Activity analysis is a fundamental skill for occupational therapists that involves identifying the skills and abilities required to complete an activity. There are three perspectives on activity analysis: activity-focused, client-focused, and environment-client-focused. Vacuuming is analyzed as an example activity where the required motions, strengths, cognitive skills and safety considerations are identified. The activity can then be adapted based on a client's goals by changing the objects used, environmental demands, or sequencing of steps.
Occupational science and its application to occupational therapy practiceMS Trust
A presentation by Annie Turner – Emeritus professor of occupational therapy, University of Northampton
and Emma Royal – Clinical specialist occupational therapist, Aylesbury, Bucks.
These slides explore how occupational science provides the evidence base for the practice of occupational therapy and introduce some tools for practice, such as OT process models, rehabilitation frameworks and goal setting.
This presentation was prepared for educating the patients with stroke and their caregivers about the role of Occupational Therapy in stroke. It gives a very BRIEF over view about OT in stroke rehabilitation
Images are from paid or free image libraries or personal photographs except the following…
Slides 2, 4-13 – World Federation of Occupational Therapists
Slide 14 – Slideolgy, Duarte Design
Occupational Therapy Practice Framework :Domain & process 3rd EditionMohsen Eslampanah
The Occupational Therapy Practice Framework: Domain and Process describes the central concepts that ground occupational therapy practice and builds a common understanding of the basic tenets and vision of the profession.
Application of Affolter approach to occupational therapy intervention. The presentation ended with a case study of a patient management using affolter techniques.
•Questions that will be partly answered:
•
•What is Action Research?
•How to use it?
•How you might start using it?
•Why it could be useful to you?
•Other related methods and methodologies
Occupational science and its application to occupational therapy practiceMS Trust
A presentation by Annie Turner – Emeritus professor of occupational therapy, University of Northampton
and Emma Royal – Clinical specialist occupational therapist, Aylesbury, Bucks.
These slides explore how occupational science provides the evidence base for the practice of occupational therapy and introduce some tools for practice, such as OT process models, rehabilitation frameworks and goal setting.
This presentation was prepared for educating the patients with stroke and their caregivers about the role of Occupational Therapy in stroke. It gives a very BRIEF over view about OT in stroke rehabilitation
Images are from paid or free image libraries or personal photographs except the following…
Slides 2, 4-13 – World Federation of Occupational Therapists
Slide 14 – Slideolgy, Duarte Design
Occupational Therapy Practice Framework :Domain & process 3rd EditionMohsen Eslampanah
The Occupational Therapy Practice Framework: Domain and Process describes the central concepts that ground occupational therapy practice and builds a common understanding of the basic tenets and vision of the profession.
Application of Affolter approach to occupational therapy intervention. The presentation ended with a case study of a patient management using affolter techniques.
•Questions that will be partly answered:
•
•What is Action Research?
•How to use it?
•How you might start using it?
•Why it could be useful to you?
•Other related methods and methodologies
1) Analyze and apply the role of Intervention Specialists. Explai.docxSONU61709
1) Analyze and apply the role of Intervention Specialists. Explain how can the ASTD model of Human Performance Improvement intervention works. What are the implications of misapplying the intervention? Write a minimum 250 words. Use at least two reference sources.
2) demonstrate your level of comprehension, not simply repeat what you read in the chapters. Do analysis, critical thinking, synthesize, etc. choose 3 subjects of their own interest, from weekly chapter readings. write an APA style 3 paragraph minimum synthesizing those subjects. Should have a cover page and references page, too. Summary should also include an applied reaction concept. As an example: How would you apply this information to the work place? Review the chapters to help focus areas of summary. Use this assignment to demonstrate your level of comprehension.
