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Models in OT practice

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Kavita Murthi
Kavita Murthi

Occupational Therapy and models

EducaçãoSaúde e medicina
1 de 31
Kavitha Murthi
Justify the importance of theories in OT practice Aid students to use the theoretical lens to solve problems in the future Present my experiences through this journey
Discussion Presentation Problem solving session Case study 3 take home messages Feedback for me
Become slightly comfortable with the idea of using theoretical knowledge in practice Initiating the process of reflection
Rheumatoid Arthritis Fractures Autism Myocardial Infarction Cerebral Palsy Cancer Learning disabilities Anorexia Traumatic brain injury Stroke Schizophrenia/ Psychosis
(enhancing) Theories Models Research (delivering) Frames of reference Assessments
Is this how we want our practice to be?
A particular method of doing something A system of rules/ principles/ guidance A coherent group of tested prepositions (Dictionary.com 2012)
Occupation focused concept Formulating and analysing the various processes of OT practice with specific occupation focussed goggles (Mclean 2011)
Day – to – day guide Method to deliver the ‘OT’ process Not exclusive to OT Experience ( Mclean 2011)
Organizes thoughts by relating and explaining concepts which are closely connected Uses “experiences” to provide answers Rationalization of undertaken actions Evidence Structures performance Predictor of further thoughts Lays foundation for standardization. for example: assessments (Turpin and Iwama 2010)
Can change conventional beliefs Provides the enriched data that can be analysed Gives room for reflection First hand valuable information (Turpin and Iwama 2010)
Understand Judgement/ reasoning Analysis Critique Application Reflection (Turpin and Iwama 2010)
Using the right model of practice for the right client Viewing the client as a person with a life in an environment
Was very time consuming Involved a lot of reading and synthesizing Critiquing literature Reasoning and justification Application of knowledge read and acquired Reflection
I loved the whole experience I felt that there is a connection between why we do some particular things in practice and its rightful justification I could analyse, critique and reason things before accepting them or simply doing them Made me very confident in front of members of a multi – disciplinary team I could use the theoretical knowledge anywhere and everywhere
Was that information necessary? How will that help you and me to look at.....? Is this approach of viewing clients as holistic human beings with feelings important? Is scrutinizing their context of any relevance? Are family opinions useful? Will all this information help you aid the person in a better way?
Starting point. Boyett Schell, B.A. & Boyet Schell J.W. 2008. Clinical reasoning and professional reasoning in occupational therapy. Philedelphia: Lipnocott Williams and Willkins. Creek, J. 2010. The core concepts of occupational therapy: a dynamic framework for practice. London: Jessica Kingsley Hammel, K.W. 2009. Sacred texts: A sceptical exploration of the assumptions underpinning theories of occupation. Canadian Journal of Occupational Therapy, 76 (1) February, pp. 6 – 13.
Iwama, M., and Turpin, M. 2010. Using Occupational Therapy Models in Practice a field guide. Churchill Livingstone Elevieser. Keilhofner, G. 2009. Conceptual foundations of occupational therapy practice. 4th ed. Philadelphia: F.A. Davis Co.
Medical and Past medical history: Mrs. Rita Phillip had been diagnosed with Osteo – arthritis in both her knee joints 6 months ago. Due to this, she experiences stiffness, swelling, tremendous pain. She also has restricted range of knee extension. She is currently on NSAIDs and pain relievers. She is a diabetic who underwent Nephrectomy 3 months ago.
Family situation: She lives with her family (husband, son’s family living nearby). Personal self: She was very social and friendly and loved her outings. She retired from her work a year ago. She was a teacher by profession. She taught English, mathematics and grammar. Since then she loved taking care of her house and became a devoted grandmother taking care of her son’s child. She loves cooking, reading, and is an amazing poet.
Current mental and physical status: She is highly dependent on her husband and carer for her personal ADL and mobility in the house due to her regressive (deteriorating) condition. She has turned to a very apathetic and asocial life. She does not pursue any of her interests and has cut all her contacts apart from her close family.
Conceptualize Mrs. Rita by using one of the four OT models i.e. MOHO/ PEOM/Kawa/CMOP – E This is a group activity (approx 5-6 students) Feedback: Poster/Very small discussion

