Definition of Occupational Therapy Practice for the AOTAModel Practice ActThe practice of occupational therapy means the therapeutic use ofoccupations, including everyday life activities withindividuals, groups, populations, or organizations to support participation,performance, and function in roles andsituations in home, school, workplace, community, and other settings.Occupational therapy services are provided forhabilitation, rehabilitation, and the promotion of health and wellness tothose who have or are at risk for developingan illness, injury, disease, disorder, condition, impairment, disability,activity limitation, or participation restriction.Occupational therapy addresses the physical, cognitive, psychosocial,sensory-perceptual, and other aspects ofperformance in a variety of contexts and environments to supportengagement in occupations that affect physical andmental health, well-being, and quality of life.
Orthopaedic conditions such as arthritis, joint replacements, spondylosis, sports injuries, etc
Purposeful activities, modalities, equipments, exercises , splints and braces. To increase range, strength, decrease pain and positioning and immobilization of joints. The prevention and correction of deformity and disability. To incorporate specific precautions in activities of daily living and use of adaptive equipments for maximum independence.
Sensory Integration is the ability to take in, sort out and respond to the input received from the environment.
Improving hand functions like grip Developing fine motor abilities and co- ordination Improving cognitive abilities like memory,reasoning,attention span,etc Hand-writing improvement
Develop healthy social skillsDevelopment of healthy playProvide engagement in group activities
Learning disability is a group of disorders manifested by significant difficulties in the acquisition and use of listening, speaking, reading, writing, reasoning or mathematical abilities or of social skills.
Assess the child’s motor and sensory needs in context of overall educational and emotional development. Plan remediation program using neurodevelopmental and sensorimotor treatment techniques. Provide aids like pencil grippers’ etc to overcome physical limitations Provide guidelines to class teachers so that child’s limitations are understood. This facilitates child’s motor performance and reduces the stress of his everyday motor activities.
Rehabilitation following coronary bypass surgery, angioplasty, valve replacements, etc.
Psychological upliftment Early stump use in Activities Improving body awareness & prevent neglect of the stump Muscle strengthening Developing balance &bed transfers Prosthesis training,wearing schedule & check-outs
Treatment and eventual re-integration of patients as functional members of society
Resocialization Social Skill Training Satisfication of emotional needs Improve performance components Cognitive Behavioural Therapy Projective Technique Movement Therapy Behavioural Therapy
Conditions such as low back pain or sciatica, carpal tunnel syndrome
Under the statutes or Workman’s Compensation, disabilitymay be divided into three periodswhich are:1. Temporary total disability is that period in which the injuredperson is totally unable towork. During this time he received orthopaedic or othermedical treatment.2. Temporary partial disability is that period when recoveryhas reached the stage ofimprovement so that the person may begin some kind ofgainful occupation.3. Permanent disability applies to permanent damage or toloss of use of some part of thebody after the stage of maximum improvement, fromorthopaedic or other medicaltreatment, has been reached and the condition is stationary.
Evaluate the percentage of disability inupper extremity and lower extremity.Components like Range ofMotion,MusclePower,Sensations,locomotion,ADLindependence,etc are evaluated40% and above are given exemptions&other facilities
Hospice care is end-of-life care providedby health professionals and volunteers.They give medical, psychological andspiritual support. The goal of the care isto help people who are dying havepeace, comfort and dignity. Thecaregivers try to control pain and othersymptoms so a person can remain asalert and comfortable as possible.Hospice programs also provide servicesto support a patients family.
•Relaxation therapy•Helping full-filling last wishes of life•Providing easy access to environment•Hobby development and engagement inproductive tasks,etc
With increasing age,people tend to be affected by multiple problems in multiple areas of life. Physical problems like degenerative joint diseases, cardiopulmonary problems etc Mental problems like depression, Alzheimer’s disease etc . Social issues like isolation, financial insecurity and inability to live independently.
Encompass acute care, long term care, adult day care and home health care. Assess physical and psychosocial dysfunction and plan therapy for elderly persons. Maintain current health status and prevent decline or injury. Useof compensatory strategies and rehabilitative techniques to help older persons live with a disability regaining maximum functions.
Environment modification like installing grab bars,ramp,etc Improving acessability to temple,theatres,educational institutes,work,etc Adaptive equipments like grab bars,writing device,enlarge handled spoon,lond handled scrubber,etc
Available resources like bamboo,sticks,tyres,trees,etc in rural areas are used for therapeutic interventions. Training is provided for promoting functional independence and facilitating productivity
Occupational Therapy therefore helps bridging the gap between what we can do & what we want & need to do.