Clinical reasoning and practice of occupational therapy_West China Medical Journal

Authors：

SUN Zengxin ,  YAN Yanning

Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang, Hebei 050051, P. R. China;

Corresponding author：

YAN Yanning, Email: yanyn6308@126.com

Keywords：

Occupational therapy; Model of practice; Activity analysis; Occupational analysis

DOI：

10.7507/1002-0179.202003077

Video：

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Occupational therapy practice should be informed by the model of practice, with a focus on the needs of the clients and conducting activity analysis and occupational analysis on these needs. Intervention plans are developed in collaboration with clients/family members and they should be in control in decision making. In occupational therapy, the client is the active agent of activity, and the therapist serves as a helper or a facilitator. The design of therapeutic activities should not only consider restoring lost function and using residual functions but also pay attention to the impact of environmental factors on the client’s role and occupational performance. Occupational therapy helps the clients to return to family and society through improving their occupational performance via grading and adapting activities, providing information such as social resources, and implementing individualized interventions. This paper reviews the clinical reasoning and implementation of occupational therapy.

Citation： SUN Zengxin, YAN Yanning. Clinical reasoning and practice of occupational therapy. West China Medical Journal, 2020, 35(5): 608-612. doi: 10.7507/1002-0179.202003077 Copy

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7.	Law M, Polatajko H, Pollock N, et al. Pilot testing of the Canadian occupational performance measure: clinical and measurement issues. Can J Occup Ther, 1994, 61(4): 191-197.
8.	胡军. 作业治疗学. 北京: 人民卫生出版社, 2012: 45-46.
9.	Nilsson I, Fisher AG. Evaluating leisure activities in the oldest old. Scand J Occup Ther, 2006, 13(1): 31-37.
10.	Holsbeeke L, Ketelaar M, Schoemaker MM, et al. Capacity, capability, and performance: different constructs or three of a kind?. Arch Phys Med Rehabil, 2009, 90(5): 849-855.
11.	Devine Adam. Occupational analysis and group process. Br J Occup Ther , 2013, 76(9): 430.
12.	Creighton C. The origin and evolution of activity analysis. Am J Occup Ther, 1992, 46: 45-48.
13.	Mason L. Activity analysis and application. Aus Occup Ther J, 2003, 50(3): 189-190.
14.	窦祖林. 作业治疗学. 3版. 北京: 人民卫生出版社, 2018: 226-242.
15.	闫彦宁, 吕艳玲, 孙增鑫, 等. 教练法在作业治疗中的应用. 中国康复医学杂志, 2016, 31(7): 803-805.
16.	Graham F, Rodger S, Ziviani J. Effectiveness of occupational performance coaching in improving children’ s and mothers’ performance and mothers’ self-competence. Am J Occup Ther, 2013, 67(1): 10-18.
17.	李鑫, 郑雅丹, 苏柳洁, 等. “重建生活为本”的作业治疗设计与实践. 中国康复, 2016, 31(1): 25-27.
18.	闫彦宁, 杨永红, 芦剑峰, 等. 我国内地作业治疗人员从业现状的调查与分析. 中国康复医学杂志, 2018, 33(7): 833-836.
19.	曹庆, 王颖, 朱昭锦, 等. 5个国家作业治疗师职业状况分析. 中国康复理论与实践, 2019, 25(10): 1228-1235.
20.	朱昭锦, 杨雨洁, 郭佳宝, 等. 太极特色作业治疗实践模式. 中国康复理论与实践, 2016, 22(11): 1354-1356.

1. World Federation of Occupational Therapists. About occupational therapy (WFOT 2012). [2019-12-23]. http://www.wfot.org/About/About-Occupational-Therapy.
2. 闫彦宁. 作业治疗关注功能、生活、健康与幸福. 中国康复, 2016, 31(1): 3-4.
3. 中国康复医学会康复治疗专业委员会. 中国康复治疗师规范化培训专家共识. 中国康复医学杂志, 2017, 32(10): 1095-1097.
4. 崔金龙, 施晓畅, 廖鹏, 等. 作业治疗专业思维在中国的发展历程(1986—2006)—历史文献研究(上). 中国康复理论与实践, 2019, 25(6): 676-682.
5. 李奎成, 闫彦宁. 作业治疗. 北京: 电子工业出版社, 2019: 12-15, 141-142.
6. Law M, Baptiste S, McColl M, et al. The Canadian occupational performance measure: an outcome measure for occupational therapy. Can J Occup Ther, 1990, 57(2): 82-87.
7. Law M, Polatajko H, Pollock N, et al. Pilot testing of the Canadian occupational performance measure: clinical and measurement issues. Can J Occup Ther, 1994, 61(4): 191-197.
8. 胡军. 作业治疗学. 北京: 人民卫生出版社, 2012: 45-46.
9. Nilsson I, Fisher AG. Evaluating leisure activities in the oldest old. Scand J Occup Ther, 2006, 13(1): 31-37.
10. Holsbeeke L, Ketelaar M, Schoemaker MM, et al. Capacity, capability, and performance: different constructs or three of a kind?. Arch Phys Med Rehabil, 2009, 90(5): 849-855.
11. Devine Adam. Occupational analysis and group process. Br J Occup Ther , 2013, 76(9): 430.
12. Creighton C. The origin and evolution of activity analysis. Am J Occup Ther, 1992, 46: 45-48.
13. Mason L. Activity analysis and application. Aus Occup Ther J, 2003, 50(3): 189-190.
14. 窦祖林. 作业治疗学. 3版. 北京: 人民卫生出版社, 2018: 226-242.
15. 闫彦宁, 吕艳玲, 孙增鑫, 等. 教练法在作业治疗中的应用. 中国康复医学杂志, 2016, 31(7): 803-805.
16. Graham F, Rodger S, Ziviani J. Effectiveness of occupational performance coaching in improving children’ s and mothers’ performance and mothers’ self-competence. Am J Occup Ther, 2013, 67(1): 10-18.
17. 李鑫, 郑雅丹, 苏柳洁, 等. “重建生活为本”的作业治疗设计与实践. 中国康复, 2016, 31(1): 25-27.
18. 闫彦宁, 杨永红, 芦剑峰, 等. 我国内地作业治疗人员从业现状的调查与分析. 中国康复医学杂志, 2018, 33(7): 833-836.
19. 曹庆, 王颖, 朱昭锦, 等. 5个国家作业治疗师职业状况分析. 中国康复理论与实践, 2019, 25(10): 1228-1235.
20. 朱昭锦, 杨雨洁, 郭佳宝, 等. 太极特色作业治疗实践模式. 中国康复理论与实践, 2016, 22(11): 1354-1356.

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