Group items tagged D. - SSU MOT 6691 & 6692

Professionalism in physician assistant, physical therapist, occupational therapist, cli... - 0 views

Noronha, S., M.D., Anderson, Deborah,P.T., EdD., Lee, M. M., PhD., Krumdick, N. D., PhD., Irwin, Kent E,P.T., D.H.S., Burton-Hess, J., . . . Workman, G. M., PhD. (2016). Professionalism in physicia...

started by robmoat on 06 Dec 17 no follow-up yet

AM-PAC "6-Clicks" Functional Assessment Scores Predict Acute Care Hospital Discharge De... - 1 views

Jette, D. U., Stilphen, M., Ranganathan, V. K., Passek, S. D., Frost, F. S., & Jette, A. M. (2014). AM-PAC "6-Clicks" Functional Assessment Scores Predict Acute Care Hospital Discharge Destination. Physical Therapy, 94(9), 1252-1261. doi:10.2522/ptj.20130359

shared by hoyttssu on 02 Nov 16 - No Cached

hoyttssu on 02 Nov 16

This is an ADL assessment we're considering to use at my facility to help with "standardizing" our outcomes. The hospital in which we receive most of our referrals uses this assessment...the carryover would benefit to document progress throughout the therapy process. The article itself examines the accuracy of this assessment for discharge planning and concludes the accuracy is good/fair.

<div class="cArrow"> </div><div class="cContentInner">This is an ADL assessment we're considering to use at my facility to help with "standardizing" our outcomes. The hospital in which we receive most of our referrals uses this assessment...the carryover would benefit to document progress throughout the therapy process. The article itself examines the accuracy of this assessment for discharge planning and concludes the accuracy is good/fair.</div>

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evidence based - 0 views

http://www.biausa.org/businesscouncil/documents/ebr_cicerone_2000.pdf Cicerone, K., Dahlberg, C., Kalmar, K., Langenbaln, D., Malec, J. Bergquist, T. Giacina, J., Harley, J., Harrington, D., Herzo...

started by blequeknotts on 12 Nov 15 no follow-up yet

OTs role in SNF. - 0 views

OTs role in SNF. (n.d.) American Occupational Therapy Association (AOTA.org.). Retrieved from https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&ved=0CCQQFjABahUKEwiLuPfn3aLIAhUGaT4KHf...

started by christenhopkins on 15 Nov 15 no follow-up yet

Occupational Therapy interventions for adults with Stroke. - 0 views

This article provides clinical applications of systematic reviews developed in collaboration with AOTA's evidence-based practice project. This article provides OT interventions targeting adults wi...

started by christenhopkins on 15 Nov 15 no follow-up yet

The Scope of Professional Roles and Boundaries of OT's - 1 views

Article: Sachs, D., & Labovitz, D. R. (1994). The caring occupational therapist: Scope of professional roles and boundaries. American Journal of Occupational Therapy, 48(11), 997-1005. The article...

started by caitlynharvey on 06 Sep 17 no follow-up yet

Psychosocial In Acute care - 1 views

occupational-therapy.advanceweb.com/...sych-Issues-in-Acute-Care.aspx

shared by tracicarpenter on 01 Nov 14 - No Cached

tracicarpenter on 01 Nov 14

This article describes the challenges that OTs face when treating the whole person in an acute care setting. It is difficult to have other disciplines understand in this setting that mental gains are just as important if not more important to work on in this type of setting. A recent pt had a stroke and was high functioning before...pt had been in inpatient rehab for two weeks and treatment sessions weren't improving d/t mental state. Pt got a decent discharge date and therapy goals were attained in no time!

<div class="cArrow"> </div><div class="cContentInner">This article describes the challenges that OTs face when treating the whole person in an acute care setting. It is difficult to have other disciplines understand in this setting that mental gains are just as important if not more important to work on in this type of setting. A recent pt had a stroke and was high functioning before...pt had been in inpatient rehab for two weeks and treatment sessions weren't improving d/t mental state. Pt got a decent discharge date and therapy goals were attained in no time!</div>

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Beyond research literature: Occupational therapists' perspectives on and uses of "evide... - 0 views

Dougherty, D. A., Toth-Cohen, S., & Tomlin, G. S. (2016). Beyond research literature: Occupational therapists' perspectives on and uses of "evidence" in everyday practice. The Canadian Journal of O...

started by robmoat on 06 Dec 17 no follow-up yet

Executive Dysfunction and Depressive Symptoms Associated With Reduced Participation of ... - 0 views

