La. Admin. Code tit. 46 § XLV-4903
Activities of Daily Living-the components of everyday activity.
Activity Limitation-the exclusion of certain activities, or restrictions in method of duration of performance.
Assistive/Adaptive Equipment-a special device which assists in the performance of occupations.
Board-the Louisiana State Board of Medical Examiners.
Client-a person, group, program, organization or community for whom the occupational therapy practitioner is providing service (American Occupational Therapy Association).
Client Care Conference-a meeting between the supervising occupational therapist, who must have previously evaluated and/or treated the client, and an occupational therapy assistant to discuss client progress or lack thereof, client issues, revision of goals, initiation, modification or termination of an individual program plan, assessment of utilization of additional resources, discharge and any other information which may affect a client's plan of care. Except when specifically required in this Chapter to be conducted by face to face conference, such meeting may be undertaken by telephone or other means of telecommunication which allows for simultaneous interactive discussion between the supervising occupational therapist and occupational therapy assistant.
Close Client Care Supervision-face to face observation of an occupational therapy assistant administering occupational therapy to a client, accompanied or followed in a timely fashion by verbal discussion of client goals, the individual program plan and other matters which may affect the client's plan of care.
Cognitive Skills-actions or behaviors a client uses to plan and manage the performance of an activity.
Community Services, Programs, or Resources-vocational, social, religious, recreational, health, education, and transportation services or programs that may be available in the community.
Coordination-the ability to perform motions in a smooth concerted way.
Consultation-process of assisting a client, agency, or other provider by identifying and analyzing issues, providing information and advice and developing strategies for current and future actions.
Context-a variety of interrelated conditions within and surrounding the client that influences performance including, but not limited to, cultural, personal, temporal, virtual, physical and social.
Coping Skills-the ability to sublimate drives, find sources of need gratification, tolerate frustration and anxiety, experience gratification, and control impulses.
Documents-the written recording of information in the client's overall record/chart and/or in the occupational therapy record/chart.
Dyadic Interaction Skills-the ability in relationships to peers, subordinates, and authority figures to demonstrate trust, respect, and warmth; to perceive and respond to needs and feelings of others; to engage in and sustain interdependent relationships; and to communicate feelings.
Early Intervention Setting-a natural environment, such as a child's home, child care or other community setting in which children through 3 years of age (36 months) participate.
Education-an intervention process that involves the imparting of knowledge and information about occupation and activity. This does not include school based occupational therapy.
Evaluate/Evaluation-the process of collecting and interpreting data through direct observation, interview, record review, or testing of a client.
Environmental Adaptations-structural or positional changes designed to facilitate independent living and/or increase safety in the home, work, or treatment setting: i.e., the installation of ramps, bars; change in furniture heights; adjustments of traffic patterns.
Face to Face-direct communication between the occupational therapist supervising client care and an occupational therapy assistant, which is conducted in the physical presence of one another.
Facilitation Techniques-selection, grading, and modification of sensory input which attempts to encourage motion in a non-functioning muscle or muscle group.
Group Interaction Skills-abilities in performing tasks in the presence of others; sharing tasks with others; cooperating and competing with others; fulfilling a variety of group membership roles; exercising leadership skills; perceiving and responding to needs of group members.
Inhibition Techniques-selection, grading, and modification of sensory input which attempts to decrease muscle tone or excess motion that interferes with function.
Joint Protection/Preservation-the principles or techniques of minimizing stress on joints. It includes the use of proper body mechanics; avoidance of excessive weight-bearing, static, or deforming postures.
Kinetic Activities-those activities requiring motion. It can include activities of daily living and isometric, assistive, resistive exercises.
Louisiana Occupational Therapy Practice Act or the Act-R.S. 39:3001- 3014 as hereafter amended or supplemented.
Mobility-moving from one place to another during the performance of everyday activities, including skills such as getting in/or out of bed, chair, wheelchair, vehicles, using transportation, functional ambulation and transporting objects.
Motor Skills-the level, quality, and/or degree of range of motion, gross muscle strength, muscle tone, endurance, fine motor skills, and functional use.
Object Manipulation-skills such as the handling of common objects such as telephone, keys, money, light switches, doorknobs.
Occupational Performance-the act of engaging in any occupation including activities of daily living (ADL), instrumental ADLs (IADL), rest and sleep, education, work, play, leisure, and social participation.
Occupational Therapist-a person who is licensed to practice occupational therapy, as defined in this Chapter, and whose license is in good standing.
