ABSTRACT
This article describes a framework for occupational therapy service provision in early intervention settings and presents pilot data aimed at examining the framework's effectiveness. The Family-Centered Framework for Early Intervention is a synthesis of concepts from the Model of Human Occupation (Kielhofner & Burke, 1980) and from the literature on play. It encompasses a systematic, holistic approach that considers the child and the family within the context of their life environments. In this framework, play is used both as an evaluative tool and as an intervention modality that addresses the volition, habituation, and performance of the child and family as well as the strengths and weaknesses of the environment. Play is also used as a primary measure of competence and change. This framework may be useful in defining occupational therapy roles for the early intervention population.
Subject(s)
Disabled Persons , Family , Occupational Therapy , Child, Preschool , Environment , Home Care Services , Humans , Infant , Models, Theoretical , Occupational Therapy/methods , Pilot Projects , Play and PlaythingsSubject(s)
Counseling , Malignant Hyperthermia/psychology , Adolescent , Adult , Counseling/methods , Humans , Malignant Hyperthermia/geneticsABSTRACT
A randomised double-blind study was conducted to compare the influence on postoperative pain of equal volumes of one of two concentrations of bupivacaine (0.25%, 0.5%), or saline 0.9%, injected into the knee joint after arthroscopy. The results showed that intra-articular bupivacaine had no significant analgesic effect in either concentration. Plasma bupivacaine concentrations were measured 20 minutes after injection in order to determine the extent of systemic absorption.