Foster, E. R., Cunnane, K. B., Edwards, D. F., Morrison, M. T., Ewald, G. A., Geltman, E. M., & Zazulia, A. R. (2011). Executive Dysfunction and Depressive Symptoms Associated With Reduced Participation of People With Severe Congestive Heart Failure. American Journal of Occupational Therapy, 65(3), 306-313. doi:10.5014/ajot.2011.000588

shared by scamarata1 on 16 Oct 16 - No Cached

scamarata1 on 16 Oct 16

The findings of this article showed that those with CHF reported significant reductions in participation in all four domains. The main domain was activity retention (leisure, IADLs and social). Results for depression, cognition, and participation showed that those with CHF have functioning problems and depressive symptoms were present. However, there was no correlation between memory and attention performance. This study was limited to the sample size because it was less than 30. It also stated few participants did not complete the study because of fatigue and scheduling issues, but it never stated how many dropped out. This may affect population validity of the study because it is unknown if there was mortality. Also, the 27 subjects used were all from the same hospital (convenient sample) and this may also pose a threat to population validity. The results of the study suggest that management of CHF should expand in focus from physical functioning and physically demanding activities to consider cognitive and psychological functioning in the context of all life situations. Occupational therapy can play a vital role in helping those with CHF and their psychosocial impairments (decreasing depression), while getting them back into the community and functioning in their everyday tasks, which may also reduce symptoms of depression. I used this article because the facility I'm at now admits a lot of cardiac patients and many have depressive symptoms as they are recovering from their cardiac impairments and returning to their everyday lives in the community.

<div class="cArrow"> </div><div class="cContentInner">The findings of this article showed that those with CHF reported significant reductions in participation in all four domains. The main domain was activity retention (leisure, IADLs and social). Results for depression, cognition, and participation showed that those with CHF have functioning problems and depressive symptoms were present. However, there was no correlation between memory and attention performance. This study was limited to the sample size because it was less than 30. It also stated few participants did not complete the study because of fatigue and scheduling issues, but it never stated how many dropped out. This may affect population validity of the study because it is unknown if there was mortality. Also, the 27 subjects used were all from the same hospital (convenient sample) and this may also pose a threat to population validity. The results of the study suggest that management of CHF should expand in focus from physical functioning and physically demanding activities to consider cognitive and psychological functioning in the context of all life situations. Occupational therapy can play a vital role in helping those with CHF and their psychosocial impairments (decreasing depression), while getting them back into the community and functioning in their everyday tasks, which may also reduce symptoms of depression. I used this article because the facility I'm at now admits a lot of cardiac patients and many have depressive symptoms as they are recovering from their cardiac impairments and returning to their everyday lives in the community.</div>

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Supervision - 2 views

this article is from the British Journal of Occupational Therapy. This article is an opiion piece written to discuss inconsistencies in the practice and theory of supervision and in provision of tr...

started by courtneycoe on 07 Aug 15 no follow-up yet

Effects of a soft prefabricated thumb orthosis in carpometacarpal - 1 views

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shared by hoyttssu on 19 Jul 16 - No Cached

hoyttssu on 19 Jul 16

This article examines the effect of a prefabricated soft thumb-base orthosis on pain, hand strength, and activity performance in persons with osteoarthritis of the CMC joint. At my facility, I see quite a bit of CMC arthritis and wanted to explore the use of an orthotic since most of my pt.'s say it helps with pain and protection of their thumb. Much to my surprise, this study found that the soft prefabricated orthosis seems to have an immediate pain-relieving effect during use, but no effects in terms of less hand pain, or improved strength or activity performance when not worn. There were no significant difference found between the experimental (orthosis+exercises) and control (exercises only) groups.

<div class="cArrow"> </div><div class="cContentInner">This article examines the effect of a prefabricated soft thumb-base orthosis on pain, hand strength, and activity performance in persons with osteoarthritis of the CMC joint. At my facility, I see quite a bit of CMC arthritis and wanted to explore the use of an orthotic since most of my pt.'s say it helps with pain and protection of their thumb. Much to my surprise, this study found that the soft prefabricated orthosis seems to have an immediate pain-relieving effect during use, but no effects in terms of less hand pain, or improved strength or activity performance when not worn. There were no significant difference found between the experimental (orthosis+exercises) and control (exercises only) groups.</div>

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Adhesive taping vs. daily manual muscle stretching and splinting after botulinum toxin ... - 1 views

