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PCAC EXAM 1 QUESTIONS WITH CORRECT ANSWERS.
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PCAC EXAM 1 QUESTIONS WITH CORRECT ANSWERS.
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PCAC EXAM 1 QUESTIONS WITHCORRECT ANSWERS
What is Context? - Answer - a broad construct defined as the environmental and
personal factors specific to each client (person, group, or population) that influence the
engagement and participation in occupations
- This impacts quality, satisfaction, performance, and access to occupations
- provides the clients narrative and allows practitioners to assess and treat in a holistic
manner.
- important for all health care providers and important to identify for interprofessional
communication
Context for family/caregivers - Answer You evaluate a client Autism and recommend
outpatient therapy 2-3x/week. Would your approach change if you knew that the parents
had no help and had to work full days? Would this change if the same family had
support from grandparents or siblings?
Context for disability and identity - Answer Example: You evaluate a young individual
just sustained a spinal cord injury that has paralyzed him from the waist down after a
motor bike accident. His goal is to walk again at all costs, and this is all he wants to
focus on.
Context impacting social, economical, and political aspects - Answer Example: As a
home health therapist, you used to see clients 2- 3x/week but after recent Medicare
legislation reducing reimbursement to home health companies you are now only
allowed to see clients 1x/week. How might this affect your therapy?
Context in culture and diversity - Answer Example: You are planning to complete a
group cooking task but during your treatment session you find out that one of your
clients is observing the holiday of Ramadan.
Context in the environment (physical and virtual) - Answer Example: Your company is
going to start providing virtual visits for clients. You are excited because now you can
see clients in a more rural setting who really need services. However, you then find out
that limited internet connection in this area does not allow this initiative to go through.
Example: After 2 weeks in inpatient rehab your client is independent with bathing and
shower transfers but reports nervousness as he has a tub shower whereas the rehab
center is a true walk-in shower.
Context for OT practice settings - Answer Traditional: adult & pediatrics
, Non-traditional/emerging: academia
Context in the OT Theoretical Framework and Models - Answer • Occupational Therapy
Practice Framework (OTPF)
• OT Philosophical Base
• Person-Environment-Occupation Model (PEO)
• Person-Environment-Occupational-Performance model (PEOP)
• Model of Human Occupation (MOHO)
OT Philosophical Base - Answer - "Occupations are everyday activities that bring
meaning to the daily lives of individuals, familyes, communities, and populations" (2017)
- Occupations occur in diverse contexts making each person's/populations experience
engaging in occupations unique.
- Occupation is a "means and ends" to therapy
Life Course Health Development (LCHD) - Answer - poses to answer the question: how
does health develop over time?
- Behavioral - e.g., how smoking or food eating habits impact health over time
- Social - e.g., Teenager with autism who is independent with ADL's, IADL's, and
healthy but is lacking the social skills to complete an interview for a local job?
- Environmental - e.g. If someone has arthritis and is having difficulty opening her door
to enter her home?
- This new framework has been informed by a variety of disciplines including
psychology, sociology, anthropology, and biology
- A bridge between nature and nurture, mind vs body, and medicine and public health
- This relates to Occupational Therapy in that we are attempting to treat and evaluate
the client holistically and not by its individual parts. In other words, we are looking at
context in addition to the disease itself.
- There are 7 principles in Life Course Health Development (LCHD) to synthesize and
make sense of the current research and status of this complex framework
1. Principle of Health Development - Answer Definition "Health development integrates
the concepts of health and developmental
processes into a unified whole" (Halfon & Forrest, 2017).
This is the idea that health develops over the course of the lifespan. Health
development
integrates the concepts of health and developmental processes into a unified whole.
Example: Consider a child's cognitive development. As the child grows, not only does
their brain physically develop, but their mental health and well-being are also influenced
by their experiences, education, and environment. This combined growth and influence
is an example of health development.
3. Principle of Complexity - Answer Definition "Health development results from
adaptive, multilevel, and reciprocal interactions between
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