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Occupational performance area
This document summarizes key concepts in occupational therapy including occupational performance areas, activities of daily living, productivity or work, play or leisure, and rest/sleep. It describes common occupational performance areas like grooming, bathing, dressing, feeding, medication routines, home management, care of others, educational activities, and vocational activities. The document also discusses performance contexts that can influence occupational performance, including physical, personal, cultural, social, and situational contexts.
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Occupational performance area
- 2. Shamima Akter BOT, MRS(enrolling) Lecturer, Department of Occupational Therapy Bangladesh Health Professions Institute Centre for the Rehabilitation of the Paralysed Chapain, Savar OCCUPATIONAL PERFORMANCE AREAS
- 3. Occupational Performance Area ThreeDomains 1. Activities of daily living or self care activities 2. Productivity or work 3. Play or leisure 4. Rest/ Sleep
- 4. Activities of DailyLiving
- 5. Activities of dailyliving The typical life task required for self-care and self- maintenance, such as grooming, bathing, eating, dressing etc.
- 6. List of Activitiesof Daily Living Grooming Health Maintenance Oral hygiene Functional Mobility Bathing Socialization Toilet hygiene Functional Communication Personal device care Community Mobility Dressing Emergency Response Self-feeding & Eating Sexual Expression Medication routine
- 7. Grooming Obtaining and usingsupplies; removing body hair (use of razors, tweezers, lotions, etc.); applying and removing cosmetics; washing, drying, combing, styling, and brushing hair; caring for nails (hands and feet), caring for skin, ears, and eyes; and applying deodorant.
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- 11. Applying and removingcosmetics
- 12. Oral Hygiene Obtaining andusing supplies; cleaning mouth; brushing and flossing teeth; or removing, cleaning, and reinserting dental orthotics and prosthetics.
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- 15. Bathing/Showering Obtaining and usingsupplies; soaping, rinsing, and drying body parts; maintaining bathing position; and transferring to and from bathing positions.
- 17. Toilet Hygiene Obtaining andusing supplies; clothing management; maintaining toileting position; transferring to and from toileting position; cleaning body; and caring for menstrual and continence needs (including catheters, colostomies, and suppository management).
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- 19. Personal Device Care Cleaningand maintaining personal care items, such as hearing aids, contact lenses, glasses, orthotics, prosthetics, adaptive equipment.
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- 23. Recognizing sudden, unexpectedhazardous situations, and initiating action to reduce the threat to health and safety. Emergency Response
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- 26. Engaging in desiredsexual and intimate activities Sexual Expression
- 27. Dressing Selecting clothing andaccessories appropriate to time of day, weather, and occasion; obtaining clothing from storage area; dressing and undressing in a sequential fashion; fastening and adjusting clothing and shoes; and applying and removing personal devices, prostheses, or orthosis.
- 29. Feeding and Eating Settingup food; selecting and using appropriate utensils and tableware: cleaning face, hands, and clothing; bringing food or drink to mouth; sucking, masticating, coughing, and swallowing; and management of alternative methods of nourishment.
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- 35. Medication Routine Obtaining medication.Opening and closing containers, following prescribed schedules, taking correct quantities, reporting problems and adverse effects, and administering correct quantities by using prescribed methods.
- 37. Developing and maintainingroutines for illness prevention and wellness promotion, such as physical fitness, nutrition, and decreasing health risk behaviors Health maintenance
- 39. Accessing opportunities andinteracting with other people in appropriate contextual and cultural ways to meet emotional and physical needs. Socialization
- 41. Moving from oneposition or place to another, such as in-bed mobility, wheelchair mobility, transfers (wheelchair, bed, car, tub, toilet, tub/shower, chair, floor). Performing functional ambulation and transport objects. Functional Mobility
- 43. Moving self inthe community and using public or private transportation, such as driving, or accessing buses, taxi cabs, or other public transportation systems. Community Mobility
- 47. Using equipment orsystems to send and receive information, such as writing equipment, telephones, typewriters, computers, communication boards, call lights, emergency systems, Braille writers, telecommunication devices for the deaf, and augmentative communication systems. Functional Communication
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- 50. Telecommunication devices forthe deaf
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- 55. Productivity Productivity refers toactivities (both paid or unpaid) that provide services or commodities to others such educational activities and job- related activities.
