Midwestern University: Occupational Therapy Program- Level IA Spring 2012
Level I A assignments:
During Level IA fieldwork the student will observe and/or assist with occupational practitioners in
implementing occupational therapy evaluations and interventions. The student is expected to
interact with therapy participants to further develop therapeutic interaction skills. The student is
responsible for reviewing assignments with their fieldwork educator and discussing ways to achieve
the assignments. If the student will not have the opportunity to complete the assignments, please
contact the Midwestern Academic Fieldwork Coordinators to discuss alternative learning
experiences.
Case Study and Occupation- Based Activity Analysis
DIRECTIONS: For each level IA fieldwork placement the student will complete a case study and
an Occupation-Based Activity Analysis on the same client.
The case study (Part I) will not be submitted for a grade. However, the student should be prepared
to use this information to develop an occupational profile in OTHE 585 which will be graded.
Please use the OTPF-II as a resource when collecting this information and identifying additional
questions that will be helpful in developing an occupational profile.
I.
Part I- Case Study Outline
Client Background and Social History
- Age gender, occupation, marital status, educational background, support system,
etc.
- Who is this person as an occupational being?’
- What are his/her interests?
- What are the life roles of this person?
II.
Diagnosis
- Definition; typical clinical presentation or manifestation; symptoms;
Prognosis
- Comparison of client’s actual clinical presentation and prognosis,
Symptoms, etc., with the typical clinical presentation
III.
Any Secondary Diagnoses or Significant Past Medical History
- Complications
IV.
Medications
- Name(s), Indications, Side Effects
V.
VI.
Prior Level of Function
OT (or other profession) Prescription
- Date of OT or other referral and reason for referral
- Precautions relating to OT or other treatment; Activity restrictions; etc.
- Current setting and anticipated discharge location
- Current OT and any other related therapies (PT, SLP, Recreational Therapy, etc.)
with brief description of goals
- Any previous OT or other therapies received
-
OT treatment plan (or other therapy plan): Problems; Short-term Goals; Longterm Goals; Treatment modalities; Past and present functional status
Future OT (or other) treatment plans / Discharge or continuing treatment:
home programs, ADL’s, etc.
Part II- Occupation-Based Activity Analysis
The main objective of this assignment is to use your activity analysis skills to describe how an
occupation was therapeutically applied in a clinical encounter during your FW Level IA experience.
This assignment will require you to recall key concepts from OTHE 540, namely the difference
between an activity analysis and an occupation-based activity analysis. Your responses will suggest
the therapeutic potential of occupations and how occupational therapists use activity analysis to
design therapeutic interventions.
Instructions: This assignment requires you to observe the same client you identified in your case
study. You are asked to complete the analysis form based on observations from a clinical encounter
in which an occupation was applied therapeutically. Keep in mind that you will use this initial
analysis in OTHE 585 to develop a clinical note and additional interventions.
In order to receive full credit for this assignment, you must fully complete the attached worksheet and upload it to
Blackboard during week 2 of the quarter. Failure to complete the worksheet or upload it by the due date will result in
a 1% deduction from your final course grade.
Name of student:
Date:
Occupation Based Activity Analysis
1.
Description of occupation:
2.
Area of occupation:
Subcategory:
Values, beliefs, spirituality associated with participating in this occupation:
3.
Discuss how this occupation relates to your client’s habits, routines, roles, and rituals:
4.
Environments and Contexts: Indicate how each supports or inhibits participation in this
occupation **please apply this to the practice setting of your Level IA FW
Environment/Context
Physical
Social
Cultural
Personal
Temporal
Virtual
Supports
Inhibits
5.
Discuss how objects and their salient properties were considered and used in this clinical
situation:
6.
Discuss how space and social demands were considered and impacted performance in this
clinical situation:
7. Discuss the extent to which timing and sequencing demands were considered and impacted
performance in this situation:
8. Discuss how body structures and functions used were either consistent or inconsistent with
typically required body structures and required body functions.
9. Discuss the extent to which performance skills and required actions matched or did not
match.
-