toward relative mastery over occupational challenges
http://prezi.com/ftpkwsjjb3py/?utm_campaign=share&utm_medium=copy&rc=ex0share
OA: Implications for Practice
• Main goal- client’s ability to adapt is used to maximize effectiveness to adapt
• Client is assisted in choosing occupational roles and these guide treatment
• Using occupational readiness and occupational activity• OT focuses on clients ability to adapt by directing
intervention towards the three subprocesses• Treatment needs to progress quickly to meaningful
activities
Application of OT Theory
Image retrieved from http://www.wcrc.co.za/news_&_views.htm?sm%5bp1%5d%5bcategory%5d=101&sm%5bp1%5d%5bpersistent%5d=1
Case Study: https://vimeo.com/92030222
The KAWA Model
Prezi: http://prezi.com/eijmdadrc_nc/?utm_campaign=share&utm_medium=copy&rc=ex0share
Website: http://www.kawamodel.com
OverviewTheory Role of OT Main Points Key Terms Tools Notes
OA
MOHO
CMOP-E COPM
PEO
PEOP
LBM LBI
OTPF - Domain & Process
TRUE or FALSE?• A definition of OT can be found in the preface.• Several definitions for occupation can be found within
the Framework.• The OTPF is divided into 3 sections: domain, process,
and outcomes.• Purposeful activities are described as one type of
intervention within the Framework.• The OTPF supports a top-down approach to
intervention.
Review
References• Baum, C. M., & Law, M. (1997). Occupational therapy practice: Focusing on occupational
performance. American Journal of Occupational Therapy, 51(4), 277-288. • Boyt Schell, B. A., Gillen, G., & Scaffa, M. E. (2013). Willard & Spackman’s occupational
therapy (12th ed.). Baltimore, MD: Lippincott Williams & Wilkins, Inc.• Christiansen, C., et al. (2005). Occupational therapy: Performance, participation, and well-
being, Slack Thorofare, NJ.)• Cole, M. B., & Tufano, R. (2008). Applied theories in occupational therapy: A practice
approach. Thorofare, NJ: Slack, Inc.• Law, M. (1991). “The environment: a focus for occupational therapy.” Canadian Journal of
Occupational Therapy 58(4).• Letts, L., et al. (1994). “Person-Environment Assessments in Occupational Therapy.”
Canadian Journal of Occupational Therapy 48(7).• Law, M. (1996). “The Person-Environment-Occupation Model: A Transactive Approach to
Occupational Performance.” Canadian Journal of Occupational Therapy 63(1): 9-23.• Schkade, J. & Schultz, S. 1992. Occupational Adaptation: Toward a Holistic Approach for
Contemporary Practice, Part 1. American Journal Of Occupational Therapy. 46 (9) p29 -p37• Strong, S., et al. (1999). “Application of the Person-Enviornment-Occupation Model: A
practical tool.” Canadian Journal of Occupational Therapy 66(3).