Frames Of Reference: A Case Study

The MOHO is a client-centered holistic conceptual model for practice while the OTPF emphasizes a client-centered approach in data collection identifying what is important and meaningful to the client. The MOHO uses an open system approach to assess: Input, Person, Occupational Performance, and the Environment. In contrast, the OTPF considers how Client factors (MOHO Volitional subsystem), performance skills, performance patterns (MOHO Habituation subsystem) and contexts and environment (part of MOHO) impact occupational performance. Both MOHO and OTPF emphasize client-centered analysis. The MOHO has specific assessment tools while the OTPF indicates the occupational profile should include information that is similar to MOHO, regarding client values, interests, daily routines, patterns of engagement and feelings related to occupational function (AOTA, 2014, p. S13). Additionally, MOHO indicates data is collected and discussed with the client to help the client gain an understanding of their subsystems and how these impacts occupational performance (Cole & Tufano, 2014). The OTPF indicates data is collected to create an occupational profile through analysis of occupational performance skills. While both, MOHO and OTPF support interventions that are specific, meaningful, and focused on occupational performance. Also, the OTPF expands interventions to include therapist skills related to clinical reasoning, therapeutic use of self and activity analysis (AOTA, 2014). Both reflect practice guidelines appropriate for use across age spans and varying levels of need. I feel MOHO works well within the OTPF based on the open system, use of Volition, Habituations, and Mind-brain-body subsystems. Additionally, MOHO’s consideration of both physical and social environments aligns with the

Fundamentally, occupational therapy is about using meaningful activities to improve a person’s quality of life. It is the role of the therapist to meet people where they are in order to help them reach their fullest potential. Across the board, occupational therapy is about holistic functionality. That is, treating the whole person, not just a set of symptoms, in a way that is evidence-based and supported. Not a single component of the person is neglected; treatments take into account the physical, emotional, and psychological well-being of the patient, while engaging them in the healing, therapeutic power of occupation.

The biomechanical approach assumes that the client has the capacity for voluntary control of the body (muscle control) and mind (motivation). It is anatomy and physiology that determines normal function, and humans are biomechanical beings whose range of motion (ROM), strength, and endurance have physiological and kinetic potential as well as role relevant behaviors. The biomechanical frame of reference is a key reference to use in conjunction with various others in enabling OT to access and identify a client’s occupational performance within the various activities of daily living. It is important when taking a holistic approach to practice, as

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,

This papers purpose is to describe to the reader an Occupational therapy treatment plan and therapy session using the OTPF as its base to describe client’s performance. It is based off a case study of a 26 year old male racecar driver who suffered a traumatic brain injury and is now admitted into the hospitals ICU unit under a coma. The paper begins with a brief overview of the clients Injuries and occupational profile. It continues with goals that the therapist has set for the client and caregivers and concludes with the client’s treatment plan, along with a SOAP note which explains the client’s treatment and gives other healthcare workers information about the therapists goals and progress of the client

Occupational Therapy is a vital segment of the health care field. Individuals in this profession make a difference in the lives of others by helping their patients function effectively despite their disability, illness, or injury. They help by teaching patients many activities of daily living tasks which can include, grooming, toileting, dressing, eating, mobility, and much more! Along with the daily living tasks, Occupational Therapy helps individuals to be productive and successful in ways they want to be, like going school, taking care of others, managing their homes, preparing meals. Most importantly, they help their patients adapt to their environments and increase their independent function by helping them perform tasks with as little help from others as possible. Without Occupational Therapy, some patients with temporary disabilities could have a permanent disability. If individuals receive the Occupational treatments, they can prevent the loss of function.

