Occupation Based Splinting Chapter 2 Introduction Definition of

Occupation Based Splinting Chapter 2

Introduction Definition of occupation based splinting: “attention to the occupational desires and needs of the individual, paired with the knowledge of the effects (or potential effects) of pathological conditions of the hand, and managed through client centered splint design and provision”

Introduction Occupation based splinting is an approach that promotes the ability of the individual with hand dysfunction to engage in desired life tasks and occupations ¡ There are many models that go along with this approach like: COPM, ICF and OTPF ¡

Client centered Vs. Occupation-based approaches Client centered practice is “an approach to service which embraces a philosophy of respect for and partnership for people receiving services” ¡ Occupation based practice: is “ the degree to which an occupation is used with reflective insight into how it is experienced by the individual, how it is used in natural contexts for that individual, and how much the resulting changes in occupational patterns are valued by the client” ¡

Occupation-based splint design and fabrication ¡ ¡ Occupation based splinting incorporates the clients needs and desires, cognitive abilities and motivation When you use this approach you will recognize that the client is an active participant in the treatment and decision making process Body structure healing is NOT the main priority It is equal to the priority of occupational engagement

OB splinting ¡ 1. 2. Two conditions for Occupation based Tx: The occupation is viewed from the client perspective The occupation occurring within a relevant context

Occupation-Based splinting and contexts According to the OTPF, OT is an approach that facilitates the individuals ability to engage in meaningful activities within specific performance areas of occupation and varied contexts of living ¡ Context is a strong component of occupational engagement that permeates all levels of treatment planning, intervention and outcomes ¡

Occupation-Based splinting and contexts Cultural context: ¡ Splinting could be viewed as a sign of being vulnerable and weak ¡ Must educate the person and family Physical context: ¡ It contributes to the understanding of splint provision

Occupation-Based splinting and contexts Social context: ¡ The ability of the client to meet the demands of a group or family Personal context: ¡ Age, gender, educational and socioeconomic status

Occupation-Based splinting and contexts Spirituality, The OTR must be aware of the balance between enablement and disablement ¡ Temporal (occasions and terms) ¡ Virtual context: can I access electronic devices? ¡

Utilizing an occupation-based approach to splinting 1. 2. 3. 4. 5. Referral Client centred occupation based evaluation (use COPM, DASH, PRWHE: Patient Rated Wrist/Hand Evaluation ) table 2 -1 Understand/assess the condition and consider treatment options Analyze assessment findings for splint design Determine splint design

Questions?