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Case Study Lecture Assignment Name: _________________________________ Date: ________________________ Course: OTA 100/101: Introduction to Occupation Therapy Course objective (s): UNIT ONE: The Profession of Occupational Therapy · Discuss the professional relationships among the roles (OT, OTA) UNIT THREE: Theories, Models and Frames of Reference of Occupational Therapy Practice A. Describe models of practice and frames of reference that are used in occupation therapy. UNIT FIVE: Service Delivery A. Define the terms occupation, activity and purposeful activity. UNIT SIX: Individualization of Occupational Therapy A.

Discuss environmental and socio cultural considerations B. Discuss the role of occupation in promoting wellness C. Analyze the effects of health, disability, disease process on the individual, family and society. UNIT EIGHT: Basic computer use A. Demonstrate critical analysis and employ logical thinking skills imperative for an independent learner.

Curriculum Threads: · Commitment to lifelong clinical learning · Role Acquisition Assignment Objective(s): · Student will ascertain from the case study, relevant data regarding the patient’s medical diagnoses (primary and secondary). · The Student will be able to describe the basic features and thereby become more familiar with treatment approaches, theories models of practice and their appropriateness as it relates to the individual client through evidence based research and reflection on course material and knowledge acquired. · The Student will list statistics obtained from evidenced based research. New and current statistics to include new procedures, discoveries, treatment approaches and medication should be included. · The student will become more familiar with demonstrating knowledge and understanding by participating through role play in patient/caregiver education the importance of balancing areas of occupation with the achievement of health and wellness · The student will become more familiar with demonstrating knowledge and understanding by participating through role play in patient/caregiver education the role of occupation in the promotion of health and the prevention of disease and disability for the individual, family, and society. · The role of Occupational Therapy and role/role delineation of Occupational Therapy Practitioners will be discussed.

Additionally, the student will articulate as they become more familiar with when and how to use the consultative process with specific consumers or consumer groups as directed by an occupational therapist. · Explain the type of care setting the client presents in. Identify two important to consider that is unique to that particular setting (traditional and emerging) where the case study is taking place. Case Study Assignment: · Explain the primary and secondary medical diagnoses and all signs and symptoms commonly associated with this (these) medical condition(s). · List treatment approaches, theories models of practice and articulate their appropriateness as it relates to the individual client. · List at least 4 statistics obtained from research regarding the medical diagnoses (e.g., symptoms, prevalence, prognosis, medication(s) ) · Explain the role Occupational therapy plays and the role/role delineation its practitioners play in the health care setting of where your case study is taking place, i.e., hospital, out-patient, pediatrics, etc. · Engage in the consultative process with persons, groups, programs, organizations, or communities in collaboration with inter- and intra professional colleagues: · Create a clinical picture of patient based on performance areas, performance skills, and body functions (utilizing the OTPF 3rd ed. and data from the case study) by making a table grid and describing each area. · Explain the progression of adjunctive to purposeful activity.

Allocate Write 2 LTG (one needs to be an educational goal) and 1 STG for each LTG. The goals should directly relate to the problems. · Design a 45 minute treatment session time for each component (e.g. 10 minutes for described adjunctive activity, 30 minutes for described purposeful activity) · Incorporate into the designed treatment session an understanding understanding/learning derived from evidenced based practice research and the teaching/learning process plus describe and/or demonstration of knowledge of the use of technology in practice, which must include: · Electronic documentation systems · Virtual environments · Telehealth technology · Incorporate patient/caregiver training by demonstrating the principles of the teaching-learning process using educational methods and health literacy education approaches: · To design activities and clinical training for persons, groups and populations · To instruct and train the client , caregiver, family, significant others and communities at the level of the audience · APA format.

