THERAPEUTIC SKILLS IN OCCUPATIONAL THERAPY

Shamima AkterB.Sc in OT, MRS (enrolling)

Lecturer, Department of Occupational Therapy

Bangladesh Health Professions InstituteCentre for the Rehabilitation of the Paralysed

Chapain, Savar

Name Game

– Instructor will say her name using an adjective started with the first alphabet of her name

– Next participant will remember her name and also say her own name according to previous rule.

– Continuing among all…– Last participant will say all the name!!!– Good luck!!!

OCCUPATION

Occupation is everyday life activities. It can be defined as an activity or task with which one occupies oneself.

According to the Canadian Association of Occupational Therapists (cited in Radomski and Latham, 2014), occupation is…

“Groups of activities and tasks of everyday life, named, organized and given value and meaning by individuals and a culture”.

OCCUPATION

OCCUPATIONAccording to Canadian Association of Occupational Therapist,

“Occupations are everything people do to occupy themselves, including looking after themselves (self-care), enjoying life (leisure), and contributing to the social and economic thread of their communities (productivity)”.

(CAOT, 1997, pp. 31 & 181)

THERAPY

It can be defined as any form of treatment for any illness or disorder. For example, Antacid is a form of therapy for heartburn, Rehabilitation is a form of therapy for drug addiction, Exercise is a form of therapy for obesity and Occupational therapy is a form of therapy for stroke patient.

OCCUPATIONAL THERAPY

“Occupational therapy is a client-centred health profession concerned with promoting health and well being through occupation. The primary goal of occupational therapy is to enable people to participate in the activities of everyday life. Occupational therapists achieve this outcome by working with people and communities to enhance their ability to engage in the occupations they want to, need to, or are expected to do, or by modifying the occupation or the environment to better support their occupational engagement”. (WFOT 2012)

A VIDEO ON OCCUPATIONAL THERAPY

Occupational Therapy is practiced in-

A wide range of public, private and voluntary sector settings, such as,

• the person’s home environment; • schools; • Workplaces;• Health centers;• Supported accommodation; • Housing for seniors• Rehabilitation centers; • Hospitals; and • Forensic services

• Therapeutic: Therapeutic refers to healing, such as a medicine or therapy that has healing or curative capability for treatment of disease or disability.

• For example: therapeutic effect of yoga, therapeutic effect of exercise & therapeutic effect of sensory integration therapy

• Skill: The ability, coming from one's knowledge, practice, aptitude, etc., to do something well.

• Competent in doing (Merriam-Webster Online, 2011,

cited in Radomski and Latham, 2014, 7th ed., p19). • For example: grooming skill, writing skill

THERAPEUTIC SKILLS

This presents the use of self and the use of occupation as therapeutic mediums to use in assessment and therapy session with effective therapeutic reasoning.

For example: Activity analysis skill, rapport building skills, assessment skills and treatment skills

IMPORTANCE OF STUDYING THERAPEUTIC SKILLS

• This subject presents the use of self and the use of activity as therapeutic mediums.

• It also presents and discusses skills in analyzing, adapting and grading activities to use in assessment and therapy session.

• It also presents awareness of activity demands, contexts and safe implementation of tasks by activity analysis.

• It also represents individual and group treatment session with effective therapeutic reasoning.

Individual Therapy

Group Therapy

THE LEGITIMATE TOOLS OF THERAPEUTIC SKILLS

• Therapeutic use of self

- Therapeutic relationship/ Therapeutic rapport/Rapport building through using unconditional acceptance, empathy, genuineness, attending and listening, open-ended question and silence .

• Occupational therapy treatment process

- Assessment, planning, treatment implementation and evaluation guidelines according to theoretical framework

• Occupational therapy treatment continuum

- Different stages of treatment (Adjunctive method, Enabling activities, Purposeful activity and Occupational performance & occupational roles)

• Therapeutic use of activity

- Analysis, grading and adaptation of activity with an intention to use in occupational therapy treatment process

Therapeutic Use of Self

Occupational therapy treatment process

Treatment Continuum

Therapeutic Use of Activity

Grading of Activity

Adapting Activity

REFERENCE

• Trombly CA 1996, Occupational Therapy for Physical Dysfunction, 5th ed, Mosby Company, Philadelphia

• Radomski and Trombly-Latham 2008, Occupational Therapy for Physical Dysfunction (6th Ed). Philadelphia: Lippincott, Williams and Wilkins.

• Radomski and Trombly-Latham 2014, Occupational Therapy for Physical Dysfunction (7th Ed). Philadelphia: Lippincott, Williams and Wilkins.

ANY QUESTION ?