Being from Canada I am not familiar with AOTA Practice Framework.
However I am picking up on Alice's comment "until the client is able to
participate in true occupation". In my personal case I have considered
my self care to be a supporting activity for my true occupations, the
things I did which gave meaning to my life.
Last October I fell while skating and fractured my left shoulder through
the joint capsule. As my husband was recovering from a knee replacement
at that time we both became Home Care recipients. All phases of self
care immediately became meaningful and valued occupations - separately.
Toileting was an occupation. Washing was an occupation. Dressing was an
occupation. Eating was an occupation. You get the idea. At this point,
five months later, all my self care activities, collectively, including
driving, feel like the occupation of self care. I suspect when the
shoulder stops reminding me of their importance they will again become
supporting activities. Life is dynamic. Situations change. As therapists
we must address occupational deprivation but "true occupation" is
identified by our clients for themselves.

Joan Riches
1109 4th St SE
High River, AB T1V 1J2
403 652 7928
FAX 403 652 7970





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