Submit a minimum of 10 pages paper, which should be free of spelling and grammatical errors. Utilize resources learned in course and library orientation. APA style format and content · Cover page: tabs, centering, page numbers, organization of headings as per APA style · Font size, paragraph organization, headings, use of paraphrase and citations are accurate. · Content is a clear, well organized topic by paragraphs: introduction, body, conclusions. · Reference page in alphabetical order with correct format for reference. All references within 10 years. Evaluation: EBP /Case Study Paper Poor (0-4) Fair (5-6) Good ( 7-8) Excellent (9-10) Poor Fair Good Excellent Brief definition of illness: Uses references from journals and/or book (No Internet Web Pages, e.g.

Wikipedia) Provides very minimal information. (statistics omitted) Provides some information about medical conditions. Leaves room for questions. e.g., does not include variations or level of severity, prognosis, complications, and precautions (Statistics are few, 2-3). Provides most of the information about medical conditions. Includes problems frequently associated with the medical condition. APA used at least 75% of the time (Statistics average 4-6) Explains medical conditions clearly & detailed.

Includes new information. For maximum points all references and paper (100%) need to be APA style. (Statistics exceed 6) Poor (0-4) Fair (5-6) Good (7-8) Excellent ( Describe the basic features and thereby become more familiar with treatment approaches, theories, models of practice and their appropriateness as it relates to the individual client through evidence based research and reflection on course material and knowledge acquired Unable to follow. Inaccurate representation. Many questions remain. Additional clarification is required.

Some misrepresentation, however, able to follow articulation Accurate representation of approaches, theories models of practice and articulate their appropriateness as it relates to the individual client exceeds expectation. Poor (0-4) Fair (5-6) Good (7-8) Excellent (9-10) Role of the Occupational Therapy practitioner (e.g. personal and professional responsibilities & abilities as it relates to the job): Evidence based practice literature MUST be included (attach a related article) Provides very minimal information. No evidence based references included. PAPER WILL BE RETURNED Evidence-Based Practice provided, however poorly or not integrated in the paper Provides some information about the role of the OT practitioner.

Includes possible adjunctive, enabling, and purposeful activities. Minimal evidence-based practice provided (1-2 references), but effort to integrate information in the paper is recognizable. Explains the role of the OT practitioner along treatment continuum. Includes COTA role. Treatment approaches are included.

Evidence-based practice research included. However, EBP is either not completely integrated in the paper, or presented in a separate section (3-4 references). Explains in detailed role of the OT practitioner along treatment continuum in different settings. Evidence practice research included and correctly integrated in the paper (5 or more references). Poor (0-4) Fair (5-6) Good (7-8) Excellent (9-10) Engage in the consultative process with persons, groups, programs, organizations, or communities in collaboration with inter- and intraprofessional colleagues: (e.g.

It involves; educating school personnel, demonstrating techniques or supports, and providing consultation in the form of occasional visits or phone/e-mail contacts…where the condition is long-standing (such as ASD) and must be managed day-to-day by other personnel (e.g. parents, teachers and aides… Occupational Therapy Australia ). Unable to follow. Adequate response, however, many questions remain and require additional clarification. Appropriate response. Able to follow, but details could benefit some additional substance.

Exceeds Explanation. Details provided regarding when and how the COTA will engage in the consultative process with persons, groups, programs, organizations, or communities in collaboration with inter- and intraprofessional colleagues are well rounded in content. Poor (0-4) Fair (5-6) Good (7-8) Excellent (9-10) Case Study: Description of client in case study. Create a Problem and Strengths list which must be included in your paper. Use of OTPF 3rd edition terminology is required (e.g., Problem.-Performance skills or body function affected) Client is described briefly.

OTPF 3rd edition terminology not used or used incorrectly. A clear picture of the client is presented. However, some elements of context and/or environment are not included. Problem list and/or strengths are incomplete. (Less than 70%) All elements of client's context and environment are addressed. Good physical problem list and patient's strengths is presented.

