Powerpoint

profileZahi
OT-2intervew.docx

1 Occupational Therapy

Occupational therapy

Course name:

Date:

Introduction and Occupational History

The client is a ten-year-old student whose name has not been disclosed for privacy reasons. The client has been referred for school-based occupational therapy evaluation because of her unpredictable behaviour in class. The student has poor and illegible handwriting and has increasing behavioural outbursts in class. She says her work "is not as perfect" as others’. She wants to have her work hung on the classroom exhibit announcement board and "clip up to fantastic." Her main accomplishment right now is to accomplish a higher level in the classroom behaviour management system and have her work hung on the “excellent board. “Class teacher reports that the student's handwriting is illegible and that she is having emotional outbursts at an increasing frequency. The student is currently receiving special education services for speech and language impedance. The client lives with her parents and an elder brother in a lovely big house. She is mostly provided for by her nanny who has been like a mother to her because of her mother’s busy work life. Brother, whom she spends most of her time with says she started to be agitated and irritated all the time when her nanny, Stella (not real name) decided to leave the family to further her education. “She loved Stella because she has always been there for her when mom and dad travel for weeks to conduct business,” says her brother. Some of the occupational successes the client has had include; finishing homework, finishing house chores, plays with dolls, social participation with her older brother (16 years old). She likes dancing and playing princess. Some of the significant occupational successes include one-on-one cooperation through life skills program at school and thriving behavioural supports for home and community outings.

According to Berk, Laura E. (2012), developmental milestones of the client according to the five main grouping categories is as follows:

Developmental milestone category

Finding

Physical growth and development

The client lost two teeth this year.

As compared to last year’s weight and height, she gained 2.5kg and grow about 5cm, respectively.

Cognitive development

She knows the complete date.

She knows days of the week and months of the year.

She is excellent at math.

She cannot write simple stories because of her illegible handwriting.

Emotional and social development

Unlike other kids, the client does enjoy playing alone.

Sometimes show irritation to her parents.

Language development

She likes reading but not writing.

She almost speaks like an adult.

Sensory and motor development

She likes riding her bike.

Occupational Profile

(This occupational profile was created according to AOTA occupational therapy profile)

The information is acquired from the client's point of view through both formal meeting strategies and informal discussion and prompts an individualized, customer focused way to deal with mediation (American Occupational Therapy Association, 2014).

Reason for being referred

The client has been referred to due to her poor and illegible handwriting and has increasing behavioural outbursts in class.

Occupational history

The client lives with her parents and an elder brother in a lovely big house. She is mostly provided for by her nanny who has been like a mother to her because of her mother’s busy work life.

Personal interest and values

She values spending time with her “busy” parents and her nanny, being able to have her work pinned on the “excellent” board, doing math (she says math does not show how bad her handwriting is because they are just numbers), riding her bike with her brother and reading.

Occupations in significant areas

Identified as the best in math and reading. The main barrier to accomplishing her goal of having good handwriting is that her parents are busy and have not enough time to teach her. Stela, her nanny, used to teach her, but she left.

Performance pattern

Eight hours of school, 1 hour of playing with doll sometimes substituted by riding a bike if her brother is home, doing school work (reading and doing the math) for the next hour, take dinner, watch the cartoon, and retires to bed. ROLES: Daughter, sister, friend, and student. STUDENT ROLE: She want her work to be pinned on the “excellent” board.

Social aspects of her environment and effect on occupational engagement

Support: her brother is supportive and cancels his plans sometimes to be with her.

Barrier: she hates having been told in front of the class that her handwriting is terrible.

Physical aspects of her environment and effect on occupational engagement

Support: cartoon helps her read and do the math.

Barrier: “excellent” board reminds her how bad her handwriting is, thus making her sad.

Cultural aspects of her environment and effect on occupational engagement

Support: she wants to be a good student like her brother.

Barrier: seeing her desk mate on excellent board angers her.

Personal aspects of her environment and effect on occupational engagement

Support: she has achieved success in math.

Barrier: not identified.

Temporal aspects of her environment and effect on occupational engagement

Support: in math class and reading sessions, she thrives.

Barrier: The client feels that she does not have enough time to complete short stories because it takes her longer to make her work neat.

Virtual

Support: Her teacher contacts her parents regularly to provide updates on self-regulation.

Barrier: not identified.

Client’s priority and targeted outcome

The client needs to have the option to finish slick work so it very well may be hung on the instructor's "grandstand" announcement board. She likewise needs to have the option to "clip up" to "awesome" or if nothing else keep his clasp at a similar position (abstaining from "clipping down").

