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Occupational therapists require skills to access the daily living skills of their clients. This book uses a transactional approach to examine the home environment and the client. Current and future needs are assessed and this book addresses concerns and suggests solutions which will assist in helping the client remain in their own home.
Forlagets beskrivelse: Too often, older or disabled people live limited lives or give up their homes and neighborhoods prematurely because standard housing cannot meet their needs. Home modifications - or alterations, adjustments, or additions - to a home can help older or disabled people age in place and stay in their communities, which is often their preference. Occupational therapy plays a significant role in assessing needs, identifying and training in solutions, and evaluating outcomes in home modifications. This Practice Guideline serves as a reference for occupational therapists and occupational therapy assistants, as well as for designers, builders, social services providers, health care facility managers, managed care organizations, and health care regulators. It defines the contribution that occupational therapy can make to the home modification process through evaluation, consultation, and training with clients or consumers who need home modifications.
Older people and people with a disability have a right to be included in all aspects of home and community life, and yet, environmental barriers continue to exist in the built environment. There are concerns about how well homes can support older people and people with a disability over time as their needs change. Occupational therapists are well suited to determining the most appropriate home modification solutions to address environmental barriers. They possess the knowledge and skills necessary to evaluate people’s current and future needs in the context of the nature and use of the environment and can work collaboratively with design and construction professionals to develop solutions. To be comprehensive and effective in their approach, occupational therapists need to understand not only the individual’s requirements, but also, the ethical and legal contexts for practice, the technical aspects of the built environment, the relevance and intent of access standards and design approaches, and the application of a range of products and finishes. An Occupational Therapist’s Guide to Home Modification Practice, Second Edition by Elizabeth Ainsworth and Desleigh de Jonge and their team of expert contributors provides comprehensive information to inform occupational therapists about current practice and research. This includes the authors using a transactional approach to examine the person-occupation-environment interaction and providing occupational therapists with a detailed understanding of the various dimensions of the home environment that can impact on client’s home modification decisions. New material has been provided relating to research and practice issues, such as an overview of the latest home modification outcome research findings as documented in literature; an update on outcome evaluation; new research information about the dimensions of the home impacting on decision making; additional information grabrail and ramp prescription; and the inclusion of new case studies illustrating minor and major modification solutions for clients who present with diverse needs. In the Second Edition you’ll find: A detailed understanding of aspects of the home environment that impact home modification decisions A review of legislative environment and funding systems that facilitate service delivery An overview of home modification services, as well as future trends A range of comprehensive case studies — illustrated by photographs Additional theory to inform knowledge, and skill development, that can be used in home modification practice worldwide Included with the text are online supplemental materials for faculty use in the classroom.. An Occupational Therapist’s Guide to Home Modification Practice, Second Edition provides a range of resources and tools, and it can be used as a teaching aid to support students, interns, and novice therapists or as a manual for reflection and practice for more experienced home modification practitioners.
Home modifications are generally provided to improve occupant functional performance, reduce hazards to prevent falls or other injuries, and reduce the demands on caregivers. The need for home modifications arises when the features of the environment pose challenges or demands that are incompatible with an occupant's ability to be safe. Such incompatibility may be the result of impairment, such as that associated with a health condition, or changes in abilities due to aging. This Practice Guideline, updated to reflect concepts from the Occupational Therapy Practice Framework, briefly discusses the domain and process of occupational therapy for home modification, including a summary of evidence from the literature regarding best practices. Intervention strategies include medical equipment, universally designed products, architectural modifications, major home renovations, or learning a strategy to use the environment differently. Appendixes contain evidence tables as well as diagnostic and billing codes.
As occupational therapy celebrates its centennial in 2017, attention returns to the profession's founding belief in the value of therapeutic occupations as a way to remediate illness and maintain health. The founders emphasized the importance of establishing a therapeutic relationship with each client and designing an intervention plan based on the knowledge about a client's context and environment, values, goals, and needs. Using today's lexicon, the profession's founders proposed a vision for the profession that was occupation based, client centered, and evidence based--the vision articulated in the third edition of the Occupational Therapy Practice Framework: Domain and Process. The Framework is a must-have official document from the American Occupational Therapy Association. Intended for occupational therapy practitioners and students, other health care professionals, educators, researchers, payers, and consumers, the Framework summarizes the interrelated constructs that describe occupational therapy practice. In addition to the creation of a new preface to set the tone for the work, this new edition includes the following highlights: a redefinition of the overarching statement describing occupational therapy's domain; a new definition of clients that includes persons, groups, and populations; further delineation of the profession's relationship to organizations; inclusion of activity demands as part of the process; and even more up-to-date analysis and guidance for today's occupational therapy practitioners. Achieving health, well-being, and participation in life through engagement in occupation is the overarching statement that describes the domain and process of occupational therapy in the fullest sense. The Framework can provide the structure and guidance that practitioners can use to meet this important goal.
Currently in the United States, 20% of children ages 6 years or younger live in poverty. Poor children have fewer opportunities than their peers to resources that are important for child development. At the same time, the prevalence of developmental disabilities has increased to 1 in every 6 children. Early identification of developmental delays is critical, and more than half of all American parents do not know the warning signs. Occupational therapy professionals in early intervention and preschool practice can provide the necessary services to support children's health in early childhood. This Practice Guideline explains the occupational therapy process for young children--and their families, caregivers, and teachers--which includes evaluation, intervention, and outcomes planning to enhance a child's occupational performance, adaptation, health and wellness, community participation, role competence, and self-advocacy. Topics include social-emotional development; feeding, eating, and swallowing; cognitive and motor development; service delivery; autism; obesity, cerebral palsy; and parent training. This work can help occupational therapy practitioners, as well as those who manage, reimburse, or set policy regarding occupational therapy services, understand the contribution of occupational therapy in evaluating and serving young children. This guideline can also serve as a resource for parents, school administrators, educators, and other early childhood staff.
