Introduction
The biomechanical frame of reference sees an individual in terms of their capacity for movement, muscle strength and endurance. Due to disease of injury and individual quality of motion, strength and endurance may limit their ability to fulfill an occupational need. The biomechanical model used three areas to address a decreased quality of motion, prevention, restoration and compensation (Kielhofner, 2004; McMillan, 2011).
Client-centered practice is a pivotal concept within occupational therapy (Parker, 2011). To ensure optimum healthcare for the client, they need to be actively involved throughout the decision making process. …show more content…
Occupational therapist’s use a number of strategies to ensure their client is involved (Maitra, & Erway, 2006). Maitra and Erway (2006) found the therapeutic environment played an important part in involving the client in decisions, as well as ensuring the clients are education about their own role in both the goal-setting and treatment-planning stages. Nord, Eakin, Astley, Atkinson (2009) found an open attitude on the occupational therapist side as key to client involvement, clients were also shown and explained plan drawings in a way that helped them understand what was happening, enabling the client to make further decision. Further to this Parker (2011) explains that for client to be involved in the decision making process the information needs to present in a way the client can understand. The occupational therapist acts as a facilitator in the process ensuring there are negotiation and the client feels they are empowered throughout the …show more content…
Further challenges are clients who do not which to have input into the decision making process, this may be due to their phase of illness, reliance on others or specific cultural practices (Maitra & Erway, 2006; Samisen, 2005; Parker, 2011). The environment also plays a part in the integration of client views, an environment such as a hospital following the medical model maybe well suited to the bio-mechanical framework to the detriment of client-centeredness (Maitra & Erway, 2006). Communication also needs to be adapted to suit the client. The client leading to further miscommunications may not understand plan drawings and specification using a profession language. The clients own communication capabilities may also make it hard for their views to be heard (Nord, Eakin, Astley, Atkinson, 2009).
A strenght of the biomechanical model and client-centred practice is the use of the clients personal measurements such as wheelchair heights and requirements such shower control at seated height to make a home adaption personally functional (Nord, Eakin, Astley, Atkinson,