Any assignments your teacher would like shared will be copied here! Part 2 - Intervention Design
How to know you are providing the BEST intervention for your client. Please be sure to discuss this process with your FWE before implementation... Congratulations on finishing Part 1; you know your patient now you are ready now to begin Part 2.
The reason OT is considered a skilled service is that a skilled practitioner understands and implements skilled interventions that help to improve function and occupational engagement.
So let's dig into Treatment Planning. TREATMENT PLAN / ACTIVITY PLAN Using this form will help guide your decision-making when you start at the top and work your way down.
Top section: Step 1 Occupational Profile/Evaluation: Who is my patient, and what are the goals of intervention? Considering "who" the person is and what they want to be able to do? Who are they, and what are their needs, first, look at the occupational performance problem areas and the goals.
Next up: Step 2 Clinical Reasoning - Evidence-Based Practice -REMEMBER to FIND the EVIDENCE and THEN decide on the activity/occupation based on evidence and Model / Frame of Reference. (When I hear, "I'm looking for an article that supports my activity, I already picked,"... I shudder!) What do you know, what do you need to know... if you need more understanding of the what or how. Do RESEARCH to find scholarly articles that explain more about the problem or primary diagnosis... Foundations that focus on a condition (ex - http://www.arthritis.org) are good sources. The next step is to find a peer-reviewed, full-text, scholarly article or textbook section that supports intervention selection. Search keywords associated with your client's primary problem and goal (autism and sensory processing). The process then is to choose one that seems to meet your client's needs best. Based on your research findings, it is easy to identify and justify the best FOR. "Ah... to help my client dress, they have to have the strength and activity tolerance for the task, and based on the information I found in my EBP search, this would best be addressed through the Biomechanical FOR". See how that works. Follow the instructions COMPLETELY in this section - providing a summary of how the article guided your tx session, APA citation, AND also submit a FULL-TEXT article!!!
Final step: Step 3 - Intervention OK... now you are ready to plan your session - Based on your understanding of all things above - You are now ready to plan your session. You have to consider the environment and resources you have available when planning. Keep the goal(s) in mind with the planning process. You can have an excellent tx idea, but if you don't know how to implement it and what outcome you are trying to achieve based on evidence, you are just implementing a great activity... Always think of the OTPF here reviewing - Types of Intervention. We always strive for Client-centered, Goal-Directed, Occupation Based interventions. Write out the steps to the session you are planning thoroughly! AND share your plan with your FWE to be sure it is approved.
Remember the importance of having what you need - Good planning includes having everything you need! This includes being prepared when it doesn't actually go the way you planned. Yep... you have to plan for ADAPTATIONS to keep the "just right challenge" going throughout the session to ensure you have a backup for what "might" happen. ADAPT (upgrade, downgrade, modify) is what makes our services skilled... List out a few things you can do to support the client's best ability to function and then make sure you have any equipment available that you might need to upgrade or downgrade as needed).
You should now have a document that is complete. This is the process you should use for ALL OT sessions! Really, it does get faster and easier, but at first, you will spend hours in this process... Keep in mind, this is WHY your knowledge and skilled clinical reasoning skills make you a practitioner. It is about knowing WHY you chose what you did. It maximizes therapeutic benefits in each session. I know if my family member were receiving OT services from you, I would expect that you would do this process so I could trust the BEST was being provided for my loved one. Remember - YOU ARE SOMEONE'S HOPE in the darkness and with that privilege comes great responsibility.