http://www.sciencedirect.com/science/article/pii/S0004951414601653

This meta-analysis examined the efficacy of e-stim on the prevention and reduction of shoulder subluxation following a stroke. Evidence from this study (including a total of 7 trials) indicates that e-stim is effective at preventing shoulder subluxation following a stroke but not for the reduction of shoulder subluxation.

A collaborative approach between occupational therapists and psychologists has been developed in order to provide the highest quality of care to those individuals with dementia. Occupational therapists have the skills to understand function, maximize residual strengths, define small changes, modify the environment, and develop caregiver strengths and compensations whereas psychologists have the skill set to understand behaviors and emotions, develop behavioral interventions, support team development, and provide psychological support to caregivers.

http://eds.a.ebscohost.com.proxy01.shawnee.edu/eds/pdfviewer/pdfviewer?vid=26&sid=998982bf-211e-430a-822d-56d028e55296%40sessionmgr4006

Research has shown that anxiety and depression affect a high percentage of individuals with long-term physical conditions, however these conditions often go undiagnosed. The article discusses the holistic role of occupational therapy and whether occupational therapists can facilitate true, holistic interventions that address the physical, social, and psychological needs of patients in the acute care setting. By using the holistic approach the profession was founded upon, occupational therapy can improve quality of life, decrease morbidity, and decrease future hospital admissions.

https://journals-ohiolink-edu.proxy01.shawnee.edu/pg_99?112945717962777::NO::P99_ENTITY_ID,P99_ENTITY_TYPE:268807457,MAIN_FILE&cs=3zm77mtScRqs3BwZiHTV6_fJzwQOmgy4312MJ0f1RZk2cvk9aPRvwPOL0EhkpNiruBwy15uIVAhDs-XKlJ80h6g

http://eds.a.ebscohost.com.proxy01.shawnee.edu/eds/pdfviewer/pdfviewer?vid=13&sid=998982bf-211e-430a-822d-56d028e55296%40sessionmgr4006
This collaborative approach between a critical care outreach team and occupational therapists is aimed at improving therapists knowledge and awareness of vital signs in the acute care setting. Therapists need to understand the meaning of vital signs and recognize warning signs of acute deterioration in order to appropriately notify nursing and medical personnel in a timely manner. In addition, understanding vital signs will play a role in modification of the therapy session, such as the duration and intensity.

http://eds.a.ebscohost.com.proxy01.shawnee.edu/eds/pdfviewer/pdfviewer?vid=11&sid=998982bf-211e-430a-822d-56d028e55296%40sessionmgr4006
The purpose of this study was to further understand the relationship between the perceptions and clinical reasoning of occupational therapists who perform home visits prior to discharging a patient home from the hospital. Two types of visits were commonly completed: Home visits with the patient present and access visits in which the patient was not present to save time. The deciding factors for choosing a home visit vs an access visit included time, available resources, the patient's living arrangements, impairments, and level of functioning.

http://eds.a.ebscohost.com.proxy01.shawnee.edu/eds/pdfviewer/pdfviewer?vid=9&sid=998982bf-211e-430a-822d-56d028e55296%40sessionmgr4006
This article discusses various wheelchair transfer simulations used to enhance students' procedural and clinical reasoning skills needed in the acute care setting. Various scenarios were developed with practitioners that described the following: 1) A patient who was acutely ill, 2) a critical medical management event that occurred during a bed-to-wheelchair transfer of the patient, and 3) an occupational need. Students rated the simulation transfers as effective teaching tools and rated the transfers as more difficult than the practitioners had rated them. Using simulated transfer scenarios seems as if it would be a great way to promote clinical reasoning skills of students.

http://eds.a.ebscohost.com.proxy01.shawnee.edu/eds/pdfviewer/pdfviewer?vid=7&sid=998982bf-211e-430a-822d-56d028e55296%40sessionmgr4006
This study identified the presence of effective discharge assessment tools, clinical reasoning skills, and client-centered practice used in the acute care setting. Results indicated that discharge planning is highly individualized to the patient using a variety of clinical-reasoning skills. The most frequently used discharge assessment tool are non-standardized observational skills during functional tasks. Factors taken into consideration with discharge planning included safety, home support, and the patient's performance in daily occupations. Standardized assessment tools are rarely used due to limited time, access, and training in these tools.

file:///C:/Users/Rachel/Downloads/369%20(1).pdf
This evidence-based article examined the most frequently used occupational therapy interventions in six different rehab hospitals for 954 patients who had suffered a stroke. The most frequently used activities addressed upper-extremity control (22.9% of treatment time) and dressing (14.2% of treatment time). The most frequently used interventions to address upper-extremity control included the following: strengthening, motor learning, PROM, and postural awareness. The most frequently used interventions to address dressing included the following: Balance, postural awareness, motor learning, one-handed skills, and cognitive therapy.

http://bianj.org/wp-content/uploads/2015/05/2015seminar_9higgins.pdf
This is a great Powerpoint presentation that discusses the role of OT in visual rehabilitation. It discusses various visual deficits, including visual field deficits, visual acuity, and how vision is impacted following a brain injury. It also presents various treatment interventions.

