Describe two issues that limit your ability to use occupation-based interventions and discuss strategies that could be used to minimize these barriers.
Two issues that limit my ability to use occupation-based interventions is that reimbursement is dependent on demonstrating improvement in FIM scores, and most patient are here only 2-3 weeks. Treatment is based on improving scores, therefore most treatment is limited to what area we are scoring as OT. Another barrier is most patients are at a level that requires an approach to treatment at a purposeful activity level of treatment. How I over come these barriers is to try to make everything functional no matter what the circumstance.
For the Demographics of Treatment Sessions specify the Percent for each of the following statements:
Considering an eight hour day, what percentage of your interventions would you describe as:
Occupation-based activities i.e., play, shopping, ADL, IADL, work, school activities, etc. (within client’s own context with his or her goals) ___20____%
Purposeful activities (therapeutic context leading to occupation) ____60____%
Preparatory methods i.e., sensory, PAMs, splinting, exercise, etc. (preparation for occupation-based activity) ____20____%
Total (Should equal 100%)
Jaclyn Wattenbarger