Therapeutic Intervention From an Occupational Therapist in an Oncology Service
The therapeutic intervention a client should expect from an occupational therapist in an oncology service should be one that complies with government legislation, plans, standards and guidelines. The Governments plans for the National Health Service (NHS) are set out in several reports such as: - the Calman-Hine Cancer Report (1995), The New NHS - Modern and Dependable (1997) and The NHS Cancer Plan (2000), which provide information to service users regarding the quality of the services they should expect. Client's should also expect occupational therapists to adhere to the Code of Ethics and Professional Conduct for
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Occupational therapists need to assess and consider the physical, functional, psychological and social needs of their clients and utilise their core skills together with the skills of the multidisciplinary team to maximise the independence and quality of life of the patient with cancer and their carers. The College of Occupational Therapists Position Statement (1994) provides a comprehensive list of the unique core skills that clients can expect from occupational therapists, which include the: -
- use of purposeful activity and meaningful occupation as therapeutic tools in the promotion of health
- ability to enable people to explore, achieve and maintain balance in the daily living tasks and roles of domestic care , leisure and productivity
- the ability to assess the effect of, and then to manipulate, physical
and psychosocial environments to maximise function and social
Integration
- ability to analyse, select and apply occupations as specific
therapeutic media to treat people who are experiencing dysfunction in
daily living tasks, interactions and occupational roles.
The treatment process and core skills of the occupational therapist should be based on a problem solving approach. This involves: - gathering and analysing information, assessing, defining and establishing the problem, prioritising, planning and
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 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
The occupational therapy profession shares many objectives across the communities, clients, and families they serve. Some of these aims include: “Developing the field of occupational therapy and enhance the professions capabilities to meet the needs of the entire population, providing evidence on the efficacy of occupational therapy. This includes working with organizations and local communities, incorporating education, research, and practices as a complete whole. In addition, developing a team of professionals that innovates and adapts to the developing health needs of the population” (AOTA, 2013). This includes advocacy efforts with policymakers to ensure continued funding to provide care to individuals (AOTA, 2013). Occupational therapy is a distinctive profession that helps
Please explain how psychosocial factors have influenced your clients' ability to engage in occupations during treatment.
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.
Furthermore, a multidisciplinary team meeting will be presented to identify the impact of different health care professionals such as a physiotherapist, an occupational therapist and a nurse have on a patient with complex need and how the patient receives the care needed due to the collaborative practice. In addition, a comparison between physiotherapy, occupational therapy and nursing practice will be outlined regarding professional regulation and both pre-registration and continuing
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 not
Occupational therapy focusses more on helping patients improve (ADL) when physical therapy is more concerned about movement of the body and a specific injuries or bone, muscle problems, occupational therapy is more comprehensive field and look at the patients as a whole person and it’s all about helping people different ages to recover after disabilities and injuries and develop skills needed for the activities of daily living, beside that occupational therapist provide service that support mental health patients develop the skills needed to live life to the fullest. 5.occupational therapy is a healthcare profession where qualified therapist assists patients of all ages overcome factors which limit their ability to function properly. These limitations may have been caused by injury or illness which divides into mental, physical, developmental or could be simple as an effect of aging. Main goal of the therapy is to enable patients to participate in the activities of everyday life and this can be reached by working with these patients in order to enhance their ability to engage in the occupations they want to, need to, or they expected to do; or by modifying the occupation or the environment
The success of a therapy relies on the therapists’ skills, knowledge and personal attributes. To be effective, one must have a background in anatomy, assistive technology and patient care (“How to Obtain Your Occupational Therapy Degree,” n.d.). Other desirable attributes include compassion, flexibility, patience, flexibility, as well as technical and social skills like communication, writing and interpersonal skills. These skills and traits are especially important to have since occupational therapy is patient centered.
In accordance with Occupational Therapy Practice Framework (OTPF), “the efforts directed toward promoting occupational justice and empowering clients to seek and obtain resources to fully participate in their daily life occupations.” (Occupational Therapy Practice Framework, 3rd Ed., p. S41). I consider occupational therapy to be a compassionate career, practitioners try to grant their clients’ wants and needs to better suit the
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.
An occupational therapist is a trained and licensed health care professional who can make a complete evaluation of the impact of disease on the activities of the patient at home and in work situations. Hobbies and recreational activities are considered when an assessment is made. The most generally accepted definition of occupational therapy is that it is an activity, physical or mental, that aids in a patient’s recovery from disease or injury.