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Craft
4.
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Craft
5.
Craft
School of Occupational Therapy
The what
Process: Client-centered evaluation and intervention.
The how
OTPF-III
Domain
Occupations
Client Factors
Performance Skills
Performance Patterns
Contexts & Environments
School of Occupational Therapy
OTPF-III
Process
Evaluation
Intervention
Targeting of Outcomes
OTPF-III
Terminology: Important for Todays Workshop
Activity Analysis: Analysis of the typical demands of an activity,
the range of skills involved in its performance, and the various
cultural meanings that might be ascribed to it.
Activity analysis is a distinguishing skill of occupational
therapists that sets us apart from every other profession in the
health industry.
We do activity analysis on a regular basis and we are good at it!
It includes knowing our clients limitations and strengths, using
skill-building interventions that are geared to reaching functional
outcomes, and grading the activity to meet a just-right challenge.
We do this whole process within a reflective thought process
while working with a client.
School of Occupational Therapy
OTPF-III
Terminology: Components of Activity Analysis
Activity Demand: Aspects of an activity or occupation needed to
carry it out, including:
OTPF-III
Terminology: Components of Activity Analysis
OTPF-III
Terminology: Related to Craft Interventions
Preparatory Tasks: Actions selected and provided to the client to target
specific client factors or performance skills. Tasks involve active
participation of the client and sometimes compromise engagements that
use various materials to simulate activities or components of occupations.
Preparatory tasks themselves may not hold inherent meaning, relevance, or
perceived utility as stand-alone entities.
Examples include:
- Assertiveness training to prepare for self-advocacy
- Hand strengthening exercises with therapy putty, exercise bands, and
grippers.
- Craft activities can be an example of preparatory task
OTPF-III
Therapeutic Use of Craft
Occupation is both a means and an end!
Therapeutic use of craft is more than just doing crafts. Crafts have preparatory
elements, building proficiency in specific skills that directly relate to
functional goals and outcomes.
(Usually more engaging for the client than rote practice of ADLs.)
Craft can be included in all five approaches to intervention:
- Create, Promote
- Establish, Restore
- Maintain
- Modify
- Prevent
School of Occupational Therapy
OTPF-III
Whats New?
- Sensory
- Emotional
- Relevance
renewal
pleasure
companionship
coherence
agency
12
things I
like to do
every day
affirmation
Occupational needs
accomplishment
Shower
Worksheet:
Activity Analysis of Everyday Occupations
Activity Analysis: Analysis of the typical demands of an activity, the range of
skills involved in its performance, and the various cultural meanings that might be
ascribed to it.
Step 1: Activity analysis of the everyday occupation. What is required to do the
task? Fill in the first column.
Step 2: Select and analyze a craft activity that helps to build competency in the
skills of everyday occupation. Fill in the second column.
Pick one important everyday occupation:
Driving to work (IADL)
http://www.thevehiclesite.co.uk/blog-details/13/Dogs-that-can-drive
Worksheet:
Activity Analysis of Everyday Occupations
Components of Analysis
Relevance/Meaning
Objects/Tools
Space
Social
Sequencing
Required Actions/
Performance Skills
Motor
Process
Social
Body Functions/
Body Structures
Mental
Sensory
Musculoskeletal
Speech
Cardiovascular
Other
Everyday Occupation
Driving to work
Exercise independence. Important for community mobility.
Car: Steering wheel, foot pedals for braking and accelerating, rear view and side
mirrors, blinker signal to turn, chair
Moderate room in cabin of car to move arms and feet. Everything in about
arms reach.
Rules of the road, respecting the space and signals of other drivers, respect
speed limit.
Turning on the car, checking mirrors, buckle seat belt, change gears. Sequence
changing lanes or turning.
- Grip the steering wheel, coordination of motor skills to move the steering
wheel, keep body and head upright.
- Scan the road for potholes and other drivers, plan your navigation or route,
attention to the road and task, respond to unexpected traffic or car
- Takes turns at a stop sign, socializes with passenger while not maintaining
consistent eye contact
- Alert and conscious, ability to focus for prolonged periods
- Sensation of the wheel, proprioception, visual acuity
- Upper extremity and lower extremity strength (use of arms and legs)
Worksheet:
Activity Analysis of Everyday Occupations
Components of Analysis
Relevance/Meaning
Craft Activity
Knitting
Interest or hobby. Expression of creativity. Make gift for another person.
Objects/Tools
Space
Social
Sequencing
Required Actions/
Performance Skills
Motor
Process
Social
Body Functions/
Body Structures
Mental
Sensory
Musculoskeletal
Speech
Cardiovascular
Other
Steps to position hand, yarn, and knitting needles. Turning needle and
manipulating the yarn.
- Fine motor manipulation, movement of the shoulder, elbow, and fingers.
Coordination of upper extremity.
- Scan for knots or tangles in the yarn. Plan steps to finished product.
Respond to unexpected mistakes. Attention to task.
- Alert and focused on sequence of task. Image the finished product.
