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Brenau University OT Department
OT 460b-OT Practice
Lab # 9- Overview of Body Function terminology; Intervention Approaches
Name: _______________
Date: _________________
Objectives:
1. Overview of Intervention Contexts and Approches
2. Explain various terms to describe occ performance
3. Overview of documentation re: OTPF
Practice Setting
Service delivery
format
Approach to
intervention
EBP
Acute Care/ICU
Direct
Critical
Pathway?
Rehab/LTC
Indirect-consultative
with other staff
Create/Promote
Habilitation (new
learning)
Establish/Restore
Rehabilitation (reteaching)
Outpatient
Indirect- consultative
/ coaching with
family
Home Health
Education
School
Advocacy
Community
Based
Remedial/Restorative
Are we trying to restore
function?
Modify/Adapt
Compensate
Do we have little hope
of restoration?
Maintain
Level of
research
evidence
Approach to
Intervention
Activities
Preparatory
How do I
promote
generalization?
Rehearsal/
Repetition
Outcome
Measure
Purposeful
Change Contexts
Participation
OccupationBased
Occupation based
approaches
Engagement
in
Occupation
Health
Advocacy
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Understanding Body Function
1. define the following terms
Term
Consciousness
Orientation
Attention
Memory
Energy and drive
Temperament
Higher level
cognitive fx
Language related
cognitive fx
Psychomotor
Emotional
Definition
Standardized assessment that measures
this behavior/ skill (see W & S)
Ways that I might assess it
observationally
Terms I might use to describe this behavior/ skill
(esp. problems)
Brief Test of Head Injury
Beside obs; chart review
Lethargic, stuporous, agitated, comatose
Interview
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Performance Skills
Term
Energy
Paces
Attends
Knowledge
Chooses
Uses
Handles
Heeds
Inquires
Temporal org.
Continues
Sequences
Terminates
Organizes space
Search/ locate
Gathers
Organizes
Restores
Navigates
Adaptation
Notices/responds
Accommodates
Adjusts
Benefits
Definition
Standardized assessment that
measures this behavior/ skill
(see W & S)
Ways that I might assess it
observationally
Terms I might use to describe this behavior/ skill (esp. problems)
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UT III Terms
Term
Alertness/ Arousal
Orientation
Attention
Attention to detail/
error recognition
Sequencing
Memory
Problem solving
Insight
Judgment/ reasoning
Ability to follow
directions
Initiation/ termination
Impulse control
Affect
Emotional modulation
Psychomotor behavior
Definition
Standardized
assessment that
measures this behavior/
skill (see W & S)
Ways that I might assess it observationally
Terms I might use to describe this behavior/
skill (esp. problems)
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Summary of Documentation based on OTPF
Subjective
Should be one to two sentences that captures the “essence” of the person and their “narrative” about their occupational
performance
Objective:
Brief overview of client history:
 Family/ Social
 Work/ Education
 Medical/ Psychiatric or Psychological
Observations, Interview, and Assessment Results:
 Areas of Occupation: List roles in which the client engages and note those that seem to be problematic or a relative
strength
o IADL, Work assessment results go here….
 Client Factors:
o Values/ Beliefs/ Spirituality
o Body Functions:
 Neuromusculoskeltal (ROM, Strength, Coordination, Balance, etc…) Results of Physical
Assessments go here
 Sensory Perceptual: Results of Sensory/perceptual Assessments
 Cognitive/ process: Results of Cognitive Assessments go here
 Social/Emotional: Results of psychosocial assessments go here
o Body Structures- Noted from Medical record or client history…OT’s don’t usually assess this area
 Performance Skills
o What roles does the client assume? Which ones are a relative strength and which ones are
problematic?
 Activity demands
o Are home tasks complex? What about work demands?
 Contextual Factors
o Social, cultural, physical, virtual, environments etc…
Assessment
Your interpretation of what the data above suggest in terms of:
Relative Strengths of the Client; Relative weaknesses
In what ways might the client benefit from OT? (for what purpose)
Plan
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Frequency, duration (client will be seen for XX visits or client will be seen 3x per week for 3 months)
Goals (LTG/STG’s) that are measurable
Interventions…spoken in general terms:
o Group or individual intervention
o Life skills training, therapeutic activity, etc…
Intervention Considerations:
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What is the problem?
What Frame(s) of Reference might best address this (these) problem(s)?
What activities/interventions are consistent with the problem, goal and activity?