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. …show more content…
128). Built environment includes his family home, the dining hall, church building, and treatment agency. Societal factors impacted Paul at a young age, he had few friends and was ridiculed by his peers due to “looking” different. Paul has experienced a shift in social interaction in the past year due to the death of his father. Paul’s father was instrumental in setting limits in a firm yet gentle way, now Paul’s main interaction is with his mother and those within the dining hall.
The third construct of the PEOP model is focused on occupations and the fourth is focused on occupational performance (Cole & Tufano, 2008). This model defines occupations as “what persons want or need to do in their daily lives” (Cole & Tufano, 2008, p.128). And goes on to define performance as “actual act of doing the occupation” (Cole & Tufano, 2008, p. 128). Each of these constructs play an important part in assessing and evaluating Paul’s strengths and
Paul goes on to describe how other people are all the same in how they respond to life and now he can not relate. Paul thinks, “For they all come back to the same thing, how badly it goes and how well it goes; one thinks it is this way, another that; and yet they are always absorbed in the things that go to make up their existence,” (Remarque,146). Next, Paul stated that “Formerly I lied in just the same way myself, but now I feel no contact here,” (Remarque,146). This proves how the main character realized how his aspects on life has changed since the
Have you ever wondered how stressed out a person can be? Thats Paul he deals with a lot in this book. He has his mind everywhere and no one understands him, he doesn't understand people. In Edwards Bloors novel Tangerine, Paul's choices and the consequences of his choices affected the development of him because he wasn't able to fit in with his peers or understand what was wrong with the people in his community. This essay will be about how Paul’s life is good,bad,and different.
There are many different conceptual models available to occupational therapists today. These include the Canadian model of occupational performance and engagement (CMOP-E), the Model of Human Occupation (MOHO), Person-enviornment-occupation model (PEO), the Kawa model. These are very important to the profession and in guiding the occupational therapy process. The focus of this essay will mainly be on the MOHO.
The Canadian Model of Occupational Performance and Engagement (CMOP-E) is a further expansion of the Canadian Model of Occupational Performance (CMOP). The theories underpinning the CMOP-E largely include humanistic theories, with a particular focus on client-centred therapy developed from Carl Rogers (Townsend & Polatajko, 2007). As the name infers, the main focus of the CMOP is on occupational performance and exploring the interplay between the person, environment and occupation. While CMOP-E maintains this view, it also encompasses engagement; and just like performance, engagement is also a result of the interdependent relationship between the person, environment and occupation. In conjunction with performance, engagement was
In "Paul's Case," Willa Cather manages to apply the emotions, feelings, troubles, and thoughts of modern society, allowing the reader to relate to the story. By incorporating the same heavy burdens that bother and aggravate people in their daily lives, Willa explores the pain and treatment unwanted people experience. Obviously, nobody wants to feel rejection or alienation from the world, but instead they desire to encounter acceptance and agreement with the world's standards. In the story, the main character, Paul goes through excruciating transformations and lengths to try and impress the people around him. Attempting to belong in a superficial society, Paul loses a part of his identity without acknowledging it and therefore he
Unaware of what Paul really desires, his father already has a goal in mind for his life. However, the role model his father has chosen as the embodiment of Paul’s future repulses him. While Paul’s paragon works his way to success, Paul has “no mind for the cash-boy stage” and only wants the triumph of wealth. His father’s aspirations cause Paul to believe he is a disappointment, which is seen when he entertains himself with the idea of his father wishing him dead. Because they amplify Paul’s sensation of drowning in the monotonous Cordelia Street, Paul tries often to escape the nightmare of his father’s dreams. To Paul, reality is just a bad dream he wants to wake up from. Searching for freedom, Paul tries to separate himself from the life of Cordelia Street even in the smallest things, like using violet water to get rid of the kitchen odours on his hands. At places like Carnegie Hall and the theatre, Paul is able to shake off the “lethargy of [the] deadening days” at home and school. In his false reality, Paul surrounds himself with artificial beauty because to him “the natural nearly always [wear] the guise of ugliness.” This is why wealth and luxury are so appealing to him - they are unnatural to him. Every rehearsal he attends allows his imagination to take over and provide temporary relief from his conditions. However, each brief escape increases the ghastliness of his
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.