- Sensation of the yarn and needle, proprioception, visual acuity.
- Upper extremity strength and ROM. Gross and fine movement
Worksheet:
Activity Analysis of Everyday Occupations
Tips for craft:
- Craft activity should be meaningful
- Grade the craft for a just-right challenge
- Outcomes of craft activity should be directly related to your
goals
http://dianne-jones.blogspot.com/2011_11_01_archive.html
http://www.instructables.com/id/Make-a-Frame-Loom-for-Weaving/
Worksheet:
Activity Analysis and Craft Intervention
Client: 54 yr-old female with left CVA
Occupation: Brushing teeth
https://www.healthtap.com/user_questions/174095
Everyday Occupation
Brushing teeth
Relevance/Meaning
Objects/Tools
Space
Social
Sequencing
Process of untwisting the cap of the tooth paste, applying tooth paste to brush, wetting tooth
brush, back and forth motion in mouth to clean. Usually performed at morning and night.
- Grip the tooth brush, squeeze paste from the tube, gross and repetitive movements of the
shoulder, spits out saliva
- Attends to task without distraction, uses tools for intended purpose
Required Actions/
Performance Skills
Motor
Process
Social
Body Functions/
Body Structures
Mental
Sensory
Musculoskeletal
Speech
Cardiovascular
Other
Craft Activity
Paper Heart Basket
Relevance/Meaning
Objects/Tools
Space
Social
Sequencing
Required Actions/
Performance Skills
Motor
Process
Social
Body Functions/
Body Structures
Mental
Sensory
Musculoskeletal
Speech
Cardiovascular
Other
http://radmegan.com/2010/12/weaving-danish-heart-baskets-for-jul.html
Heart Basket
Occupational therapy is both art and science
Heart enhances the art of therapy
Values
Passion
Research
http://ihealthtran.com/wordpress/2014/08/research-shows-effectiveness-of-emr-in-positively-impacting-clinical-outcomes/
http://pro.psychcentral.com/private-practice/wpcontent/uploads/sites/2/2014/09/oa4qcmjpg_zpsf989836b.png
Study Methods
6 weeks, 4 hrs/week on Pinterest
Data gathered
Crafts from commonly found materials in clinics,
inexpensive (<$1) materials at craft stores, or
recycled materials
Other criteria
Gender
Female-oriented
www.buzzfeed.com
Neutral
www.babble.com
Male-oriented
www.craftgawker.com
Age
Young Population
Neutral
Mature Population
www.babble.com
de-tout-et-de-rien-caroline.blogspot.ca
www.pinterest.com/CristinaKopecky
Conditions
Changing Laterality
marisa-ramirez.tumblr.com
Low Vision
www.indianainking.blogspot.ca
www.cfabridesigns.com
Decreased Memory
www.mysocalledgreenlife.com
Holidays
www.smcarney.blogspot.com
www.embraceyourchaos.com
http://www.pinterest.com/Patriciuca/
Meaningfulness
www.naturallife.com
www.marthastewart.com
www.marthastewart.com
www.blog.honest.com
www.playbasedlearning.com.au
www.moonfrye.com
www.redtedart.com
www.pinterest.com/mobileprofessor
www.homemadesimple.com
www.craftsncoffee.com
www.buzzfeed.com
http://www.pinterest.com/Patriciuca/
Using Craft
Fortune Cookie Craft
Many ways to adapt craft
Portable, clean
http://www.dumpaday.com/wp-content/uploads/2014/01/do-ityourself-crafts-14.jpg
Fortune Cookies
Good fortune comes to those who.
Pay it forward
Write a piece of advice for good occupational
therapy
Butterfly or Moth
http://en.wikipedia.org/wiki/Viceroy_(butterfly)
http://www.edupic.net/leps4.htm
References
American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd Ed.).
American Journal of Occupational Therapy, March/April 2014, Vol. 68, S1-S48. doi:10.5014/ajot.2014.682006
Bathje, M. (2012). Art in occupational therapy: An introduction to occupation and the artist. The Open Journal of Occupational
Therapy, 1(1).
Christiansen, C. H., & Haertle, K. (2014). A contextual history of occupational therapy. In B. A. B Schell, G. Gillen, & M. E.
Scaffa (Eds.). Willard & Spackmans Occupational Therapy (12th ed., pp. 9-34). Philadelphia: Lippincott Williams & Wilkins.
Giustini, D. (2010). Building research capacity among a group of social media adopters in Canada: introducing the Social Media
Research Team (SMeRT). Journal of the Canadian Health Libraries Association, 31, 119-121.
Jacobson, J. (2011). Leveling the research field through social media. American Journal of Nursing, 111(10), 14-15.
Lomborg, S. (2012). Researching communicative practice: Web archiving in qualitative social media research. Journal of
Technology in Human Services, 30, 219-231.
Wu, J., Sun, H., & Tan, Y. (2013). Social media research: A review. Journal of Systems Science and Systems Engineering, 22(3),
257-282.
Contact us
OT@TWU.edu