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An occupational therapist and myself worked together with a patient. This particular patient was an older Spanish-speaking woman with baseline dementia and current R MCA stroke. She was aphasic, inconsistently followed commands in English and Spanish, lethargic, intermittently agitated and had left neglect. The patient responded and participated more during our PT sessions, however the OT reported that the patient did not respond similarly during their sessions together. I was able to stand, ambulate with and transfer patient into the standing frame whereas the OT said she was unable to complete ADLs with patient secondary to unwillingness. In the effort to deliver the highest quality of care the OT and I decided to co-treat the patient for
I believe that this situation arose because of a lack of communication, as well as struggles for control. The understanding of where one person’s profession and responsibility lies compared to other professions sounds to be a common situation that arises in the realms of therapy. However, I think that this situation is not only applicable to other environments of occupational therapy, but all professions in general. I believe that this situation was a prime example of Schell’s Ecological Model of Professional Reasoning. Both my FWE and the head of RT were looking at the situation through their personal and professional lenses, combined with the situational context, which caused a conflict to arise.
Mrs. Hylton is a 45 year old female who presented to the ED via LEO under IVC by her therapist, Melanie, from ADS. Per documentation Mrs. Hylton denies suicidal ideation and homicidal ideation to nursing staff and MCM before the evaluation. She also contracted for safety with MCM. Dr. Horton requested a mental health assessment on Mrs. Hylton. Before the assessment Ms. Melanie and her supervisor Melissa were contacted. Ms. Melissa reports Mrs. Hylton verbally contracted for safety, however left before ADS could type up terms of verbal agreement. Melissa reports afterwards she was not aware of Mrs. Hylton symptoms of psychosis when speaking with her until being informed by Melanie of findings after conversation with Mrs. Hylton. Melanie upon
I cared for a 76-year-old end-staged chronic obstructive pulmonary disorder patient who was admitted for respiratory distress. The doctor requested that my nurse and I get the family together for a family meeting. During the meeting, the doctor communicated to the patient and his family members that the patient will be palliative and no longer be in the ICU. The family members were concerned about the transfer of care to the medicine unit, what to expect from palliative care and other options for care. This scenario did not go well because the patient and family would have benefited from a palliative nurse with expertise, respiratory therapist to discuss other options, pharmacist about medication change if needed, social worker to help guide the family through end of life care for their father. In addition, there was no collaboration with interprofessionals prior to the family
Evaluating Process: First, it is important to review R’s occupational profile for progress from the start of occupational therapy. This is done to determine which assessment fits the needs of R and to ensure that the services rendered fits the client's purpose and goal. Some of the information gathered will include: client's occupational history, ADL patterns, needs and goals, environmental issues, and what the client’s limitations. It is important to evaluate the client’s progress to help facilitate the services that the new occupational therapist will continue. In addition, the client's concerns and interests are assessed in a welcome and open interview to attain additional information that R's family may
Occupational Therapy takes a client-centered approach to each individual and unique client. This client is Martha. She is 78. She was admitted to the hospital after suffering a cerebrovascular accident (CVA), or stroke. It began when she experienced a choking episode and weakness in her right side. The CVA resulted in right hemiplegia and aphasia. Martha has partial paralysis in the right half of her body and cannot verbally communicate. Her primary role is a homemaker. She graduated with a high school education but never pursued a profession. She is the wife of a healthy and supportive 80 year old man. He intends to care for her at home with private assistance. Some of Martha’s meaningful occupations are playing games such as bingo, solitaire and bridge. She also finds satisfaction in tending to her garden.
