OTAS 1300 - Rehabilitation Conditions & Intervention Planning-Lecture

Credit Hours: 3.00

Upon completion of this course, the student will be able to demonstrate acquired competency through:

1. Explain a given rehabilitation diagnosis including etiology, incidence, signs and symptoms, prognosis, precautions and medical treatment.
   1. Articulate the effects of inheritable and genetic conditions, disability, trauma and injury to the physical, psychosocial and occupational performance of the individual.
   2. Articulate pertinent medical information regarding cardiopulmonary conditions.
   3. Articulate pertinent medical information regarding general medicine conditions.
   4. Articulate pertinent medical information regarding neurological conditions.
   5. Articulate pertinent medical information regarding musculoskeletal conditions.
   6. Articulate pertinent medical information regarding orthopedic conditions.
   7. Articulate pertinent medical information regarding upper extremity conditions.
   8. Articulate the categorization of conditions as acute, chronic or terminal and the effects on occupational performance.
   9. Articulate the levels of care, transition of levels and the impact to intervention planning and implementation.
2. Apply a variety of occupational therapy intervention activities and methods with intervention planning for physical rehabilitation conditions.
   1. Articulate and demonstrate a variety of occupational therapy intervention methods.
      1. Assistive devices
      2. Compensatory techniques
      3. Joint protection
      4. Energy conservation
      5. Work simplification
      6. Ergonomics
      7. Physical agent modalities (competencies)
   2. Recognize, demonstrate and articulate basic and complete socio-economical concerns with assistive device intervention.
   3. Recognize and articulate psychosocial concerns of individuals with rehabilitation intervention.
   4. Recognize and articulate the interprofessional team approach to rehabilitation intervention.
   5. The use of professional literature to make evidence based decisions for occupation therapy intervention.
3. Analysis of case studies of occupation-based evaluation, intervention planning and outcomes with occupational therapy intervention of rehabilitation conditions utilizing clinical reasoning skills.
   1. Articulate and apply the OT process to a variety of case studies.
   2. Articulate the role of occupation in the promotion of health, prevention and disability for the individual, family and society.
   3. Articulate the importance of balancing areas of occupation with achievement of health and wellness.
   4. Articulate and apply information pertinent to the occupational profile.
   5. Articulate and apply basic components of assessment and measures of function.
   6. Analyze dysfunction in performance areas through an analysis of performance skill, patterns, client factors and activity demands, including the physical and mental health impact.
   7. Analyze intervention methods appropriate for the performance dysfunction.
   8. Articulate the relationship in the level of care to the intervention methods and duration.
   9. Explain prioritizing intervention needs dictated by client factors and setting goals.
   10. Explain the impact of client context in activity selection.
   11. Identify when to recommend the need for referring clients for additional services.
   12. Explain discharge planning.
   13. Explain the promotion of wellness with rehabilitation conditions.
   14. Explain the roles, and communication between the OT and OTA in the occupational therapy process.

1. Course Introduction
   1. Review of course terminology
   2. Role of occupational therapy intervention with physical dysfunction clients
      1. Levels of care and purpose
   3. Role delineation of OTA and OT in clinical practice with physical dysfunction, including evaluation and screening
   4. Categories of physical dysfunction/rehabilitation conditions
      1. Cardiopulmonary
      2. General medicine
      3. Musculoskeletal
      4. Neurological
      5. Orthopedic
      6. Upper extremity
2. Clinical Reasoning for Intervention Planning
   1. The role of occupation in promotion for the individual, family and society
      1. Health
      2. Prevention
      3. Disability
   2. The importance of occupational balance in health and wellness achievement
   3. Occupational therapy practice framework
   4. Occupational therapy process
   5. Evaluation process
      1. Occupational profile - client factors, performance skills, performance patterns, context and environment
      2. Occupational analysis client factors, performance skills, performance patterns, context and environment
   6. Evidence‐based intervention
   7. Intervention planning
      1. Identification of occupation‐based problems
      2. Identification of client goals
      3. Identification of intervention time frame
      4. Selection of intervention activities based on evidence/best practice from professional literature
      5. Identification of discharge plan
   8. Referral for additional evaluation and other disciplines
3. Common Occupational Therapy Intervention Methods and Strategies
   1. Principles of use and application of methods and strategies
   2. Interprofessional team approaches
   3. Role of OTA
   4. Assistive devices
      1. Recognize and articulate socio‐economic concerns with intervention with assistive devices and equipment needs
   5. Compensatory techniques
   6. Joint protection
   7. Energy conservation/work simplification
   8. Ergonomics
   9. Physical agent modalities and competencies
      1. Hot/cold packs
      2. Paraffin
      3. Fluidotherapy
      4. Ultrasound
      5. E‐stim and TNS
4. Cardiopulmonary Conditions
   1. Pulmonary conditions
      1. COPD
      2. Asthma
      3. Pulmonary hypertension
         1. Clinical picture
         2. Precautions
         3. Interprofessional team members and roles
   2. Cardiac conditions
      1. Clinical picture
      2. Precautions
      3. Interprofessional team members and roles
   3. Occupation‐based intervention planning
5. General Medicine Conditions
   1. Clinical pictures, precautions and interprofessional team member roles
      1. Autoimmune disorders
         1. Myasthenia gravis
         2. HIV
         3. Lupus
            1. Systemic
            2. Erythematosis
      2. Oncology
      3. Renal disease
      4. Diabetes mellitus
      5. Fibromyalgia f. Myasthenia gravis
      6. Gullain‐Barre Syndrome
      7. Amyotrophic Lateral Sclerosis (ALS)
      8. Post Polio Syndrome
   2. Occupation‐based intervention planning
6. Neurological Conditions
   1. Clinical pictures, precautions and interprofessional team member roles
      1. Multiple Sclerosis (MS)
      2. Parkinson’s Disease
      3. Spinal cord injury
      4. Cerebral Vascular Accident (CVA)
      5. Traumatic Brain Injury (TBI)
      6. Nerve injury disorders
         1. Peripheral nerve
         2. Brachial plexus
         3. Reflex Sympathetic Dystrophy
   2. Occupation‐based intervention planning
7. Musculoskeletal Conditions
   1. Clinical pictures, precautions and interprofessional team member roles
      1. Rheumatoid Arthritis (RA)
      2. Juvenile Arthritis (JRA)
      3. Osteoarthritis
      4. Scleroderma
      5. Ankylosing Spondylitis (AS)
   2. Occupation‐based intervention planning
8. Orthopedic Conditions and Upper Extremity Disorders
   1. Clinical pictures, precautions and interprofessional team member roles
      1. Amputations
      2. Fractures
      3. Hip fractures
      4. Total hip replacement
      5. Total knee replacement
      6. Cumulative trauma disorders
         1. Carpal Tunnel Syndrome
         2. Rotator cuff injury
         3. Back injury
      7. Tendon injuries and disorders
         1. Dypuytren’s contractor
         2. Flexor/extensor injuries
   2. Occupation‐based intervention planning