...personal information remains daunting. Similarly, employers attempting to assist the process are often awed by the extent of collaborations involved in integrating employees with mental health issues back to work as well as concern about compliance with human rights legislation. Needed accommodations in terms of approach to the work itself are often simple; however substantiating the need for adjustments is more complex. This case study introduces a model to support the development of shared goals and shared understandings for return to work (RTW) among workers with mental health concerns, employers, co-workers and therapists. The model of occupational competence is used as a basis to guide dialogue, identify challenges and generate solutions that take into consideration a worker’s preferences, sensitivities, culture and capacities in relationship to the occupational demands in a given workplace environment. A case study is used to demonstrate the potential utility of the model in assisting stakeholders to strengthen collaborations and partnering to achieve a shared understanding of worker and workplace needs. 1. Introduction Disclosure of mental health issues in the workplace is influenced by multiple factors including intrinsic and extrinsic issues. While there is legislation that protects a worker’s right not to disclose health information in the workplace, some workers may want to share aspects of their challenges....
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...The role of an occupational therapist is of vital importance in order to ensure safety and promote independence in all aspects of a patient’s life. During this placement I had the opportunity to work with the occupational therapist and also accompany her during a home visit. A few of the health conditions that I came across that benefit from occupational therapy include limitations following a stroke or heart attack, arthritis, multiple sclerosis, or other serious chronic conditions, spinal cord injuries, or amputations, broken bones or other injuries from falls. Occupational therapists provide a service that is customized to improve a person's ability to perform daily activities. Occupational therapists use a variety of interventions including biofeedback, relaxation, goal setting, problem solving, planning in order to rehabilitate patients. During the home visit we visited an 87year-old gentleman with a history of falls, cardiac failure, atrial fibrillation and dementia. The patient felt dizzy when he stood up and at one point burned himself while standing next to the radiator and did not notice the injury, he also struggled to carry out activities of daily living like getting in and out of the bath, in and out of bed and going up the stairs. The occupational therapist played a fundamental role to ensure safety of this patient. The patient was offered a hand rail in the bath to help when standing up, rails along the stairs so he could hold on to when going up and down the stairs...
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...World Federation of Occupational Therapy, occupational therapy is a profession which is concerned with the promotion of well-being and health of individuals through engaging them in occupation. It is a holistic healthcare profession with an aim to promote health in individuals by enabling them to perform purposeful and meaningful activities across their lifespan. Occupational therapist by using different treatments help their patients with a mental, physical or developmental conditions to recover, develop or maintain daily work and life skills in themselves. OT is client-centered and see client as an integral part in the process of Occupational therapy. Therapist gives individualized attention and evaluation to his/her client or clients (individual and families) in learning the current state of affairs and the desired state of affairs in client’s life. occupational therapist learn about the goals his/her client is trying to achieve (desired state of affairs) uses his experience and judgment to alter the goals if necessary and align them with the abilities and resources clients hold to achieve them or help clients achieve the necessary skills and knowledge required to achieve his goals. Occupational therapy services may include comprehensive evaluations of the client’s home and other environments (e.g. workplace, school), recommendations for adaptive equipment and training in its use, and guidance and education for family members and caregivers. Occupational therapy practitioners...
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...Introduction: The purpose of this assignment is to critically discuss the literature on groupwork, and its relevance in occupational therapy with children. I will discuss some of the current literature surrounding groupwork and the merits of its use in occupational therapy. I will then analyse and discuss some of the factors in groupwork which influence the outcomes and effectiveness of the group including the group composition, the establishment of long-term and short-term goals, and the therapist’s style of leading the group. I will apply these factors to a specific condition for the purpose of demonstration. Finally, I will reflect on my learning of groupwork and how it will influence my future practice. Groupwork theory and use in therapy: Groups are defined by Mosey(1973) as ‘an aggregate of people who share a common purpose which can be attained only by group members interacting and working together’( as cited in Finlay, 2001, p.3). Acording to Blair(1990, as cited in Finlay, 2001) groups are ‘intrinsic to existence’. We are involved in family groups, classroom, peer, sport, work tasks and other groups. Group work is an approach that is widely used across occupational therapy and healthcare settings. ‘Only in more recent times have group practitioners and researchers begun to explore the use of group activities as a therapeutic approach’(Barnes, Howe & Schwartzbeg, 2008). This is in line with the renewed focus on occupation-based, client-based and evidence based...
