Course Number and Title:
OTA 223 Adult and Geriatric Intervention
Prerequisites
Prerequisite: OTA 222 and OTA 130 and (MAT 255 or MAT 162 or higher)
Co-requisites
Corequisite: OTA 221 and OTA 224
Course Credits and Hours
4 credit(s)
3 lecture hours/week
3 lab hours/week
Course Description
This course introduces evaluation and application of occupational therapy techniques in treating the adult and geriatric populations.
Additional Materials
All campus program and policy manuals.
Core Course Performance Objectives (CCPOs)
- Demonstrate professional behaviors while studying the application and demonstration of occupational therapy techniques for treating the adult and geriatric populations. (CCC 4; PGC 2)
- Define and discuss key terms and concepts associated with the occupational therapy domain and process with the adult and geriatric populations. (CCC 4, 5; PGC 1)
- Describe, demonstrate, and instruct in adapted techniques and assistive devices to enhance performance in areas of occupation. (CCC 1, 2, 4; PGC 1, 2, 3, 4)
- Provide training in techniques to enhance functional mobility including proper body mechanics, wheelchair selection and seating and positioning considerations. (CCC 1, 2, 4; PGC 1, 2, 3, 4)
- Apply key concepts and the application of motor control, motor learning, and biomechanical approaches to treatment. (CCC 2; PGC 1, 4)
- Apply key concepts of sensorimotor treatment approaches. (CCC 2; PGC 1, 4)
- Discuss pertinent issues and demonstrate skills inherent in adult and geriatric occupational therapy (OT) intervention. (CCC 2; PGC 1)
See Core Curriculum Competencies and Program Graduate Competencies at the end of the syllabus. CCPOs are linked to every competency they develop.
Measurable Performance Objectives (MPOs)
Upon completion of this course, the student will:
- Demonstrate professional behaviors while studying the application and demonstration of occupational therapy techniques for treating the adult and geriatric population.
- Demonstrate appropriate classroom behaviors.
- Demonstrate the ability to self-assess behaviors and modify responses.
- Use sound judgment regarding safety of self and others adhering to safety precautions during all activities.
- Define and discuss key terms and concepts associated with the occupational therapy domain and process with the adult and geriatric populations.
- Define key concepts and terms associated with referral, screening, evaluation, intervention planning, intervention implementation, intervention review, outcome evaluation, documentation, and continuity of care with the adult and older adult.
- Demonstrate the ability to administer standardized and non-standardized screenings and assessment tools in order to collaborate in the development of occupation-based intervention plans and strategies.
- Demonstrate knowledge of the effects of disease processes including heritable diseases, genetic conditions, mental illness, disability, trauma, and injury on occupational performance of the adult and older adult within the context of the family and society.
- Demonstrate knowledge of and apply the interaction of occupation and activity in one's life in order to achieve health and wellness and prevent disease and disability.
- Demonstrate the principles of the teachingâ€" learning process using educational methods and health literacy education approaches to instruct and train the client, caregiver, family, significant others, and communities at the level of the audience, to facilitate performance in occupations as prevention, health maintenance, and safety.
- Discuss the process to monitor and reassess, in collaboration with the client, caregiver, family, and significant others, the effect of occupational therapy intervention and the need for continued or modified intervention, and demonstrate how to communicate the identified needs to the occupational therapist.
- Demonstrate how to implement a discharge plan from occupational therapy services that was developed by the occupational therapist in collaboration with the client and members of the interprofessional team by reviewing the needs of the client, caregiver, family, and significant others; available resources; and discharge environment.
- Demonstrate knowledge of various reimbursement systems and funding mechanisms (e.g., federal, state, third party, private payer), treatment/diagnosis codes (e.g., CPT®, ICD, DSM® codes) and coding and documentation requirements that affect consumers and the practice of occupational therapy.
- Discuss the importance of promoting occupational therapy by educating other professionals, service providers, consumers, third-party payers, regulatory bodies, and the public.
- Describe, demonstrate, and instruct in adapted techniques and assistive devices to enhance performance in areas of occupation.
- Define and discuss key terms and concepts associated with evaluation and documentation of activities of daily living (ADL), instrumental activities of daily living (IADL), education, work, play, leisure, and social participation in the OT Practice Framework.
- Demonstrate the ability to provide rationale and implement relevant selected treatment and compensatory strategies to improve performance in areas of occupation that support performance, participation, and well-being while adhering to safety precautions.
- Select, adapt, and sequence relevant occupations that support the client's goals and the OT treatment plan.
- Identify occupational needs through effective communication with patients, families, communities, and members of the interprofessional team in a responsive and responsible manner that supports a team approach to the promotion of health and wellness
- Assess, grade, and modify the way persons, groups, and populations perform occupations and activities by adapting processes, modifying environments, and applying ergonomic principles to reflect the changing needs of the client, sociocultural context, and technological advances.
- Use clinical reasoning to facilitate occupation-based interventions that address client factors including interventions focused on promotion, compensation, adaptation, and prevention
- Provide training in techniques to enhance functional mobility including proper body mechanics, wheelchair selection and seating and positioning considerations
- Describe specific precautions and proper body mechanics to be used for lifting, reaching, pulling, and carrying objects.
- Provide training in techniques to enhance functional mobility, including physical transfers, wheelchair management, and mobility devices
- Demonstrate wheelchair-to-chair transfer, stand- pivot transfer, and sliding board transfer adhering to safety precautions.
- Discuss wheelchair ordering considerations, principles of wheelchair selection, and the process for wheelchair measurement.
- Provide instruction in common adapted techniques, including use of adaptive equipment, precautions, wheelchair safety in functional wheelchair mobility, functional ambulation, and community mobility.