However, impact on the family or psychosocial issues have been omitted. Comprehensive analysis of patient’s strengths and problems with good use of OTPF 3rd edition terminology. Poor (0-4) Fair (5-6) Good (7-8) Excellent (9-10) Treatment goals: Write 2 LTG (one needs to be an educational goal) and 1 STG for each LTG. One or more goals are missing. More than 50 % of the goals are lacking one or more of the important elements as reflected in the ABCD model 10-49% of the goals are lacking one or more of the important elements as reflected in the ABCD model 1-9 % of the goals are lacking one or more of the important elements as reflected in the ABCD model; or goals contain all necessary elements, but two or more do not have specific meaning for the client.

All goals are occupational based and are clear well written and meaningful for the client. Poor (0-4) Fair (5-6) Good (7-8) Excellent (9-10) Treatment Implementation and demonstration of knowledge of the use of technology in practice, which must include: · Electronic documentation systems · Virtual environments · Telehealth technology Design one 45 minute session demonstrating the use/progression of preparatory to purposeful activities. Provides rationale for decisions. No clear beginning, middle, and end to treatment session. Treatment areas out of the scope of practice.

Clear beginning, middle, and end of treatment session. Activities correspond to problem list. Inconsistent support and analysis of activities/treatment utilized. Beginning, middle, and end of treatment session well defined. Activities are described in detail and correspond to problem list Resources.

Utilizes pictures, diagrams, etc. to illustrate treatment. Incorporate patient/caregiver training by demonstrating the principles of the teaching-learning process using educational methods and health literacy education approaches: Poor (0-4) Unable to follow. Fair (5-6) Adequate response, however, many questions remain and require additional clarification. Good (7-8) Appropriate response. Able to follow, but details could benefit some additional substance.

Excellent (9-10) Exceeds response. Poor (0-4) Fair (5-6) Good (7-8) Excellent (9-10) Overall paper organization Organization of content (includes grammar and spelling, APA format) Information scattered and disorganized. Grammar and spelling so poor, sections of paper are impossible to understand. PAPER WILL BE RETURNED. Information is orderly, but difficult to follow or information is frequently repeated.

Grammar and spelling errors present, but paper is understandable Good format. Easy to follow and understand. Less than 3 grammar or spelling errors. Excellent format, use of correct terminology. Concise and professional.

Less than 3 minor spelling errors. Instructor Note: _________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Grade: ________________ ACOTE Standards for an Associate Degree Level Educational Program for the Occupational Therapy Assistant: B.1.2, B.1.3., B.2.1., B.2.2., B.3.4 ., B.4.5., B.4.10., B.4.15., B.4.19., B.4.20., B.4.21., B.5.1., B.6.1., B.6.2. , B.7.1. Revised 07/02/2020 JM COMPANY OVERVIEW Investigating any company you aspire to work for some day, you’ll prepare a 5-page written evaluation of it.

Pay special attention to its mission and values statements, and then compare those statements to your own core values. You also should identify recent examples of when that company made it into the news , and whether those appearances reflected positively or negatively on the company. I choose Amazon company

Paper for above instructions

Introduction

Occupational therapy (OT) is a dynamic profession focused on enabling individuals to engage in meaningful activities through therapeutic practices. This paper examines a case study involving a patient with specific medical diagnoses and identifies relevant data, treatment approaches, and goals based on the Occupational Therapy Practice Framework (OTPF) 3rd edition. We will evaluate the primary and secondary diagnoses, statistics related to these conditions, and explore the role of occupational therapy practitioners.

Primary and Secondary Medical Diagnoses

The selected patient, Mrs. Jane Doe, is a 75-year-old female with a history of osteoarthritis (primary diagnosis), and secondary diagnoses of obesity and type 2 diabetes. Osteoarthritis, a degenerative joint disease that causes pain and stiffness in the affected joints, often has a significant impact on an individual's ability to perform daily activities (Kellgren & Lawrence, 1957). Mrs. Doe's primary symptoms include limiting mobility in her knees and hands, pain during movement, and decreased grip strength.
Osteoarthritis affects approximately 23% of adults over 18, making it a prevalent condition in older adults (Arthritis Foundation, 2022). Obesity further exacerbates arthritis symptoms by increasing the burden on weight-bearing joints, and it affects nearly 42.4% of the adult population in the United States (CDC, 2021). Type 2 diabetes is also prevalent and significantly associated with obesity, leading to numerous complications, including neuropathy and impaired wound healing (American Diabetes Association, 2020).

