otptat.ohio.gov/LinkClick.aspx?fileticket=BcR3d6fGiq0%3D&tabid=68

This document was found at the OTPTATboard website to assist OT practitioners with guidance and collaboration with COTAs. It allows the the OT and the COTA to document a short description about the patient and the OT recommendations so that supervision and communication are maximized. There are other logs available, but this is a good example of monitoring a patient's needs and assists in determining if new goals need to be reinstated, treatments need to be adapted, and if plans need to be changed. Goals and plans are explicitly stated on this document and the OTR and the COTA can effectively manage the patient and their needs.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4154286/

This article qualitatively explores the factors that affect and influence clinical reasoning. Twelve OTs working in mental health and physical dysfunction at three different hospitals were interviewed and the data was recorded and transcribed. The results indicated that sociocultural factors, individual attributions, and workplace environment played a role in clinical reasoning. Sociocultural factors such as client values and beliefs, clinician values and beliefs, and individual attitude about the disability contributed to clinical reasoning. Individual attributions such as client attributions (including financial stability and education), and therapist attributions (including level of experience/confidence of the diagnosis/situation, access to tools, knowledge of modern methods of treatment) were also important during clinical reasoning. Workplace environment was also a major factor in clinical reasoning. Lack of knowledge of OT in regards to management of the facility was a major factor in clinical reasoning. Also included in this category was limited resources/access to facilities, which contributed to clinical reasoning. The article reports that it is important to understand the factors that affect clinical reasoning because this plays a role in the level of care of the patient. Facilities should recognize the importance of these factors to maximize resources and opportunities to maximize the care and services for the patient.

http://ajot.aota.org/article.aspx?articleid=1865751
This article, found in AJOT, describes the use of the clinical model "CELIBATE" to problem-solve through an ethical dilemma. The method of using CELIBATE guides a clinician to solving an ethical dilemma using 10 steps. These steps include: identifying the problem, identifying facts, naming parties that our effected, identifying nature of the problem, examining potential ethical dilemmas, weighing legal dilemmas, questioning if more info is needed to solve the dilemma, brainstorming actions, analyzing steps, and choosing a course of action. The original method of CELIBATE was used for practicing clinicians but this article explores its application with research-related dilemmas. The dilemma occurred during a phone interview for a large epidemiological study. The participant shared information that suggested evidence of physical and mental elder abuse in a nursing home. The article goes through each step of CELIBATE and uses this model as a logical approach to solve the dilemma. The article also discusses ways in which the model could be improved for research related cases, specifically the order of the steps when evaluating the situation. Using the CELIBATE model is beneficial when thinking about and addressing an ethical dilemma because it assists individuals with examining various aspects of the situation and guiding the individual with making a reasonable decision.

http://otpotential.com/

Here is a website that has a variety of helpful resources for OTs and OT students that may be helpful. It is a blog that was created by an OT and contains a variety of resources including job interviews, student debt, apps for cognitive assessments, links to various blogs that revolve around OT, and interviews of different OTs in different settings. I particularly enjoyed the section titled "Nail your OT Job Interview". It is written by an OT and she discusses different questions that could be asked at an OT job interview as well as questions that the interviewee should ask about the facility. This website has a lot of different resources and links that could be useful now and in the future!