The OTPF is a document that explains topics and elements of occupational therapy which are all intertwined. It defines occupational therapy practitioners, clients, and occupations, which are all important terms and concepts to fully understand as an occupational therapist. It is important to learn about the OTPF because it can be used as a resource in the field and lays the foundation or "framework" for which we as professionals practice. In addition, the OTPF has many visuals for clearer and more concise understanding of different topics and how they are related to other topics.
When deciding what assistive device is best for each client, there are many factors that need to be considered in order to have the best "fit." It is important to consider the physical condition of the client, including their disability, weight bearing status, strength, and balance. For example, if the client is not allowed to put any weight through one leg, you would not want to suggest they receive a cane. Additionally, it is important to fit the assistive device to your client to ensure safety and proper body mechanics. If the client's crutches are too short and not adjusted to match their landmarks we use to fit, then they will likely have poor body mechanics. If these factors are not considered, it can be detrimental to your client and cause an increase in risk for falls or further injury. To properly fit a cane or rolling walker to your client, the hand grip should be at the level of their greater trochanter to allow their elbow to be flexed 20-30 de...
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