Chapter 3 The Role of Intervention Specialist
Rothwell, W. J. (2007). Human Performance Improvement, 2nd Edition. [Bookshelf Online]. Retrieved from https://online.vitalsource.com/#/books/9781136397370/
The Role of Intervention Specialist Most human performance improvement practitioners, as well as managers and other stakeholders, are eager to find a solution or select a performance improvement intervention. The previous chapter explored the role of the analyst. You learned that one key tenet of HPI work is a strong grounding in performance and cause analysis. In other words, the urge must be resisted to jump to an immediate solution to performance problems. The interventions that are eventually applied to the performance problem or opportunity should result from careful analysis. The reason for this is that careful analysis increases the probability of identifying and choosing the appropriate intervention. Without analysis, solutions are unlikely to be effective—and may even make matters worse. Like physicians who are advised to at least “do no harm” in treating their patients, HPI practitioners should avoid causing more problems than they solve. That can happen if the wrong intervention is selected to solve a problem or if it is chosen in haste. This chapter reviews the role of the intervention specialist. First, the role is defined and the competencies and outputs associated with it are described. Next, a range of possible performance improvement interventions is discussed. This chapter also reviews various techniques for identifying and selecting appropriate human performance improvement strategies. The chapter concludes with some cautions about potential dangers and pitfalls in selecting interventions. ASTD Models of Human Performance Improvement defines the intervention specialist as the role that “selects appropriate interventions to address the root cause(s) of performance gaps” (Rothwell, 2000). The terminal output related to the role of intervention specialist is “persuasive reports to stakeholders about the appropriate intervention(s) to close past, present, or future performance gap(s)” (Rothwell, ...
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
2. ACTIVITY ANALYSIS
Shamima Akter
B. Sc (Honors) in Occupational Therapy
& M. Sc in Rehabilitation Science
Assistant Professor,
Department of Occupational Therapy
Bangladesh Health Professions Institute (BHPI)
Centre for the Rehabilitation of the Paralysed (CRP)
Chapain, Savar
3. Activity Analysis
Activity analysis is a fundamental skill of
occupational therapists. A process used to identify
the inherent properties is a given occupation, task,
or activity as well as skills, abilities or capacities
required to complete it. (Trombly, 5th ed.). There
are three different perspectives of activity analysis:
• Activity- Focused Analysis
• Client-Focused Activity Analysis
• Environment-Client-Focused Activity Analysis
TS1_Shamima_2018
4. • Task- focused activity analysis/ Activity- focused
analysis- Deconstruction of activity itself outside of
the client-specific application to build student’s or
clinician’s repertoire of therapeutic occupations.
• Client- focused activity analysis- Description of the
reasoning used in the therapeutic use of occupation-
as-means for a particular therapeutic goal for a
particular person.
• Client-environment fit analysis- Deconstruction of
the specific activity-environment-person fit to
determine and/or optimize the likelihood of
successful performance of occupation-as-end.
TS1_Shamima_2018
5. REASON OF USING ACTIVITY ANALYSIS
• To contribute to the clinical reasoning of
Occupational Therapy practitioner.
• To break the activity down to small steps.
• To whether or not a person can perform an
activity.
• Therapist analyses the activity to understand the
functional requirements (performance
components are needed to perform the activity).
Then compares the requirements of the activity
and tries to find out the answer of – Does the
client has the necessary performance components
to perform this activity?TS1_Shamima_2018
6. Continue
• To determine the appropriateness of activity for a
particular client in terms of developmental needs,
age, personal interests, gender, cultural
relevance.
• To determine the potential use of activity as a
treatment tool.
• To identify required resources, both intrinsic
(related to person’s abilities) and extrinsic (cost,
space, environment, time, skills, staffs).
• To identify an activity potential for modification.
• To identify risk, hazards and precautions.TS1_Shamima_2018
7. GUIDELINE FOR ACTIVITY- FOCUSED ANALYSIS
According to Radomoski and Latham 2014, the
steps of activity focused analysis are following:
–Describe the activity
–Describe the task demands
• Objects used: What are the properties of the
utensils, tools, and materials and their
locations relative to the person?
• Environmental Demands: What are the
characteristics of the environment in which the
activity is usually performed, including possible
environmental barriers and enablers?
TS1_Shamima_2018
8. Continue…
– Social Demands: What is the nature of and
extent to which the activity involves others and
/or holds particular meaning associated with
social roles?
– Contextual demands
– Sequencing and timing
– Required actions: What are the steps of activity?
– Prerequisite capabilities, abilities, and skills
(sensorimotor, visual-perceptual, cognitive, or
psychosocial)
– Safety Precautions
TS1_Shamima_2018
9. • Identify the primary therapeutic aspects of the
activity/ adapt activity demands to align with
therapy goals
– Sensorimotor (ROM, strength, motor control, postural
control, endurance, or coordination/dexterity). If analysis of
specific muscular requirements is required, complete a
biomechanical activity- focused analysis.
