20.500.12556/RUL-176454 Uporaba ameriškega okvira prakse delovne terapije pri obravnavi otroka z motnjo v duševnem razvoju in s pridruženimi motnjami razvoja – prikaz primera The use of occupational therapy practice framework in the treatment of a child with intellectual disability and associated developmental disorders – a case study Delovna terapija je pomembna pri obravnavi otrok z motnjo v duševnem razvoju (MDR) in s pridruženimi motnjami, saj omogoča izboljšanje izvajanja okupacij in kakovosti življenja. Ameriški okvir prakse delovne terapije (OTPF-4) ponuja strukturiran pristop k vrednotenju, intervenciji in k oceni izidov obravnave. Metode: Predstavljen je primer 7-letnega dečka z MDR, s slabovidnostjo ter pridruženimi genetskimi in z nevrološkimi motnjami. Obravnava je temeljila na OTPF-4 in vključevala elemente razvojno-nevrološkega pristopa. Proces je zajemal pripravo okupacijskega profila, analizo izvajanja okupacije, oblikovanje ciljev, izbiro terapevtskih intervencij in pristopov, izvedbo obravnave ter vrednotenje izidov. Rezultati: Po enoletni obravnavi so bili doseženi pozitivni rezultati. Deček je pokazal izboljšave v socialnointerakcijskih in motoričnih spretnostih ter večjo samostojnost pri izvajanju vsakodnevnih okupacij (npr. toaleta, hranjenje, uporaba računalnika). Zmanjšala se je njegova odvisnost od pomoči odraslih, kar je prispevalo k večji vključenosti v socialne in izobraževalne aktivnosti. Sklep: OTPF-4 je strukturiran in prilagodljiv okvir, ki je ustrezen za delovnoterapevtsko obravnavo otrok z MDR in s pridruženimi motnjami. Individualiziran pristop, osredinjen na uporabnika, omogoča povečanje samostojnosti in kakovosti življenja, hkrati pa sta pomembna tudi interdisciplinarno sodelovanje in vključenost družine v delovnoterapevtsko obravnavo. Occupational therapy plays a crucial role in the treatment of children with intellectual disabilities and associated conditions, as it aims to improve their occupational performance and quality of life. The American Occupational Therapy Practice Framework (OTPF-4) provides a structured approach to evaluation, intervention, and outcome assessment. Methods: This article presents a case study of a 7-year-old boy with an intellectual disability, visual impairment, and associated genetic and neurological disorders. The intervention was based on OTPF-4 and incorporated elements of a neurodevelopmental approach. The included developing an occupational profile, occupational performance analysis, goal setting, selecting appropriate therapeutic interventions and approaches, implementing therapy, and evaluating outcomes. Results: After one year of occupational therapy intervention, positive results were achieved. The boy showed improvements in social interaction and motor skills, and greater independence in daily occupations (toilet training, eating, and computer use). Dependence on adult assistance decreased, leading to greater participation in social and educational activities. Conclusion: OTPF-4 provides a structured and flexible framework for occupational therapy intervention in children with intellectual disabilities and associated conditions. A client-centered, individualized approach enables greater independence and quality of life. Additionally, interdisciplinary collaboration and family involvement in therapy are also essential. družina interdisciplinarna obravnava okupacija OTPF-4 family interdisciplinary intervention occupation OTPF-4 true false true Slovenski jezik Angleški jezik Članek v reviji 2025-12-01 14:43:04 2025-12-01 14:43:07 2025-12-21 04:08:37 0000-00-00 00:00:00 2025 0 0 Str. 4-15 št. 1 Letn. 14 2025 0000-00-00 NiDoloceno Objavljeno NiDoloceno 0000-00-00 0000-00-00 2025-01-01 615.851.3-053.2 1580-6561 259433987 https://www.zdts.si/index.php/dokumenti/send/20-slovenska-revija-za-delovno-terapijo/257-slovenska-revija-za-delovno-terapijo-st-14 0 fca3020d-cebb-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=222791 Zdravstvena fakulteta 0 0 0