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shared by allisonlarison on 09 Aug 16 - No Cached

allisonlarison on 09 Aug 16

In my rotation, we have treated a few stroke patients after BTX-A injections using splinting and a few other treatment methods. This article discovers the comparison of adhesive taping vs. daily manual muscle stretching and splinting after injections. A single-blind randomized control trail with 70 patients was conducted with patients experiencing wrist and finger flexor muscle spasticity post-stroke. After receiving the injections, patients were randomly divided into two groups. Group A consisted of adhesive taping. Adhesive taping is first placed on forearm and fingers and left for 10 days with daily checks. The tape provides traction on hypertonic muscles. Group B consisted of patient's receiving manual muscle stretching of injected muscles for 30 min and passive articular mobilization of wrist and fingers to maintain muscle length. Custom palmar splints with made for each patient and positioned for maximum stretching. Outcome measures used to to measure spasticity consisted of the Modified Ashworth scale, related disability with Disability Assessment Scale and finger positions at rest. At the end of the trial, it was discovered that patient in Group A, adhesive taping, had a significantly decrease in spasticity scores. Some limitations included lack of placebo group and longer follow-up data.

<div class="cArrow"> </div><div class="cContentInner">In my rotation, we have treated a few stroke patients after BTX-A injections using splinting and a few other treatment methods. This article discovers the comparison of adhesive taping vs. daily manual muscle stretching and splinting after injections. A single-blind randomized control trail with 70 patients was conducted with patients experiencing wrist and finger flexor muscle spasticity post-stroke. After receiving the injections, patients were randomly divided into two groups. Group A consisted of adhesive taping. Adhesive taping is first placed on forearm and fingers and left for 10 days with daily checks. The tape provides traction on hypertonic muscles. Group B consisted of patient's receiving manual muscle stretching of injected muscles for 30 min and passive articular mobilization of wrist and fingers to maintain muscle length. Custom palmar splints with made for each patient and positioned for maximum stretching. Outcome measures used to to measure spasticity consisted of the Modified Ashworth scale, related disability with Disability Assessment Scale and finger positions at rest. At the end of the trial, it was discovered that patient in Group A, adhesive taping, had a significantly decrease in spasticity scores. Some limitations included lack of placebo group and longer follow-up data.</div>

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Ethical tensions in occupational therapy practice: A scoping review - 0 views

bjo.sagepub.com/...212.short

shared by karajordan on 04 Aug 16 - No Cached

karajordan on 04 Aug 16

This article discusses ethical tensions that relate to occupational therapy practice. Seven themes emerged from this scoping review including (a) resource and systemic issues; (b) upholding ethical principles and values; (c) client safety; (d) working with vulnerable clients; (e) interpersonal conflicts; (f) upholding professional standards and (g) practice management. These ethics tensions have implications for practice, education, policy and research.

<div class="cArrow"> </div><div class="cContentInner">This article discusses ethical tensions that relate to occupational therapy practice. Seven themes emerged from this scoping review including (a) resource and systemic issues; (b) upholding ethical principles and values; (c) client safety; (d) working with vulnerable clients; (e) interpersonal conflicts; (f) upholding professional standards and (g) practice management. These ethics tensions have implications for practice, education, policy and research.</div>

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Occupational therapists' experiences of improvement work: a journey towards sustainable... - 0 views

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shared by allisonlarison on 10 Aug 16 - No Cached

allisonlarison on 10 Aug 16

This article aims to use a qualitative descriptive study to describe occupational therapists experiences and improvements in work after adopting the Occupational Therapy Intervention Process Model (OTIPM). The OTIPM is a client-centered, top down, occupation-focused OT model of practice. The assumptions of the model are that every person is unique, has the will to engage in meaningful occupations, occupations are the primary therapeutic means and engagement in occupations in the central focus in OT. The study was conducted in an acute care hospital in Sweden starting in 2001. They were selected because the therapists wanted to improve OT services and promote evidence-practice in their hospital. The participants participated in a total of six semi-structured focus interviews in which the occupational therapists were asked to describe their experiences of the long-term improvements in work, attitudes toward improvements work and thoughts on how this improved work impacts the goal to change to a more sustainable and evidence-based OT practice in their setting. The first three interviews were in 2006 and the last three were in 2011. The interviews were analyzed and broken down into common themes among therapists. The first theme is that the therapists found their thoughts and actions were transformed on an individual and group level after adopting the OTIPM. The second theme discovered how the therapists dealt with conflicting feelings and attitudes toward change. The final theme describes a shared professional culture. In conclusion, the investigators discovered from the 10-year study and testimonies of Swedish therapists that the use of OTIPM can lead to the integration of evidence-based knowledge that has long-lasting achievements in practice.