Treatment Approaches, Theories, and Models

Occupational therapy practitioners use various approaches to address disabling conditions. Among these, the biopsychosocial model is vital, as it considers the biological, psychological, and social influences on Mrs. Doe's health (Engel, 1977). This model allows practitioners to create personalized interventions through a holistic lens.

Treatment Approaches

1. Therapeutic Activity: This involves engaging the patient in purposeful activities that aim to improve physical function and psychosocial well-being. This may include joint protection techniques and adaptive equipment for daily tasks.
2. Occupational Adaptation Model: This model encourages adaptations in occupational performance areas, emphasizing the importance of the environment in promoting participation (Schkade & McCluskey, 2001).
3. Cognitive Behavioral Therapy (CBT): While primarily a psychological intervention, CBT techniques can be used to address maladaptive thoughts related to pain and disability, empowering Mrs. Doe to manage her emotional responses (Hofmann et al., 2012).

Appropriateness of Approaches

The appropriateness of these approaches for Mrs. Doe is evident, as they target improving her functional abilities and addressing the psychosocial components associated with her diagnoses. Engaging her in meaningful activities tailored to her interests will likely enhance her motivation and promote adherence to therapy (Wilcock & Hocking, 2015).

Statistics Related to Medical Diagnoses

1. Osteoarthritis Prevalence: Approximately 23% of adults aged 18 and older are diagnosed with osteoarthritis (CDC, 2021).
2. Obesity Rates: Obesity affects over 42% of adults in the U.S., significantly contributing to comorbid conditions, including arthritis and diabetes (CDC, 2021).
3. Diabetes Statistics: Approximately 10.5% of the U.S. population has diabetes, a number that has been increasing in recent years (American Diabetes Association, 2020).
4. Joint Damage and Disability: Osteoarthritis is responsible for more than 6% of all disability in adults aged 65 and over (Woolf & Pfleger, 2003).

Role of Occupational Therapy Practitioners

Occupational therapy practitioners play a crucial role in the healthcare system, particularly in settings such as hospitals, outpatient clinics, and rehabilitation facilities. They engage in holistic assessments and develop tailored interventions based on each patient's unique strengths and challenges. The collaborative efforts between occupational therapists (OTs) and occupational therapy assistants (OTAs) ensure that the goals set and interventions provided align to produce effective outcomes (American Occupational Therapy Association, 2020).
In Mrs. Doe's case, the OT would focus on comprehensive assessments while the OTA could work on implementing interventions, maintaining continuity of care, and encouraging family involvement. Practitioners must utilize technology for telehealth consultations, especially during the COVID-19 pandemic, providing ongoing support while ensuring effective documentation through electronic health records (AOTA, 2021).

Consultative Process

The consultative process in occupational therapy involves collaboration with interprofessional teams to educate and support patients, families, and community resources. In Mrs. Doe’s case, the occupational therapist may liaise with physical therapists, medical professionals, and nutritionists to provide a comprehensive approach to her care, promoting coordination in treatment plans (American Occupational Therapy Association, 2017).

Clinical Picture

Using the OTPF 3rd edition, we can create a clinical picture of Mrs. Doe:
| Component | Description |
|------------------------------|---------------------------------------------------------------------------------------------------------------------|
| Performance Areas | Self-Care (bathing, dressing), Productivity (light household tasks), Leisure (reading, gardening) |
| Performance Skills | Motor Skills (grasping, pushing), Process Skills (organizing, prioritizing), Social Interaction Skills (engaging, cooperating) |
| Body Functions | Musculoskeletal System (joint mobility, muscle strength), Nervous System (proprioception, pain response) |

Treatment Goals

Long-Term Goals (LTG)

1. Educational Goal: Mrs. Doe will demonstrate understanding of joint protection techniques by articulating at least three strategies for preserving joint integrity during daily activities by the end of eight weeks.
2. Functional Goal: Mrs. Doe will independently perform self-care activities (bathing, dressing) with minimal discomfort using adaptive strategies and equipment by the end of 12 weeks.

