3rd Edition

Occupational Therapy Essentials for Clinical Competence

By Karen Jacobs, Nancy MacRae Copyright 2017

    Occupation, theory-driven, evidence-based, and client-centered practice continue to be the core of the profession and are the central focus of Occupational Therapy Essentials for Clinical Competence, Third Edition.

    The Third Edition contains updated and enriched chapters that incorporate new perspectives and evidence-based information important to entry-level practitioners. The Third Edition continues to relate each chapter to the newest ACOTE Standards and is evidence-based, while also addressing the guidelines of practice and terms from the AOTA’s Occupational Therapy Practice Framework, Third Edition.

    Dr. Karen Jacobs and Nancy MacRae, along with their 61 contributors, introduce every topic necessary for competence as an entry-level practitioner. Varied perspectives are provided in each chapter with consistent references made to the relevance of certified occupational therapy assistant roles and responsibilities.

    Additionally, chapters on the Dark Side of Occupation and Primary Care have been added to broaden the foundational scope of knowledge. Each chapter also contains a clinical case used to exemplify relevant content.

    New in the Third Edition:

    • All chapters have been updated to reflect the AOTA’s Occupational Therapy Practice Framework, Third Edition
    • Updated references and evidence-based practice chart for each chapter
    • Updated case studies to match the current standards of practice
    • References to the Occupational Therapy Code of Ethics (2015)
    • Faculty will benefit from the multiple-choice questions and PowerPoint presentations that coincide with each chapter

    Included with the text are online supplemental materials for faculty use in the classroom.

    Occupational Therapy Essentials for Clinical Competence, Third Edition is the perfect multi-use resource to be used as an introduction to the material, while also serving as a review prior to sitting for the certification exam for occupational therapists and occupational therapy assistants.

    Dedication

    Acknowledgments

    About the Editors

    Contributing Authors

    Foreword by Jan Froehlich, MS, OTR/LIntroduction

    Section I Setting the Stage

    Chapter 1 The Experience of Flow and Meaningful OccupationRosalie M. King, DHS, OTR/L

    Chapter 2 Cultural Impact on OccupationRoxie M. Black, PhD, OTR, FAOTA

    Chapter 3 The Dark Side of OccupationRebecca Twinley, PhD, MSc, PGCAP, BSc(Hons), FHEA, HCPC

    Chapter 4 Interprofessional Education and Practice: A Current Necessity for Best PracticeNancy MacRae, MS, OTR/L, FAOTA

    Section II Basic Tenets of Occupational Therapy

    Chapter 5 History and PhilosophyCaryn Birstler Husman, MS, OTR/L

    Chapter 6 The Occupational Therapy Practice Framework: Domain and Process, Third EditionVerna G. Eschenfelder, PhD, OTR/L and Patricia A. Wisniewski, MS, OTR/L, CPRP

    Chapter 7 Meaning and Dynamic of Occupation and ActivityJulie Ann Nastasi, ScD, OTD, OTR/L, SCLV, FAOTA

    Chapter 8 Occupational Performance and HealthKathleen Flecky, OTD, OTR/L and Heather Goertz, OTD, OTR/L

    Chapter 9 Effective CommunicationJan Froehlich, MS, OTR/L

    Chapter 10 Therapeutic Use of SelfJan Froehlich, MS, OTR/L

    Chapter 11 Teaching, Learning, and Health LiteracyNancy Doyle, OTD, OTR/L

    Chapter 12 Safety and SupportClaudia E. Oakes, OTR/L, PhD

    Chapter 13 Occupational Performance in Natural Environments: Dynamic Contexts for

    ParticipationKathryn M. Loukas, OTD, MS, OTR/L, FAOTA and Hailey C. Davis, MS, OTR/L

    Chapter 14 Clinical ReasoningMary Elizabeth Patnaude, MS, OTR/L

    Section III Occupational Therapy Theoretical Perspectives

    Chapter 15 Occupational Therapy Theory Development and OrganizationMarilyn B. Cole, MS, OTR/L, FAOTA

    Chapter 16 Occupational Therapy Theory Use in the Process of Evaluation and InterventionRoseanna Tufano, LMFT, OTR/L

    Section IV Screening, Evaluation, and Referral

    Chapter 17 Screening, Evaluation, and ReferralJessica J. Bolduc, DrOT, MS, OTR/L

    Chapter 18 Evaluation of Activities of Daily Living and Instrumental Activities of Daily LivingLisa Knecht-Sabres, DHS, OTR/L

    Chapter 19 Evaluation of Education and WorkBarbara Larson, MA, OTR/L, FAOTA

    Chapter 20 Evaluation of Play and LeisureLori Vaughn, OTD, OTR/L

    Chapter 21 Evaluation of Occupational Performance in Rest and SleepMichelle Goulet, MS, OTR/L

