OT 108 - Therapeutic Intervention I

1. Discover the impact of human development related to older adults including developmental psychology, concepts of human behavior to include the behavioral sciences, social sciences, and science of occupation. (2018 ACOTE Standard B.1.1)
2. Demonstrate knowledge of the social determinants of health for persons, groups, and populations with or at risk for disabilities and chronic health conditions. This must include an understanding of the epidemiological factors that impact the public health and welfare of populations. (2018 ACOTE Standard B.1.3)
3. Define the process of theory development and its importance to occupational therapy. (2018 ACOTE Standard B.2.2)
4. Demonstrate knowledge of and apply the interaction of occupation and activity, including areas of occupation, performance skills, performance patterns, context(s) and environments, and client factors. (2018 ACOTE Standard B.3.2)
5. Demonstrate knowledge of the effects of disease processes including heritable diseases, genetic conditions, mental illness, disability, trauma, and injury on occupational performance. (2018 ACOTE Standard B.3.5)
6. Demonstrate activity analysis in areas of occupation, performance skills, performance patterns, context(s) and environments, and client factors to implement the intervention plan. (2018 ACOTE Standard B.3.6)
7. Demonstrate sound judgment in regard to safety of self and others and adhere to safety regulations throughout the occupational therapy process as appropriate to the setting and scope of practice. This must include the ability to assess and monitor vital signs (e.g., blood pressure, heart rate, respiratory status, and temperature) to ensure that the client is stable for intervention. (2018 ACOTE Standard B.3.7)
8. Demonstrate therapeutic use of self, including one’s personality, insights, perceptions, and judgments, as part of the therapeutic process in both individual and group interaction. (2018 ACOTE Standard B.4.1)
9. Demonstrate clinical reasoning to address occupation-based interventions, client factors, performance patterns, and performance skills. (2018 ACOTE Standard B.4.2)
10. Utilize clinical reasoning to facilitate occupation-based interventions that address client factors. This must include interventions focused on promotion, compensation, adaptation, and prevention. (2018 ACOTE Standard B.4.3)
11. Contribute to the evaluation process of client(s)’ occupational performance, including an occupational profile, by administering standardized and non-standardized screenings and assessment tools and collaborating in the development of occupation-based intervention plans and strategies. (2018 ACOTE Standard B.4.4)
12. Explain the importance of using psychometrically sound assessment tools when considering client needs, and cultural and contextual factors to deliver evidence based intervention plans and strategies. (2018 ACOTE Standard B.4.4)
13. Intervention plans and strategies must be client centered, culturally relevant, reflective of current occupational therapy practice, and based on available evidence. (2018 ACOTE Standard B.4.4)
14. Under the direction of an occupational therapist, collect, organize, and report on data for evaluation of client outcomes. (2018 ACOTE Standard B.4.6) 
15. Demonstrate an understanding of the intervention strategies that remediate and/or compensate for functional cognitive deficits, visual deficits, and psychosocial and behavioral health deficits that affect occupational performance. (2018 ACOTE Standard B.4.9) 
16. Provide training in techniques to enhance functional mobility, including physical transfers, wheelchair management, and mobility devices. (2018 ACOTE Standard B.4.) 
17. Provide training in techniques to enhance community mobility, and address transportation transitions, including driver rehabilitation and community access. (2018 ACOTE Standard B.4.14) 
18. Demonstrate interventions that address dysphagia and disorders of feeding and eating, and train others in precautions and techniques while considering client and contextual factors. (2018 ACOTE Standard B.4.16)
19. Assess, grade, and modify the way persons, groups, and populations perform occupations and activities by adapting processes, modifying environments, and applying ergonomic principles to reflect the changing needs of the client, sociocultural context, and technological advances.(2018 ACOTE Standard B.4.18) 
20. Demonstrate the principles of the teaching– learning process using educational methods and health literacy education approaches:  To design activities and clinical training for persons, groups, and populations.  To instruct and train the client, caregiver, family, significant others, and communities at the level of the audience. (2018 ACOTE Standard B.4.21) 
21. Monitor and reassess, in collaboration with the client, caregiver, family, and significant others, the effect of occupational therapy intervention and the need for continued or modified intervention, and communicate the identified needs to the occupational therapist. (2018 ACOTE Standard B.4.22) 
22. Demonstrate awareness of the principles of interprofessional team dynamics to perform effectively in different team roles to plan, deliver, and evaluate patient- and population-centered care as well as population health programs and policies that are safe, timely, efficient, effective, and equitable. (2018 ACOTE Standard B.4.25) 
23. Implement a discharge plan from occupational therapy services that was developed by the occupational therapist in collaboration with the client and members of the interprofessional team by reviewing the needs of the client, caregiver, family, and significant others; available resources; and discharge environment.  (2018 ACOTE Standard B.4.28) 
24. Define strategies for effective, competency-based legal and ethical supervision of occupational therapy assistants and non-occupational therapy personnel. (2018 ACOTE Standard B.5.8) 

1. Course overview
   1. Lab orientation
   2. Safety procedures
   3. Universal Precautions
2. Teaching and learning application
3. Occupational Therapy Terminology
   1. OT Practice Framework
   2. Uniform Terminology
4. Adaptive Equipment
5. Mobility and assistive devices
   1. Guarding
   2. Functional ambulation
   3. Sit to stand
   4. Mobility and environmental barriers
6. Activity Analysis
7. Interpersonal Groups
8. OT with older adults and generational characteristics
9. Developmental considerations
   1. Physical
   2. Psychosocial
   3. Cognitive
   4. Life stage
10. Practice Settings
11. Geriatric Assessment
    1. Occupational Profiles/Interviewing
    2. Standardized/non-standardized assessments
12. Vision
13. Disabling Conditions
    1. Alzheimer/Dementia
    2. Parkinson’s Disease
    3. Chronic Obstructive Pulmonary Disease
    4. Multiple Sclerosis
    5. Deconditioning
14. Decubitus
15. Fall Prevention
    1. Restrain alternatives
    2. Environmental modifications
    3. Behavioral modification
16. Toileting & urinary incontinence
17. Caregivers
18. Medication Management
19. Sexuality
20. Public Policy and Reimbursement

Demonstration/observation: 25-30 %

Active learning activities    35-45 %