Client-Centred Practice in Occupational Therapy. A Guide to Implementation

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In other conditions, open communication has been identified as a facilitator for return to work RTW. To promote communication in the workplace, a knowledge translation KT intervention in the form of an educational video was developed for adult burn survivors. Methods: This study was a cross-sectional, mixed methods study in which burn survivors included in the KT intervention were recruited and compared to a control group CG.

Semistructured interviews were conducted to gather information about their RTW process and outcomes. Results: Overall, both groups were satisfied with their RTW process. Participants from the CG identified more barriers related to support received at work and psychological symptoms.

Many participants from the KT group indicated that the video gave them tools to explain and provide others with a better understanding of their lived experience. Conclusions: It is possible that the video facilitated more open communication by empowering burn survivors to explain their situation on their own, thus reducing the prevalence of social and psychological barriers among the KT group.


  1. Client-Centered Practice in Occupational Therapy.
  2. Whos Real, What Matters;
  3. 4 editions of this work.
  4. The Real American Dream: A Meditation on Hope (The William E. Massey Sr. Lectures in the History of American Civilization);

The video should continue to be used, although modifications should be made to further elaborate on RTW facilitators. Surf Therapy: What are the benefits for children with disabilities. Surf therapy is an emerging therapy that has generated a lot of interest recently.

An exploration of client-centred practice in occupational therapy

A growing number of organizations use surf as a form of therapy for children with special needs or disabilities, like autism. The goal of this study was to explore the benefits of multiple periodical surf therapy events on children with special needs as perceived by their parents. Methods: This qualitative study used an exploratory design.

Semi-structured interviews were conducted in person after each surf therapy session with parents of children who attended 3 or more Surf Therapy events in A parent-reported observation grid of the child was also completed prior to the first surf therapy event and after each subsequent event.

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Analyses were performed using a deductive approach. Results: Ten parents participated and were each interviewed on three occasions. Parents mostly reported benefits on the person and on occupations, as they noted seeing an improvement in the social interaction and communication skills of their child as well as seeing concrete demonstrations of enjoyment or pleasure during and after the activity.

Conclusions: This exploratory study highlights the benefits of Surf Therapy from an occupational therapy perspective and supports the need for future research. Delegation of Oxygen Therapy: Occupational therapy at two academic hospitals. Patients utilizing oxygen therapy may require oxygen titration during occupational therapy. While occupational therapists OTs are not authorized to perform this controlled act, they may receive delegation to perform it.

Implementing client-centred practice: why is it so difficult to do?

At two large teaching hospitals, occupational therapy and respiratory therapy leaders collaborated to bring oxygen therapy delegation to OTs. Objective: To develop an educational and certification process to prepare OTs to effectively initiate and titrate supplemental oxygen within prescribed ranges during patient care. Approach: A literature review and environmental scan of oxygen therapy delegation at Ontario hospitals informed policy development and education planning. Three educational components were identified and developed: knowledge and theory, practical demonstration, and written examination.

The knowledge component has evolved to be available in a self-study format, supplementing didactic learning. Biannual retraining and recertification is now standardized. Practice Implications: Interprofessional relationships are strengthened and patient safety is enhanced. The workflow of team members is not interrupted because OTs may immediately respond to desaturation by titrating oxygen, and care is no longer delayed awaiting another team member perform the controlled act.

Conclusions: Oxygen therapy delegation to OTs has fostered interprofessional collaboration, leading to more timely and responsive care. Shared learnings between hospitals fostered collaboration and enhanced educational programming. Giving people with TBI a voice: Exploring occupational rights violations.

To ease transitions and optimize occupational development, people with TBI should be provided equal opportunities to engage in varied and meaningful occupations adapted to their new abilities. Despite this overarching principle, disparities between ideal and actual engagement are common. Objective: To explore the presence of occupational right violation situations that occurred over the lifetime trajectories of individuals post-severe TBI, where they could have potentially benefitted from rehabilitation and advocacy for their rights to be respected. Methods: Semi-structured interviews were completed with 5 severe TBI participants average time post-injury: Interviews were transcribed and analyzed using the critical incident technique.

Results: Despite currently being in a relatively stable living situation, all participants experienced violations of their occupational rights over their lifetime. Participants were largely dependent of their families support for complex everyday activities. All expressed openness to interventions to optimize their independence. Conclusions: Being unable to advocate for themselves, these individuals experienced a multitude of challenges over the years and lacked the abilities and support needed to overcome those occupational injustices.

These results underline the need for more long-term services, with occupational therapy potentially assuming a key role. Prehabilitation allows patients to prepare and informs their expectations and actions before, during, and after surgery. Yet, patient perspectives regarding prehabilitation has not been studied sufficiently. Objectives: To identify participant preferences and educational gaps regarding prehabilitation content and delivery method e.

