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jennburwell

Comparison of self-reported and performance-based measures of functional ability in eld... - 1 views

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occupational therapy performance vs self-report functional measures

shared by jennburwell on 30 Oct 17 - No Cached
  • jennburwell on 30 Oct 17
     
    In the ED and some acute care settings therapy services are based off of self-report measures in interviews with physicians. Correlation analyses were conducted to examine the relationships between the self-reported and performance-based measures of functional ability. Patients reported higher functional ability than observed by using the performance-based measures. This indicates that the two methods provide different information about functional ability. Previous research demonstrates a discrepancy between self-report measures and functional measures of functional tasks ADLs, functional mobility and IADLs. It is suggested both measures are utilized to appropriate a plan of care
kaleycloud

Quantifying Function: The Rest of the Measurement Story | American Journal of Occupatio... - 0 views

ajot.aota.org/article.aspx

shared by kaleycloud on 27 Nov 16 - No Cached
  • kaleycloud on 27 Nov 16
     
    This article discusses the challenge OT is facing to validate and justify its services due to health care reform, funding caps, and decreased access to services. This can be difficult as the core of OT lies in evaluating and treating function, however, due to the wide scope of practice defining and measuring function in a unified way can be difficult. For example there are two widely used ways of looking at function: the top-down and the bottom-up approaches. There is also challenges because some facilities rely on "house assessments" versus utilizing standardized assessments. A more unified method of measuring and defining function needs developed in order to show OTs value across the board.
nicarobe88

Outcomes in Hand Rehabilitation Using Occupational Therapy Services - 0 views

The purpose of this study was to measure functional outcomes after outpatient occupational therapy for clients who had upper-extremity injury and surgery or both. The Canadian Occupational Performa...

http:__ajot.aota.org_article.aspx?articleid=1869411

started by nicarobe88 on 05 Nov 15 no follow-up yet
cassyschulte

Outcomes in Hand Rehabilitation Using Occupational Therapy Services - 0 views

The purpose of this study was to measure functional outcomes after outpatient occupational therapy for clients who had upper-extremity injury and surgery or both. A sample of 33 clients referred t...

started by cassyschulte on 01 Aug 17 no follow-up yet
jennburwell

Cognitive reserve and executive function: Effect on judgment of health and safety - 0 views

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Occupational Therapy cognitive assessments

shared by jennburwell on 06 Nov 17 - No Cached
  • jennburwell on 06 Nov 17
     
    The aim of this study was to explore the relationship among cognitive reserve, Executive function, and health and safety judgment among a sample of older adult inpatients of an extended medical care unit at a Veterans Health Administration (VHA) hospital. Independent Living Scales (ILS): Health and Safety subtest were used to assess judgement and safety. Executive function was measured by the Trial making test. Global function was measured by the MMSE. After controlling for global cognitive functioning, the results revealed that people with high estimated IQ performed similarly on a measure of health and safety judgment, regardless of their EF abilities. However, among individuals with low estimated IQ it appears that intact EF is critical in making appropriate health and safety decisions. Therefore, the results suggest executive functioning is critical for making appropriate health and safety decisions for patients with lower measured intellectual abilities and provide further support for the cognitive reserve model.
kobringer

Occupational Therapy and Outcome Measures - 0 views

Practical use of standardized outcome measures vs. informal observation - what we as future OT's need to know about outcome measurements with patients. https://otpotential.com/blog/occupational-th...

Occupational Therapy Clinical Practice

started by kobringer on 02 Dec 17 no follow-up yet
kday005

Assessment of upper limb in tetraplegia: Considerations in evaluation and outcomes rese... - 0 views

www.rehab.research.va.gov/...mulcahey.pdf

shared by kday005 on 06 Nov 16 - No Cached
  • kday005 on 06 Nov 16
     
    This purpose of this study was to discuss the different measurement tools available for evaluating the upper limb of persons with tetrapelgia and if they are accurate. Findings show that the grasp and release test is recommended for clinical trials involving persons in the chronic stages of SCI. While muscle strength testing and electrodiagnostics can be useful measures in acute clinical trials and outcomes studies, standardized measures of hand function are difficulty because they require a sitting balance and endurance tat many people with acute tetraplegia simply do not have. Overall, the study found that there is still a lot of work that needs to be done to determine the best assessment tool for upper limb function in SCI.
mflower

Occupational Therapy's Role in Preventing Acute Readmissions - 1 views

This article suggests that case management can play a role in preventing acute readmissions, and that OT can also play a role in this. I liked this article because it aligns with what I have experi...

started by mflower on 10 Aug 16 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
bleist36

Evidenced-based practice - 3 views

This study aimed to examine the impact of OT interventions on individuals with mild to moderate dementia, per MMSE scoring. Individuals included in this study were allocated to either a control gr...

http:__www.intarchmed.com_content_pdf_1755-7682-7-26.pdf

started by bleist36 on 15 Nov 14 no follow-up yet
smludwig89

Self-awareness of deficits in adults with traumatic brain injury: how best to measure? - 0 views

Due to the negative impact on rehabilitation by self-awareness issues caused by TBI, this article discusses the best ways to measure self-awareness. It is important to assess a person's lack of sel...

