In: Nursing
examples of the ecology of human performance model and occupational adaptation in client setting ?
The Ecology of Human Performance framework (EHP) focuses on the
relationship between several important constructs in occupational
therapy; they are person, context, task, performance, and
therapeutic intervention, in order to get a throughout understand
of human occupation. For example, limited physical capacity has a
narrower performance range. Occupational therapists evaluate the
client’s performance with consideration of the contextual
information.
Carol, an 82yr old woman, lives in a flat in an urban area. Since
she had a minor
stroke, she has difficulty walking and shopping (occupational
challenges). She has a strong will to master her everyday
occupations, and this is important to her (desire for
mastery). She also has an expected role as a mother, grandmother
and cook. She has valued housework, and it has been important to
her to manage it well. Both she herself and those in her
environment have expectations on her abilities (occupational
role
expectations). She wants to go shopping herself but is not sure she
is able to manage
the stairs down from her flat and the walk to the shop, or to
handle the shopping herself
(press for mastery). After having tried this she came home with
tears in her eyes, since it had been too tiring and she had
forgotten to buy many of the ingredients she needed.
When she had calmed down, she reflected over the situation. How
could I manage it better next time? Maybe I need home help
services? Next time I’ll do the shopping
when I’m well rested and use a shopping list, or maybe I’ll try a
walking frame
(adaptive response/occupational response).