Aspects of Occupational Therapy’s Domain addressed in this setting (Check all that apply): on boxes to check) *Refer to the OT Practice Framework (2014) for descriptions and –III definitions, AOTA.org Areas of Occupation Performance Skills Contexts Activities of Daily Living Motor Skills Cultural (ADL) Process Skills Personal Instrumental ADL Social Interaction Skills Temporal Rest and Virtual Education Performance Patterns Work Environments Habits Play Routines Physical Leisure Social Social Participation Rituals Client Factors Values, Beliefs and Spirituality Body Functions Body Structures Most common services priorities all that apply): (Click on boxes to check) Direct service Meetings(team, department, Consultation Billing Discharge family) In-service Documentation planning Client education training Evaluation Intervention of OT Interventions addressed in this setting * (check all that apply): ACOTE Standards A.5.3, C.1.1, C.1.3, C.1.8, C.1.10, C.1.12, C.1.16, and C.1.17 Areas of Occupation addressed in this setting - within client’s own environmental context (check all that apply): (Click on boxes to check) Activities of Daily Living Instrumental Activities of Education (ADL) Daily Living (IADL) Bathing/showering Care of others Formal education participation Bowel and bladder mgmt (selecting/supervising Informal personal educational Dressing caregivers) needs or interests exploration Eating Care of pets Informal personal education Feeding Child rearing participation Functional mobility Communication management Work Personal device care Community mobility Employment interests & pursuits Personal hygiene & Financial management Employment seeking and acquisition grooming Health management & Job performance Sexual activity maintenance Retirement preparation & Toilet hygiene Home establishment & adjustment management Volunteer exploration / Rest and Sleep Meal preparation & up participation Religious observance Rest Safety procedures & Sleep Social Participation emergency maintenance preparation Community Shopping Sleep participation
Aspects of Occupational Therapy’s Domain addressed in this setting (Check all that apply): on boxes to check) *Refer to the OT Practice Framework –III (2014) for descriptions and definitions, AOTA.org Areas of Occupation Activities of Daily Living (ADL) Instrumental ADL Rest and Education Work Play Leisure Social Participation Client Factors Values, Beliefs and Spirituality Body Functions Body Structures Performance Skills Motor Skills Process Skills Social Interaction Skills Performance Patterns Habits Routines Rituals Contexts Cultural Personal Temporal Virtual Environments Physical Social Most common services priorities all that apply): (Click on boxes to check) Direct service Discharge planning Evaluation Meetings(team, department, family) Client education Intervention Consultation In-service training Billing Documentation of OT Interventions addressed in this setting (check all that apply): * ACOTE Standards A.5.3, C.1.1, C.1.3, C.1.8, C.1.10, C.1.12, C.1.16, and C.1.17 Areas of Occupation addressed in this setting - within client’s own environmental context (check all that apply): (Click on boxes to check) 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 Toilet hygiene Rest and Sleep Rest Sleep preparation Sleep participation Care of others (selecting/supervising caregivers) Care of pets Child rearing Communication management Community mobility Financial management Health management & maintenance Home establishment & management Meal preparation & up Religious observance Safety procedures & emergency maintenance Shopping Formal education participation Informal personal educational needs or interests exploration Informal personal education participation Work Employment interests & pursuits Employment seeking and acquisition Job performance Retirement preparation & adjustment Volunteer exploration / participation Social Participation Community
AOTA%20FIELDWORK%20DATA%20FORM_LSU.docx