Self-awareness OT EBP Assessment TBI

started by smludwig89 on 08 Nov 15 no follow-up yet
harrisn2

Daily living in stroke survivors receiving rehabilitative therapies - 0 views

The aim of the study was to comprehensively investigate and compare the responsiveness and validity of two ADL measures. The subjects consisted of seventy stroke patients, and they received a three...

started by harrisn2 on 18 Nov 15 no follow-up yet
jennburwell

Functional Assessments Used by Occupational Therapists with Older Adults at Risk of Act... - 1 views

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occupational therapy cognition assessments

shared by jennburwell on 25 Oct 17 - No Cached
  • jennburwell on 25 Oct 17
     
    The results of this current research support the SMAF as a suitable assessment for use with older adults with moderate construct validity and responsiveness and a clear minimal detectable change of five, being defined. The SMAF focuses on activity limitation experienced in everyday activities, mobility, mental functions and communication. Any limitations in activities/ abilities are then considered in reference to available resources to determine if any handicap exists. Another assessment that may be suitable for use with older adults, especially as an outcome measure in community populations of older people, is the AMPS with moderate evidence for construct validity and responsiveness to change. Assessments were often found to have been modified to suit the needs of the clinical environment or to shorten the tool, but the actual modifications were poorly reported in the papers.Once the assessment is modified, the assessment can no longer be assumed to hold equivalent measurement properties to the original. The lack of information regarding the assessment tools measurement properties signals the need for further research including validation in older populations.
alisonnurre

Effectiveness of Cognitive and Occupation-Based Interventions for Children With Challen... - 0 views

https://ajot.aota.org/article.aspx?articleid=2665225&resultClick=3 This systematic review examines the evidence for the effectiveness of cognitive and occupation-based interventions to improve sel...

Sensory Processing

started by alisonnurre on 08 Dec 17 no follow-up yet
kelseygallimore

The Relationship Between Executive Function and Functional Mobility in Subacute Stroke ... - 0 views

ajot.aota.org/article.aspx

shared by kelseygallimore on 06 Dec 17 - No Cached
  • kelseygallimore on 06 Dec 17
     
    This study explores the relationship between screenings of executive function and measures of functional mobility in subacute stroke patients. Preliminary findings suggest that some functional mobility measures have greater associations with cognitive measures than others.
petertapolyai

Return to Work After Hand Injury: the Role of Medical, Demographic and Psycho-Social Fa... - 0 views

clinicaltrials.gov/...NCT00687427

shared by petertapolyai on 09 Nov 16 - No Cached
  • petertapolyai on 09 Nov 16
     
    This is a great example of a future study that will consider the psychosocial aspect of individuals after a musculoskeletal injury and subsequent occupational therapy intervention. The study focuses on hand injuries and this type of injury is extremely relevant to my current clinical setting which is an outpatient hand clinic. The studies primary outcome measure is return to work vs no return to work. The secondary outcome measures focus on psychosocial questioners, work environment, demographics, and motor and sensory testing. This is a great idea for a study that would take into account the psychosocial aspect of the individuals with hand injuries and see if there is any correlation with returning to work.
kaleycloud

Standards of Practice for Occupational Therapy | American Journal of Occupational Therapy - 0 views

ajot.aota.org/article.aspx

shared by kaleycloud on 27 Nov 16 - No Cached
  • kaleycloud on 27 Nov 16
     
    This document outlines the minimum standards of practice for OTs. It goes through all the requirements for OTs in the areas of education, examination, licensure, responsibilities, screening, evaluation, reevaluation, intervention processes, discharge, and outcomes measurement.
kaleycloud

Advancing the Value and Quality of Occupational Therapy in Health Service Delivery | Am... - 0 views

ajot.aota.org/article.aspx

shared by kaleycloud on 27 Nov 16 - No Cached
  • kaleycloud on 27 Nov 16
     
    This article discusses the paradigm shift in health care towards evidence based and client centered practice to increase patient outcomes by linking payment to performance. In this type of system it is important to define OTs distinct value so that it does not get pushed out. There needs to be an increase in evidence that shows the efficacy of OT interventions. Overall, there needs to be the development of quality measures so that OTs can evaluate and document their contributions to patient outcomes.
brittali

