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OTPF 1 과 2 과 과과 2조 Gwangju University Department of Occupational Therapy

OTPF 1 과 2 의 차이 2조2조 Gwangju University Department of Occupational Therapy

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OTPF 1 과 2 의 차이

2 조

Gwangju University Department of Occupational Therapy

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

Q&A

Gwangju University Department of Occupational Therapy

• 작업치료학 개론

참고문헌

Gwangju University Department of Occupational Therapy

감사합니다 !

Gwangju University Department of Occupational Therapy