Purposeful and therapeutic activity selection and grading concepts within occupational therapy intervention planning tested on the NBCOT.
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- What is a purposeful activity in occupational therapy?
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A goal-directed activity that has meaning to the client beyond the movement itself- What is the main goal of activity analysis in OT?
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To break an activity into its component parts to understand its demands and match them to the client's abilities- Define 'grading' an activity.
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Systematically increasing or decreasing the difficulty of an activity to match the client's current abilities- Define 'adapting' an activity.
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Modifying the activity, tools, or environment so the client can perform it now, without necessarily changing the challenge level- What is the key difference between grading and adapting an activity?
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Grading changes the level of difficulty over time; adapting changes the activity or materials so it can be performed as-is- What is the 'just-right challenge' in OT intervention?
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A task calibrated to be neither too easy nor too hard, promoting engagement and skill growth- What are preparatory methods in OT intervention?
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Techniques used to prepare the client for occupational performance, such as range of motion or hot packs, not purposeful on their own- Give an example of a preparatory method.
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Passive range of motion, hot packs, or splinting- What is an occupation-based intervention?
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An intervention using the actual, real-life occupation the client wants or needs to do, in a natural or simulated context- How does a purposeful activity differ from an occupation-based intervention?
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A purposeful activity is goal-directed but may be simulated, while an occupation-based intervention uses the client's actual meaningful life occupation- What does a contrived activity lack compared to a purposeful activity?
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Inherent personal meaning or relevance to the client's real life- Give an example of a contrived activity used in therapy.
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Stacking cones or pegboard exercises used to work on reach and grasp- What is the biomechanical frame of reference primarily concerned with?
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Range of motion, strength, and endurance needed for occupational performance- What is the rehabilitative (compensatory) frame of reference focused on?
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Compensating for a permanent deficit using adaptive equipment, environmental modification, or alternate methods- What is a remedial (restorative) approach to intervention?
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An approach aimed at restoring or improving an impaired skill or client factor itself
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