Occupational Therapy Participation

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The International Classification of Functioning, Disability and Health (ICFDH) classifies participation as “the person’s involvement in a life situation” (Desrosiers, 2005, p. 196). When an individual experiences a disability or injury and must receive rehabilitation, one goal of occupational therapists is increased activity participation. These activities can be related to self-care, life skills, work, school, leisure, and socialization, among others. Through various intervention strategies, occupational therapists can help an individual participate in activities that are meaningful to them, and ultimately make connections, attain or regain skills, and achieve purpose in life (Forhan, Law, Vrkljan, & Taylor, 2010). Occupational therapists …show more content…

This can be seen in people who are overweight and the elderly who can no longer drive. People who are obese face the risk of health problems and stigmatization from society. Forhan et al. (2010) interviewed 10 adults with class III obesity (a BMI of 40 kg/m²), who recognized the value of participation, including feelings of independence, respect, and energy to preserve social relationships. However, they identified barriers to participate as the built environment and attitudes towards people of their weight. By being enrolled in a weight loss program to better themselves, these barriers would decrease and hopefully disappear one day. As an occupational therapist, it is important to promote well-being and participation through perseverance and access to environmental supports, both physical and emotional, to allow these people to "live while losing" (Forhan et al., 2010, p.216). Well-being and sense of self can be achieved through the occupations participated in and the identity that forms from them. Changes an individual's ability to participate can affect their occupational identity. This was studied by Vrklkan and Polgar (2007) in which they interviewed an elderly couple, in which the husband had ceased driving. This role used to belong to the husband, but due to a decline in sight, had to be given up for the safety of himself and other drivers. The husband expressed a limitation in his occupations …show more content…

In practice, occupational therapists must take an active role to promoting engagement. This begins with how an occupational therapist views a situation. While the ICFDH takes into account the environment and the global and local influence of the environment on health, it leaves out the subjective experience of the individual (Hemmingsson & Jonsson, 2005). Vik et al. (2008) and Van de Velde et al. (2010) demonstrated the way a person participates can vary in what forces dictate the structure of their day, themselves or life itself, and in what types of participation they are involved in, from occupational participation to social participation to socio-occupational participation. Participation has previously been understood as a observable experience, but recent research has shed a light on the internal negotiation of values that occurs. Occupational therapy needs to continue to push for a client-centered practice in which interventions are tailored around the client's level of participation in daily life. These levels of participation may be altered in times of transition, and occupational therapists have a duty to help individuals through transitions, whether they be from the hospital to home, from the role of a driver to a non-driver, or through a weight change (Van de Velde et al., 2010; Forhan et al., 2010; Vrkljan & Polgar, 2007). In

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