    Chapter 22 Evaluation of Occupational Performance in Social

    ParticipationDanielle J. Cropley, MS, OTR/L and Mary V. Donohue, PhD, OTL, FAOTA

    Chapter 23 Documentation of Occupational Therapy ServicesWilliam R. Croninger, MA, OTR/L and Nancy MacRae, MS, OTR/L, FAOTA

    Section V Intervention Plan: Formulation and Implementation

    Chapter 24 Intervention Planning and Program DevelopmentJane Clifford O'Brien, PhD, OTR/L, FAOTA; Peter DaSilva, MSOT Class 2017; and Jennifer O'Connor, MSOT Class 2017

    Chapter 25 Client Factors in Occupational Performance FunctioningRegula H. Robnett, PhD, OTR/L, FAOTA and Jessica J. Bolduc, DrOT, MS, OTR/L

    Chapter 26 Interventions to Enhance Occupational Performance in Activities of Daily Living and Instrumental Activities of Daily LivingMichael E. Roberts, OTD, OTR/L

    Chapter 27 Interventions to Enhance Occupational Performance in Education and WorkBarbara J. Steva, MS, OTR/L

    Chapter 28 Interventions of Play and LeisureBevin Journey, MS, OTR/L and Kathryn M. Loukas, OTD, MS, OTR/L, FAOTA

    Chapter 29 Interventions to Enhance Occupational Performance in Rest and SleepCourtney Shufelt, MS, OTR/L

    Chapter 30 Interventions to Enhance Occupational Performance in Social

    ParticipationJane Clifford O'Brien, PhD, OTR/L, FAOTA; Meghan McNierney, MSOT Class 2017; and Megha Panchal, MSOT Class 2017

    Chapter 31 Environmental Adaptation and ErgonomicsLinda Miller, OT (C), OTD, CPE

    Chapter 32 Assistive TechnologyLaura Crossley-Marra, MS, OTR/L; Betsy DeBrakeleer, COTA/L, ROH; and William R. Croninger, MA, OTR/L

    Chapter 33 Occupation-Centered Functional and Community MobilityScott D. McNeil, OTD, MS, OTR/L and Kathryn M. Loukas, OTD, MS, OTR/L, FAOTA

    Chapter 34 Physical Agent ModalitiesAlfred G. Bracciano, MSA, EdD, OTR/L, FAOTA

    Chapter 35 Interventions to Enhance Feeding, Eating, and SwallowingKristin Winston, PhD, OTR/L

    Chapter 36 Case Management and CoordinationDiane P. Bergey, MOT, OTR/L and Erica A. Flagg, OT/L

    Chapter 37 Consultation, Referral, Monitoring, and Discharge PlanningJulie Ann Nastasi, ScD, OTD, OTR/L, SCLV, FAOTA

    Section VI Context of Service Delivery

    Chapter 38 Emerging Areas of PracticeJeffrey L. Crabtree, OTD, MS, FAOTA and Leanna W. Katz, MS, OTD, OTR/L

    Chapter 39 TelehealthNancy Doyle, OTD, OTR/L

    Chapter 40 Occupational Therapy in Primary CareKaren Duddy, OTD, MHA, OTR/L and Nicole Villegas, OTD, OTR/L

    Section VII Management of Occupational Therapy Services

    Chapter 41 Legislation and Reimbursement of Occupational Therapy ServicesLiat Gafni Lachter, OTD, OTR/L

    Chapter 42 Marketing and Management of Occupational Therapy ServicesKaren Jacobs, EdD, OTR/L, CPE, FAOTA

    Chapter 43 Quality ImprovementElizabeth W. Crampsey, MS, OTR/L, BCPR

    Chapter 44 Supervision of Occupational Therapy PersonnelAmy Lamb, OTD, OT/L, FAOTA

    Chapter 45 Fieldwork EducationJulie Ann Nastasi, ScD, OTD, OTR/L, SCLV, FAOTA

    Chapter 46 LeadershipElizabeth W. Crampsey, MS, OTR/L, BCPR and Caroline Beals, MS, OTR/L

    Section VIII Scholarship

    Chapter 47 The Importance of Scholarship and Scholarly Practice for Occupational TherapyLinda H. Niemeyer, OT, PhD and Karen Duddy, OTD, MHA, OTR/L

    Chapter 48 GrantsWendy B. Stav, PhD, OTR/L, SCDCM, FAOTA

    Chapter 49 Professional PresentationsChristine Sullivan, OTD, OTR/L

    Section IX Professional Ethics, Values, and Responsibilities

    Chapter 50 Ethics and Its Application to Occupational Therapy PracticeGail M. Bloom, OTD, MA, OTR/L

    Chapter 51 Local to Global Resources for the Occupational Therapy ProfessionalSarah McKinnon, MS, OTR/L, BCPR, MPA

    Chapter 52 Promoting Occupational Therapy to the General PublicIris Wilbur-Kamien, MS, OTR/L and Jan Rowe, DrOT, MPH, OTR/L, FAOTA