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...On the other hand, there is no better way to further understand writing in the medical field than from a first hand credible source. A close family friend of mine, Sara Hess, is an occupational therapist at Mount Sinai Medical Center in Chicago. A short background regarding occupational therapists is to note that they are very different from physical therapists. Physical therapists deal with rehabilitating the physical well being of a patient. Occupational therapists focus their work on aiding patients in being able to do everyday tasks they are not able to do because of their impairment. Considering this, to enhance my knowledge for you and I video interviewed her to understand what writing really means in this certain field. If you are...
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...Annette Majnemer KEY WORDS discriminant analysis handwriting occupational therapy child validation studies In this study we sought to validate the discriminant ability of the Evaluation Tool of Children’s Handwriting– Manuscript in identifying children in Grades 2–3 with handwriting difficulties and to determine the percentage of change in handwriting scores that is consistently detected by occupational therapists. Thirty-four therapists judged and compared 35 pairs of handwriting samples. Receiver operating characteristic (ROC) analyses were performed to determine (1) the optimal cutoff values for word and letter legibility scores that identify children with handwriting difficulties who should be seen in rehabilitation and (2) the minimal clinically important difference (MCID) in handwriting scores. Cutoff scores of 75.0% for total word legibility and 76.0% for total letter legibility were found to provide excellent levels of accuracy. A difference of 10.0%–12.5% for total word legibility and 6.0%–7.0% for total letter legibility were found as the MCID. Study findings enable therapists to quantitatively support clinical judgment when evaluating handwriting. Brossard-Racine, M., Mazer, B., Julien, M., & Majnemer, A. (2012). Validating the use of the Evaluation Tool of Children’s Handwriting–Manuscript to identify handwriting difficulties and detect change in school-age children. American Journal of Occupational Therapy, 66, 414–421. http://dx.doi.org/10...
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...is family therapy. Family therapists are certified psychological health specialists who work with individuals who have been through stressful situations; additionally, family therapists have the capability to give back to society, particularly those who undergo distress, whether it be infidelity, abuse of any kind, learning and behavioral disabilities, or desertion, just to name a few. “Family therapists work with various families and individuals to relieve and cure mental, emotional, and relational concerns of all kinds” (Cmft, 2010, Para. 2). To become a family therapist, it is essential to conduct a job analysis to comprehend what this job entails. To do this, it is imperative to find techniques that work best as well as to determine the reliability, validity, benefits, and vulnerabilities of these techniques. Job analysis is a process to establish and document the job relatedness of employment such as career development, selection, training, compensation, legalities, research, and performance appraisal (Job-analysis, 2000, Para. 1). Numerous methods exist to perform job analysis Job Components Inventory (JCI), Functional Job Analysis (FJA), Occupational Information Network (ONET), Position Analysis Questionnaire (PAQ), and task inventories. To help with a job analysis, O*NET system is one of the most able. O*NET is a specialized database, which offers information concerning job-related requirements and employee qualities. Regarding occupational responsibilities, O*NET offers...
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... SCV Wellness Center 2 1.0 Executive Summary …. 2.0 Situation Analysis SCV Wellness Center offers a place where people who are suffering from physical and mental trauma can go for complete therapy treatment. All too often when trauma accrues patients and doctors focus only on the external physical damage left from their experience but the emotional and mental damage can be just as severe. SCV Wellness Center provides complete therapy for both the physical and mental scars left from trauma. 2.1 Market Summary SCV Wellness Center provides complete trauma therapy for men and women in the Santa Clarita Valley area who suffer from trauma related posttraumatic stress disorder (PTSD). We will also treat patients who require physical or psychological therapy due to stress and or injury. 2.1.1 Market Demographics Our critical market segment will include veterans returning from war who are having difficulty adjusting to the physical and or psychological damage suffered during their tour of duty. 2.1.2 Market Needs SCV Wellness Center will provide a wide variety of therapy services, including Physical therapy, Occupational therapy, Speech-Language therapy, and Massage. We will also offer counseling by licensed therapist for depression, anger management, anxiety disorder, and a variety of other stress related issues....