<div class="cArrow"> </div><div class="cContentInner">This article aims to use a qualitative descriptive study to describe occupational therapists experiences and improvements in work after adopting the Occupational Therapy Intervention Process Model (OTIPM). The OTIPM is a client-centered, top down, occupation-focused OT model of practice. The assumptions of the model are that every person is unique, has the will to engage in meaningful occupations, occupations are the primary therapeutic means and engagement in occupations in the central focus in OT. The study was conducted in an acute care hospital in Sweden starting in 2001. They were selected because the therapists wanted to improve OT services and promote evidence-practice in their hospital. The participants participated in a total of six semi-structured focus interviews in which the occupational therapists were asked to describe their experiences of the long-term improvements in work, attitudes toward improvements work and thoughts on how this improved work impacts the goal to change to a more sustainable and evidence-based OT practice in their setting. The first three interviews were in 2006 and the last three were in 2011. The interviews were analyzed and broken down into common themes among therapists. The first theme is that the therapists found their thoughts and actions were transformed on an individual and group level after adopting the OTIPM. The second theme discovered how the therapists dealt with conflicting feelings and attitudes toward change. The final theme describes a shared professional culture. In conclusion, the investigators discovered from the 10-year study and testimonies of Swedish therapists that the use of OTIPM can lead to the integration of evidence-based knowledge that has long-lasting achievements in practice.</div>

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allisonlarison on 10 Aug 16

http://www.tandfonline.com/doi/abs/10.3109/11038128.2013.872183?journalCode=iocc20 I found the article through a SSU library search. The content may not show up on this site, but if you log into the library and search the article you will have access. Here is another resource as well.

<div class="cArrow"> </div><div class="cContentInner"><a href="http://www.tandfonline.com/doi/abs/10.3109/11038128.2013.872183?journalCode=iocc20" rel="nofollow" target="_blank">http://www.tandfonline.com/doi/abs/10.3109/11038128.2013.872183?journalCode=iocc20</a> I found the article through a SSU library search. The content may not show up on this site, but if you log into the library and search the article you will have access. Here is another resource as well.</div>

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Development of OT Student Professionalism and Ethics - 2 views

Zimmerman, S., Hanson, D., Stube, J., Jedlicka, J., & Fox, L. (2007). Using the power of student reflection to enhance professional development. The Internet of Journal of Allied Health Sciences an...

started by cpuck09 on 15 Aug 15 no follow-up yet

Ethics - 1 views

Greene, D. (1997). The use of service learning in client environments to enhance ethical reasoning in students. American Journal of Occupational Therapy, (51) 844-852. Doi:10.5014/ajot.51.10.844 ...

started by blequeknotts on 16 Aug 15 no follow-up yet

Clinical Reasoning - 0 views

The purpose of this article is to examine group practice and clinical reasoning behind it in OT. Most of the research examines clinical reasoning with individual treatment. Clinical reasoning has t...

started by harrisn2 on 16 Aug 15 no follow-up yet

Ethics - 0 views

Authors conducted this study to determined occupational therapy practitioners perceptions of the following aspects of intervention planning: economics, ethics, independent professional judgment, an...

started by kimbleraf on 16 Aug 15 no follow-up yet

Professionalism - 1 views

Arbesman, M., Lieberman, D., & Metzler, C. A. (2014). Health Policy Perspectives-Using evidence to promote the distinct value of occupational therapy. American Journal of Occupational Therapy, 68, ...

started by blequeknotts on 16 Aug 15 no follow-up yet

Evidence-based Practice - 1 views

Nilsen, D. M., Gillen, G., & Gordon, A. M. (2010). Use of mental practice to improve upper-limb recovery after stroke: A systematic review. American Journal of Occupational Therapy, 64, 695-708. do...

started by blequeknotts on 17 Aug 15 no follow-up yet

Group items tagged

Professionalism in physician assistant, physical therapist, occupational therapist, cli... - 0 views

AM-PAC "6-Clicks" Functional Assessment Scores Predict Acute Care Hospital Discharge De... - 1 views

evidence based - 0 views

OTs role in SNF. - 0 views

Occupational Therapy interventions for adults with Stroke. - 0 views

The Scope of Professional Roles and Boundaries of OT's - 1 views

Psychosocial In Acute care - 1 views

Beyond research literature: Occupational therapists' perspectives on and uses of "evide... - 0 views

Executive Dysfunction and Depressive Symptoms Associated With Reduced Participation of ... - 0 views

Supervision - 2 views

Effects of a soft prefabricated thumb orthosis in carpometacarpal - 1 views

Adhesive taping vs. daily manual muscle stretching and splinting after botulinum toxin ... - 1 views

Ethical tensions in occupational therapy practice: A scoping review - 0 views

Occupational therapists' experiences of improvement work: a journey towards sustainable... - 0 views

Development of OT Student Professionalism and Ethics - 2 views

Ethics - 1 views

Clinical Reasoning - 0 views

Ethics - 0 views

Professionalism - 1 views

Evidence-based Practice - 1 views

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