Theoretical analysis

In occupational therapy, the type of theoretical model or intervention to be used to enhance the accomplishment of the client’s goals and personal needs depends on the client’s responses and goals in life. Some of the models to be used in this case are as follows:

Establish or restore a skill or ability

This model involves aiming at improving the client’s skills or abilities, therefore, allowing better performance in occupations. The client’s main goal and priority are to have her work pinned on the “excellent” board, and the main reason why her work is not there is because of her lousy handwriting. This intervention will focus on improving the handwriting of the client. According to the client's responses, having bad handwriting is another cause of her emotional outbursts (American Occupational Therapy Association, 2014).

Prevention of disability

It is not a surprise that some older individuals have lousy handwriting. This is because they saw it was not serious and did not prevent it early. This model aims at improving the performance skills and patterns that support continued occupational performance and provides the intervention that anticipates potential hazards or challenges to occupational performance (American Occupational Therapy Association, 2014). One of the environmental and social barriers that can be prevented using this model is by advising the client’s parents to be home once in a while to teach her how to write well or better to hire a private tutor.

Also, successful intervention studies have utilized an approach to disability prevention through patient consolation and mediations related to the working environment, rather than utilizing a medical model of behavioural treatment. Today many parents use behavioural medication to treat and better the health of children with behavioural disorder. It is obvious that the present illness treatment paradigm ought to be supplanted by a disability prevention paradigm for patients with behavioural disorder to avoid unnecessary evolution towards prolonged disability. A disability prevention management model is proposed to encourage clinicians, employers, associations and insurers, just as specialists in the field, to work within the perspective of the disability paradigm (American Occupational Therapy Association, 2014).

Maintain current functional abilities

This intervention focuses on activity demands, performance patterns, or context for occupational engagement. Watching educational cartoons can help the client with improving her occupational performance, therefore, achieving her goal (American Occupational Therapy Association, 2014).

Reflection

It is outright fundamental to helping individuals regain their autonomy and capacity to do what they adore and appreciate throughout everyday life. Occupational therapists help individuals of all ages, from infants to grown-ups (Peloquin SM, August 1989). The information acquired from this interview together with the training required will help me to work with individuals who experience the ill effects of a range of physical, psychological and emotional illnesses or disabilities that hinder their capacity to do significant and meaningful tasks that are often basic in life and make them feel not complete when they are unable to complete such tasks (Peloquin SM, August 1989). The information acquired from tis interview may also help me make changes in any of the things that limit a person's capacity to perform such errands, including the environment, the task, or the individual's skills required to complete the tasks or make the daily routine effortless.

According to American Occupational Therapy Association, 2013, occupational therapist enables individuals to connect with and take an interest in ordinary exercises trough occupation. The last job isn't only applicable for individuals but also groups or populations. Eventually, with the expansion of the aged population, costly medicinal services administrations, and occupational therapists should fuse wellbeing advancement rehearses into their real roles. This interview helped to adjust some of my daily activities while providing some services and coaching the client. To adapt to this phenomenon and to all the more likely address children's issues, the occupational therapist's job would profit by being enlarged. Expanding their insight and their practices in advancing wellbeing will encourage their work in different domains (American Occupational Therapy Association, 2013). This will assist them with shifting from a person to a populace approach. To accomplish that progress, advisors ought to be increasingly associated with choices taken by government officials in regards to wellbeing and to create administrations and projects that advance prosperity, wellbeing, and personal satisfaction. Likewise, joint effort with different fields, for example, schools, working environments, businesses, appointees and associations will assist them with spreading systems that advance mindfulness and empower the population to control and keep up an autonomous sound way of life. Likewise, specialists comprehend that nature can be a significant factor on wellbeing population (American Occupational Therapy Association, 2013).

References

American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68, S1–S48. https://doi.org/10.5014/ajot.2014.682006

Berk, Laura E. (2012). Young children: Prenatal through middle childhood. Allyn & Bacon. ISBN 0205011098.

Peloquin SM (August 1989). "Moral treatment: contexts considered." The American Journal of Occupational Therapy. 43 (8): 537–44. doi:10.5014/ajot.43.8.537. PMID 2672822.

Peloquin SM (1 November 2005). "Embracing our ethos, reclaiming our heart." The American Journal of Occupational Therapy. 59 (6): 611–25. doi:10.5014/ajot.59.6.611. PMID 16363178.

American Occupational Therapy Association. (2013). "Occupational therapy in the promotion of health and well-being." American Journal of Occupational Therapy, 67, S47-S59. doi:10.5014/ajot.2013.67S47