| Occupational therapists believe that there is a | | | | occupational performance may well become disrupted |
| relationship between occupation, health and well-being. | | | | or impaired when he becomes unwell, either physically |
| Findings from studies over the years indicate that | | | | or psychologically. We work with these individuals who |
| occupation has an important influence on health and | | | | experience some difficulty in their daily life functioning 2. |
| well-being. Ranging from physiological to functional | | | | Importance of being active -- through being active it is |
| outcomes, it is clear that the performance in everyday | | | | believed that we learn about ourselves, develop skills |
| occupations is an important part of everyday life. | | | | and maintain out physical/mental health 3. Therapeutic |
| Withdrawal or changes in occupation for a person | | | | use of activities -- occupational therapy is premised on |
| have a significant impact on a person’s | | | | the idea that purposeful activity can be therapeutic and |
| self-perceived health and well-being. There are many | | | | can be used to improve individual’s functioning. We |
| definitions of occupational therapy: The World | | | | apply activities in the treatment process valuing the |
| Federation of Occupational Therapists (1989) states | | | | activities inherent properties, the experience of |
| that: Occupational therapy is the treatment of physical | | | | ‘doing’ the activity and the end-product. |
| and psychiatric conditions through specific activities to | | | | Occupational therapists employ two main types of |
| help people to reach their maximum level of function | | | | activities, activities of daily living (cooking) and |
| and independence. Definitions of occupational therapy | | | | specifically orientated therapy activities (such as |
| do not cover the scope of the profession. | | | | groupwork). Treatment involves grading and adapting |
| ‘Occupational therapy is concerned with the | | | | the activity to enable the patient to achieve an |
| individual and the roles, occupations, activities and | | | | optimum level of performance and satisfaction. 4. |
| interactions within the individual’s personal | | | | Problem-solving process -- the occupational therapy |
| environment. Occupational therapy enables and | | | | process (assessment - treatment plan -- |
| empowers the individual to be a competent and | | | | implementation of treatment -- evaluation) is primarily a |
| confident performer in his or her daily life, and | | | | problem-solving process. 5. Holistic gaze -- occupational |
| enhances his or her well-being. Occupational therapy | | | | therapists aim to view and treat individuals as complex, |
| uses activities creatively and therapeutically to achieve | | | | whole beings, whereby attending to emotional, |
| goals which are meaningful to the individual and to | | | | cognitive, social and physical aspects of the person 6. |
| reduce the effect of dysfunction. Occupational therapy | | | | Unique individuals -- all individuals are seen as unique |
| requires the individual to engage actively in the process | | | | and the implication this carries for occupational therapy |
| of therapy and to be a partner with the therapist in | | | | is that each person requires his or her own |
| designing and directing this process’ (Hagedorn | | | | individualised treatment programme, containing aims, |
| 1997). Professional goal The major goal of occupational | | | | objectives and goals. Occupational therapists central |
| therapy is to enable the client to achieve a satisfying | | | | concern with occupation and activity provides us with |
| and productive life through the development of skills | | | | a unique focus and role. Core skills * The use of |
| that will allow him to function at a level satisfactory to | | | | purposeful activity and meaningful occupation as |
| himself and others. Occupational therapy is focused | | | | therapeutic tools * The ability to enable patients to |
| upon enabling the individual to achieve what is | | | | explore, achieve and maintain balance in daily living |
| important to him rather than aiming for normality, | | | | tasks and roles * The ability to assess the effects of, |
| conformity or desired professional opinions. * Assess | | | | and then to manipulate, physical and psychosocial |
| the patients needs in terms of the occupations which | | | | environments to maximise function and social |
| are important to him * Identify the skills needed to | | | | integration * The ability to analyse, select and apply |
| support those occupations * Remove or minimise | | | | occupations as specific therapeutic media Legitimate |
| barriers to successful occupational performance * | | | | tools * Purposeful activity -- the activity is both |
| Assist the client to develop, relearn or maintain skills to | | | | purposeful and meaningful to the patient to enable the |
| a level of competence that will allow him to perform | | | | patient to reach their goal * The environment -- the |
| occupations to his own satisfaction * Help the patient | | | | goal of intervention maybe to help the patient to adapt |
| to achieve a satisfactory balance of activities in his | | | | to his environment, or to adapt the environment to suit |
| daily life, i.e., self-care, productivity and leisure. The | | | | the patients needs and abilities, e.g., equipment |
| focus of intervention is always the patient and his | | | | prescription and provision (perching stool, grab rails, |
| goals, rather than the problem or the method of | | | | bath board, kettle tipper). * The therapeutic use of self |
| intervention (Creek 1997). The following six elements | | | | -- this is the therapists ability to relate effectively to |
| reflect a consensus in the profession: 1. Occupational | | | | patient, which will determine the success of the |
| performance -- occupational therapists are centrally | | | | relationship between the therapist and the patient, e.g., |
| concerned with how individuals function in their work, | | | | empathy, flexibility, self-awareness. |
| leisure and domestic/personal self-care. A person’s | | | | |