http://medind.nic.in/daa/t12/i2/daat12i2p398.pdf
This article provides an overview of clinical characteristics of Parkinson's disease as well as various treatment approaches, including PNF patterns, contract-relax, stretches, passive positioning, balance training, psychotherapy, etc.

http://eds.b.ebscohost.com.proxy01.shawnee.edu/eds/pdfviewer/pdfviewer?vid=2&sid=74147627-b09d-4b6b-8582-6161a7cfb652%40sessionmgr101
This article provides a thorough overview of hemispatial neglect. It describes clinical presentation of neglect, how to assess for neglect in the acute care setting, and various treatment approaches.

https://ajot.aota.org/article.aspx?articleid=1871778
The BIT is a standardized assessment used to assess for unilateral neglect following a CVA. It is composed of 6 conventional subtests that are excellent screening tools for neglect (Line Crossing, Letter Cancellation, Star Cancellation, Figure and Shape Copying, Line Bisection, and Representational Drawing) and 9 behavioral subtests that are related to I/ADLs (Picture Scanning, Telephone
Dialing, Menu Reading; Article Reading, Telling and Setting
Time, Coin Sorting, Address and Sentence Copying, Map Navigation, and Card Sorting).

https://academic.oup.com/ageing/article/35/6/560/14629/Improving-outcome-in-stroke-patients-with-visual
This article discusses several visual issues that may arise in patients s/p CVA. It gives a nice overview of these issues, including hemispatial neglect, hemianopia, and visual acuity and discusses the importance of occupational therapy in assessing/treating these diagnoses.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1757480/pdf/v075p00013.pdf
This article discusses hemispatial neglect with CVA. It includes a quick bedside screening tool and provides a nice anatomy of the brain to fully understand why neglect occurs in some patients and not others. It also discusses various treatment options in regards to therapy.

Reimbursement has begun to dictate the occupational therapy profession, even altering the definition, ethics, practice, management, and professional response of the profession itself. Third party payers now control the profession, rewarding the medical model. In regards to ethics, several ethical abuses involving the reimbursement process may include overbilling, overpricing of services, providing services that are not necessary for functional goals, and overworking employees. One concern that I have seen in my placement is the pressure the Cleveland Clinic places on its employees for productivity. I have seen the stress this creates for my CI as she always worries about cancellations and no shows interfering with her productivity for any given day.

http://ajot.aota.org/article.aspx?articleid=1877089

This study identified the concerns and learning interests of patients with arthritis. The most frequently reported concern of the 197 patients included in this study was that on worsening of condition. A total of 20 concerns were identified and was reduced to the following five: psychological, coping, medication, social, and financial. Patients also identified three learning interests they had, including that of the illness, traditional and nontraditional health management topics. It is important that as practitioners we understand the varying psychological and social needs our patients have.

https://www.researchgate.net/profile/Paul_Fortin/publication/12785979_The_Needs_of_Patients_with_Arthritis_The_Patient's_Perspective/links/54a193af0cf257a636037455.pdf

This study sought to investigate the behaviors of fieldwork educators that are valued by occupational therapy and occupational therapy assistant Level II students. Data was gathered from the Self Assessment Tool for Fieldwork Educator Competency. In regards to supervision, fieldwork educators and students both ranked "Provides the student with prompt, direct, specific, and constructive feedback throughout the fieldwork experience" as most important in this particular section. High value was placed on the supervisor acting as a director of the entire learning experience, including carrying out the role of collaborating and communicating with the student and the patients in a positive manner.

http://eds.b.ebscohost.com.proxy01.shawnee.edu/eds/pdfviewer/pdfviewer?vid=2&sid=18985cc5-6639-4539-86a2-9d9e075a8446%40sessionmgr102

This study aimed to explore the values of the occupational therapy profession, on the premise that values help to provide insight into what professionalism means to a certain profession (i.e. occupational therapy). The study explored the values of 15 different OTs in Australia. Results showed that these values encompassed three different areas: The client and the client-therapist relationship; occupational therapy knowledge, skills, and practice; and selfless values.

http://onlinelibrary.wiley.com/doi/10.1111/j.1440-1630.2012.00996.x/full

It has recently been suggested that occupational therapists who work with adults with physical disabilities use procedural reasoning much more than narrative reasoning in their practice. This study examined one accredited university's occupational therapy curriculum to examine what kind of clinical reasoning was being taught in the classroom in regards to physical disabilities. Results indicated that although narrative reasoning was taught in the classroom, it was not well integrated for the physical disabilities portion of the curriculum.

file:///C:/Users/Rachel/Downloads/669.pdf

This systematic review discusses the effectiveness of OT interventions for a variety of musculoskeletal conditions, including fractures, adhesive capsulitis, shoulder pain, rotator cuff tears, and subacromial impingement. It demonstrates great evidence-based practice for orthopedic conditions OTs treat.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5182015/