1. Vocabulary
    1. Task: specifics of what you do
      1. Activity: the task itself being performed
        1. Grading: making the task easier or harder
          1. Adapting: actually changing the task
  2. Occupational? Ch. 1 W&S
    1. "to be human is to be occupational" W&S
    2. form, function and meaning are basics in understanding the focus of occupation W&S
      1. self-care, leisure, and productivity with a focus on social context (when, where, why, how and with whom?) W&S
    3. includes work, work-like act's and recreational act's W&S
    4. NOT ALL OCCUPATIONS ARE HEALTHY; NOTE THE DIFFERENCE
    5. Categories of occupations can be challenging to clear ex. work and leisure (same or different depending on what the activity means to an individual)
  3. Contribution of Occupation to Health and Well Being Ch. 6 W&S
    1. phys and mentally healthy is when you're able to perform your occ's w/out much difficulty
    2. occupations: mix of physically challenging and cognitive tasks that use mind and body to work properly
    3. Health: the ability to do ADL's with ease
    4. well-being: a person's understanding of their feelings over their personal phys, mental, emotional, and social health
      1. good mental health stems from being productive in occ's and phys ex
      2. health benefits of good quality work are noteworthy statistically
        1. busy lives lead to culturally constructed occ's which are less enjoyable than personal occ's
          1. not doing enough also is evident in negative effects in people
    5. occupation is what you do that you find meaningful vs participation where you decide if you want to engage in that occupation or not
      1. occupation stems from the basic biological needs of a human
        1. having a health condition or impairment has an effect on occ's that the person enjoys
        2. Impairment: and physiological or physical pblm with function or body structure (occ's can also be health threatening ex. smoking)
          1. Fatigue from adl's
          2. Frustration with incapacities of ability
          3. Regret over things that were/are now unachieveable
      2. lots of participation indirectly correlates with levels of depression
    6. capacities: are unique in every person based on their preferences, lifestyle, occupational opportunities and unique life hist.
    7. why occupation?
      1. 1. correct threats to ourselves ex. cold-putting on sweater
      2. 2. protective and prevention ex. learning how to problem solve and plan
      3. 3. prompts/rewards in occ's ex. doing thing for purpose, enjoyment and fulfillment
  4. Impact on Culture and Occupation Ch. 16 W&S
    1. Occupational choice: determined by values, interests, beliefs, socioecon status, gender, age, sexual identity, cognitive and emot. capabilities
      1. Occ's must be centered around these values and take into consideration the cultural significance of that occ
    2. Occupational perf: the success of the occ due to the compatibility of the client, env and context of act.
    3. OCCUPATIONS ARE NOT ALL PERFORMED IN THE SAME WAY
      1. ex. having dinner (fork vs. chopsticks, using charis vs sitting on floor etc.)
    4. biomedical vs allopathic medicine; NO DISCRIMINATION
  5. Overview of the Occ Therapy Process/Outcomes Ch. 23
    1. occupation gives structure for therapy that's evidence based specifically for patient's h-r problems
    2. OT Process
      1. Occ Therapy Process: customized process based on their ADL's
        1. end goal and means to achieve goal
      2. Evaluation
        1. collect and analyze data
        2. strengths and weaknesses
        3. Occ Therapy Profile (subjective data)
          1. History
          2. Resources: Occ Contexts
          3. Performance: Occ Goals
          4. look at env, life act's, why they need OT
          5. add info over time
        4. Occ Perf. Analysis (objective data)
          1. client performs acts related to occs
          2. same equip, settings, real life situation
          3. assess tools: client factors, contexts, env., act. demands, perf. skills, perf patterns
        5. Targeted Outcomes
          1. hypothesis for problems
          2. short term goals
          3. perf skills/body functs
          4. long term goals
          5. perf of important occs to client
          6. written, objective, measurable and w/ time frame
        6. Evidence Focus at Eval
          1. therapist experience
          2. client preferneces
          3. 1. clients goals from OT 2. OT's analysis of perf factors 3. target outcomes (unison agree)
      3. Intervention
        1. clients action directed at occ
          1. (a) Occ based interventions
          2. match outcome for occupation
          3. (b) Purposeful acts
          4. acts to dev skill for occs
          5. (c) Prep methods
          6. tech's to prepare client for (a) and (b)
          7. Implementation: carry out intervention/monitor progress
          8. Evidence Focus: (1) how is intervention most relevant to client
          9. (2) reflect on personal competencies
          10. (3) identify evidence related to client's pref's
          11. Intervention plan
      4. Reevaluation
        1. (formal/informal) comparing initial data to data after OT process
          1. continue/discontinue
          2. targeted outcomes looked at again
          3. has therapy helped? what is still lacking?
      5. Outcomes
        1. results of therapy intervention
          1. adapt to challenges and improved occ perf
      6. Evidence
        1. background of occ therapy map
  6. Analyzing Occs/Acts Ch. 21
    1. Environment: external/phys/econ/political/cultural
      1. arena
        1. places they occur
      2. setting
        1. describe aspects
      3. role
        1. how indiv's see themselves (x aspects)
    2. Occ Analysis/Meaning
      1. Occupation: personal experienced perf
        1. ability to engage in occ and meaning
        2. occ organization: capacity that indiv's can do their occs for needs
      2. Occ Analysis: analyze what/how ppl do an activity (DETAILS OF AN ACT)
        1. used to (re)engage clients in occs that are meaningful
        2. Gain insight on therapeutic potetial
        3. looks at body structs/funct, perf setting (phys/soc) and demands of occ
      3. Co-Occs: involves 2 or more ppl
    3. Activity Analysis
      1. purposeful acts: selected act's to dev skills for occs
        1. understand as much as possible abt an act (SKILLS)
      2. OTPF: reflects current practice of OT in terms of health/occ engagement/ppl
        1. body struct's
        2. function
        3. relate to skills
    4. B/C adept at observing skills