Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 49 - Occupational Therapists and Occupational Therapy Assistants › Subchapter A - General Provisions › Section XLV-4903 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. As used in this
					 Chapter, the following terms shall have the meanings specified.
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.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 37:3001-3014 and
						37:1270(B)(6).