Occupational Therapy-the application of any activity in which one engages for the purposes of evaluation, interpretation, treatment planning, and treatment of problems interfering with functional performance in persons impaired by physical illness or injury, emotional disorders, congenital or developmental disabilities, or the aging process, in order to achieve optimum functioning and prevention and health maintenance. The occupational therapist may enter a case for the purposes of providing consultation and indirect services and evaluating an individual for the need of services. Prevention, wellness and education related services shall not require referral, however, in workers compensation injuries preauthorization shall be required by the employer or workers compensation insurer or provider. Implementation of direct occupational therapy to individuals for their specific medical condition or conditions shall be based on a referral or order from a physician, dentist, podiatrist, advanced practice registered nurse, or optometrist licensed to practice in the state of Louisiana. Practice shall be in accordance with current standards of practice established by the American Occupational Therapy Association, Inc., and the essentials of accreditation established by the agencies recognized to accredit specific facilities and programs. Specific occupational therapy services include, but are not limited to, activities of daily living (ADL); the design, fabrication, and application of prescribed temporary splints; sensorimotor activities; the use of specifically designed crafts; guidance in the selection and use of adaptive equipment; therapeutic activities to enhance functional performance; pre-vocational evaluation and training and consultation concerning the adaptation of physical environments for the handicapped. These services are provided to individuals or groups through medical, health, educational, and social systems.
Occupational Therapy Assistant-a person who is licensed to assist in the practice of occupational therapy under the supervision of, and in activity programs with the consultation of, an occupational therapist licensed under this Chapter.
Performance Skills-the abilities clients demonstrate in the actions they perform. The learned and developmental patterns of behavior which are the prerequisite foundations of occupation. The performance skills components include: motor skills, sensory perceptual skills, praxis skills, emotional regulation, communication and social/skills.
Periodically-occurring at regular intervals of time not less than every two weeks or the sixth visit, whichever comes first.
Play/Leisure Skills-those skills necessary to perform and engage in activities such as games, sports, and hobbies.
Positioning-the placing of body parts in proper alignment.
Practice-Experience-1600 hours of documented work as an occupational therapy practitioner is equivalent of one year of practice experience.
Psychological/Intrapersonal Skills-the level, quality, and/or degree of self-identity, self-concept, and coping skills.
Reality Orientation-the treatment approach aimed at reinforcement of reality; i.e., the use of simple structured activities for orientation to time, place, and person.
Re-Evaluate/Re-Evaluation-the process of periodically and systematically reviewing and interpreting the effectiveness and efficiency of client goals, the treatment plan, intervention and any other aspect of an individual's occupational therapy program.
Self-Care Skills-activities that are oriented toward taking care of ones own body, including, but not limited to, skills such as bathing, showering, bowel and bladder management, dressing, eating, feeding, functional mobility, personal device care, hygiene/grooming, sexual activity, and toilet hygiene.
Self-Identity and Self-Concept-the ability to perceive self needs and expectations from those of others; identify areas of self-competency and limitations; accept responsibility for self; perceive sexuality of self; have self-respect; have appropriate body image; view self as being able to influence events.
Sensation-reception of stimuli, includes touch, pain, temperature, sterognosis, proprioception/kinesthesia, vestibular, taste, smell, vision, hearing.
Sensory Integration-the level, quality, or degree of development and integration of somatosensory functions, reflected in reflex and sensory status, posture, motor activity and praxis, form and space perception, body schema, and self-concept.
Service Competency-with respect to an occupational therapy assistant, means one who is appropriately trained and qualified to perform occupational therapy in accordance with the current standards of practice, as identified by the American Occupational Therapy Association.
Significant Others-persons who have an important relationship to the client. This could include the client's family, friends, employer, teacher, or other health care providers.
Social/Interpersonal Skills-the level, quality, and/or degree of dyadic and group interaction skills.
Splinting-the provision of temporary dynamic and/or static splints for the purpose of: relieving pain, maintaining joint alignment, protecting joint integrity, improving function, and/or decreasing deformity.
Structuring Environment-the organization of the client's time, activities, and/or physical environment in order to enhance performance (see environmental adaptations).
Supervising Occupational Therapist-an occupational therapist responsible to the client for occupational therapy who observes, directs, consults with and retains responsibility for the service competence and performance of an occupational therapy assistant in the administration of occupational therapy to such client.
Wellness-an active process through which individuals become aware of and make choices toward a more successful existence. Wellness is more than a lack of disease symptoms. It is a state of mental and physical balance and fitness.
Work Simplification-the streamlining of the performance of an activity in order to minimize energy output.
Work Skills-skills such as habits, workmanship, actual skills related to specific job tasks. The skills may refer to the work of the student, paid employee, retiree or volunteer.
La. Admin. Code tit. 46, § XLV-4903