This portfolio will reflect how various events throughout 2014 have effected and nurtured my understanding of the need for an accurate assessment in Occupation Therapy. I will do this by reflecting on various events that have contributed to the schema, which has developed in my thought process around performing accurate assessments. It will further explore the many aspects that are involved and influence an assessment: such as professional and ethical behaviour; integrating a multitude of information sources; and reflecting on learning experiences to understand how I approach, conduct and understand assessments. Overall this paper will demonstrate how my understanding of an accurate assessment from the beginning of this year has been altered …show more content…
Jay stood in front of our class and informed us that 2nd year in physical would be about learning how to perform assessments correctly. She asked our class why we thought we had to learn how to perform assessments correctly, and the general response was that if you didn’t know what was wrong with someone, how could you treat the unknown problem correctly. I had it in my mind that performing an accurate assessment involved gaining an understanding of the client and any problem they experienced with regards to their body or mind. This was reinforced by the statement from Occupational therapy and Physical dysfunction that, “Assessment means gathering information about people, the occupations of concern, and the environments in which occupations occur.”(1). So I now understood that an assessment was all about gathering information about the client, information that was detailed both from the clients perspective to understand their subjective experience, as well as what I observe about the client, from an objective …show more content…
“Professional reasoning is used to plan, direct, perform and reflect upon client care.” (6). I was planning my assessment sessions by being comfortable with the theory and revising the relevant notes; I was directing and performing the assessment sessions with the beliefs that to participate in ethical and professional behaviour I had to be competent in what needed to occur; and I was reflecting on the importance of preparing for an assessment and performing the assessment correctly. This whole process was the adding to and accommodating my assessment schema as I experience fieldwork and learnt from my textbooks.
Although I have not experienced treatment this year, I am aware of the importance of assessment information plays in planning the treatment sessions. Willard and Spackman’s Occupational therapy indicates the importance of gathering information as the information is what will form the occupational profile as well as determine the priorities for the intervention (7) for the patient. This further makes me believe the requirements of an accurate assessment are the foundation for collecting the correct information in order to ensure the most beneficial and fitting treatment plan for the client as an
Casey was that of the Person Environment Occupation Performance Model. This model was developed by Charles Christiansen and Carolyn Baum in 1991 (Lee, 2010). The PEOP is a client centred approach that looks at occupational performance and how it is influenced by the relationship that exists between a person and their environment (Cole and Tufano, 2008). The OT student felt this model applied to Ms. Casey, as it was evident that her physical impairment had impacted on her performance of meaningful occupations and engagement within her environment. There are four components to this model: Occupations, Performance, Person, Environment (Cole and Tufano, 2008). Person comprises of the ‘physiological, psychological, neurobehavioural, cognitive and spiritual factors’ that are intrinsic factors (Cole and Tufano, 2008, pp. 128), while Environment consists of the ‘physical, natural, cultural, societal, and social interactive factors and social and economic systems’ that are extrinsic factors (Cole and Tufano, 2008, pp. 128). The PEOP model supports client centred practice, as partnership between the client and therapist is necessary in order to enable the client to set goals and establish an approach that supports performance and participation in occupation (Christiansen and Baum, 2015). Initial assessment was guided by the PEOP model, which was conducted by the OT student in order to identify Ms. Casey’s
The Occupational Therapy Practice Framework defines an occupational profile as “the initial step in the evaluation process that provides an understanding of the client’s occupational history and experience, patterns of daily living, interests, values, and needs (2014).” During this process the client’s problems and concerns about daily occupations are identified then the client’s main concerns are determined (American Occupational Therapy Association, 2014). Occupational Therapists strive to be holistic and client-centered, and the occupational profile is one method to ensure treatment takes on these characteristics. During the occupational profile the clients share their priorities based on what is important to them, and the therapist
Though occupation usually refers to a job, a person’s occupation is initially determined by what their everyday life consists of. When a person becomes incapable of performing the tasks that they are expected to do in their everyday life due to developmental delays, physical injury, or psychological problems they are often referred to an occupational therapist. Occupational therapists, or OTs, usually have occupational therapy assistants, often called OTAs. The OT gives the OTA a set of objectives to help the patient achieve. Since people go through numerous occupations during the course of their lives, OT’s and OTA’s prov...
Sacket et al, cited in, Duncan, E,A,S, (2006) Foundtions for practice in Occupational Therapy, 4th edition, Elsevier Ltd.
