OTLE flashcards
OTLE · Build recall with a focused review session.
32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Occupational profile
- A summary of the client's history, roles, routines, interests, values, and priorities that establishes why the client seeks services and what outcomes matter most to them.
- Top-down approach
- An evaluation and intervention approach that begins with the client's desired occupations and roles, then examines underlying capacities only as needed to support performance.
- Therapeutic use of self
- Deliberate use of the therapist's personality, insight, and communication to build alliance and support intervention, planned rather than incidental.
- SMART goal
- A goal that is specific, measurable, attainable, relevant, and time-bound, naming the occupation, assistance level, and criterion for success.
- Object permanence
- The understanding that objects continue to exist when out of sight, typically developing during Piaget's sensorimotor stage before about two years of age.
- Pincer grasp
- Prehension using the thumb and index finger to pick up small objects, typically emerging between nine and twelve months of age in typical development.
- Cerebral palsy
- A nonprogressive group of movement and posture disorders caused by early brain injury, often accompanied by sensory, cognitive, or communication impairments affecting daily occupations.
- Neuroplasticity
- The nervous system's capacity to reorganize through repeated, task-specific, salient practice with feedback, which underlies motor learning in rehabilitation.
- Person-environment-occupation fit
- The model holding that occupational performance results from the match among the person's abilities, the environment's demands, and the occupation's requirements.
- Performance patterns
- Habits, routines, roles, and rituals that organize daily life and either support or interfere with engagement in occupations.
- Activity demands
- The objects, space, social expectations, sequencing, timing, required actions, and body functions that an activity requires for performance.
- Occupational deprivation
- A state in which external circumstances prevent a person from engaging in meaningful occupations, arising from environmental or systemic barriers rather than personal choice.
- Reliability versus validity
- Reliability is consistency of measurement across occasions or raters; validity is whether the tool measures the construct it claims to measure.
- Minimal detectable change
- The amount of change in a score that exceeds measurement error, indicating real change rather than random fluctuation.
- Minimal clinically important difference
- The smallest change in an outcome that a client or clinician would consider meaningful, which may exceed the minimal detectable change.
- Goal attainment scaling
- An individualized outcome method scoring goal achievement on a five-point scale from minus two to plus two, with zero representing the expected outcome.
- Informed consent
- Authorization to treat based on capacity, disclosure of risks and benefits, understanding, voluntariness, and documentation, which the client may withdraw at any time.
- Mandatory reporting
- A legal duty to report suspected abuse or neglect of children, older adults, or dependent adults to the designated authority, required even without confirmation.
- Scope of practice
- The range of services a licensee may legally provide, defined by statute and board rules rather than by employer policy or personal training.
- Conflict of interest
- A situation in which a personal or financial interest could improperly influence professional judgment, requiring disclosure and avoidance where possible.
- SOAP note
- A documentation format with Subjective client report, Objective measurable findings, Assessment clinical interpretation, and Plan for next steps and frequency.
- SBAR handoff
- A structured communication tool covering Situation, Background, Assessment, and Recommendation, used to convey clinical information consistently during handoffs.
- Teach-back method
- A communication check in which the client explains or demonstrates the instruction in their own words, confirming understanding rather than asking whether they understood.
- Health literacy accommodation
- Adjusting communication using plain language, chunking, visual supports, and qualified interpreters so clients can understand and act on health information.
- Screening versus evaluation
- Screening determines whether further assessment is needed; evaluation gathers comprehensive data to identify problems and plan intervention.
- Task analysis
- Breaking an occupation into sequential steps and identifying the performance skills and body functions each step requires for a specific client.
- Grading versus adapting
- Grading changes task demand by altering time, weight, distance, or complexity; adapting changes the task, tools, or environment to fit the client.
- Sensitivity and specificity
- Sensitivity is the proportion with the condition correctly identified; specificity is the proportion without it correctly identified. Lowering a cutoff raises sensitivity.
- Standard scores
- Scaled scores with known means and standard deviations: z-score mean zero SD one, T-score mean fifty SD ten, and standard score mean one hundred SD fifteen.
- Informed refusal
- A capable client's decision to decline recommended treatment after education about consequences, which should be documented along with the information provided.
- Skilled documentation
- Records that describe the therapist's clinical reasoning, cueing, and adaptations provided, demonstrating why the service requires professional skill rather than aide-level task performance.
- Cultural humility
- An ongoing practice of asking about the client's explanatory model, values, and preferred decision-making role rather than assuming cultural norms.