The PEO Model

As occupational therapy services diversified, serving a variety of clients in many different settings and with societal influences, the field began to evolve. During the 1990s occupational therapists began to shift away from reductionist medical model toward a more holistic client-centered approach. Services focused on enhancing individuals’ quality of life across the lifespan meaning before, during, and after therapeutic intervention. The profession began to better acknowledge the value of client education, injury and illness prevention, health screening, and health maintenance (Cole & Tufano, 2008). The field created more preventative initiatives, and focused services on improving quality of life and optimizing the independence of

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.

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

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 was founded on the principle that participation in meaningful activity is important to the health of individuals. Mental health is very important to the well-being of an individual and those around them. 450 million people experience mental and neurological disorders around the world. These disorders are the leading 5-10 causes of disability worldwide. As services for individuals with mental illness have shifted from the hospital to the community, there has also been a shift in the philosophy of service delivery. In the past, there was an adherence to the medical model; now the focus is on incorporating the recovery model. (2) Occupational therapy’s focus that taking part in engaging and meaningful activities benefits the mental well-being of the individual.

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

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).

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

Occupation based interventions benefits the clients but there are various barriers that many occupational therapists face when working in medically-oriented facilities. According to Colaianni and Provident (2010), one of the barriers of (OBI) is the dominance of the biomedical model in health care practice. The mechanistic paradigm that was derived from biomedical model has diverted the professional role of concentrating on health restoring measure to remediation of body functions and impairments. According to Gray (1998), biomedical model cure disease by eliminating symptoms, reducing impairment but occupational therapy results in impairment-based treatment where the impairment and body functions become the intervention outcome. It is difficult within the medical paradigm of care to incorporate health and wellness and to fit occupations such as cooking, playing, and other pleasurable activities, which resulted in the occupational therapist struggling with professional identity.

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

The current treatment plan is guided by the Person-Environment-Occupation Model (PEOM), Rehabilitative, and Biomechanical frame of references.

For my career exploration assignment I have chosen the field of occupational therapy. Not only am I a certified occupational therapists assistant, but I also have a passion for this field. Occupational therapy wasn’t something that I have always wanted to pursue, but once I got into college and observed an occupational therapist I fell in love with the occupation. Occupational therapy is the unique focus on occupation and daily life activities and the application of an intervention process that facilitates engagement in occupation to support participation in everyday life (American Occupational Therapy Association [AOTA], 1994). As therapists we are here to help our patients return to the highest level of independent physical function. Patients come to us in their lowest time, and it is our job to help build them up, and teach them how to be more independent, and to live their life to the fullest. Occupational therapists assistants do everything from increasing a patient’s standing/sitting tolerance and balance, safety with transfer training, dressing, bathing, grooming, and bed mobility. A lot of people always ask, “Physical therapy and occupational therapy are the same thing right?” That is not true. Physical therapy helps with the bigger movements, such as walking and lower extremity muscles, where as occupational therapy focuses on smaller, more fine motor movements, such as clothing manipulation, and grooming tasks. Occupational therapy helps to regain independence

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.