Clinical: Lecture 2

  1. WHO:
    world health organization
  2. 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
  3. 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
  4. 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
  5. ICF:
    international classification of functioning, disability, and health
  6. How did the ICF come to be?
    First the medial model then disablement models
  7. Medical model:
    • a bottom up approach, a rather physician- and allied health- oriented approach
    • disability or disablement first
  8. Disablement models:
    • a top down approach, more client-centered model
    • functioning first
  9. Medical model:
    • client/patient passive
    • client/patient victim
    • disease/trauma comes before person
    • disease/trauma focus of health and healthcare
  10. 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
  11. Disablement models:
    • 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
  12. Disablement models attempt to make sense of and increase awareness of:
    effects of disease upon individuals beyond just a medical diagnosis
  13. Disablement models provide scientific basis for:
    consequences of health conditions
  14. Disablement models establish:
    common language to improve communications
  15. Disablement models permit comparision of:
    data across countries, health care disciplines services and time
  16. Disablement models provide a systematic coding scheme for:
    health information systems
  17. Disablement models facilitate:
    global communication, understanding and research
  18. 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
  19. What are the dimensions of the Nagi disablement model?
    • active pathology
    • impairment
    • functinoal limitations
    • disability
  20. What are the levels of disablement of the nagi disablement model?
    • cellular
    • body systems
    • whole person
    • person's relation to society
  21. ICF: disability-
    when a client has impairments, activity limitations and participation restrictions
  22. ICF: Impairment-
    problem in body function or structure such as significant deviation or loss
  23. ICF: Body Function:
    • "physiological/psychological fxn of body systems"
    • ex: thoughts, joint movements
  24. ICF: Body Structure-
    • anatomy
    • ex: brain, mm, skin
  25. ICF: Activity-
    the execution of a task or action by an individual
  26. Activity limitation:
    difficulties in individual may have in executing activities
  27. ICF: Participation-
    an individual's "involvement in life situations"
  28. Participation restriction:
    problems an individual may experience in involvement in life situations
  29. Parts of the ICF:
    impairment--activity limitation--participation restriction
  30. 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
  31. What are some contextual factors of ICF health conditions?
    • environmental factors
    • personal factors
  32. enviromental factors:
    physical environment, attitude, technology, policies
  33. personal factors:
    age, gender, education, religion, habits
  34. 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
    • research
    • -impact, intervention, and application research
  35. 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
  36. 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
  37. 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
Card Set
Clinical: Lecture 2
review of lecture 2 from clinical process