Activities of Daily Living (ADL) Instrumental Activities of Daily Living (IADL) Education Bathing/showering Care of others/pets Formal education participation Bowel and bladder mgmt Child rearing Exploration of informal personal education needs or Dressing Communication device use interests Eating Community mobility Informal personal education participation Feeding Financial management Functional mobility Health management & maintenance Work Personal device care Home establishment & management Employment interests & pursuits Personal hygiene & grooming Meal preparation & clean up Employment seeking and acquisition Sexual activity Safety procedures & emergency responses Job performance Sleep/rest Shopping Retirement preparation & adjustment Toilet hygiene Volunteer exploration / participation Play Leisure Social Participation Play exploration Leisure exploration Community Play participation Leisure participation Family Peer/friend Purposeful Activity- therapeutic Preparatory Methods- preparation for Therapeutic Use-of-Self- describe context leading to occupation, purposeful & occupation-based activity practice in preparation for natural Sensory-Stimulation context Physical agent modalities Consultation Process- describe Practicing an activity Splinting Simulation of activity Exercise Education Process- describe Role Play Examples: Examples: Method of Intervention Outcomes of Intervention Theory/ Frames of Reference/ Models of Practice Direct Services/case load for Acquisitional Occupational performance- improve &/ or level OT Biomechanical enhance One-to-one: Cognitive- Behavioral Client Satisfaction Small group(s): Coping Role Competence Large group: Developmental Adaptation Ecology of Human Performance Health & Wellness Discharge Outcomes of clients (% Model of Human Occupation (MOHO) Prevention clients) Occupational Adaptation Quality of Life Home Occupational Performance Model Another medical facility OT Intervention Approaches Person/ Environment/ Occupation (P-E-O) Home Health Create, promote (health promotion) Person-Environment-Occupational Performance Establish, restore, remediation Psychosocial Maintain Rehabilitation frames of reference Modify, compensation, adaptation Sensory Integration Prevent, disability prevention Other (please list): Please list most common screenings and evaluations used in your setting: Identify safety precautions important at your FW site Medications Swallowing/ choking risks Post-surgical (list procedures) Behavioral system/ privilege (locked areas, grounds) Contact guard for ambulation Sharps count Fall risk 1:1 safety/ suicide precautions Other (describe): Please list how students should prepare for a FW II placement such as doing readings, learn specific evaluations and interventions used in your setting: Target caseload/ productivity for fieldwork students: Documentation: Frequency/ Format (briefly describe) :
Activities of Daily Living (ADL) Instrumental Activities of Daily Living (IADL) Education Bathing/showering Bowel and bladder mgmt Dressing Eating Feeding Functional mobility Personal device care Personal hygiene & grooming Sexual activity Sleep/rest Toilet hygiene Care of others/pets Child rearing Communication device use Community mobility Financial management Health management & maintenance Home establishment & management Meal preparation & clean up Safety procedures & emergency responses Shopping Formal education participation Exploration of informal personal education needs or interests Informal personal education participation Work Employment interests & pursuits Employment seeking and acquisition Job performance Retirement preparation & adjustment Volunteer exploration / participation Play Leisure Social Participation Play exploration Play participation Leisure exploration Leisure participation Community Family Peer/friend Purposeful Activity- therapeutic context leading to occupation, practice in preparation for natural context Practicing an activity Simulation of activity Role Play Examples: Preparatory Methods- preparation for purposeful & occupation-based activity Sensory-Stimulation Physical agent modalities Splinting Exercise Examples: Therapeutic Use-of-Self- describe Consultation Process- describe Education Process- describe Method of Intervention Direct Services/case load for OT One-to-one: Small group(s): Large group: Discharge Outcomes of clients (% clients) Home Another medical facility Home Health Outcomes of Intervention Occupational performance- improve &/ or enhance Client Satisfaction Role Competence Adaptation Health & Wellness Prevention Quality of Life OT Intervention Approaches Create, promote (health promotion) Establish, restore, remediation Maintain Modify, compensation, adaptation Prevent, disability prevention Theory/ Frames of Reference/ Models of Practice Acquisitional Biomechanical Cognitive- Behavioral Coping Developmental Ecology of Human Performance Model of Human Occupation (MOHO) Occupational Adaptation Occupational Performance Model Person/ Environment/ Occupation (P-E-O) Person-Environment-Occupational Performance Psychosocial Rehabilitation frames of reference Sensory Integration Other (please list): Please list most common screenings and evaluations used in your setting: Identify safety precautions important at your FW site Medications Post-surgical (list procedures) Contact guard for ambulation Fall risk Other (describe): Swallowing/ choking risks Behavioral system/ privilege level (locked areas, grounds) Sharps count 1:1 safety/ suicide precautions Please list how students should prepare for a FW II placement such as doing readings, learn specific evaluations and interventions used in your setting: Target caseload/ productivity for fieldwork students: Documentation: Frequency/ Format (briefly describe) :
fwdataformtrad.docx