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Kawa model poster
- 1. Kawa Model Application:Illustration of Compassionate CareKawa Model Application: Illustration of Compassionate Care http://www.youtube.com/watch?v=VaWt3tHZL7ohttp://www.youtube.com/watch?v=VaWt3tHZL7o Kari Tracy, OTSKari Tracy, OTS Contributing Author: Sandra F. Countee, OTR/L, Ph.D.Contributing Author: Sandra F. Countee, OTR/L, Ph.D. OverviewOverview Alternate ModelAlternate Model Occupational ProfileOccupational Profile RocksRocks SpacesSpaces Implementation StepsImplementation Steps The Kawa Model describes a culturally relevant model of practice, using the metaphor of a river to describe the many issues inherent in people’s lives1 . This presentation on the Kawa Model explains its foundational concepts. The model has six steps, four of which are outlined. An alternative metaphor is also illustrated for use in practice. WaterWater ReferencesReferences Kawa Concept Client Centered Issues Occupational Therapy Intervention Rocks Life circumstance& Problems -Pain and decreased mobility from wrist injury -Divorce: Can’t fulfill family duty as wife -Feels alone and uninspired -Attend activity group on exercise and education of body mechanics. Learn joint preservation approaches and techniques -Coordinate with other team members, such as nursing, psychology and counselors to set up a series of family meetings to discuss family duties and roles in order to explore more avenues to deal with disability experience Kawa Concept Client Centered Issues Occupational Therapy Intervention Driftwood Liabilities -Aloofness -Lack of communication and social skills -Perseveration -Asperger’s Syndrome -Encourage interaction with environment and people, teach ways to engage others -Establish communication techniques and teach social roles within community -Prevent perseveration from impacting life by redirecting Julie to engage in new activities -Attend a social skills training support group. Encourage social situations Kawa Concept Client Centered Issues Occupational Therapy Intervention Water Purity, spirit, cleansing, renewal -Water continues to flow around Julie’s wrist injury, divorce and lack of social environment but… -Water is slowed due to Julie feeling uninspired in the most important occupation of her life and her feelings of aloneness due to her lack of communication and social skills -Use the clients assets and abilities to work at decreasing problems and liabilities --Encourage and provide positive feedback -Involve other members of support network (with client’s consent) as much as possible The first four steps of the model illustrated in this case include: 1) Appreciating the client in context 2) Clarifying the context 3) Prioritizing issues according to client’s perspective, and 4) Assessing focal points of occupational therapy intervention. Steps 5 and 6 (Intervention and Evaluation) should follow but are not presented in this case. Kawa Concept Client Centered Issues Occupational Therapy Intervention Spaces Life flow & Health -Potential OT treatment approaches and points of interventions are seen in the channels between Asperger’s Syndrome, divorce, pain in wrist, feeling alone and uninspired, art studio, inability to paint while injured, lack of family and friends, financial stability, art supplies, determination, aloofness, lack of communication and -Avenues to explore are increasing social skills as to build up a support by reconnecting with family and making new friends. Finding ways to adapt art to allow for participation in this occupation which will open client up to feeling inspired again Julie is a young adult who views her primary role as that of an artist and identifies painting as her most significant occupation. Julie has Asperger’s Syndrome and hyper-flexion of the wrist but even though she is divorced, her ex-husband has provided her with financial resources to continue her painting. A lack of family support has created a barrier in her life. In addition, Julie’s deficits in communication have acted as a barrier to forming friendships; Julie feels alone and uninspired. DriftwoodDriftwood River Walls and BottomRiver Walls and Bottom 1. Iwama, M. (2006). The Kawa Model: Culturally relevant occupational therapy. Philadelphia: Churchill Livingston Elsevier. 2. Kawa Model Website. (2010). Retrieved June 11, 2012. From http://www.kawamodel.com 3. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed. text rev). Washington, DC: Author -Metaphors are best understood when they are presently tangible -The river is an excellent metaphor but in urban settings, they are difficult to come by -A window is easily accessible in most environments Kawa- (River), life flow Goal- strong, deep, unimpeded flow Mado- (Window), enlightened life Goal- bright, wide, long, unimpeded shineRiver- Fluid, beginning to end (birth to death) Window- Opening, portal to the soul, two-way interaction between client and environment Water- Cleansing, purity, spirit, renewal Light- Cleansing, purity, revelation Rocks- Problematic, difficult to move Trees- Solid, difficult to remove, blocks light Driftwood- Blocks, enhances, or does not impact flow Curtains- Shutting out light or letting it in River walls & bottom- Confines river, give it shape Window frame- Confines window, determines how much light can shine through Spaces- Channels for water to seep through between barriers Window pane- Where light can still shine through between barriers Kawa Concept Client Centered Issues Occupational Therapy Intervention River walls & bottom Physical & Social Environment Physical: -Art studio -Inability to paint with injury Social: -Lack of family -Establish a plan in which Julie can ensure financial stability to maintain her art studio after funds from her ex-husband dry up -Adapt a way in which Julie will be able to engage in her art to inspire her soul -Teach social skills and roles in an attempt to reconnect Julie with estrange family and Driftwood Assets -Financial stability -Art supplies -Determination -Asperger’s -Establish a plan to budget money to continue financial situation as long as possible -Learn ways to maintain integrity of art supplies to make them last -Work on maintaining determination to paint and learn ways to shift determination to other aspects of life such as making friends and reconnecting with family -Maintain the unique qualities inherent from this syndrome that have given