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Occupational Performance Patterns

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Stephanie Lancaster

on 2 March 2017

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Transcript of Occupational Performance Patterns

Learning Objectives:
Performance Patterns:
A Brief Review ...
The OTPF supports a top-down approach.
What does that mean?
Occupational Performance Patterns
and Context & Environment
OT 425 - UTHSC

Demonstrate an understanding of occupational performance patterns and contexts by defining and giving an example of each.
Examine roles, routines, rituals, and habits and reflect on their influence on health and well-being.
Discuss the clinical implications of performance patterns on OT intervention.
This presentation focuses on the two domain areas above in bold italics.
Image: http://thepoint.lww.com

The patterns or tendencies used in the process of engaging in occupations.
Note: These can
occupational performance and the achievement of life balance.
Performance Pattern #1:
Specific, automatic behaviors that are performed repeatedly and relatively automatically.
Often integrated into more complex patterns that enable people to function on a day-to-day basis.
A Habit can be -
What's an example of
each type?
Performance pattern #2:
Observable, regular, repetitive patterns of behavior that provide structure for daily life
"A type of higher-order habit that involves sequencing and combining ... steps ... and provides a structure for daily life" (Clark, 2000, p. 128S)
A Routine can be ..
Promoting [health]
Can you think of an
example of each type?
Performance pattern #3:
Characteristics of roles -
Dynamic throughout the lifespan
Create a sense of purpose, identity, and structure
Learned through a process of socialization and acculturation
A person's identity results from the roles in which the individual or others see him/her.
Think of a role that can be disrupted by a disability.
Performance Pattern #4:
Symbolic actions with spiritual, cultural, or social meaning, contributing to the client’s identity and reinforcing values and beliefs.
Think of a ritual that you take part in and reflect on why it's significant.
The goal of having performance patterns is establishing LIFE BALANCE (aka OCCUPATIONAL BALANCE).
When performance patterns are unhealthy, disrupted, or unestablished, the result is often ...
... IMBALANCE, which is defined as limited or compromised participation in valued relationships and which is incongruent for establishing/maintaining physiological health.

the domain of

- elements within and surrounding a client that are often less tangible than physical or social environments but that still impact occupational performance

- the terrain, location, or "backdrop" of occupational performance
The domain of Context & environment include the following aspects of occupational performance:
Context -
Cultural context
Personal context
Temporal context
Virtual context
Cultural context
The customs, beliefs, activity patterns, behavior standards, and expectations accepted by the society of which the client is a member

May be influenced by ethnicity, values, political aspects, education, employment, and economic support

What is an example of a cultural norm or standard that can impact OT intervention?
How does the context of the culture of OT school affect you?
Personal context
Age, gender, socioeconomic status, education status, and group membership and participation including volunteer work

Features of the individual that are not part of a health condition or health status

Interactions in which communication occurs by mean of airways or computers and an absence of physical contact
Includes simulated, real-time, or near-time environments

temporal context
The experience of time as shaped by engagement in occupation
Stages of life, time of day or year, duration, rhythm of activity, or history

environmental Factors
Physical environment - natural and built conditions and details of those settings
Social environment - the presence, relationships, and expectations of persons, organizations, and populations
Questions for Application of These Concepts
#1: David uses social media, such as Facebook and chat rooms, to make friends and participate in leisure. What best describes David’s context? (a) Virtual (b) Physical (c) Temporal (d) Social

#2: Mary Claire is a 9 year-old with a medical history of prematurity and developmental delay and an educational diagnosis of ADD. She frequently puts her hair over her face so that she can avoid being seen by her classmates as she sucks her thumb. The type of habit in which Mary Claire is engaging in-
(a) Social (b) Useful (c) Dominating (d) Impoverished

#3: John is a 49 year-old male who worked as a truck driver until he sustained a Traumatic Brain Injury in a motor vehicle crash three months ago. As a patient in a rehab facility, he often yells and curses at staff members and sometimes refuses to participate in therapy sessions. It is likely that he is reacting to a disruption in which performance pattern -
(a) Habits (b) Rituals (c) Values (d) Roles
A set of behaviors expected by society and
shaped by culture which may be further developed or defined by an individual
Physical environment
Social environment

-balance among work and rest occupations, caring for self and caring for others, and experiences in meaningfulness of occupations to self and in social context.
Does having a disability always result in life imbalance?
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