OTAP 1350 Clinical Conditions II
Diagnosis Book Phase 3
Objective
: The purpose of this activity is to utilized Bloom’s Taxonomy level IV & V to assist students refining their clinical reasoning skills by linking scientific knowledge to assessment and intervention planning. This project assists the students to assimilate textbook content and apply scientific information and reason through complex client centered situations.
Instructions: Each student is expected to complete on their own!
Step #1 –
S
cientific knowledge forms the backdrop for clinical reasoning
! Find out ALL you can about the condition.
Students may use textbooks, scholarly websites, and articles etc. to discover scientific information about the diagnosis.
Step #2 –
Knowing what you know about the condition now what occupational therapy assessments are appropriate for the case study given the diagnosis and practice setting. Justify the choice of assessment/s.
Step #3– Students will identify relevant frames of references to use with the diagnosis and justify their choices.
Step #4 – What are the occupational problems identified for the case study (these should be specific and not general. See example below. What are the relevant limitations and barriers impeding engagement in each of the identified occupational problems? (Limitations/barriers can be used more than once).
Step #5 – Based on the case study, design an intervention plan that is tailored to address 3 occupational problems in Step #4. The intervention plan needs to consider personal factors, meaningful activities based off the client, contextual variables, and practice setting. At least one of the interventions needs to be evidence-based (source of journal article provided).
This step in the diagnosis book assists the student to make
substantial and personalized intervention planning
.
Students should begin to integrate the information, and defend their choices of each assessment/intervention to foster critical thinking about how contexts, personal factors, and activity might affect their choices of assessments and interventions.
Step #1: What did you find out about this condition? List all that you researched (signs & symptoms, definition, causes, types, precautions, mediations etc.)
|
A simple, concise definition is provided and accurate (1 pts) |
|
Causes of the condition are listed and are accurate (1 pts) |
|
A thorough list of signs/symptoms has been outlined (1 pts) |
|
Various types of the condition have been explored and explained (1 pts) |
|
Associated problems (secondary) with the diagnosis (1 pts) |
|
Precautions are identified (1 pts) |
|
Medications listed that may be involved with the condition (1 pts) |
|
Sources are identified, are scholarly sources properly cited per APA (1 pts) |
|
8 points |
Step #2: What occupational therapy assessments are appropriate for the case study given the diagnosis and practice setting. Justify the choice of assessment/s.
|
List the evaluations/assessment (at least 3) |
|
Describe, briefly |
|
Justify why the chosen assessment would be relevant to use for the case study |
|
3 pts |
Step #3: What occupational therapy frames of reference would be the MOST appropriate with this condition and why?
|
Identify two occupational frames of references (2pts) |
|
Describe, briefly, EACH frame of reference (2 pts) |
|
Justify how EACH frame of reference is relevant to its application to the case study (2 pts) |
|
6 points |
Step #4: What are the occupational problems identified for the case study (these should be specific and not general. See example below. What are the relevant limitations and barriers impeding engagement in each of the identified occupational problems? (Limitations/barriers can be used more than once).
|
Occupational Problem (must be specific and not general): 1. 2. 3. 4. 5. |
Limitations/Barriers impeding occupational engagement: 1. 2. 3. 4. 5. |
|
For example: Arthritis |
|
|
Limitations/barriers: weak intrinsic hand muscles, decreased ROM, Decreased endurance |
|
|
Occupational Performance impact: weak intrinsic hand muscles and decreased ROM leads to decreased ability to hold utensils for eating and cooking tasks, decreased ability for dressing with fasteners OR difficulty with clothing management. |
|
|
Decreased endurance leads to inability to work a full 8 -hour shift |
|
|
Total: 10 pts |
Step #5: Based on the case study, design an intervention plan that is tailored to address 3 occupational problems in Step #4. The intervention plan needs to consider personal factors, meaningful activities based of the client, and contextual variables. At least one of the interventions needs to be evidence-based (source of journal article provided).
|
Intervention plan is comprehensive. It addresses at least 3 relevant problem areas for the case study (1 pt) |
|
Interventions are designed based off the frames of references identified in step #3 (3 pts) |
|
Intervention plan considers 1) personal factors, 2) meaningful activities, and 3) contextual issues (3 pts) |
|
Interventions are described (3 pts) |
|
Interventions are justified for the case study (3 pts) |
|
Interventions are occupation-based (3 pts) |
|
Identify the OT approach (Utilize the OTPF Table for guidance) for EACH intervention (3 pts) |
|
Total: 19 |
46 total points
B.3.5 Demonstrate knowledge of the effects of disease processes including heritable diseases, genetic conditions, mental illness, disability, trauma, and injury on occupational performance.
B.4.2. Demonstrate clinical reasoning to address occupation-based interventions, client factors, performance patterns, and performance skills.
B.4.3. Utilize clinical reasoning to facilitate occupation-based interventions that address client factors. This must include interventions focused on promotion, compensation, adaptation, and prevention.