- NEW! Coverage of the Occupational Therapy Practice Framework (OTPF-3) increases your understanding of the OTPF-3 and its relationship to the practice of occupational therapy with adults who have physical disabilities. - NEW! All new section on the therapeutic use of self, which the OTPF lists as the single most important line of intervention occupational therapists can provide. - NEW! Chapter on hospice and palliative care presents the evidence-base for hospice and palliative care occupational therapy; describes the role of the occupational therapist with this population within the parameters of the third edition of the Occupational Therapy Practice Framework (OTPF-3); and recommends clinician self-care strategies to support ongoing quality care. - UPDATED! Completely revised Spinal Cord Injury chapter addresses restoration of available musculature; self-care; independent living skills; short- and long-term equipment needs; environmental accessibility; and educational, work, and leisure activities. It looks at how the occupational therapist offers emotional support and intervention during every phase of the rehabilitation program. - UPDATED! Completely revised chapter on low back pain discusses topics that are critical for the occupational therapist including: anatomy; client evaluation; interventions areas; client-centered occupational therapy analysis; and intervention strategies for frequently impacted occupations. - UPDATED! Revised Special Needs of the Older Adult chapter now utilizes a top-down approach, starting with wellness and productive aging, then moving to occupation and participation in meaningful activity and finally, highlighting body functions and structures which have the potential to physiologically decline as a person ages. - NEW and EXPANDED! Additional section in the Orthotics chapter looks at the increasing array of orthotic devices available in today's marketplace, such as robot-assisted therapy, to support the weak upper extremity. - UPDATED! Revised chapters on joint range of motion and evaluation of muscle strength include new full color photos to better illustrate how to perform these key procedures. - EXPANDED! New information in the Burns and Burn Rehabilitation chapter, including expanded discussions on keloid scars, silver infused dressings, biosynthetic products, the reconstructive phase of rehabilitation, and patient education. - UPDATED and EXPANDED! Significantly updated chapter on amputations and prosthetics includes the addition of a new threaded case study on "Daniel", a 19-year-old combat engineer in the United States Army who suffered the traumatic amputation of his non-dominant left upper extremity below the elbow.
The U.S. population is aging, and occupational therapy practitioners working with older adults must have the skills to address multiple health issues, including vision loss. Although typical aging does not cause low vision, four major causes of vision impairment are directly related to the aging process: (1) age-related macular degeneration (AMD), (2) diabetic retinopathy, (3) glaucoma, and (4) cataracts. Instances of these impairments are expected to double by the year 2050, making low vision a significant public health issue. This Practice Guideline includes occupational therapy assessment and intervention guidelines for older adults who have visual acuity impairments, visual field impairments, or both as a result of a low vision diagnosis. Screening, referral, and evaluation are covered for clients for central visual field impairments, such as AMD and cataract; peripheral field impairments, such as glaucoma, hemianopsia, and quadrantanopsia; and mixed visual field loss, such as diabetic retinopathy. This work can help occupational therapists and occupational therapy assistants, as well as individuals who manage, reimburse, or set policy regarding occupational therapy services, understand the contribution of occupational therapy to treating older adults with low vision. Appendixes include selected diagnostic and billing codes and evidence tables.
Written for hand therapy specialists and non-specialists, Cooper's Fundamentals of Hand Therapy, 3rd Edition emphasizes treatment fundamentals, and provides tips and guidelines for hand therapy practice. This easy-to-use illustrated text and reference guide helps further develop your clinical reasoning skills by describing what goes into the evaluation process, highlighting the humanistic side of each encounter through case studies, and providing the wisdom the contributing authors have acquired through years of practice. This new edition also features additional chapters on the use of common physical agents and orthoses, plus added content on how to integrate evidence-based findings into daily hand practice. - UPDATED! Chapter covering Orthoses Essential Concepts reflects the latest information in the field. - Case studies with questions and resolutions help you develop strong clinical reasoning skills while presenting the human side of each client encounter. - Special features sections such as Questions to Discuss with the Physician, What to Say to Clients, Tips from the Field, and more help you find your own clinical voice. - Anatomy sections throughout text highlight important anatomical bases of dysfunctions, injuries, or disorders. - Clinical Pearls highlight relevant information from an experienced author and contributors that you can apply to clinical practice in the future. - Evaluation Techniques and Tips help you master appropriate and thorough clinical evaluation of clients. - Diagnosis-specific information in the final section of the book is well-organized to give you quick access to the information you need. - NEW! Chapter covering Physical Agent Modalities helps you understand how to use common hand therapy tools. - NEW! Evidence-Based Practice content outlines how to closely examine evidence and integrate it into daily hand therapy practice. - NEW! Photos and illustrations throughout provide clear examples of tools, techniques, and therapies.
The leading scholarly and theoretical approach to clinical reasoning in occupational therapy, Schell & Schell’s Clinical and Professional Reasoning in Occupational Therapy, 3rd Edition, continues a successful tradition of not only teaching occupational therapy students how practitioners think in practice, but detailing the why and how to develop effective reasoning in all phases of their careers. More practical and approachable than ever, this updated 3rd Edition incorporates a new emphasis on application and reflects the personal insights of an international team of contributors, giving emerging occupational therapists a professional advantage as they transition to professional practice.