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robmoat

Occupational therapy services in the promotion of psychological and social aspects of m... - 0 views

Kannenberg, Kathleen, MA,O.T.R./L., C.C.M., Amini, Deborah, EdD,O.T.R./L., C.H.T., Hartmann, Kimberly, PhD,O.T.R./L., F.A.O.T.A., & DeLany, Janet, DEd,O.T.R./L., F.A.O.T.A. (2010). Occupational the...

started by robmoat on 06 Dec 17 no follow-up yet
scamarata1

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

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    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.
courtneycoe

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
laurenmbaker

Client-Chosen Goals in Occupational Therapy: Strategy and Instrument Pilot - 0 views

Client-centered practice and outcomes research are missions of occupational therapy. Although strategies for client goal-setting have advanced the field, the process has limitations. The study in t...

started by laurenmbaker on 01 Oct 15 no follow-up yet
meganthompson

Healthcare Professionalism - 0 views

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    This article discusses the importance of utilizing proper bedside manner as a healthcare professional. As healthcare professionals, we are constantly in close contact with our patients, colleagues, and supervisors. In order to demonstrate professionalism we must not only possess good manners but we must establish mutual respect within our daily interactions while on the job whether the interaction be among patients, their families, co-workers, or supervisors. This article highlights that it is our responsibility to set the tone when interacting with patients and their families. As healthcare professionals, we are constantly being assessed by others through our body language, appearance, and the way in which we communicate. Thus, in order to gain our patient's trust and respect we must make them comfortable and present ourselves in a professional manner. Part of demonstrating professionalism includes being kind and empathetic, truly hearing our patient's needs and encouraging them to express any concerns that they may have during the course of their treatment. This article briefly outlines a protocol developed by the Sullivan Luallin Group to help healthcare personnel demonstrate a higher level of professionalism when interacting with patients. The C.L.E.A.R. protocol stands for connect, listen, explain, ask, and re-connect, and serves to provide professionals with guidance concerning proper ways to provide services to patients. The conclusion of the article outlines specific techniques to utilize in order to address each aspect of the C.L.E.A.R. protocol in order to render a higher level of professionalism within the field of occupational therapy.
christenhopkins

Occupational therapy practice guidelines for children and adolescents with challenges i... - 0 views

Watling, R., Koenig, K. P., Davies, P. L., & Schaaf, R. C. (2011). Occupational therapy practice guidelines for children and adolescents with challenges in sensory processing and sensory integratio...

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

Factors Predicting Client Satisfaction in Occupational Therapy and Rehabilitation - 0 views

https://ajot.aota.org/article.aspx?articleid=2087159&resultClick=3 Client satisfaction, a widely used outcome indicator of quality in health care, is inherently client centered and important in oc...

started by ashleighlink on 05 Dec 17 no follow-up yet
Barbara Warnock

Best Practice Standards for Using Weighted Items - 1 views

https://www.cincinnatichildrens.org/service/j/anderson-center/evidence-based-care/recommendations/topic In case you are having troubling locating this resource, try the above link. Doug, nice find...

Occupational Therapy EBP

hoyttssu

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

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    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.
allisonlarison

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

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    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.
allisonlarison

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

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    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.
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    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.
kimbleraf

Supervision - 0 views

Authors aimed to determine whether a difference in productivity exists between clinicians supervising and not supervising a Level II occupational therapy student and whether factors including clini...

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

Supervision - 0 views

Ozelie, R., Janow, J., Kreutz, C., Mulry, M.K., & Penkala, A. (2014). Supervision of occupational therapy level II fieldwork students: Impact on and predictors of clinician productivity. American J...

started by blequeknotts on 17 Aug 15 no follow-up yet
harrisn2

Supervision - 0 views

A key component in all allied health professions is the exposure to clinical experience during fieldwork rotations. Supervisors have reported positive and negative aspects of taking on fieldwork st...

started by harrisn2 on 13 Aug 15 no follow-up yet
christenhopkins

Supervision - 0 views

Fieldwork is considered a very important aspect of the student experience. Although it is required in order to complete the OT curriculum, there has been shown to be a shortage of fieldwork placem...

started by christenhopkins on 13 Aug 15 no follow-up yet
beihlt

pschosocial needs of ICU patients - 1 views

The purpose of this study was to assess efficacy of combining daily interruption of sedation with physical and occupational therapy on functional outcomes in patients receiving mechanical ventilation...

Schweickert W. D. Pohlman M.C. A.S. Celerina N. Pawlik A. J. Esbrook C. L. Spears Miller M. Franczyk Deprizio Schmidt G. Bowman Barr R. McCallister K. E. Hall B. & Kress P. (2009). Early physical and occupational therapy in mechanically ventilated critica

started by beihlt on 14 Aug 15 no follow-up yet
emking

Psychosocial Needs - 2 views

An increasing amount of evidence indicates the potential benefits of exercise with cancer patients. Research shows that patients participating in exercise programs, such as those provided in occupa...

started by emking on 13 Aug 15 no follow-up yet
kielmarj

Professionalism - 1 views

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    Thompson, L., Dawson, K., Ferdig, R., Black, E., Boyer, J., Coutts, J., & Black, N. (2008). The intersection of online social networking with medical professionalism. Journal of General Internal Medicine, 23(7), 954-957. This study examined the frequency and content of online social networking among medical students and residents. The results revealed that 44.5% of the medical trainees in this study had Facebook accounts. Only a third of these accounts were made private. Many of these accounts were publicly accessible, had personally identifiable information, and displayed potentially unprofessional material. The authors conclude that it is important for for students to receive education about the intersection of personal and professional identities. As we begin our professional careers, I think this topic is important for us to keep in mind. There could be ramifications of sharing personal information publicly. We may not be accepted for a job, or we could even be fired if information on our public profiles displays unprofessional behavior. Publicly displaying unprofessional behavior can affect the way we are viewed by our employers and by our clients. I found it surprising that so many of the students in this study had publicly accessible profiles, and I think we should all consider reviewing our profiles, deleting potentially unprofessional content, and making our information private.
arikamarie

Impairments in Sensory Modulation in Children with Autistic Spectrum Disorder - 0 views

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    The Short Sensory Profile was used to measure a caregiver report of sensory reactivity in a group of children with an autistic spectrum disorder (ASD). Fifty-six of 78 (72%) families invited to participate returned the questionnaires and the data were complete for 44 children. These 44 children represented a stratified sample out of a total of 443 children, identified through nine different data sets maintained for children affected by ASD from a total geographical region in South East Scotland. Clinical information was collected retrospectively from contemporary pediatric community child health medical notes and also cross-sectionally from caregivers. Sensory reactivity was outside normal limits in over 70% of the children, with the highest percentage of sensitivities occurring in the auditory filtering and the underresponsiveness and seeking sensation domains. Logistic regression analysis showed no significant relationship between sensory reactivity and the child's age at presentation with autism or parental report of regression. The severity of autism was measured by the Gilliam Autism Rating Scale and related to the Short Sensory Profile (r = 0.39, p = 0.001). These findings suggest that all children affected by ASD, regardless of clinical features or age, may potentially be affected by sensory reactivities and may benefit from appropriate occupational therapy assessment and management. ASDs are relatively common among neurodevelopmental conditions and confer lifelong disabilities. As the majority of affected children will have sensory modulation difficulties, this has significant implications for pediatric occupational therapy services.
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