Evaluating Process: First, it is important to review R’s occupational profile for progress from the start of occupational therapy. This is done to determine which assessment fits the needs of R and to ensure that the services rendered fits the client's purpose and goal. Some of the information gathered will include: client's occupational history, ADL patterns, needs and goals, environmental issues, and what the client’s limitations. It is important to evaluate the client’s progress to help facilitate the services that the new occupational therapist will continue. In addition, the client's concerns and interests are assessed in a welcome and open interview to attain additional information that R's family may
Change is something that human have to face often, yet it is still very hard for us to adapt to it. We can, in turn, agree that change is not easy (Jacobs 2002). Occupational therapy has been thought a lot of changes which give rise to new treatment methods, new approaches and a better to communicate with the patients. Below is an analysis of the changes that have been made in the occupational therapy field and their outcomes.
Occupation is defined as “activites of everyday life, names, organized and given meaning by individuals and a culture” (Association, 2006). This article also discusses the historical aspects of occupational therapy. Occupational therapy was founded by many different professionals with different backgrounds, that came together to share the same idea about how occupational therapy should be and the importance of activites for a person. This article also talks about different types of services that occupational therapy offers. Occupational therapists and assistances can work in many different settings. With the variety of settings a therapist and assistance can work in, the services that are offered there are different. Some different services that can be offered at these settings can include community mobility skills, stress management, alternative routines and habits, and more. It is important for therapists and assistances to know what settings offer what type of services when they are referencing their client to a new setting. The last topic this article discussed
Townsend, E.A. & Polatajko, H. J. (2007) Enabling Occupation II: Advancing an Occupational Therapy Vision for Health, Well-being & Justice through Occupation. Ottawa, ON: CAOT Publications ACE.
...e-based knowledge to inform the therapy practice. It also assists with furthering the therapist’s knowledge of humans as occupational beings as well as the relationship between occupation and health.(Yexer ,1993) introduced occupational science as a fundamental science supporting occupational therapy, with an aim to refocus the provision of therapy back to occupation. Hence, occupational science provides the therapists with support, justifies the meaning and uniqueness of the profession and distinguishes occupational therapy from other professions. In addition (Wilcock, 2001), also emphasises that occupational science might be another way to avoid the possible failure of the occupational therapy as a practice. With a strong research background, occupational therapists could make a contribution to medical science, which may challenge it from a different standpoint.
Occupational therapy was based off of psychology; we evolved from treating mentally ill patients with isolation as an efficient treatment plan. We must never forget we are known to be “the art and science of helping people do the day-to-day activities that are important and meaningful to their health and well being through engagement in valued occupations” (Crepeau, Cohn, & Schell, 2008). To other professional disciplines this article explains the difference between each of us, yet can also express our relation to one another. The basic goal of all therapeutic disciplines is to better our clients life, through physical, speech or occupational therapy. Every discipline targets different goals, may it be body mechanics, reducing a stutter or buttoning a shirt, at the end of the day our clients well being may it be through science, art or both is all that matters. To the occupational therapy field this article means progress for what we do. Reading this article today in the year 2015 did not seem like old information to me, it is still relevant, I am proud that our field is not only evolving with contemporary time but it is also maintaining its
Occupational therapy made its first appearance in a modern-day setting during the 18th century; however, occupational therapy dates back to 100 BC. The United States medical system adopted occupational therapy in the 19th century. In 1910, occupational therapy became a realized profession. Then, the main focus was working with individuals to get them to a fully functional state. Around 1930, standards of practice were developed for occupational therapists (OT’s). The career continues to evolve and change as new illnesses and disabilities arise. Even with all the changes, the main focus remains intact: helping people.
Occupational therapy (OT) theory offers valuable contribution to support professionalization since possessing a unique body of knowledge is essential to define a profession (Cooper, 2012). To utilize theory effectively, it is essential to differentiate between generic and specific theory as knowledge of the core theory helps to form OT identity and action as a practicing practitioner. In this essay, OT theory refers only to philosophy and OT specific models. Frame of references (FOR) will not be included since it can be shared with the other professions (Boniface & Seymour, 2012).
After careful review, the author has decided to critique the Five Elements Model of assessment. The author feels this model provides clarity and highlights specific elements needed to properly assess the client’s current circumstance. The structure of the Five Elements Model is conducive to the use of o...
O’Brien, J. C., & Hussey S. M. (2012). Introductory questions. Introduction to occupational therapy (4-5). St. Louis, MO: Elsevier.
Often if something does not fit into an existing model then it may be viewed as beyond the area of practice in occupational therapy. In contrast occupational therapy should be inclusive, not exclusive and respond to people’s needs rather than to the limitations of a model (Reed & Sanderson, 1999).The language in conceptual models can also be quite challenging and complicated to understand, detaching therapists from their client’s world (Duncan, 2009). Commonly used conceptual models are MOHO (Model of Human Occupation) and CMOP-E (Canadian Model of Occupational Performance and Engagement). The model of Human Occupation (MOHO) is a client centered, evidence based conceptual model which focuses in particular on occupation and how motivation and performance of occupations are intertwined (Cole & Tufano, 2008).