Therapeutic Skill in Occupational Therapy II.

1. Accessible Tourism
Therapeutic Skills in Occupational Therapy
College of Rehabilitation Sciences
Department of Occupational Therapy
Mica Pusing
3OTB

2. Porta Verde (Laguna)

3. Kayak
a small, relatively
narrow, human-
powered boat
primarily designed to
be manually propelled
by means of a double
blade paddle.
Activities

4. Activity Analysis Barriers
Stabilize is seen in in trunk Intrinsic
control and balance while
doing the propelling of the -physical capabilities that is
boat using the paddle. required in this task,
Coordinate is used in muscle strength, praxis,
propulsion of the boat. endurance, etc.
Calibrates used to estimate Extrinsic
the amount of force needed
in the propelling. -architecture of the boat
Endures- repetitive propelling that is the most suitable
Structures related to for maximal function
movement -Muscles needed
to do the action of the upper
extremity for movement for
the accomplishment of the
task.

5. Billiards
are a wide variety of
games of skill
generally played with
a cue stick which is
used to strike billiard
balls, moving them
around a cloth-
covered billiards table
bounded by rubber
cushions
Activities

6. Activity Analysis Barriers
Calibrates used to estimate the Intrinsic
amount of force to be applied
when hitting the ball. -those who lacks of calibration
Stabilises used in maintaining coordination may find this
trunk control and balance
while hitting the ball. task difficult to perform.
Position in Space used in Environmental
determining where to postion
in relation to the ball you will -architecture - the design, the
be hitting. height of the table, the
Spatial relations used in weight of the cue stick.
determining the space of the
ball you will be hitting in
relation to the other ball
Eye and hand coordination
used to accurately hit the ball.
Kenisthesia in determining the
motion of movement of you
arm while swinging the cue
stick

7. Swimming
self propulsion of a
person through water
or other liquid, for
survival, recreation,
sport, exercise or
other reason.
Locomotion is
achieved through co-
ordinated movement
of the limbs, the
body, or both.
Activities

8. Activity Analysis Barriers
Kenisthesia in determining Intrinsic
the motion of the body - lack of physical strength
while swimming.
Coordination using two or or poor cardiovascular
more body parts together funtioning.
when propelling one self in Environment
the water.
Strength is need in order to - Architectural design of the
propel one self in the pool that may inhibit the
water. performance. e.g. Depth
Endurance during long
swimming, repetitive of the pool
movement and use of the
body part.
Good Cardiovascular to
supply proper blood and
oxygen in the body while
performing the activity.

9. Fishing
the activity of trying
to catch fish using a
fishing tackle. mostly
any equipment or
gear used for fishing
can be called fishing
tackle. Some
examples are hooks,
lines, sinkers, floats,
rods, reels, baits,
lures, spears, nets,
gaffs, traps, waders
and tackle boxes.
Activities

10. Activity Analysis Barriers
Eye-hand coordination Intrinsic
for putting the bait in
hook.
-have no interest in
ROM for moving the upper fishing activity or
extremity to its full person with low
potential in throwing. frustration tolerance
Endurance on holding the and have low muscle
fishing rod while waiting endurance.
for a fish to bite.
Environmental
Bends twisting the trunk
in the throwing. -architectural design of
Frustration tolerance the place where
waiting for a long period fishing will be
until a fish bite. conducted.

11. Swinging
The seat of a swing
may be suspended
from chains or ropes.
Once a swing is in
motion it continues to
oscillate like a
pendulum until
external interference
or drag brings it to a
halt. Swing sets are
very popular with
children.
Activities

12. Activity Analysis Barriers
Joint mobility on hip and Intrinsic
knee joints to bend in - Restriction in motion due
order to seat. to stiffness in joints
Calibration in the amount Environmental
of force you are going to - Architecture- the swing is
apply to push your self to to low to high
get a continuous swinging
motion.
Grip strength in holding on
the chain while swinging

13. Qeuzon City Circle

14. Biking
is the use of bicycles
for transport,
recreation, or for
sport.
Activities

15. Activity Analysis Barriers
Coordination in manipulating Intrinsic
and propelling the bicycle
while riding it. -limited range of motion hips
Stabilizes maintaining trunk and knee that may affect the
control and balance while riding and bike propulsion.
riding the bike.
Aligns in maintaining an upright Environmental
sitting position in while riding -architecture of the place
the bike. where you will be doing the
Calibrate regulating the
amount of force to be applied biking, place may be to
while propelling. clutter etc.
Spatial orientation used in
avoiding some obstacles that
are in the way.
Distance perception in
knowing the distance of the
car or other bike that are
approaching.