The occupational therapy field is frequently being left behind in the health care field because most of the public is uneducated or unaware of the Occupational Therapy practice and the research that is involved. The public also has a few concerns of OT which include the time commitment to the program, the availability of services, the impact of the therapy on other family members, and the cost involved in continued care. While there are drawbacks to Occupational Therapy, the benefits of the practice outweigh them. The value and purpose of occupational therapy is to support the health and participation of clients by engaging them in their desired occupations. Occupations are activities that reflect cultural values, provide structure to living and meaning to individuals. These activities meet human needs for self-care, enjoyment, and participation in society. There are many different types of therapy used for people with disabilities such as autism, people with limitations from strokes, sicknesses such as cancer, and they can even help prevent childhood obesity. The different types of therapy can range from interventions all the way to dolphin assisted therapy, whatever the therapist finds appropriate. The similarity is that the Occupational Therapist will research and pick the most beneficial type of therapy to proceed with for that certain type of disability or problem that person is having. I believe

Occupational Therapy is a health, wellness and rehabilitation profession devoted to the development of performance and function across their lifetime so that individuals can live their life to the fullest. The holistic approach taken by occupational therapy practitioners is particularly effective in the areas of wellness, health promotion, and prevention. The practice of occupational therapy can take place in health care and education settings, and in community based agencies and organizations. The timing is excellent for occupational therapy in the area of wellness and prevention. Occupational Therapy practitioners administer habilitation and rehabilitation services, which are among the fundamentals health benefits of the Affordable Care Act. In addition, occupational therapy’s holistic approach correlates the ACA’s focus on wellness and prevention. By focusing on wellness, managing chronic, improving function, and supporting independence, occupational therapy practitioners can assist the interprofessional leading care team enhance outcomes while reducing costs. This paragraph states the role of an occupational therapist in Health Care Reform (www.aota.org).

Research studies indicate that occupational therapists translate OBI in practice but are limited by environmental factors. Lack of equipment and supplies and limited space are the major barriers of many occupational therapists. The available equipment are used for remediating impairments and body functions (Chisholm, Dolhi, & Schreiber, 2004). Equipping an organization with the required OBI setting requires funding but most organizations lack adequate funds for the supplies of the equipment for the occupational therapy practice setting. Time is another barrier that influences occupational therapists to effective use OBI.

Keeping a patient motivated, active, and engaged in the process is always important “it’s our foundation of Occupational Therapy Practice”. I would be extremely pleased to see my patients happy, smiling and slowly improving over time. I want to be there for them and help them as much as I know I can. I want to be a person who changes a life. My goal is to see my patients being able to regain abilities once again, for them not to give up and for them to show me that in the end it was worth it and I made someone regain

Occupational therapists help all ages improve their daily activities. This specific therapy helps rehabilitate people who need “specialized assistance to lead independent, productive, and satisfying lives due to physical, developmental, social, or emotional problems” (Ithaca College). The therapists create different exercises for each individual patient to help them develop their skills or learn how to decrease future injury.

In order to get a full preview and experience of occupational therapy is to listen to what the occupational

Occupational therapy has been in the process of continued development since the 1900’s. With several contributors helping to build the groundwork for creating the awareness needed to bring occupational therapy into the field of health care. Continued research is contributing to the ongoing significance of how occupational therapy is a vital aspect in promoting increased independences in all aspects of healthcare. (Willard, Schell, 2014) With the incorporation of “Occupational Therapy Practice Framework Domain and Process (3rd ed.)” helps creates the foundation for occupational therapy clinicians as well as other health care providers in facilitating the core believe of occupational and the relationship of health and occupation. (AOTA 2014) Therefore, providing a uniform outline of the various aspects of each individual and how they are interconnected to create the foundation of each individual. With a greater understanding of the foundations of that induvial, the clinician can then facilitate the best therapeutic treatment plan for that individual to achieve their personal goals with unified foundations of care.

Due to the addition of engagement this promotes the understanding that the client can find satisfaction in engaging with occupations without performing them. It falls within the Person-Environment-Occupation Framework this is due to the focus on the influences and connections of the person and environment on meaningful occupations. The CMOP-E places the client at the centre of the model, assigning the focus on the client’s needs and wants, this creates the understanding that the client is the person who knows their life best and understands their occupational performance concerns, therefore denoting the role of the occupational therapist is not to carry out treatment or intervention on a client but with a client (Ikiugu, 2007) The CMOP-E places spirituality at the centre of the person, this is because it is believed that a person’s spirituality is where their motivation and self-concept flow from, through occupations spirituality can be found and expressed.