- 56. 1. Home management ClothingCare Cleaning Meal preparation and clean up Shopping Money management Household maintenance Safety procedures 2. Care of others 3. Educational activities 4. Vocational activities Productivity
- 57. Obtaining and maintainingpersonal and household possessions and environment. Clothing Care Cleaning Meal preparation and clean up Shopping Money management Household maintenance Safety procedures Home Management
- 58. Obtaining and usingsupplies; sorting, laundering (hand, machine, and dry clean); folding; ironing; storing; and mending. Clothing Care
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- 64. Obtaining and usingsupplies; picking up; putting away; vacuuming; sweeping and mopping floors; dusting; polishing; scrubbing; washing windows; cleaning mirrors; making beds; and removing trash and recyclables. Cleaning
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- 71. Planning nutritious meals;preparing and serving food; opening and closing containers, cabinets and drawers; using kitchen utensils and appliances; cleaning up and storing food safely. Meal Preparation & Clean Up
- 81. Preparing shopping lists(grocery and other); selecting and purchasing items; selecting method of payment; and completing money transactions. Shopping
- 83. Budgeting, paying bills,and using bank systems. Money Management
- 86. Maintaining home, yard,garden, appliances, vehicles, and household items. Household Maintenance
- 88. Knowing and performingpreventive and emergency procedures to maintain a safe environment and to prevent injuries. Safety Procedure
- 92. Providing for children,spouse, parents, pets, or others, such as giving physical care, nurturing, communicating, and using age appropriate activities. Care of Others
- 94. Participating in alearning environment through school, community, or work- sponsored activities, such as exploring educational interests, attending to instruction, managing assignments, and contributing to group experiences. Educational Activities
- 97. Participating in work-relatedactivities. Vocational exploration Job acquisition Work or job performance Retirement planning Volunteer participation Vocational Activities
- 98. Determining aptitudes; developinginterests and skills, and selecting appropriate vocational pursuits. Vocational Exploration
- 99. Identifying and selectingwork opportunities, and completing application and interview processes. Job Acquisition
- 101. Performing job tasksin a timely and effective manner; incorporating necessary work behaviors. Work or Job Performance
- 103. Determining aptitudes; developinginterests and skills; and selecting appropriate avocational pursuits. Retirement Planning
- 105. Performing unpaid activitiesfor the benefit of selected individuals, groups, or causes. Volunteers Participation
- 109. Play or LeisureActivity
- 110. Play refersto activities freely undertaken for their own sake; it includes exploring, pretending, celebrating, engaging in games or sports, and pursuing hobbies. Intrinsically motivating activities for amusement, recreation, spontaneous enjoyment, or self-expression. Play or Leisure
- 113. Play or LeisureExploration -Identifying interests, skills, opportunities, and appropriate play or leisure activities. Play or Leisure Exploration
- 115. Play or LeisurePerformance -Planning and participating in play or leisure activities. Maintaining balance of play or leisure activities with work and productive activities, and activities of daily living. Obtaining, utilizing, and maintaining equipment and supplies. Play or Leisure Performance
- 117. Rest/ Sleep Rest,sleep, sleep preparation, and sleep participation
- 118. PERFORMANCE AREA Accordingto Occupational Therapy Practice Framework (AOTA 2008, cited in Radomski, latham, 2013), Areas of occupations are: • Activities of daily living • Instrumental activities of daily living • Rest & sleep • Education • Work • Play • Leisure • Social preparation
- 119. Performance area Activitiesof Daily Living/ ADL— Care of one’s body including bathing, showering, bowel and bladder management, dressing, eating, self-feeding, functional mobility, personal device care, personal hygiene and grooming, sexual activity, and toilet hygiene. Instrumental Activities of Daily Living/IADL— Activities to support daily life in the home and community including, care of others, child rearing, care of pets, communication management, community mobility, financial management, health management and maintenance, home establishment and management, meal preparation and cleanup, religious observance, safety and
- 120. Continue… Rest andSleep— Rest, sleep, sleep preparation, and sleep participation Education — Participation in formal or informal education; exploration of informal educational needs or interests Work — Employment interests and pursuits, employment seeking and acquisition, job performance, retirement preparation and adjustment, and volunteer exploration and participation Play — Play exploration and participation Leisure — Leisure exploration and participation Social preparation — Engaging in activities that result in successful interaction at the community, family or
- 121. PERFORMANCE CONTEXT Accordingto Occupational Functioning Model, occupational performance contexts are: Physical Personal Cultural Social Situational
- 122. Performance Context Physical—Including the natural and built environments, objects and utensils, and the requirements that tools and utensils pose for use Personal— Including age, gender, activity history, sense of competency, and spirituality Cultural— Including norms, values, beliefs, and routines or rituals of the family, ethnic group, community, or religious group Social— Including temporal demands of role tasks, activities and habits; balance of activity types; and balance of activity and rest Situational— Including circumstances related to the setting or surroundings at a given moment
- 123. REFERENCE Trombly CA1996, Occupational Therapy for Physical Dysfunction, 5th ed, Mosby Company, Philadelphia Radomski and Trombly-Latham 2008, Occupational Therapy for Physical Dysfunction (6th Ed). Philadelphia: Lippincott, Williams and Wilkins. Radomski and Trombly-Latham 2014, Occupational Therapy for Physical Dysfunction (7th Ed). Philadelphia: Lippincott, Williams and Wilkins.
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