Fibromyalgi A Case Study

The Person-Environment-Occupation-Performance (PEOP) model is a suitable model to be applied when working with Paul. This model focuses on occupations and performance (Cole & Tufano, 2008). This model describes occupations as consisting of valued roles, tasks and activities that influence one’s life roles (Cole & Tufano, 2008). “The domain of practice is predominantly selected by the client, who is asked to identify the most important occupational performance issue within the areas of work/productive activities, personal care, home maintenance, sleep, recreation, and leisure” (Cole & Tufano, 2008, pp. 127-128). According to the case study provided, Paul is having increased dependence with self-care and social activity. Paul’s mother has become more symptomatic, reporting high blood pressure and migraine headaches.

To be able to participate in one 's own life, to do the things we want to do, and to competently perform the activities that form part of our daily, weekly or monthly routines, is a common goal for most people.  This not only includes taking part in the basic activities of self-care, such as grooming and dressing, but also extends to our work and leisure activities.  It is through doing things that we learn and develop as human beings.  The occupational therapy profession believes that being prevented or hindered in some way from participating in the activities that are important to us could adversely affect our health and wellbeing.

Occupational therapists work with clients to restore independence that has been lost or disrupted due to illness, injury, or disease. Occupational therapy practice involves assessing and determining an appropriate treatment approach based on the client’s disability and individual needs. There are various occupation-based models, each client-centered and grounded in theory, that guide the clinical treatment process. In addition, the Occupational Therapy Practice Framework: Domain and Process (3rd ed.; AOTA, 2014) denotes various frames of reference to guide therapists when choosing specific intervention strategies based on the client’s needs (Cole & Tufano, 2018). This paper focuses on the application of the Occupation Adaption model,

A unique perspective of Occupational Therapy (OT) is defined as " A profession concerned with promoting health and well-being through Occupation"(Charles, 2010, p.362). The difference between OT and Occupational Health (OH) is that OT is the profession and OH concerns how occupations affect your health. This essay will first discuss the relationship between OH and well-being. Secondly it will describe alternative views of disability models. While some doctors believe in medicine as a treatment, for disability, practitioners of OT believe that social background and environment should be taken into consideration. Thirdly this essay will discuss the underpinning theory of OT relating to ‘MOHO’ and how a social and physical questionnaire can get

MOHO is an occupation-focused model which “provide an overarching context of occupation that emphasizes the occupational therapists unique perspective on a client’s ability to engage in activities and participate in life” and “attempt to explain the relationship of occupation, person and environment” (Cole & Tufano, 2008, p. 61). MOHO focus on the concept of volition, habituation and performance capacity is the key to understanding human occupation (Kielhofner, 2002). The volition includes person’s values, which an individual finds meaningful to do and important, and interests and personal causation which refers to a sense of competence and effectiveness. The habituation is the given context of physical, temporal and social which influence an individual to develop a certain behavioral pattern or make new actions and decisions. And Performance capacity is a mental and physical attribution and life experiences. As these three factors that influencing an individual to engage in the occupation, MOHO aims to explain how disability and illness hinder occupational performance and it focuses on supporting the individuals to successfully perform the occupation (Kielhofner,

The assumptions underlying the occupational performance model fall into assumptions about the human occupation, human performance, and as a self -organizing systems. Assumptions are derived from core philosophical tenets of occupational therapy which have been described by the Canadian Association of Occupational Therapy, the clients are viewed by a wholistic perspective as being comprised of interacting elements of mind, body, and sprits. The values, beliefs, and principles of the clients are developed in treatments

While there are many ways that a person can specialize in the field of occupational therapy, one of the profession’s draws exists in the potential for variety and diversity. The goal of occupational therapy is to provide therapies and alternatives that allow clients to return to the things that they need to be able to do, and the things they want to be able to do. This is obviously a broad definition, and one that can be achieved in various groups, and through various methods. Occupational therapists can specialize in hand therapy, stroke rehabilitation, driving, community mobility, low vision patients, pediatrics, or geriatrics. In any of these specialties, a therapist can address their patient’s daily living activities, leisure, work, education, or social participation. An increased ability to participate in any of these activities can be facilitated through a variety of treatments: splinting, modalities, adaptive equipment, task modification, environmental modification, or activities centered on desired occupations.

