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Ethical decision-making: Culturally home visit

The therapist makes a home visit. The client has been in an accident that has left her with both physical and mental challenges, and she has difficulty to cope with household chores. The client, her spouse and OT have conflicting views about what kind of services the client need.

After home visit the therapist wants to discuss an ethical problem and solution with the employer.

Resolving the ethical question: what should be done in this situation? What kind understanding of culture you should have? What to do when there is a difference in values and attitudes between you, the client and her spouse? How can you support the client in dealing with everyday challenges? What information do you need as an occupational therapist?

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Ethical decision making: Sexual identity and abuse

This simulation case involves meeting a client in a difficult situation. The client describes a domestic violence experience she has had during a home visit. The video unfolds through the eyes of the therapist.

Resolving the ethical question: what should be done in this situation? Should you intervene in a situation of intimate partner abuse? How can you support the client in dealing with sexuality and sexual identity issues? What information do you need as an occupational therapist?

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Ethical decision-making: Client refuses a home visit

The therapist makes a home visit, but the client does not want to receive the therapist. The client has just been discharged from the hospital, and the purpose of the visit is to find out how the client is coping at home. After home visit the therapist wants to discuss an ethical problem and solution with the employer.

Resolving the ethical question: should the occupational therapist go home against the client’s will or should the therapist refrain from going, and is it then a case of abandonment? How does the student justify their decision, is it a legal problem or an ethical challenge?

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Hand rehabilitation and activity analysis

The simulation takes place during an outpatient clinic visit situation. This simulation exercise involves an outpatient visit where the client has symptoms of numbness in her hand. This makes it difficult for her to participate in meaningful occupations. Based on interviews and observations, occupational therapists must determine the need for occupational therapy and the occupational challenges faced by clients.

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Define, explain and advocate for the professional role and value of occupational therapy

In this scenario, students will engage in a simulated situation in the role of occupational therapist. The scenario involves a meeting (online or live) between occupational therapists and a stakeholder (individual, group or organization with a specific interest or stake in the potential role, activities and value of occupational therapy).

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Observation and analysis of occupational performance during a cooking activity in a client with Korsakoff’s Syndrome

Students observe a client with Korsakoff syndrome performing a daily activity: preparing soup. Prior to the observation, students review the ICF model and formulate a clear observation goal based on the provided case information. They complete the ICF with the available data and practice the task (soup preparation) at home, breaking it down into sub-steps through a pre-execution task analysis.

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Designing home modification plans through case analysis and 360-degree video observation

In this scenario, students prepare by reviewing the ICF framework and the theory behind reimbursement for home modifications. During the class, students work in groups of four to analyze a case, identify the occupational therapy question, and examine 360-degree videos and a floor plan to collaboratively develop a plan. In the second phase, each group presents their plan to the others. As a final assignment, students write a professional report to the team with the necessary home modifications and therapy goals.

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