TS1_Shamima_2018
Motions ROM Primary
Muscles
Gravity Assists,
Resists, No Effect
Minimal Strength
Required
Type of Contraction
10. • Visual-perceptual (visual scanning, perception of
objects in space, and awareness of extrapersonal
space)
• Cognitive (attention, memory, executive functioning,
problem solving, and awareness)
• Emotional/relational (mood, engagement, and
interactions with others)
• Modify the activity demands to calibrate level
– Object used
– Space demands
– Contextual demands
– Sequencing and timing
TS1_Shamima_2018
17. Analysis
Process
ExampleDescribethetaskdemands
Requiredactions
Stepsthatcomprisetheactivity 1. Retrieve the vacuum cleaner from the closet
2. Unwind the electric cord
3. Plug cord into wall outlet
4. Adjust height of vacuum cleaner for carpet use
5. Turn on vacuum cleaner
6. Push vacuum cleaner back and forth
7. Move vacuum on carpet to complete entire carpet
8. Unplug cord from outlet
9. Wind cord on vacuum cleaner
10.Place vacuum cleaner in closet
18. Identify the primary therapeutic
aspects of the activity/ adapt activity
demands to align with therapy goals
TS1_Shamima_2018
19. Motions
ROM Primary
Muscles
Gravity Assists, Resists, No
Effect
Minimal Strength Required Type of ContractionVolitionalfunctionofatleastoneupper
extremitytomoveagainstgravitywith
moderateresistance
shoulderflexion/extension,scapular
protraction/retraction,cylindricalgrasp,and
wriststabilization
Trunkflexion/extension
30. Identifytheprimarytherapeuticaspectofthetask;adapttask
demandstoalignwiththerapygoals
Object
used
Weight and size of vacuum cleaner
Type of vacuum cleaner handle and control switches
Low or high pile carpet
Space
demands
Size of space to be vacuumed, e.g. halfway and living room
Social
demands
NA
Contextual
demands
Set personal goal to complete vacuuming activity by a certain time
Sequencingand
timing
Set specific time parameters to vacuum a certain amount of carpet in
a designated amount of time
31. Therapeutic goal for the activity
• Strengthening of upper extremity
musculature
• Developing dynamic standing balance
• Improving grip strength
• Improving endurance
• Learning proper back mechanics
TS1_Shamima_2018
32. GUIDELINE FOR CLIENT- FOCUSED ACTIVITY ANALYSIS
1. Specify the primary goal that this task is intended to
advance through client performance
2. Specify which primary ability and/or capacity the
task is intended to challenge:
– ROM
– Strength
– Motor behavior
– Praxis
– Sensation
– Vision-visual perception
– Cognition TS1_Shamima_2018
33. Continue…
3. Evaluate the therapeutic value of activity based
on these characteristics:
– Inherently evoke desired response
– Be gradable to progress the patient to higher
function
– Be within patient’s capabilities
– Be meaningful
– Be repetitive
TS1_Shamima_2018
34. Continue…
4. Specify task parameters to calibrate difficulty level of the task:
• Method of instruction
• Nature and level of cueing
• Objects and their properties (materials and equipment)
• Environment Demands
• Sequence and timing
• Required actions and performance skills
• Required body functions
• Required body structures
• Context or environment
TS1_Shamima_2018
35. GUIDELINES FOR ENVIRONMENT-CLIENT-FOCUSED ANALYSIS
1. Specify the task that the person wants or needs to perform in a given
environment
2. Specify the performance environments (e.g., environment in which
the client will perform the desired activity or environment in which
the therapy session with occur).
3. Evaluate the barriers or enablers to performance of this activity in
this environment:
– Task
– Environment
– Person
4. Determine solutions that will enable performance:
– Person
– Environment
– Task TS1_Shamima_2018
36. Continue…
5. Specify task and environmental parameters to
calibrate difficulty level
– Method of instruction
– Nature and level of cueing
– Objects and their properties (materials,
equipment)
– Space demands
– Sequence and timing
– Required actions and performance skills
– Required body functions
– Familiar or novel task or environment
TS1_Shamima_2018