A Clinical Perspective Motivation, Essay Example

The Occupational History by Linda Moorhead, O.T.R.

This paper examines the functionality of the occupational therapist.  The article through case study and analysis makes the important point that we are only at a very early understanding and knowledge in the type of clinical assessment presented.  There is a need for the occupational therapist  to become more self-reliant in the gathering and interpretation of information in the history gathering from the patient. The therapist needs to obtain very specific knowledge of the patient in order to provide the specialist therapeutic treatment required.

This is one of the main points of the article as it traces the role of the occupational therapist from history to the current day. It makes the point that our knowledge in this subject area is still at a very early stage of development and the importance of the therapist to build a personal data abstraction of the patients in order to act as a treatment agent.

The Interest Check List  by Janice S. Matsutsuyu, M.A., O.T.R.

One of the main focuses of this paper revolves around the purpose of the creation of the NPI Checklist.  It is described as fulfilling the significant purpose of (i) classifying intensity of interests in item responses (ii) defining types of interests according to categories and (iii) a description of the individual’s ability to express personal preferences and (iv) the individual’s ability to describe type and intensity.

The Checklist helps the patient to understand the limitations that are imposed by that of injury or disease. This in turn assists the patient in behaviour modification and modes of performance. This systematic collection of data equally helps the occupational therapist build a platform of valid information to work from.

A Model of Human Occupation, Part 4. Assessment and Intervention by G. Kielhofner., J.P. Burke and C.H. Igi

This paper presents a model of human occupation and how this can be applied in a clinical practice setting. It makes a number of key assumptions but perhaps one of the main points focuses upon the actual concept of organization and how this is central to the theme of the development of the model and as such how this leads to assessment and intervention. The model is made up of a number of different sub-systems and hence the concept of structure in the model is of vital importance

It is a main point because organization provides structure and as such gives the model both objectivity and integrity.  This in turn provides the focus for the assessment and treatment planning from the model; the model is a toolset for the therapist in order to assist personal skill sets.

A Model of Human Occupation, Part v1. Conceptual Framework and Content by G. Kielhofner., J.P. Burke

This paper focuses upon the build and structure of a model of occupation. One of the main themes of the paper describes the concept of “Open Systems”  and how abstract laws dictate how the system is transformed and changes over time. Hence, the concepts derived are made up from a number of sub structures and sub systems. The model describes a complex process of change or ontogenesis in the process of human interaction.

The concept of Open Systems is a relatively straightforward one, within the overall complex model structure. Essentially that of Input, Process, Output with feedback solicitation that completes the lifecycle.

Occupation Role Acquisition : A perspective on the chronically disabled by Cynthia Heard

One of the key messages in this article relates to the point that occupational role acquisition is one aspect of daily living that has been largely overlooked in the occupational therapists treatment of the chronically disabled. The importance of acquisition of information on occupational role acquisition is important in the clinical application and ability to deal with marginal groups like the unemployed, and low income categories. In addition relating to how the chronically, disabled adjust to life after heart attacks or strokes.

The importance of the message is for the Occupational Therapist to consider sociological factors when conceptualising the acquisition role acquisition process.

Clinical Perspective on Motivation: Pawn versus Origin by J.P. Burke

A lack of motivation has often been described as one of the main barriers in occupational therapy clinics. One of the major issues pointed out is the lack of a patient’s willingness to participate in the therapeutic process, the lack of value that the patients perceive to the therapeutic process. The feelings of anxiety, nervousness and uncertainty contribute to the lack of motivation towards treatment and the healing process. It is therefore important that patients are motivated and have the self-guided behaviour that will make them willing participants in the treatment process.

This message puts in place the later importance of the four perspectives model that assesses the capacity for motivation and how clinical treatments are subsequently guided.