Methods: Semi-structured interviews and focus groups will be conducted, lasting minutes. Eligible participants will be over the age of 50 with OA of the knee, who will be scheduled for or have previously undergone TKR. Interviews and focus groups will be transcribed and analyzed, using a phenomenological approach, to identify and define themes, which will be summarized and supported using excerpts.

Results: We anticipate several educational factors to emerge, including access and ability to utilize technology, health information literacy, overabundance of online information, accuracy and awareness of available resources. We anticipate that online resources will be an acceptable approach due ease of accessibility, being self-paced and interactive.

However, those with less familiarity with technology are anticipated to prefer more conventional alternatives, such as in-person sessions or hard copy information. Conclusion: This study will inform the development of prehabilitation tools to benefit clinicians, patients and the health care system. This can negatively impact client outcomes, professional growth of individual practitioners, and the image of the occupational therapy profession. There is an opportunity to enhance occupational therapy education using intraprofessional education, a collaborative model where students of different levels of the same profession learn together.

Objectives: The purpose of this study is to determine the effectiveness of OT and OTA students participating in a collaborative learning session. This was a pre-experimental research study with a pretest-posttest design. The study was completed with students from an occupational therapy program and an occupational therapy assistant program. After the collaborative group project, both OT and OTA students had more positive attitudes and perceptions towards intraprofessional practice. Conclusion: By engaging in intraprofessional education, OT and OTA students will be better equipped to confidently perform and articulate their roles to consumers, health care providers, and other stakeholders.

Reporting a medically unfit driver: What happens next? Developing a patient and family education handout. Teaching Coping Strateges to Promote Recovery. It is effective because the completed learning objective is observed in the session, and efficient because the program is manualized. International Network for Applied Social Innovation in occupational therapy website. There are occupational therapy researchers and practitioners worldwide who are engaged in innovative research and practice pertaining to the prevention, mitigation, or elimination of the negative implications of the social determinants of health.

Participants viewing this poster will gain an understanding of the website and how it may benefit them as a place to communicate with others on a global scale. The poster will identify the governance, site themes and describe how the site may be used to connect with others worldwide. Various screen shots will be provided to demonstrate how the site can be a meeting place to share ideas resources and concerns as well as a site for the co-development of projects.

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For researchers and practitioners involved in work in the social determinants of health space this site will be an important site where they can share and learn from each other. This poster exhibits a website where they can share and learn from each other. Living and working with chronic pain: An integrative review. Current evidence focuses on intervention program effectiveness rather than work transition from the perspective of the person with pain and whether they live a functional meaningful life.

Objective: This integrative review explored successful RTW transitions using contextualized supports from the perspective of the person with pain. Approach: Eight databases were searched for the RTW process for adults with chronic pain. Search terms included: return to work, chronic pain, and lived experience, returning articles.

Twelve studies using qualitative or mixed methods were retained. All were critically appraised and found to have moderate to high quality evidence. The evidence was synthesized using iterative thematic analysis. Results: RTW is directly related to engagement in other occupations. These affect — and may undermine — motivation and self-efficacy for returning to and maintaining work. These challenges were explored extensively from the standpoint of the person with pain. Conclusion: Identifying demands and supports, both internal and external to the workplace, is critical to set the foundation for successfully returning to and maintaining meaningful work.

Therapists must consider a holistic approach, enabling self-advocacy and self-management skills while also working with employers to facilitate adaptations. Further research needs to concentrate on RTW facilitators using the lived experience. It is a growing concern for health-profession students, who generally experience twice as much as the general adult population. Mindfulness-based approaches, used therapeutically, have been shown to decrease stress and increase quality of life measures in a wide variety of populations.

Objectives: To determine the efficacy and feasibility of three different mindfulness programs at decreasing stress, anxiety and depression and increasing mindfulness and occupational engagement when applied to health-profession students. Methods: This mixed method study will examine three mindfulness programs that will be run simultaneously with health-profession students.

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Three standardized assessment surveys will be completed by all participants, pre- and post-intervention, to measure stress, anxiety, depression, mindfulness and occupational engagement. Semi-structured focus groups will be conducted with participants from each program to further elaborate on the findings. Results: We expect that all three programs will show significant decreases in stress, anxiety and depression as well as increased mindfulness and occupational engagement. Conclusion: Mindfulness programs are an effective, inexpensive strategy to decrease the negative mental symptoms related to the increased stress experienced by health-profession students.

This study will provide information not only on their effectiveness but also which program is most feasible for health-profession students. In one ED, the AH team led practice change in the management of patients with non-surgical pelvic fractures. As most admissions of these patients are attributed to fracture pain, functional disability and difficultly managing in the community, the AH team initiated creation of a pathway to address these issues. Objectives: To outline the process of creating a pathway for patients presenting to the ED with non-surgical pelvic fractures.

Approach: The pathway was developed using the practice-based experience of the AH team in reducing unnecessary inpatient admissions. Content-matter experts from the ED and inpatient orthopedic team refined the pathway. Results: A review indicated Supported by AH ED team recommendations, only Additionally, ED length of stay was reduced by Conclusion: These improvements may be attributable to the shared pathway, as well as the support of the ED AH interdisciplinary team, with each discipline providing expert assessment, treatment and discharge planning skills.

