OTAS 2095 - Technology & Environmental Intervention-Lecture

1. The use of technology and environmental intervention to enhance occupational performance and foster participation and well‐being of clients.
   1. Define methods of technology and environment intervention.
      1. Articulate the difference between basic and complex technology.
      2. Articulate interprofessional members and roles.
   2. Articulate the historical perspective and the impact of major legislation, including the Americans with Disabilities Act.
   3. Articulate the clients in need of intervention.
   4. Articulate client contexts and environments that impact intervention.
   5. Articulate the occupational performance areas associated with technology and environmental intervention.
   6. Articulate the need for, and use of, compensatory strategies when desired life tasks cannot be performed.
   7. Articulate knowledge for the funding of technology and environmental devices, systems and services.
2. Application of the occupational therapy process to technology and environmental intervention.
   1. Articulate the role of the OTA in the use of intervention.
   2. Analyze the need for occupational therapy intervention utilizing technology and environment methods/strategies when desired life tasks cannot be performed.
   3. Articulate the principles of assessment and intervention.
   4. Analyze the use of the occupational profile and occupational assessment in determining the selection of intervention.
   5. Explain recommendations to the OT for need of referrals for additional evaluation and other disciplines.
3. Application of the principles and strategies of intervention for technology and environment intervention, including electronic aids to daily living and seating and positioning systems, used to enhance occupational performance and foster participation and well‐being.
   1. Analyze and apply environmental adaptations and processes including barrier free design with areas of occupation.
   2. Analyze and apply ergonomic principles for enhancement of occupational performance.
   3. Apply training techniques and articulate issues with enhancement of community mobility.
   4. Apply teaching techniques with compensatory strategies.
4. Application of basic skills and analysis in the assessment, fabrication, and application, fitting and training in orthotic devices used to enhance occupational performance and participation.
   1. Articulate the difference between static, dynamic and prefabricated/ constructed splints.
   2. Analyze and articulate the conditions that warrant orthotic intervention.
   3. Articulate the assessment and planning for the application of orthotic intervention.
   4. Demonstrate construction of an upper extremity static splint.
   5. Demonstrate the application of an upper extremity static splint.
   6. Demonstrate teaching, care and scheduling of an orthotic device.
   7. Articulate the principles of prosthetic devices, both upper and lower extremity.
   8. Articulate the interprofessional team and the role delineation involved with the intervention of a prosthetic device.
   9. Articulate the assessment and planning required of prosthetic intervention.
   10. J. Articulate the application, fitting, and role of OT in the use and care of prosthetic devices.
   11. K. Demonstrate teaching methods required in prosthetic device intervention for client and caregiver.

• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

1. Course Introduction
   1. Defining technology and environmental intervention
      1. Basic technology
      2. Complex technology
   2. Interprofessional members and their roles
   3. Historical perspective with the use of technology and environmental Intervention
      1. Legislative impact
      2. Americans with Disability Act
   4. Funding sources for devices, systems and services
2. Intervention Populations
   1. Types of clients
   2. Conditions and dysfunction
   3. Client factors
   4. Client contexts and environment
   5. Performance areas
   6. Need and use of compensatory strategies for desired life tasks
3. Clinical Reasoning Application with Assistive Technology Application
   1. Role of the OT and OTA
   2. Principles of assistive technology assessment and intervention
   3. Identifying client needs for assistive technology intervention
      1. Occupation profile and context
      2. Occupational assessment
         1. Occupational performance areas
         2. Performance skills
         3. Client factors
         4. Performance patterns
         5. Activity demands
         6. Context and environment
   4. Recommending to the OT additional referrals for evaluation
   5. Referrals to other disciplines and team members
4. Categories of Technology and Environmental Interventions and Compensatory Strategies
   1. Splints and orthotics
      1. Conditions that warrant orthotic intervention
      2. Purpose and principles
      3. Types
         1. Static
         2. Dynamic
         3. Prefabrication and constructed
      4. Assessment and planning
      5. Construction of upper extremity splint
      6. Demonstration of splint application
      7. Strategies to teach application, care and scheduling
      8. Examples and use of lower extremity orthotics
      9. Interprofessional members and roles
   2. Functional electronic equipment
      1. Bioness - upper and lower extremity
      2. Saebo device - upper extremity
      3. Other functional electronic equipment
   3. Prosthetics - Upper and Lower Extremity
      1. Upper extremity
         1. Terminal devices
         2. Myoelectric prosthesis
         3. Intervention applications
      2. Lower extremity
         1. Pylon
         2. Computerized systems
         3. Disarticulation prosthesis
         4. Transmetatarsal prosthesis
         5. Intervention applications
   4. Personal Computer and Modifications
      1. Basic components
      2. Basic principles of adaptation
      3. Internet access
      4. Intervention applications
   5. Seating and Positioning
      1. Wheelchair measurement
      2. Guidelines for postural control and pressure management
      3. Benefits of postural control and pressure management
      4. Types of seating and position equipment
         1. Features and benefits
         2. Principles of application
         3. Interprofessional team members and referrals
      5. Intervention applications
   6. Technology through Computers and Modifications
      1. Education
      2. Work
      3. Applications
      4. Personal computers and modifications
      5. Basic components
      6. Basic principles of adaptation
      7. Internet access
      8. Intervention applications
   7. Technologies to Enable Mobility
      1. Types of wheeled mobility systems
         1. Features and controls
         2. Evaluation
         3. Principles of applications and training
      2. Issues to enhance community mobility
         1. Public transportation
         2. Community access
         3. Driver rehabilitation
   8. Driver Aids, Technology and Training
      1. Evaluation for transportation and driving
         1. Driving simulators
      2. Modification for driving
      3. Vehicle access and selection
      4. Transportation of wheelchair riders
      5. Intervention applications
      6. Driving rehabilitation resources
         1. Carlift
         2. OT‐driver off road assessment
         3. Older driver safety awareness
   9. Barrier‐free and Universal Design
      1. Assessment
      2. Intervention applications
         1. Daily life skills
         2. Leisure and social participation
         3. Classroom
         4. Work
         5. Community
   10. Ergonomics Principles
       1. Settings
          1. Home
          2. Work
          3. School
       2. Assessment
       3. Intervention applications
   11. Environmental Controls
       1. Basic and complex technology devices
          1. General purpose devices
          2. Special purpose devices
       2. Special purpose aids and devices
          1. Feeders
          2. Page turners
       3. Aids to daily living
          1. Selection and control
          2. Training
       4. Robotic aids
       5. Application interventions
   12. Augmentative and Alternative Communication Systems
       1. Disabilities affecting speech and language
       2. Types of communication
       3. Conversational needs
       4. Graphic needs
       5. Characteristics of systems
       6. Intervention applications
   13. Sensory Aids for Visual and Auditory Impairment
       1. Approaches to intervention
       2. Visual aids
          1. Magnification aids
          2. Automatic reading devices
          3. Mobility and orientation aids
          4. Auditory sensors
          5. Special purpose aids
          6. Intervention applications
       3. Auditory aids
          1. Hearing aids
          2. Phone access
          3. Alternating devices
          4. Assistive listening devices
          5. Intervention applications
   14. Telehealth
       1. Digital technologies for delivery of medical services, education and public health services
5. Application of Principles and Strategies to Daily Living and Life Skills
   1. Promoting motivation and engagement for well‐being
   2. Applying environmental adaptations supporting performance, participation and well‐being
      1. Daily life skills
         1. Feeding
         2. Bathing
         3. Dressing
         4. Home management
         5. Electric aids
         6. Context considerations
      2. Leisure, play and social skills
         1. Adapted games and sports equipment
         2. Manipulation, grip and reaching adaptations of leisure equipment
         3. Page turners
      3. Classroom/education
         1. Educational activities
            1. Reading
            2. Writing
            3. Music
         2. Workstation adaptations
         3. Use of robotics
         4. Adhering to educational regulations and considerations
         5. Context implications
      4. Work
         1. Ergonomic applications
         2. Robotic aids of manipulation
         3. Workstation adaptations
         4. Working with employers
   3. Teaching demonstration of compensatory strategies
      1. Approaches and methods
      2. Demonstration of skill