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I. 작업치료대상 표현방법 변화
II. Domain 의 변화
III. Process 의 변화
목차
Gwangju University Department of Occupational Therapy
Ⅰ. 작업치료대상 표현방법 변화
Gwangju University Department of Occupational Therapy
OTPF1 OTPF2
Individual ( 개인 ) Person ( 사람 )
Group ( 그룹 ) Organization ( 조직 )
Population ( 집단 ) Population ( 집단 )
Ⅱ. Domain 의 변화 – OTPF
Gwangju University Department of Occupational Therapy
Domain
Areas of Occu-pation
Client factor
Performance skills
Performance patterns
Context & contexts
Activity de-mands
Context & Envi-ronments
21
Areas of Occupation
Gwangju University Department of Occupational Therapy
OTPF 1 OTPF 2
ADLIADLEducationWorkPlayLeisureSocial Participa-
tion
ADLIADLEducationWorkPlayLeisureSocial Participa-
tionSleep & Rest
• ADL – 가 사라짐 . → 다른 영역에 지대한 영향을 많이 끼쳐서 areas of
occupation 의 한 부분으로 옮겨지므로
• IADL– +) Religious observance : 믿음 , 관습 , 의례와
상징의 구성 체계
Areas of Occupation – ADL & IADL
Gwangju University Department of Occupational Therapy
Sleep and Rest
Gwangju University Department of Occupational Therapy
① Rest
② Sleep
③ Sleep preparation
④ Sleep participation
Areas of Occupation – Sleep and Rest
OTPF 1 OTPF 2
Body functionBody structure
Body functionBody structureValuesBeliefsSpirituality
Client Factor
Gwangju University Department of Occupational Therapy
• Values– 내가 얼마만큼 활동을 중요하게 생각하느냐를 보는 것
• Beliefs– 본인의 많은 직접 · 간접적 경험을 통해 생긴 믿음
• Spirituality– 관계형성 , 의미 , 삶에 대한 근본적인 대답을 위한
개인적인 질문
Gwangju University Department of Occupational Therapy
Client Factor
Activity Demands
OTPF 1 OTPF 2
Objects & propertiesSpace demandsSocial demandsSequencing & timingRequired body func-tionsRequired body struc-turesRequired actions
Objects & propertiesSpace demandsSocial demandsSequencing & timingRequired body func-tionsRequired body struc-turesRequired actions & performance skills
Gwangju University Department of Occupational Therapy
• Required actions ↓
– 활동 실행에 요구되는 수행기술
– 다른 활동 향상이 요건과 함께 서로 관련 있는 활동으로부터 요구됨
• Required actions and performance skills
Gwangju University Department of Occupational Therapy
Activity Demands
Performance SkillsOTPF 1 OTPF 2
Motor skills
Process skills
Communication & Interaction skills
Motor and Praxis skillsCommunication and Social skillsCognitive skillsSensory - Percep-tual SkillsEmotional regula-tion Skills
Gwangju University Department of Occupational Therapy
• Motor skills →
– : 과제 , 대상 , 환경과 상호작용하여 신체의 움직임을 위해 사용되는 행동 또는 활동
– : 개별적인 행위라기보다는 전체적인 계획으로서 순서적 움직임의 행위들을 실행하는 능력Praxis
Motor and Praxis skills
Performance Skills
Gwangju University Department of Occupational Therapy
Motor
• Communication/Interaction skills →
– 활동 또는 행동들은 사람과 의사소통 및 다른 환경과의 상호작용
• +)– 자신 주변에 일어나는 일을 정확히 알아 행동에 영양을 끼침
Gwangju University Department of Occupational Therapy
Performance Skills
Communication and Social skills
Cognitive Skills
• +)– visual, auditory, proprioceptive 등을 기준으로
감각에 반응하는 행동 혹은 활동
• +)– 활동에 몰두 할 동안에 느낌 , 감정을 표현 , 조절 할 때
하는 행동 혹은 활동
Gwangju University Department of Occupational Therapy
Performance Skills
Sensory - Perceptual Skills
Emotional regulation Skills
Performance pattern
OTPF 1 OTPF 2
Habits
Routines
Roles
Habits
Routines
Roles
Rituals
Gwangju University Department of Occupational Therapy
• Ritual
– 클라이언트의 가치와 신념을 강화하고 클라이언트의 정체를 기여하는 것으로 정신적 , 문화적 , 사회적 의미와 상징적 행동 .
