Question

6. How do components of the OTPF impact the client and how are

they impacted by the client’s diagnosis or diagnoses?

a. If a client has a fractured wrist, their social context may be inhibited by

the client’s inability to drive to his/her card club.

b. The client with a spinal cord injury will demonstrate a deficit in motor

skills due to paralysis at/below the spinal level of the injury.

c. The client with a cognitive disorder (dementia) may have an

occupational deficit in dressing (ADL) due to an inability to remember

the steps to the task (client factor).

d. A client who has had a stroke and can no longer work, may have a

deficit in their role (homemaker or breadwinner-wife or husband), their

routine (inability to perform the tasks of cooking, cleaning or work),

ritual (difficulty holding a hymnal at church using both hands), habits

(inability to scratch their nose with the affected extremity).

Answer 1

6-) The OTPF ( OCCUPATIONAL THERAPY PRACTICE FRAME WORK).

occupational therapy practice is based on the International classification of functioning ,, disability and Health ( ICF). The ICF and OTPF consider the effect of the health condition and disability on the whole person.

For example , the health condition of osteoarthritis may cause neuromuscular and sensory changes in body structure that cause physical limitation in participations ( performing oral hygiene). The OTPF consist of occupations , performance skills, and client factor.

Leisure can be described as being " nonobligatory behaviour, intrinsically motivated and engaged in during discretionary time, that is time not commited. Occupations such as work , self care , or sleep .

The OTPF includes the following the two categories:-

• Leisure exploration:- identifying interest , skills , opportunities and appropriaileisure activities.
• Leisure participation :- planning and participating in appropriate leisure activities, maintaining a balance of leisure activities with other areas of occupation.

a-). If client wrist is to be fractured then the " organized patterns of behaviour that are characteristic and expected of an individual or agiven position within a social system.. social participation can include drive club , community ( engaging in activities that result in successful interaction at the community level) , family ( engaging in required for desired family roles, ) and peer or friends ( engaging in activities at different levels of intimacy including engaging in others activities).

b-) many terms have been used in occupatioal therapy practice to describe an individual 's ability to change the position of his or her body in space move within the environment. Mobility broadly refers to movement that result in achange of body position or location.

The client with paralysis due to the injury of the spinal. So, the paralysis of lower body below the lesion of spinal cord. By which client unable to move their arms or mobility. The client is lying whole day on a bed in a supine position. Which is more risk for secondary disease to get, such as foot drop and bed ulceration.

c-) Cognitive content held as true by or about the client. It just like that one powerless to influence others.

The client with the Cognitive disorder such as dementia which is very common in okd age by this they forget many things to remember which also influence many activities in their daily life. The client even unable to participate in oral hygiene secondary to their inability to problem solve and initiate the task. Although the bathroom is the typically location to brush one's teeth , because of a limitation in acces ti the environment ,

d-). The client disease , suffering from stroke that result in limitation in may activities such as ROM - range of motion and reaching to other place such as churuch to do the ritual task . The client having weakness in the body due to stroke which leads nutritional deficiency and result in the client performance or task to do such as holding a candle in the church which might create a barrier or interference at the time of rituals activities . And their are many activities that they can't to while the client do earlier with high efficiently such as cooking daily chores and all that.