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Models in OT practice

  • 2. Justify the importance of theories in OT practice Aid students to use the theoretical lens to solve problems in the future Present my experiences through this journey
  • 3. Discussion Presentation Problem solving session Case study 3 take home messages Feedback for me
  • 4. Become slightly comfortable with the idea of using theoretical knowledge in practice Initiating the process of reflection
  • 5. Rheumatoid Arthritis Fractures Autism Myocardial Infarction Cerebral Palsy Cancer Learning disabilities Anorexia Traumatic brain injury Stroke Schizophrenia/ Psychosis
  • 6.
  • 8. Is this how we want our practice to be?
  • 9. A particular method of doing something A system of rules/ principles/ guidance A coherent group of tested prepositions (Dictionary.com 2012)
  • 10.
  • 11. Occupation focused concept Formulating and analysing the various processes of OT practice with specific occupation focussed goggles (Mclean 2011)
  • 12. Day – to – day guide Method to deliver the ‘OT’ process Not exclusive to OT Experience ( Mclean 2011)
  • 13.
  • 14.
  • 15.
  • 16.
  • 17. Organizes thoughts by relating and explaining concepts which are closely connected Uses “experiences” to provide answers Rationalization of undertaken actions Evidence Structures performance Predictor of further thoughts Lays foundation for standardization. for example: assessments (Turpin and Iwama 2010)
  • 18. Can change conventional beliefs Provides the enriched data that can be analysed Gives room for reflection First hand valuable information (Turpin and Iwama 2010)
  • 19.
  • 21. Using the right model of practice for the right client Viewing the client as a person with a life in an environment
  • 22. Was very time consuming Involved a lot of reading and synthesizing Critiquing literature Reasoning and justification Application of knowledge read and acquired Reflection
  • 23. I loved the whole experience I felt that there is a connection between why we do some particular things in practice and its rightful justification I could analyse, critique and reason things before accepting them or simply doing them Made me very confident in front of members of a multi – disciplinary team I could use the theoretical knowledge anywhere and everywhere
  • 24. Was that information necessary? How will that help you and me to look at.....? Is this approach of viewing clients as holistic human beings with feelings important? Is scrutinizing their context of any relevance? Are family opinions useful? Will all this information help you aid the person in a better way?
  • 25. Starting point. Boyett Schell, B.A. & Boyet Schell J.W. 2008. Clinical reasoning and professional reasoning in occupational therapy. Philedelphia: Lipnocott Williams and Willkins. Creek, J. 2010. The core concepts of occupational therapy: a dynamic framework for practice. London: Jessica Kingsley Hammel, K.W. 2009. Sacred texts: A sceptical exploration of the assumptions underpinning theories of occupation. Canadian Journal of Occupational Therapy, 76 (1) February, pp. 6 – 13.
  • 26. Iwama, M., and Turpin, M. 2010. Using Occupational Therapy Models in Practice a field guide. Churchill Livingstone Elevieser. Keilhofner, G. 2009. Conceptual foundations of occupational therapy practice. 4th ed. Philadelphia: F.A. Davis Co.
  • 27.
  • 28. Medical and Past medical history: Mrs. Rita Phillip had been diagnosed with Osteo – arthritis in both her knee joints 6 months ago. Due to this, she experiences stiffness, swelling, tremendous pain. She also has restricted range of knee extension. She is currently on NSAIDs and pain relievers. She is a diabetic who underwent Nephrectomy 3 months ago.
  • 29. Family situation: She lives with her family (husband, son’s family living nearby). Personal self: She was very social and friendly and loved her outings. She retired from her work a year ago. She was a teacher by profession. She taught English, mathematics and grammar. Since then she loved taking care of her house and became a devoted grandmother taking care of her son’s child. She loves cooking, reading, and is an amazing poet.
  • 30. Current mental and physical status: She is highly dependent on her husband and carer for her personal ADL and mobility in the house due to her regressive (deteriorating) condition. She has turned to a very apathetic and asocial life. She does not pursue any of her interests and has cut all her contacts apart from her close family.
  • 31. Conceptualize Mrs. Rita by using one of the four OT models i.e. MOHO/ PEOM/Kawa/CMOP – E This is a group activity (approx 5-6 students) Feedback: Poster/Very small discussion