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.
As the activity demands of an individual increases, the need for greater confidence in mobility does too. The hierarchy of mobility skills, from the most stable to the least, is: bed mobility, mat transfer, wheelchair transfer, functional ambulation for ADL, toilet and tub transfer, car transfer, functional ambulation for community mobility, and community mobility and driving. This sequence is logical and decreases in support as the client progresses through the levels. The base of support varies for each skill. The largest base of support is with bed mobility, which is also the lowest level on the hierarchy. For the highest level, community mobility and driving, there is more maneuvering through environments other than the home. This means extra walking or transfers than the client would usually perform in the home. This is what I have observed in my past experiences. For a client who is very weak and in the hospital, ...
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