The author called the reader’s attention to the potential opportunity for community-based occupational therapy interventions for clients with Human Immunodeficiency Virus (HIV). The authors of the study explored this option using three case studies of people with HIV and how their lives have been individually affected by the disease which is evident by numerous symptoms such as fatigue, chronic pain, problems with mobility, concentration and memory, depression and anxiety. This has also created occupational problems such as inability to participate in different roles, self-care, leisure etc. and the unwillingness to participate in certain occupations due to a decrease in self-efficacy. The author also used the Model of Human Occupation (MOHO) with Conceptual Framework for Therapeutic Occupation (CFTO) to aid in explaining and guiding the intervention used in the case studies. Occupational therapist are known for addressing problems of daily living , skills in energy conservation, adaptive equipment use and many more, as well as expertise in establishment of roles, interest, autonomy and so on. The author anticipates the restoration of some/all occupational performance in all 3 case studies in order to increase quality of life by using occupational therapy interventions.
The PEO model focuses on different characteristics of the person, the environment, and occupations and the relationship between them. According to this model a good fit between the 3 areas provides the best occupational performance (Cole, 2012). “The quality of a person’s experience, with regards to their level of satisfaction and functioning, is the outcome of the fit between the person-environment-occupation transaction” (Strong et al., 1999). Throughout the different changes that people experience across their lifetime the balance between the 3 areas is affected (Strong et al., 1999). By using this model and defining the areas affected, the therapist would be able to guide the patient’s treatment. In this session, we would be looking specifically
This was truly great hands on learning experience, which has opened our eyes to exactly how effective and therapeutic the holistic approach that occupational therapists employ. First hand and through observations made in our client’s natural environment we have learned why it is essential to assess performance skills, client factors, performance patterns, along with the all the contextual and environmental factors that impact occupational performance. Understanding the dynamic between the client and their context is a vital component to developing an all-encompassing occupational profile. During these home visits and while completing the accompanying assignments we have learned the importance of using valid & reliable assessment tools, along
Occupational therapy is a distinctive profession guided by the belief of helping individuals’ live meaningful and fulfilling lives by enhancing participation in activities of daily living. Occupational therapy serves as a stepping-stone to promote wellness and optimal performance through a holistic approach, which seeks to understand each dimension of a person to better serve the client, improve quality of life and enhance self-reliance. Occupational therapy aims to facilitate growth in the client’s skills and promote healthier productive lives. Through therapeutic use of self and personal experiences, one can serve as a valuable tool to help achieve independence, provide encouragement and promote growth. Occupational therapy offers a range
The World Health Organisation, WHO (2016) defines health as a state of complete physical, mental and social well-being, not merely the absence of disease or infirmity. Ot’s recognise that there is a strong relationship between occupation, health and well-being. Yerxa et al (1989) helped build this relationship by developing the term ‘occupational science’. Occupational science differentiates occupational therapy from other professions as well as improving practice and the services delivered to clients by identifying and developing new approaches (Duncan 2006). If an individual has no occupational identity it may lead to them feeling isolated, lacking in confidence and motivation, which can then lead to other physical and mental health issues such as stress. Christian, Baum and Haugen (2004) suggest that stress related illness can be as a result of not doing much or doing too much (occupational imbalance), finding little meaning or purpose in doing activities (occupational alienation), and not having opportunities due to external factors or lack of skill preventing you (Occupational deprivation) (Wilcock 2001). Experiences which leave people unfulfilled can have an effect on an individual’s physical and emotional health. The importance of an individual taking part in activities that have meaning and purpose to them
Occupational Performance is a person's ability to perform the required tasks, activities, and roles that are needed for living. It combines a person’s participation, skills, identity, competence and adaptation to
Growing up in a tight box that I always had to try to fit into, I never knew any different. The expectations, the standards, the cruel words and the harsh stares. Being an outcast amongst others or being verbally battered for reasons I could never fully understand. These were all aspects that were prevalent in my life because I was the Pastor’s daughter, and they were problems I had always viewed as a normality.
Throughout the course of my workplace practices class I have participated in a consisted of completing assignments and work experience regarding my career pathways. As I look back and reflect on my time at this course, I am able to explore the graduate qualities and capabilities I have achieved over the duration of this study period, as well as the skills and abilities I need to improve on. Graduate qualities are skills that have been learned by students throughout the course of their schooling life, for example, it is a learning outcome of a program specifically stating the things that's been learned by students who have completed that program of study. In this reflection, I will be discussing about my strength and weakness personal