Performance pattern
Gwangju University Department of Occupational Therapy
Context & con-texts
Contexts & Envi-ronments
CulturalPersonalTemporalVirtualPhysicalSocialSpiritual
CulturalPersonalTemporalVirtualPhysicalSocial
Gwangju University Department of Occupational Therapy
<OTPF 1>
<OTPF 2>
Gwangju University Department of Occupational Therapy
Occupational Therapy Practice Framework Process Summary
Occupational Therapy Intervention Ap-proaches
Occupational Therapy Intervention Types
Types of Outcomes
Ⅲ. Process
Gwangju University Department of Occupational Therapy
process
Occupational Ther-apy Intervention
Approaches
Types of Outcomes
Occupational Therapy Practice Framework Process Summary
Occupational Ther-apy Intervention
Types
Interven-tion
Evalua-tion
Out-comes
Occupational Therapy Practice Framework Process Summary
Gwangju University Department of Occupational Therapy
Context & Contexts
cooperation
Gwangju University Department of Occupational Therapy
Occupational Therapy Practice Framework Process Summary
Context & Environments
cooperation
OTPF 1 OTPF 2
Therapeutic use of self
Therapeutic use of Occupation & Activi-ties
Consultation process
Education
Therapeutic use of self
Therapeutic use of Occupation & Activi-ties
Consultation process
Education
AdvocacyGwangju University Department of Occupational Therapy
Occupational Therapy Intervention Type
• +) – 작업치료의 정당성을 촉진하기 위한 노력과 클라이언트가 작업에 완전한 몰입을 하기 위한 자원을 더하고 찾는 능력을 줌 .
Advocacy
Gwangju University Department of Occupational Therapy
Occupational Therapy Intervention Type
OTPF 1 OTPF 2
Occupational Perfor-manceAdaptationHealth and WellnessPreventionQuality of lifeRole competenceClient satisfaction
Occupational Perfor-manceAdaptationHealth and WellnessPreventionQuality of lifeRole competenceParticipationSelf – advocacyOccupation justice
Types of outcome
Gwangju University Department of Occupational Therapy
• +)– 기대와 일치하고 개인적으로 만족하는 방법으로 하고 싶은
작업에 참여
• +)– 적극적으로 자신 혹은 다른 사람들을 권면하고 지지
• +)– 의미 있고 풍요롭게 하는 모든 범위의 작업에 접근 및 참여
Participation
Gwangju University Department of Occupational Therapy
Types of outcome
Self – advocacy
Occupation justice
Areas of Occupa-tion Client Factor
ADLIADL+) Sleep and RestEducationWorkPlayLeisureSocial participa-tion
+) Values+) Beliefs+) SpiritualityBody FunctionBody Structure
Gwangju University Department of Occupational Therapy
Domain
Activity Demands Performance skills
Objects & PropertiesSpace demandsSocial demandsSequence & timingRequired actions & performance skillsRequired body struc-turesRequired body func-tions
Motor & praxis skillsSensory – Perceptual
skillsEmotional regulation
skillsCognitive skillsCommunication &
Social skills
Gwangju University Department of Occupational Therapy
Domain
Domain
Performance pat-tern
Contexts & Envi-ronments
HabitsRoutines+) RitualRoles
CulturalPersonalTemporalVirtualPhysicalSocial-) Spiritual
Gwangju University Department of Occupational Therapy
Occupational Therapy Intervention Type
Therapeutic use of selfTherapeutic use of Occupation & Activi-ties
Occupation – based interventionPurposeful activityPreparatory methods
Consultation process Education +) Advocacy
Process
Gwangju University Department of Occupational Therapy
Process
Types of outcomeOccupational Ther-
apy Intervention Ap-proaches
Occupational Perfor-manceAdaptationHealth and WellnessPreventionQuality of lifeRole competence-) Client satisfac-tion+) Participation+) Self – advocacy+) Occupation jus-tice
Approach Establish & Restore Maintain Modify Prevention
Gwangju University Department of Occupational Therapy