Use of Title by Retired Occupational Therapists. Furthermore, professional regulation rules may restrict one from self-identifying as part of a long-held profession. Standards for occupational therapy OT regulation and use of title are variable across North America Hall et al. Understanding the range of approaches to regulating retirement, and the views of occupational therapists relative to continued use of title, may help inform policy directions in this regard.

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Objective: The purpose of this study was to identify current title-use provisions for healthcare professionals in Canada, and to understand the views of occupational therapists on this issue. Subsequently, a question instrument was developed to poll currently practicing and retired occupational therapists concerning professional regulation, use of title, and retirement.

A purposive network sampling method was used, with the questionnaire being distributed through the mailing lists of OT education programs across Canada and the CAOT website. Descriptive statistics and thematic analyses were used to summarize results. Respondents reported a number of regulatory barriers to maintaining a title, and a range of motivations for keeping or relinquishing their title. Conclusion: Use of title after retirement is of interest to many Canadian occupational therapists and requires continued discussion in the field.

With hospitals often being the entry point for patients with simple and complex wounds into the healthcare system, the interprofessional team plays a significant role in ensuring evidence-based patient-centered care. Understanding the interprofessional decision making process regarding wound care is critical to ensure quality care. Objectives: To develop a robust socio-geographical transferable theory utilized by interprofessional healthcare team members when making wound care management decisions. Methods: Utilizing a Qualitative Multi-Grounded Theory approach, three focus groups were held at a Regional Health Center in Central Ontario, Canada, comprised of 13 clinicians involved in wound management.

Data was analyzed utilizing an approach developed for Multi-Grounded Theory. A Critical Realist theoretical lens was applied to data analysis in developing conclusions. Results: Ten categories were identified, each with positive and negative attributes.

It requires a significant transformation of adult social care so that all systems, processes, staff and services are geared up to put people first. The traditional service-led approach has often meant that people have not received the right help at the right time and have been unable to shape the kind of support they need. Personalisation is about giving people much more choice and control over their lives in all social care settings and is far wider than simply giving personal budgets to people eligible for council funding.

Personalisation means addressing the needs and aspirations of whole communities to ensure everyone has access to the right information, advice and advocacy to make good decisions about the support they need. It means ensuring that people have wider choice in how their needs are met and are able to access universal services such as transport, leisure and education, housing, health and opportunities for employment, regardless of age or disability. The philosophy of occupational therapy is founded on the concept that occupation is essential to human existence and good health and wellbeing.

Discover Occupational Therapy - Cincinnati Children's

Occupation includes all the things that people do or participate in e. Being deprived of or having limited access to occupation can affect physical and mental health. Occupational therapy supports people to optimise their potential and to engage in a range of meaningful activities throughout their daily lives so that they can achieve their aspirations as citizens, friends, partners, parents, employees, students or homemakers.

Occupational therapists have always taken a client centred approach, which is consistent with the principles and practice of personalisation. The revised curriculum guidance recently published by the College of Occupational Therapists recognises the importance of personalisation and the need for this to be reflected in training. This change can be achieved by:. The remit of the post is to look at ways in which the occupational therapy service can take a lead on and align itself collaboratively to the personalisation agenda.

Others have created consultant and advanced practitioner posts to lead on the implementation of personalisation. The philosophy of occupational therapy means recognising people as individuals. This aligns with the values of personalisation, as occupational therapists are skilled in finding and tailoring individual solutions for people in different care settings and can work with home care and care home providers. To move this forward there needs to be a further shift towards empowering people to make their own choices and decisions about the support arrangements for themselves and their carers.

The role of the occupational therapist in improving quality of life and as a facilitator of learning means seeking collaborative ways of working with people who use services, their carers, families, friends and other social care and health practitioners to co-design and co-produce care and support. Occupational therapists can support selfdetermination by helping service users to selfassess or review their needs.

Many authorities are now using self-assessment tools, some of which are linked to resource allocation systems RAS , to determine the level of need and to develop outcomes. These enable service users to complete an interactive assessment tool that identifies problems within the home and offers practical solutions. Occupational therapists can signpost to these services. The service user was also able to use some of his money to employ the builder he wanted.

He had control over the whole process and choice about the device he wanted, and as a result was very satisfied with the end result. The aims of this strategy are twofold: to reassert the importance of occupation to health and wellbeing, and to develop a vision and principles that will guide occupational therapy practice within Spasticity in adults: management using botulinum toxin. These guidelines provide recommendations for the treatment of adults with spasticity with botulinum toxin BoNT as part of an overall patient management programme.

BoNT is licensed in the UK for Contained within this report are key facts that demonstrate how occupational therapists improve lives and save the NHS and local government money. The Care Act directly affects more than 2, occupational therapists working in social care and housing in England as well as our NHS colleagues. It raises questions about home adaptations



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