[Occupational Therapy in Orthopedics and Accident Surgery].

Ergotherapy is part of the multidisciplinary treatment concept in the field of orthopedics and trauma surgery. The occupational therapist treats patients together with doctors, nurses, physiotherapists, psychologists, social workers/pedagogues, speech therapists and other professional groups · with congenital malformations,. · with chronic diseases,. · with degenerative diseases,. · after accidental injuries or surgical interventions.. Therapy takes place in terms of client centricity and sees the patient as a full member of the team. Together, therapy goals are determined and the therapy is designed. Occupational therapy has a wide range of treatment options that are individually tailored to the patient's situation and needs.The start of treatment is early in acute care hospitals - some already in the intensive care unit, z. For example, with bar treatments for physiological storage, ADL training, aid care, functional treatment with increasing load increase, sensitivity training, etc., with the aim of helping the patient to carry out activities in his important areas of life and to largely independently create his own life.In rehabilitation clinics or in outpatient settings, occupational therapists pass on these treatment measures, adapting the therapy contents to the status and possibly changed needs of the patient and his goals in the rehabilitation process. Accompanying up to professional reintegration is possible.One domain of occupational therapy is the inclusion of contextual factors of the patient in therapy (biopsychosocial model).Occupational therapy is not deficit-oriented but knows how to integrate the patient's resources into the treatment and to support him in becoming an expert in his illness. This in turn has a positive effect on the adherence in occupational therapy treatment.