The bachelor of health science disability and community rehabilitation major offered at Flinders University endeavours to prepare students for a range of professions within the health care community development sector. This could be services such as welfare and community advocacy, human resource and administration management, policy advice, through to professions such as physiotherapy, occupational therapy and midwifery (Flinders University, 2016). The preparation could be through the completion of the degree, the use of the degree as a recognised Flinders pathway or as a passage to further postgraduate studies (Flinders University, 2016). Personally I wish to transition into either a combined or a postgraduate master’s degree in occupational
On 5/6/15, PACT occupational therapist received a message from the person’s served brother requesting a return call. The message stated that they have a "big problem with the person served, he passed out and his heart stopped. The paramedics and everyone are working on him." Upon calling the person’s served brother, he reported that the paramedics have been making attempts to "revive" the person served for approximately 30 minutes, though "can't get a heartbeat." Occupational Therapist then spoke with Kevin Kelty, paramedic supervisor at Robert Wood Johnson of Somerset. Kevin informed staff of their efforts and reported that the person’s status was not going to change. PACT staff were informed that they were going to "pronounce him here." In
Occupational therapist and occupational therapy assistances work with a wide variety of populations throughout their career. Some of these different populations can include different types of backgrounds, genders, ages, economic statuses, ethnicities, and more. While working with these populations, occupational therapists and occupational therapy assistances have to be aware of different types of influences that can not only affect the client, but the client’s occupations as well. In this article, “Psychosocial Aspects of Occupational Therapy,” it discusses the different types of psychosocial aspects that are in the field of occupational therapy.
Occupational therapy strives to help individuals across the lifespan with and without disability live their life to the fullest by enabling them to do things they want or need to do. Occupational therapy is a holistic profession that aims to promote health and prevent, maintain, or improve live with a disability, illness or injury. Occupational therapy falls under public health because it looks at public health issues that impact patients and advocate for changes that can benefit copious individuals. The profession is also actively participating in health promotion by enabling people to increase control over their own health and work to improve health. Through engagement in occupations, everyday activities that are meaningful and purposeful
Occupational therapy is a career focused on helping people who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. An OT’s scope of practice may involve addressing “the physical, cognitive, psychosocial, sensory, and other aspects of performance to support engagement in everyday life activities that affect health, well-being, and quality of life” (Definition of Occupational Therapy Practice for the AOTA Model Practice Act, 2017). I don’t feel like occupational therapy is the right career for me because I feel like I lack certain characteristics that someone in this profession should have.
An Occupational Therapist has several responsibilities when it comes to taking care of their patient. Before they can do anything, they must review the patient’s history. They do this by asking the patient
Occupational therapy (OT) theory offers valuable contribution to support professionalization since possessing a unique body of knowledge is essential to define a profession (Cooper, 2012). To utilize theory effectively, it is essential to differentiate between generic and specific theory as knowledge of the core theory helps to form OT identity and action as a practicing practitioner. In this essay, OT theory refers only to philosophy and OT specific models. Frame of references (FOR) will not be included since it can be shared with the other professions (Boniface & Seymour, 2012).
Introduction Occupational therapy is a form of therapy for those recuperating from physical or mental illness that encourages rehabilitation through the performance of activities required of daily life (O’Brien & Hussey, 2012; American Occupational Therapy Association [AOTA], 2014). The goal of OT intervention is to increase the ability of the client to engage in everyday activities, for example, feeding, dressing, bathing, leisure, work, education (O’Brien & Hussey, 2012; & AOTA, 2014). The Mental Health Act (MHA) is the law which sets out when you can be admitted, detained, and treated in hospitals against your wishes. It is also known as being ‘sectioned’ (Institute of psychiatry, psychology, & neuroscience, 2014).
I discovered occupational therapy while working in an acute care hospital as a certified nurse assistant. While working alongside many OT's, I loved how they were concerned with the long-term effect of the patients’ disease or injury and how it would influence their daily life. I was intrigued by how they worked with the patients to teach them ways to live functionally, despite their limitations. One instance was when the OT at Shriners Hospital for Children worked with a young wheelchair-bound boy to find ways to toilet himself at school without needing help. Since he was getting older, he wanted to gain more independence, which is typical of all children, as they get older. The OT assessed his current abilities and practiced techniques that
Describe your personal experience and/or research regarding occupational therapy. What motivates you to pursue this profession?