The Heart, Mind, and Soul of Professionalism in Occupational Therapy | American Journal... - 3 views

ajot.aota.org/article.aspx

professionalism

shared by brittali on 25 Jul 14 - No Cached
  • shaemckay on 25 Jul 14
     
    This article focused on the importance of having your heart, mind, and soul behind you and your profession in order to present professionalism within the occupational therapy field. The heart of professionalism in occupational therapy, focuses on doing Good Work and/or ensuring that what we are doing is right for us as well as improving another's life. The mind of professionalism in occupational therapy, this idea is centered around working to broaden the scope of knowledge within occupational therapy as well as providing EVP to your clients because they deserve more than the routine BUE exercises. Lastly, the soul of professionalism within occupational therapy, this involves collaborating with other individuals within the profession, critically evaluating, and brainstorming to ensure that the highest standard of practice is being used within the clinics. These three components are interwoven. Therefore, if one piece, the heart, mind, or soul is missing then the level of professionalism you portray decreases.
  • ...6 more comments...
  • stewarts3 on 01 Aug 14
     
    The Heart, Mind, and Soul of Professionalism in Occupational Therapy. This is an AJOT article that discusses the topic of professionalism and how it applies to occupational therapy practice. The article discusses the "heart of professionalism" and how presenting oneself in a professional manner is crucial in today's healthcare market as an occupational therapy practitioner.
  • lannars on 06 Aug 14
     
    This article explores the question of how as OT's we stay convinced that our work is, and can always be, right for ourselves just as it is good for the world. The author proposes the answer lies in how we understand and enact professionalism
  • saracrall on 07 Aug 14
     
    This is a really neat article. It personifies professionalism and puts a whole new meaning to it. It emphasizes the importance of it for our field and how it has evolved over the years. I like how it talks about professionalism can bring occupational therapists together and "nourish our convictions in the rightness of our work for ourselves and its goodness for the world." This article is written more like a novel and I think many people would enjoy the read!!
  • meganthompson on 09 Aug 14
     
    This article provides an interesting perspective concerning professionalism in occupational therapy. In this article the author examines the importance of having your heart, mind, and soul as your driving force in order to demonstrate professionalism. The heart of professionalism involves a belief that what you do to better people's lives and society is so special that no amount of money could measure how important it is to you. The mind of professionalism involves the application of knowledge and expertise that enables a therapist to be empowered and inspired to utilize evidence within their everyday practice to better meet their patients' needs. Lastly, the soul of professionalism includes the special bond therapists have with one another and with their patients, focused on collaboration and creativity, in order to provide the highest quality of care to their patients.
  • arikamarie on 18 Aug 15
     
    This article in The American Journal of Occupational Therapy sets out to describe professionalism and how it relates to the occupational therapy field and career. The author, Wendy Wood (2004), describes professionalism as an "ideal that encompasses widely held expectations of, and objective standards for evaluating, any field that calls itself a profession." She emphasizes how personal professionalism is and relates it to the heart, mind, and soul to illustrate its most crucial elements. She describes the history of the profession and how it along with professionalism has developed as the field has grown. Wood goes on to state that any field, occupational therapy included, which claims professional stature must be equally dedicated to developing it's "mind" and "heart." This just means that the body of knowledge must also continue to grow and develop as the profession grows. We must also grow as professionals who are interacting with one another. Wood (2004) states the importance of interacting with others in ways that are "honest, critically evaluative, and dedicated toward realizing a greater good."
  • mregan1301 on 30 Oct 15
     
    This article provides a guideline on how occupational therapists can understand and carryout professional behavior. The author breaks down professionalism in terms of "the vital elements" the heart, mind, and soul and how to apply these aspects in a professional manner. The author highlights the fact that professionalism is a process and grows over time.
  • karajordan on 17 Oct 16
     
    As we engage our hearts to do Good Work, strive to nourish our minds, and to cultivate the authenticity of our souls we can help make the field of occupational therapy stand out and be a pillar of professionalism. Wendy Wood's article is inspiring and is a good read to give you a little boost.
  • brittali on 09 Dec 16
     
    The author's purpose of this article was to promote professionalism as heart, mind, and soul at all level so that all we do in the name of occupational therapy not only remains right for ourselves and good for the world, but also grows more so over time. He described professionalism as especially important for the well-being of individuals or of society at large, having a value so special that money cannot serve as its sole measure: it is also simply good work. The author was captured by the magic of occupational therapy as a counselor at a summer camp for autistic children, which was a truly inspiring story about how he fell in love with the profession. He emphasized how personal professionalism is; so personal, in fact, that he uses the metaphors of heart, mind, and soul to depict its most vital elements. Any field claiming professional stature must be just as dedicated to cultivating its mind as it is to nourishing its heart, as the two are wonderfully symbiotic. I loved this article, and it truly depicted the meaning of and what it means to be an occupational therapist at a personal level.
allisonlarison

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

content.ebscohost.com/ContentServer.asp

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.
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