- Explain the need for and demonstrate strategies with assistive technologies and devices (e.g., electronic aids to daily living, seating and positioning systems) used to enhance occupational performance and foster participation and well-being.
- Apply key concepts and the application of motor control, motor learning, and biomechanical approaches to treatment.
- Describe the normal postural mechanism.
- Define terms associated with normal and abnormal muscle tone.
- Define motor learning and its desired outcomes.
- Describe methods of teaching that utilize each of the major sensory systems and give an example of the teaching-learning process
- Describe purposes and characteristics of the biomechanical approach to treatment.
- Apply key concepts of sensorimotor treatment approaches.
- Define and discuss key terms and concepts associated with Rood, Neurodevelopmental Treatment (NDT), Proprioceptive Neuromuscular Facilitation (PNF), and Brunnstrom.
- Describe Upper Extremity (UE) and Lower Extremity (LE) synergy patterns.
- Describe specific techniques used to facilitate and/or inhibit abnormal muscle tone in order to increase occupational performance.
- Identify purposeful activities that can be used in the application of sensorimotor treatment approaches.
- Discuss pertinent issues and demonstrate skills inherent in adult and geriatric occupational therapy intervention.
- Describe the purposes and procedures for sensory testing.
- Describe remedial and compensatory approaches to treatment of sensory dysfunction.
- Demonstrate grip and pinch strength measurements.
- Describe the procedures for the evaluation and treatment of edema.
- Explain the need for orthotics, and design, fabricate, apply, fit, and train in orthoses and devices used to enhance occupational performance and participation
- Train in the safe and effective use of prosthetic devices.
- Define the use and provide examples of energy conservation and joint protection techniques.
- Provide training in techniques to enhance community mobility, and address transportation transitions, including driver rehabilitation and community access.
- Demonstrate knowledge of the use of technology in practice, including electronic documentation systems, virtual environments, and telehealth technology.
- Demonstrate interventions that address dysphagia and disorders of feeding and eating and train others in precautions and techniques while considering client and contextual factors.
- Define terms related to work evaluation and work hardening and discuss the role of OT practitioners in work hardening.
- Discuss the role of occupational therapy and other disciplines in the evaluation and treatment of cognitive functions including computers that are used in cognitive retraining.
- Define terms associated with visual-perceptual-motor dysfunction.
- Describe selected assessment tools used to evaluate visual-perceptual- motor dysfunction.
- Describe approaches and suggest activities for treatment of visual- perceptual-motor dysfunction given case studies.
- Identify and define various visual deficits.
- Describe compensatory techniques for ADL and IADL completion in various contexts used by individuals who have loss of vision.
- Discuss issues of concern in the treatment of dementia, including areas for treatment, reactions to disease, modification of the environment, and family support.
- Select and provide rationale in order to adhere to safety regulations throughout the OT process as appropriate to the setting and scope of practice.
- Provide training to the client in self-care, self-management, health management and maintenance, home management, and community and work integration.
- Define strategies for effective, competency-based legal and ethical supervision of occupational therapy assistants and non-occupational therapy personnel
Evaluation Criteria/Policies
The grade will be determined using the Delaware Tech grading system:
| 90-100 |
= |
A |
| 80-89 |
= |
B |
| 70-79 |
= |
C |
| 0-69 |
= |
F |
Students should refer to the
Catalog/Student Handbook for information on the Academic Standing Policy, the Academic Integrity Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress.
Final Course Grade
Calculated using the following weighted average
|
Evaluation Measure
|
Percentage of final grade
|
|
Summative Assessments:
|
|
|
Exam #1
|
10%
|
|
Exam #2
|
10%
|
|
Exam #3
|
10%
|
|
Comprehensive Exam
|
15%
|
|
Lab Practical: Treatment Planning and
Implementation
|
10%
|
|
Professional Behaviors
|
10%
|
|
Formative Assessments: Quizzes, Graded Labs, Assistive Device Activity Design & Presentation, Competencies
|
35%
|
|
Total
|
100%
|
Program Graduate Competencies (PGCs are the competencies every graduate will develop specific to his or her major)
- Demonstrate knowledge related to the occupational therapy assistant, including patient/client interactions, therapeutic treatments, activity analysis, documentation, safety techniques, and therapeutic equipment.
- Exhibit effective nonverbal, verbal and written communication in patient/client and family interventions and education and in professional relationships.
- Perform competently a full range of occupational therapy skills with patients/clients and various populations as occupational beings.
- Exercise independent judgment and critical thinking in performance of occupational therapy, according to the profession's standards of practice.
- Demonstrate professional patterns of behavior consistent with the profession's code of ethics.
Core Curriculum Competencies (CCCs are the competencies every graduate will develop)
- Apply clear and effective communication skills.
- Use critical thinking to solve problems.
- Collaborate to achieve a common goal.
- Demonstrate professional and ethical conduct.
- Use information literacy for effective vocational and/or academic research.
- Apply quantitative reasoning and/or scientific inquiry to solve practical problems.
Students in Need of Accommodations Due to a Disability
We value all individuals and provide an inclusive environment that fosters equity and student success. The College is committed to providing reasonable accommodations for students with disabilities. Students are encouraged to schedule an appointment with the campus Disabilities Support Counselor to request an accommodation needed due to a disability. The College's policy on accommodations for persons with disabilities can be found in the College's Guide to Requesting Academic Accommodations and/or Auxiliary Aids Students may also access the Guide and contact information for Disabilities Support Counselors through the Student Resources web page under Disabilities Support Services, or visit the campus Advising Center.