††††† 201 KAR 28:010. Definitions and abbreviations.
††††† RELATES TO: KRS 319A.010-319A.210
††††† STATUTORY AUTHORITY: KRS 319A.070(3)
††††† NECESSITY, FUNCTION, AND CONFORMITY: KRS Chapter 319A and pertinent parts of KRS 319A.070(3) require the Kentucky Board of Licensure for Occupational Therapy to promulgate administrative regulations pertaining to the practice and licensure of occupational therapists and occupational therapy assistants. This administrative regulation sets forth the definition of terms and phrases which will be used by the board in enforcing and interpreting the provisions of Chapter 319A and the administrative regulations.
††††† Section 1. Definitions. "ACOTE" means the Accreditation Council for Occupational Therapy Education.
††††† (2) "Act" means the Kentucky Occupational Therapy Act as established in KRS 319A.010 to 319A.990.
††††† (3) "Adjunct" means methods, strategies, or interventions that support and advance a clientís occupational therapy performance used as a precursor to enable purposeful activities or occupations.
††††† (4) "AOTA" means the American Occupational Therapy Association.
††††† (5) "Assistive technology" means any item, piece of equipment, or product system, whether commercially available, modified, or custom designed, that is used to increase, maintain, or enhance the occupational performance of an individual.
††††† (6) "Basic activities of daily living" means tasks or activities that are oriented toward taking care of oneís own body; those tasks that are performed daily by an individual that pertain to and support oneís self-care, mobility, and communication; and includes the following activities:
††††† (a) Bathing and showering;
††††† (b) Bowel and bladder management;
††††† (c) Dressing;
††††† (d) Eating and feeding;
††††† (e) Functional mobility;
††††† (f) Personal device care;
††††† (g) Personal hygiene and grooming;
††††† (h) Sexual activity;
††††† (i) Sleep and rest; and
††††† (j) Toilet hygiene.
††††† (7) "Certified hand therapist" (CHT) means a person who is certified by the Hand Therapy Certification Commission.
††††† (8) "Board" is defined by KRS 319A.010(1).
††††† (9) "Cognitive components" means the skill and performance of the mental processes necessary to know or comprehend by understanding with such skills including: orientation, conceptualization, and comprehension, including concentration, attention span, memory, and cognitive integration including generalization, and problem-solving.
††††† (10) "Components of performance" means the demands of an activity which include human, object and contextual factors including objects, space, social demands, sequencing or timing, required actions for performance and required underlying body functions and structures needed to carry out activities.
††††† (11) "COTA" means a certified occupational therapy assistant.
††††† (12) "COTA/L means a certified occupational therapy assistant/licensed.
††††† (13) "Ergonomic principles" means:
††††† (a) The study of:
††††† 1. Relationships between components of performance;
††††† 2. People as it relates to their occupations, the equipment they use and their environment; and
††††† 3. The application of that knowledge and skill as it focuses upon maximizing efficiency in the areas of production, quality and safety; and
††††† (b) Principles that are utilized by occupational therapists to optimize an individualís occupational performance in the areas of self-care, productivity, work, and leisure and may include job analysis, consultation, and educational activities.
††††† (14) "Functional mobility" means moving from one (1) position or place to another including in-bed mobility, wheelchair mobility, transportation of objects through space, and functional ambulating and transfers.
††††† (15) "Gait training" means the instruction of proper walking patterns.
††††† (16) "General supervision" means an interactive process for collaboration on the practice of occupational therapy which includes the review and oversight of all aspects of the services being provided by the individual under supervision.
††††† (17) "Instrumental activities of daily living" means complex tasks or activities that are oriented toward interacting with the environment and are essential to self-maintenance matters which extend beyond personal care, including:
††††† (a) Care of others;
††††† (b) Care of pets;
††††† (c) Child rearing;
††††† (d) Communication device use;
††††† (e) Financial management;
††††† (f) Health management and maintenance;
††††† (g) Home establishment, management, and maintenance;
††††† (h) Meal preparation and cleanup;
††††† (i) Safety procedures and emergency responses;
††††† (j) Shopping; and
††††† (k) Selection and supervision of caregivers.
††††† (18) "Occupations" means activities, tasks or roles that individuals engage in which provide intrinsic value and meaning for the individual, society, and culture.
††††† (19) "OTA/L" means an occupational therapy assistant/licensed.
††††† (20) "OT/L" means an occupational therapist/licensed.
††††† (21) "OT" means occupational therapy.
††††† (22) "OTR/L" means an occupational therapist registered/licensed.
††††† (23) "OTR" means an occupational therapist registered.
††††† (24) "Performance abilities" means the utilization of performance skills in the participation of active daily life.
††††† (25) "Performance skills" means the observable actions of a person that have implicit functional purposes, including motor skills, processing skills, interaction skills, and communication skills.
††††† (26) "Prevention" means the skill and the performance of the person to minimize debilitation with the treatment focusing on energy conservation, including activity restriction, work simplification, and time management, joint protection and body mechanics, including proper posture, body mechanics, and avoidance of excessive weight bearing, positioning, and coordination of daily living activities.
††††† (27) "Psychosocial component" means the skill and performance in self-management and interaction skills with such skills including: self-expression, self-control, interaction with another person, and interaction with groups of three (3) or more people.
††††† (28) "Remediation" means an intervention approach designed to change client variables to establish a performance skill or ability that has not yet developed.
††††† (29) "Restoration" means to restore a performance skill or ability that has been impaired.
††††† (30) "Sensorimotor components" means the skill and performance of patterns of sensory and motor behavior of a person undergoing treatment with skills including neuromuscular activity, including reflex integration, range of motion, gross and fine motor coordination, strength and endurance, and sensory integration, including sensory awareness, visual-spatial awareness, and body integration. (13 Ky.R. 1175; eff. 1-13-1987; Am. 14 Ky.R. 1847; eff. 4-14-1988; 20 Ky.R. 1050; 1852; eff. 2-10-1994; 30 Ky.R. 79; 849; 1205; eff. 10-15-2003; 37 Ky.R. 1005; Am. 1420; eff. 12-15-2010.)