The World Federation of Occupational Therapists (2010) has defined occupational therapy as a “client-centered health profession concerned with promoting health and well being through occupation” (p.1). I have defined occupational therapy as a process in which a therapist and a client form a therapeutic relationship in order to increase participation in meaningful and functional occupations. An occupation is any action that increases quality of life, supports self-maintenance, and supplements work and leisure activities. The World Federation of Occupational Therapists (2012) states that the focus of practice is maintaining a balance of person, occupation, and their environment in order to facilitate occupational performance. I have reached a similar conclusion that the focus of occupational therapy is to facilitate synergy between the client and their environment. The result of this synergy will be occupational performance. Occupational therapists are keen to the needs of the client as they relate to completing occupations within a given environment utilizing the client’s capabilities.

The goals of Occupational therapy are promoting physical, mental health and well-being of individuals with disability (ref). Occupational therapists have a strong supporting role in the mental health sector, by using daily activities to help individual mental disabilities transition from institution to community living ( Burson, Fette, Orentlicher, Precin, Roush & Kannenberg, 2017). However, as medical model became the primary focus in healthcare, Occupational therapists had turn away working in the mental health sectors (ref). With the increase need of mental health care providers, the AOTA has been advocating Occupational Therapists to return to the root of psychiatry (Ikiugu, Nissen, Bellar, Maassen, & Peursem, 2017). Recommending future

The Model of Human Occupation (MOHO) is a breakdown of how a person engages in their daily activities from their disability or illness. It gives an occupational therapist a guide to understand and specify the client’s inadequacy of engagement. “The clients thinking, feeling, and doing are central to therapy and the model takes into account both mind and body. In MOHO the environment can demand and offer opportunities for occupational performance (Ramafikeng, 2009).” This model helps the therapist to find reasoning through their client`s behaviors and be able to promote health and recovery in their daily occupations. By looking into the client`s volition, habituation, and performance capacity this specifies the therapist of their client`s abilities and incapability’s they have while engaging in an occupation. Then analyzing what environmental contexts ables or disables the client`s behavior.

Occupational therapy is an interesting discipline which has its roots in just about every other form of therapy and medicine. Many aspects of occupational therapy are seen in everyday life, yet go unnoticed because of how commonplace they are in our society. When I thought of occupational therapy, before doing research, I thought of specialized equipment such as a modified spoon to help a person who had suffered a stroke can feed themselves once again. This happens to be only one of many skills that occupational therapists employ to assist patients. They also work closely with other medical professionals to give the best care possible to their patients. Throughout this paper I will discuss more in depth what occupational therapists do

Through the development of a blog (Appendix C) I have presented my learning around occupational imbalance and disruption and the effects these have on personal identity. I decided to develop these concepts in relation to the invisible disease myalgic encephalomyelitis (ME) and investigated how occupational therapists (OT) can produce a difference in the lives of individuals with this disease. I found that individuals with ME, experience disruption in the three core areas self-care, productivity and leisure. Interventions such as pacing along with a delicate balance of diet, sleep and medication can support an individual’s recover to a new normal.

The field of occupational therapy is guided by theoretical assumptions and propositions that assist occupational therapists to design effective interventions that are evidence based and client centered (Boyt Schell, Gillen, & Scaffa, 2014, p. 478). One widely used theory that has proven to be evidence based, research driven, and client centered is the Model of Human Occupation (MOHO) (Boyt Schell, Gillen, & Scaffa, 2014, p. 506). Within this model, it is the practitioner 's role to assess the interaction between the client’s volition, habituation, and performance capacity within their environment. This interaction shapes the client’s participation, performance, and skills. As occupational therapists, we seek to make occupational adaptations to shape the client’s occupational identity and occupational competence (Boyt Schell et al, 2014, p. 507). We will be using this model to shape the occupational adaptations we would recommend for a client with acute monocular blindness in the analysis of this paper.

Due to the evolving nature of occupational therapy, much of the work in this field is grounded in evidence-based practice. It is imperative, for those seeking a career in Occupational Therapy and those currently in the profession, to have a clear understanding of research methodology in order to work ethically and effectively when carrying out their research. This will lead to the better quality approach of care for the clients.

Brent Braveman suggests recognizing any achievement of the occupational therapy within the frameworks of the approach and the Triple Aim concept. The specific competencies must be created for practitioners and researchers which allow identifying the effectiveness and the future perspectives of the population health (Braveman, 2015). To date, the framework of the competencies does not relate to the issue of the population health directly, living many questions open for consideration. In addition, there are no clear accreditation standards, which would contain the detailed description of the population health. Only standards for doctoral-level occupational therapist programs have information regarding population interventions. Finally, the author explains the growing number of occupational therapy practitioners and students because of the increasing demand of the population, especially if to take into account growing numbers of patients with autism, diabetes or