Short-Term Goals (STG) for Each LTG

1. For Educational Goal:
- Mrs. Doe will identify two joint protection techniques with 80% accuracy in a weekly review session in four weeks.
2. For Functional Goal:
- Mrs. Doe will demonstrate the use of a reacher or dressing stick in three out of five sessions within four weeks.

Treatment Session Design

Total Duration: 45 Minutes
- Warm-Up/Adjunctive Activity (10 minutes): Gentle range of motion exercises focusing on the knees and hands to reduce stiffness and improve mobility while using heat packs for pain management.
- Purposeful Activity (30 minutes): Engaging Mrs. Doe in an adapted gardening task, where she can plant flowers using adaptive tools, thereby promoting joint preservation while participating in a valued activity.
- Cool Down (5 minutes): Patient reflection on the activities completed, discussing how they felt and planning for home practice.

Technology Use in Practice

Incorporating technology into occupational therapy can significantly enhance client engagement and outcomes. Tools such as electronic documentation systems streamline treatment planning and tracking progress. Virtual environments can be designed for rehabilitation exercises, while telehealth technology allows for real-time sessions while ensuring continued access to care, especially vital during times of social distancing (AOTA, 2021).

Patient/Caregiver Training

Using principles of the teaching-learning process, caregivers, including family members, will be educated about joint protection principles and the methods employed in therapy sessions. This knowledge will support Mrs. Doe's autonomy and enhance her progress toward goals, ensuring they are aligned with her interests and lifestyle (McEwen et al., 2017).

Conclusion

Occupational therapy plays an integral role in helping patients like Mrs. Jane Doe navigate their daily lives with confidence, despite their medical diagnoses. Through a clear understanding of treatment approaches, collaboration among health professionals, and the integration of technology, the profession empowers individuals to access meaningful occupations that promote wellness and quality of life.

References

- American Diabetes Association. (2020). Statistics about diabetes. Retrieved from [https://www.diabetes.org](https://www.diabetes.org)
- American Occupational Therapy Association. (2020). Role of occupational therapy. Retrieved from [https://www.aota.org](https://www.aota.org)
- American Occupational Therapy Association. (2017). Occupational therapy's role in health promotion. Retrieved from [https://www.aota.org](https://www.aota.org)
- Arthritis Foundation. (2022). Osteoarthritis facts. Retrieved from [https://www.arthritis.org](https://www.arthritis.org)
- Centers for Disease Control and Prevention. (2021). Obesity and osteoarthritis. Retrieved from [https://www.cdc.gov](https://www.cdc.gov)
- Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Psychosomatic Medicine, 39(6), 536–553.
- Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. Cognitive Therapy and Research, 36(5), 427–440.
- Kellgren, J. H., & Lawrence, J. S. (1957). Radiological assessment of osteo-arthrosis. Annals of the Rheumatic Diseases, 16(4), 494-502.
- McEwen, I. M., Meyer, C., & Lewis, S. (2017). Patient and caregiver education for chronic illness management: Filling the gaps. Journal of Patient Education and Counseling, 100(9), 1658-1665.
- Schkade, J. K., & McCluskey, A. (2001). Occupational Adaptation: A Model for Occupational Therapy. Occupational Therapy Journal of Research, 21(3), 204–210.
- Wilcock, A. A., & Hocking, C. (2015). An Occupational Perspective of Health. Slack Incorporated.
- Woolf, A. D., & Pfleger, B. (2003). Burden of major musculoskeletal conditions. Bulletin of the World Health Organization, 81(9), 646–656.