Physical Dysfunction and Rehabilitation II

At the end of this course, students should be able to: 1. explain the importance of balancing areas of occupation to the achievement of health and wellness; 2. discuss the effects of heritable diseases, genetic conditions, disability, trauma and injury to the physical health and occupational performance of the individual; 3. develop a holistic, client- and occupation-centred health promotion perspective for physical disability practice; 4. describe the various practice settings for OT practice in the arena of physical disabilities; 5. discuss the types of services typically provided in the various practice settings; 6. identify ways in which different practice settings affect the occupational performance of persons receiving occupational therapy services; 7. identify the environmental attributes that afford the most realistic projections of how the client will perform in the absence of the therapist; 8. identify environmental and temporal aspects of at least three practice settings; 9. describe ways in which the therapist can alter environmental and temporal features to obtain more accurate measures of performance; 10. explain how some of the opportunities and challenges which physical disabilities practitioners face today are a result of the way the history of occupational therapy evolved; 11. describe the need for the OTPF in the practice of occupational therapy (OT) for persons with physical disabilities; 12. briefly describe the OT intervention levels, and give an example of each as it might be used in a physical disability practice setting; 13. define hospice and palliative care; 14. explain the therapeutic value of occupational engagement while living with a life- threatening illness; 15. describe the role of occupational therapy in hospice and palliative care, as described in the OTPF; 16. identify outcome measures for hospice and palliative occupational therapy; 17. articulate strategies for clinician self-care; 18. describe the philosophy of the independent living movement and compare and contrast its view of the medical model and the social model of disability; 19. discuss the implications of the independent living movement philosophy in occupational therapy practice; 20. describe the personal context of the disability experience, noting the effects of individual differences, gender, type of disability, interests, beliefs, and stage of life; 21. explain the usefulness of the stage models of disability adaptation; 22. describe the social context of disability using the concepts of stigma, stereotypes, liminality, and spread; 23. discuss the effects on social context of person-first language, the culture of disability, and universal design principles; 24. describe the ways the International Classification of Functioning, Disability and Health (ICF) challenges worldwide, mainstream ideas of health and disability; and 25. discuss various relationship issues between the occupational therapist and the person with a disability.

The Occupational Therapy Practice Framework and the Practice of Occupational Therapy for People with Physical Disabilities. Health Promotion and well-being for People with Physical Disabilities. Personal and social contexts of disability: disability experience, individual differences, stage models of adjustment to disability, social model of disability. Stages of life and self-concept. Understanding individual experience. Social context, social status and disability. Disability as a collective experience. Occupational therapy practice and the independent living philosophy. Person-First Language. Culture of disability. Design and disability. Interactional Process: The Person with a disability and the environment. International Classification of Functioning, Disability, and Health. Relationship between the OT and the person with disability. The Therapist as an environmental factor. Teaching activities in Occupational Therapy Practice settings for physical disabilities: Continuum of healthcare, inpatient settings, community-based settings, outpatient settings. History and practice trends in physical dysfunction intervention. Hospice and Palliative care. Evidence-based for occupational therapy services. Role of occupational therapy. Performance skills and client factors. Evaluation and intervention: Evaluation of motor control. Occupation-based functional motion assessment. Joint range of motion. Evaluation of muscle strength. Evaluation of sensation and intervention for sensory dysfunction. Evaluation and intervention for perception dysfunction. Evaluation and treatment of limited occupational performance secondary to cognitive dysfunction. Eating and swallowing. Pain Management. Disorders of the motor unit. Burns and burn rehabilitation.; Cardiac and pulmonary diseases and rehabilitation.