By : Catherine A. Trombly, M.A.,O.T.R.,F.A.O.T.A.
Framework for Therapy
The two introductory chapters of
this book present that underlie the practice of occupational therapy with the
adult physically. The first one of identifies the reasoning processes that the
author uses in making evaluation and treatment planning decisions. By
identifying these processes I hope to assist the student occupational therapist
to organize and utilize the information in the remainder of the book. With
experience, the student therapist may develop his/her own organizational
framework.
The second chapter specifically
addresses the psycological needs and adjustment of a person who has become
physically disabled. Hilda Versluys, M.Ed., O.T.R., has applied sound
principles of psychiatric occupational therapy to the treatment of the unique
emotional needs of the physically disabled. The emotional adjustment of the
patient must be the foremost consideration when implementing planned therapy so
that the patient will be motivated by his primary concerns, his membership in
his family and society.
The remainder of this book is
organized according to my view that there are three treatment approaches from
which the therapist may choose in attempting to assist the physically disabled
person in reaching as high a level of independent functioning and life
satisfaction as is possible for that person. These approaches are,
neurodevelopmental, biomechanical, and rehabilitative.
The neurodevelopmental approach
is used for persons who have been born with a dysfunctional central nervous
system or who have suffered trauma or disease to their central nervous system.
This approach uses sensory input and
developmental sequences to facilitate change in the sensorimotor organization
of the central nervous system. The approach also includes use cognitive
information processing strategis to promote learning or relearning of movement
control or perceptual or cognitive functional abilities.
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