    Chapter 53 Competence and Professional Development: Learning for ComplexityPenelope Moyers Cleveland, EdD, OT/L, FAOTA

    Chapter 54 Roles of Occupational Therapy PractitionersCaroline Beals, MS, OTR/L and Thomas Fisher, PhD, OTR, CCM, FAOTA

    Chapter 55 Resolution of Ethical ConflictSusan C. Burwash, PhD, MSc(OT), OTR/L, OT(C) and John W. Vellacott, EdD, MEd, BA

    Chapter 56 Advocacy in Occupational TherapyAmy Lamb, OTD, OT/L, FAOTA and Elizabeth C. Hart, MS, OTR/LAppendix A 2011 Accreditation Council for Occupational Therapy Education Standards and Interpretive GuideAppendix B Assessment Tool GridAppendix C Assessments in Play and LeisureAppendix D Intervention Plan OutlineAppendix E Sample of an Individualized Education Program by Barbara J. Steva, MS, OTR/LAppendix F American Occupational Therapy Association Occupational Therapy Code of Ethics (2015)Appendix G Procedures for the Enforcement of the National Board for Certification in Occupational Therapy Candidate/Certificant Code of ConductAppendix H National Board for Certification in Occupational Therapy Complaint FormAppendix I World Federation of Occupational Therapists Code of EthicsGlossaryFinancial Disclosures

    Index

    Biography

    Karen Jacobs, EdD, OTR/L, CPE, FAOTA, is a past president and vice president of the American Occupational Therapy Association (AOTA). She is a 2005 recipient of a Fulbright Scholarship to the University of Akureyri in Akureyri, Iceland; the 2009 recipient of the Award of Merit from the Canadian Association of Occupational Therapists (CAOT); the 2003 recipient of the Award of Merit from the AOTA; and recipient of the 2011 Eleanor Clarke Slagle Lectureship Award. The title of her Slagle lecture was PromOTing Occupational Therapy: Words, Images, and Action.
    Dr. Jacobs is a clinical professor of occupational therapy and the Program Director of the online post-professional occupational therapy doctorate in occupational therapy program at Boston University. She has worked at Boston University for 34 years and has expertise in the development and instruction of online graduate courses.
    Dr. Jacobs earned a doctoral degree at the University of Massachusetts, a Master of Science in Occupational Therapy at Boston University, and a Bachelor of Arts at Washington University in St. Louis, Missouri.
    Dr. Jacobs’ research examines the interface between the environment and human capabilities. In particular, she examines the individual factors and environmental demands associated with increased risk of functional limitations among populations of university- and middle school–aged students, particularly in notebook computing, use of tablets such as iPads (Apple), backpack use, and the use of games such as Wii Fit (Nintendo). Karen is presently part of an interprofessional demonstration project titled, Project Career: Development of an Interprofessional Demonstration to Support the Transition of Students With Traumatic Brain Injuries From Post-Secondary Education to Employment.
    In addition to being an occupational therapist, Dr. Jacobs is also a certified professional ergonomist (CPE), the founding editor in chief of the international, interprofessional journal WORK: A Journal of Prevention, Assessment & Rehabilitation (IOS Press, The Netherlands), and a consultant in ergonomics, marketing, and entrepreneurship.
    She is the proud mother of three children (Laela, Josh, and Ariel) and Amma (grandmother in Icelandic) to Sophie, Zachary, Liberty, and Zane. Her occupational balance is through travel, photography, kayaking, walking, co-writing children’s books, and spending time with her family at Wakonda Pond.
     
     
     
    Nancy MacRae, MS, OTR/L, FAOTA, is an associate professor at the University of New England (UNE), in Portland, Maine, where she has taught for 27 years. She has begun a 3-year process of phased-in retirement, where she teaches only one semester per school year. She is a past president of the Maine Occupational Therapy Association and a past director of the UNE occupational therapy program.
    Nancy’s work experience has been within the field of developmental disabilities, primarily mental retardation, across the lifespan. Her graduate degree is in adult education, with a minor in educational gerontology. Involvement in interprofessional activities at UNE allows her to mentor and learn with and from future health care practitioners and to model the collaboration our health care system needs. Scholarship has centered around aging and sexuality, documentation, professional writing, and interprofessional ventures. She has been a member of the editorial board of WORK: A Journal of Prevention, Assessment & Rehabilitation since its inception.
    Nancy is the proud mother of two sons and a 17-year-old granddaughter. Occupational balance is maintained through participation in yoga, reading, walking, baking, and basket making, as well as volunteering within the community at a local school and working with caregivers of people with dementia. Travel plans have accelerated now that work is no longer full time.
     

    “This text is easy to navigate due to the relative continuity in the formatting of the chapters. Students may also find the design and content of this text a beneficial resource to help gauge their knowledge and skill development in preparation for fieldwork, the registration exam, and practice as a generalist.”

                   - Regina Parnell, Canadian Journal of Occupational Therapy