16. Playing in the
playground
(Slide)
found in parks, schools,
playgrounds and
backyards. The slide
may be flat, or half
cylindrical or tubular to
prevent falls. Slides are
usually have a smooth
surface that is either
straight or wavy. The
user, typically a child,
climbs to the top of the
slide via a ladder or
stairs and sits down on
the top of the slide and
"slides" down the slide.
Activities

17. Activity Analysis Barriers
Coordination in climbing Intrinsic
the ladder of the slides. -lack of coordination, lack of
Strength in order to strength, limited range of
climb, grip strength, motion, no interest in play
strength in
upper(biseps) and Environmental
lower extremities. Archetictural- the steepness
Reaches extending and of slide, the height of the
reaching the ladder slide.
when climbing the
slide.
Spatial relation in
positioning the oneself
in the slide and during
sliding.

18. Zip-line
consists of a pulley
suspended on a cable,
usually made of
stainless steel,
mounted on an
incline. It is designed
to enable a user
propelled by gravity
to travel from the top
to the bottom of the
inclined cable by
holding onto, or
attaching to, the
freely moving pulley.
Activities

19. Activity Analysis Barriers
Strength in quadriceps Intinsic
muscle in climbing to -afraid of heights,
the zip-line area. cannot climb the
Auditory- hearing the strairs, have no
instruction that is interest in such
given before the activities
ziplining activity.
Respond to feeling-
able to control feeling
when nervous.

20. Walking/play
ing with your
pet
this activity is
common to
those who
have dogs to
maintain the
health of the
pets.
Activities

21. Activity Analysis Barriers
Strength in grip to hold the Intrinsic
dog lace when the dog tries -lack of interest of walking the
to run. pets outside, no interest in
Calibration in amount of you pets, cannot hold their dogs
will be needing when you
are going to throw the stick when it attemps to run.
when playing with your Environmental
dog. -transportation needed to
Accomodates in modifying trasport your pet to the park
some of your activites due
to the some events that because public
may arise because transportation dont allow
condition of your dog. e.g. pets
Wild
Problem solving used in
thinking some of strategies
when your dog gone wild.

22. Jogging
form of trotting or
running at a slow or
leisurely pace. The
main intention is to
increase physical
fitness with less
stress on the body
than from faster
running
Activities

23. Activity Analysis Barriers
Endurance for long jog. Intrinsic
Spatial relation in -low endurance, easily worn
avoiding the obstacles in out, have no interest in
the way.
Distance perception in exercise activity.
knowing the distance of Environmental
the fellow runner that is -the jogging area (space,
ahead of you.
amount of clutter)
Cardiovascular in relation
to supplying the body
with adequate blood and
oxygen.
Accomodate when one is
not so feeling well by
lessen the time of
jogging.

24. Farm ( Laguna )

25. Feeding Cows
Many people who
raise livestock will
experience a
mother cow that
rejects or refuses
to feed its calf.
When this
happens, it is
important to feed
the baby cow milk
yourself in order
for it to receive
the nutrients it
needs to thrive.
Activities

26. Activity Analysis Barriers
Impulse control since you Intrinsic
cant give the milk to the - When one are afraid of cows
baby cow unless its cool. or any other animals, when
Strength in holding the big one cannot hold the bottle in
feeding bottle that is filled it position during feeding.
with milk Environmental
Bilateral coordination in -transportation to the the farm
holding and bringing the since to public vehicle pass
feeding bottle to the cow. throught that area.
Position in space positioning -Architechtural- the area are
the feeding bottle in front of muddy and have higher risk
the cow. in falling.
Spatial orientation in
determining the space
between the other cow that
is not to be feed.

27. Walking in
the Field
roaming in the field
is done to explore
the place and
discover something
new like beautiful
places or a trade
mark in that area.
Acitivities

28. Activity Analysis Barriers
Spatial relation in avoiding Intrinsic
some obstacle encountered
during walking in the field. -lack of physical capabilities to
walk in a cluttered field,
Problem solving resolving
those who do not have any
how to avoid the sticky
weeds that are itchy and how interest
to remove it when they are Environmental
stuck to your pants. -architecture n constructed
Accomodates folding your road where one can walk
pants to that when the field is
muddy it wont be socked by
it.
Responding to feeling
controlling nervousness
because of thinking they
might encounter a snake.

29. Eating in Resto
of that place.
In travelling one
of the things
travellers must
know is the
famous resto or
delicacies in that
area.
Activities

30. Activity Analysis Barriers
Intinrinsic
Endurance in climbing the
stairs before reaching the -when one does not like the
resto. food served in that resto.,
Range of Motion used in incapability in climb those
ambulation strairs
Articulate to produce Environmental
understandable speech when Economic element the price
ordering
of the food on the menu.
Uses in correctly using the
utensil during eating
-architecture design of the
Chooses during ordering the
resto –e.g. Chair
food.
Frustration tolerance while
waiting for the food to be
coooked.

31. Horse Back
Riding
includes the use of
horses for practical
working purposes,
transportation,
recreational activities,
artistic or cultural
exercises, and
competitive sport.
Activities

32. Activity Analysis Barriers
Stabilizes maintain an trunk
control and balance during
 Intrinsic
riding the horse. - Afraid to fall from a horse,
R/L discrimination when limitation in ROM that
navigating the horse and affected him in getting in
following the direction to the horse
where you must go.  Environmental
Range of Motion to get in - Economic element for
and out of the horse. renting a horse when you
Aligns maintaing an upright dont own one.
position while riding the
horse.
Spatial orientation used in
navigating the horse in the
obstacles.

33. Learning how
to make fresh
milk
Manufacturing this
products starts
from milking the
cow putting the
milk in a machine
to sterilize it and
packaging the
products.
Activities

34. Activity Analysis Barriers
Auditory in hearing the Intrinsic
words of what is being -hearing impairment
taught. Environmental
Learning knowing how the -loudness of the speakers
processes of making the voice
fresh milk products.
Inquires ask question
whenever vague concepts
are presentes.
Attends in maintaining a
focus attention up to the
end of lecture

35. Factors to
consider
The first factor that I am
going to consider is how open
is the place to people with
disablity. I must know how
the people and the culture of
that place sees PwD’s. it is
better that the place we are
going has knowledge or is
aware how to manage
disability. Also accessible
pathways at attraction
premise ,ramp and elevators
at attractions
provision for assistance-free
movement in hotel
easily accessible tour
operators

36. Factors to
consider
The second factor that I
am going to consider is
how disabled friendly is
the place. I need to
consider the architectural
design in of the place to
ensure that my wheelchair
bound friend may enjoy
the place with highest
degree of independence
with less participation
restriction. Also the
presence of proper
facilities needed must be
observed.
I must know if the place is
siutable. Eg. Have ramps, the
doorway,

37.  In terms of hotel accommodation, I must first look at
the place if its suits the need for my friend. I must consider
the presence of ramp or if none they must have other
means. The width of the doorways, the space if the
corridors or inside the room that will provide him freedom
to move around, the height of the bed for his safety
transfer, the switch of light is near the bed and easily
reach, I must also need to consider the bathroom, the
width of the door, the presence of grab bars, as possible
the bathroom must have hand shower. And also I need to
consider the price, I must see to it that this place can give
him high degree of independence but in a price he can
afford. Also understanding of staff regarding special needs.
Rooms are situated on appropriate and convenient
location.
Factors to consider

38.  In terms of transportation it will be better to have an
own means of transportation because Even if public
transportation is increasingly more accessible, vehicle
design is not enough. It will be better is assistance offered
to people with disabilities. And the cost effectiveness must
also be considered in transportation, and also the means to
with how the PwD will get in and out of the vehicle.
Factors to consider

39. In terms of choosing attraction and activities, toilets for
pwd must be available and hygienic, availability of public
utilities-telephones, toilet, water tap at convenient places,
ramps are present but not all at required locations,
sufficient laid pathways, presence of street crossings,
presence and sufficient use of location signage, convenient
reach points at attraction, Good viewing ranges, car
parking facility for the disabled is has appropriate location
Factors to Consider

40. What most likely hinder the participation for people
with disability to engage to those 5 activities that
I have listed is their intrinsic capabilities since it
requires more skills. But if modification is done to
suit their needs, they wont be encountering
limited participation thus environmental aspect
also affect the situation. Environment can hinder
or facilitate engagement to such activities. For
example the architectural design of the place, the
law of the land, transportation etc.
What hinders participation

41. Thorough planning of travel- this is the
best way in avoiding necessary problems
that will be encountered and this makes
the travel experience more disabled
friendly.
Make maps a.k.a mobility maps of the
way in which PwD can go and is accessible
and with less barriers – this will help the
PwD’s to know which is the most
appropriate place to go and to where they
must
Recommendations

42.  These maps can convey a great deal of information in a
very compact form (hardcopy) or be downloadable or offer
detail when “zoomable”. Goodmobility maps contain key
pieces of information to the user. They can describe access
in a city streetscape, botanic garden, park, zoo or other
attraction like a theme park.
 Contain:
- Specific area coverage.
-Accessible pathways
- identification of key features; crossovers (kerb ramps/cuts),
audio traffic signals
  Universal design Perceptible information The design
communicates necessary information effectively to the user,
regardless of ambient conditions or the user’s sensory abilities
Recommendations

43.  Removable ramps so that if there is a
wheelchair bound person in that person and
needed to go up the stairs thus this removable
ramps can be provided for them.
 Flexibility in use: design accommodates a
wide range of individual preferences and abilities
 Wider space in the area so that PwD can move
easily in the place.
 Size and space for approach and use:
Appropriate size and space is [are provided for
approach, reach, manipulation, and use
regardless of the user’s size, posture or mobility
Recommendations

44. Brochures or services guides for
people with disabilities, containing
information to assist people determining
whether an element of the attraction is
appropriate.  universal design
involved is equitable use other person
is able to use and be in the environment
on equal terms with other citizens
Recommendations