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...Job Analysis Deborah Fischer-Hansen PSY/435 April 16, 2013 Deborah Hesselbein Job Analysis Job analysis refers to an approach for explaining a specific job and the tacks necessary to fulfill the requirements of the job. One of the main goals is to define the requirements and characteristics of a particular job. The job analysis needs to consider who, what, where, when, and how the job might relate to an individual. Many methods provide different types of information about the jobs and human attributes needed for jobs (Spector, 2012). There are two different categories of job analysis; they are job oriented and person oriented (Spector, 2012). Job oriented emphasizes the responsibilities needed for a job, whereas, person oriented concentrates on the individual particular characteristics needed for the job. The author will further discuss a job with Trinity Teen Solutions, specifically life coach for struggling teen girls and young women. Life Coach Job Analysis Life Coaching is a profession that compliments consulting, mentoring, therapy, and counseling. According to "What Is Life Coaching?" (2012), the coaching process addresses specific personal projects, business successes, general conditions and transitions in the client's personal life, relationships or profession by examining what is going on right now, discovering what your obstacles or challenges might be, and choosing a course of action to make your life be what you want it to be. The...
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...How to Approach Staffing for the Practice Credentials/Licensure/Requirements Debra Sawyer AUI Credentialing for physicians and nurses and other non medical providers Physicians Credentials The role of a physician is to diagnose and treat the illnesses of their patients. When a physician sees a patient who has an injury or is ill, the physician must first identify the problem or diagnosis the illness. A physician’s credential is a personal qualification of achievement and trustworthiness that can be used to substantiate and verify competence and licensure. These documents represent evidence of a provider’s training, licensure, expertise and experience. Why credential providers? • To protect patients. • To verify that doctors meet accreditation and state licensing standards. • To verify that doctors are who they represent themselves to be. • To confirm clinical competence. Non-Physician Credentials by state law, must complete an accredited, formal education program. The majority holds a bachelor’s degree. Although they are employable with an Associates. Are licensure requirements different form state to state In each state, the State Board of Nursing specifies what educational, clinical, and licensure requirements are necessary to practice in the state. Nurse Practice Act (state legislation that sets out the requirements for nurse licensure in the state) contains the states requirements for the practice. All 50 states require that...
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...to and from school. Brady reports that he is enjoying school but sometimes struggles to make friends. However, Brady’s mother reports that this has improved over the past year. Interests: Brady reports that in his spare time he enjoys playing video games on his PlayStation 3. He enjoys playing with his twin brother outside in the pool and also practicing soccer. Brady also likes to read/ watch science fiction books and movies. COPM Assessment: Verbal and written consent was given from Brady to participate in the Modified Canadian Occupational Performance Measure (COPM) due to his inability to participate in everyday activities. The COPM is an assessment tool used by Occupational therapist to gain information regarding individual’s issues in regards to their occupational performance (Kirsh, Cockburn, Lynn, 2009). The COPM is a self-reporting system and tool that supports goal setting whilst promoting a positive client and therapist relationship. The COPM is a semi-structured interview. To gain information and score the COPM, clients are asked to self-rate their performance across three main areas on a ten-point scale, 1 being “not important at all”, not satisfied at all”, or “not able to do it”, and 10 being “extremely important”, “extremely satisfied”, or “able to do...
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...Wellness Intervention for Older Adults with Chronic Illness NAME INSTITUTION Chronic illness on elderly people has become rampant and of great concern. Medical intervention makes it possible for people to live longer and to survive more severe injury and pain. (Brown, 2003). Chronic illness can lead to isolation, depression, occupational deprivation among others effects. Occupational Therapists intend to know the evidence concerning nonpharmaceutical mind-body interventions that are more likely to increased participations. The objective of this study was to evaluate mind –body interventions for the elderly adult with chronic pain. I randomly sampled one hundred and twenty patients from different hospitals within Miami. The response gave instruction in mind and body relationship, cognitive restructuring, problem-solving, communication and behavioral treatment for insomnia, nutrition and exercise, meditation, hypnosis, yoga and guided imagery. A structured review evaluated pain reduction, feasibility, and safety. I used studies in Medline and PsycINFO to retrieve the data. 40 samples out of 120 include older adults with chronic illness aged between 60 to 75 years for one year follow up. I excluded samples of chronic nonmalignant pain. I selected twenty two and eighteen samples for men and women respectively. The outcome measures varied by the study, it took into consideration of depression scale, chronic pain acceptance questionnaire health, arthritis impact measurements, health-promoting...
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...J A Collaborative Approach to Fall Prevention By ANGELA MERRETT, PATRICIA THOMAS, ANNE STEPHENS, ROLA MOGHABGHAB and MARILYN GRUNEIR The four partner organizations formally recognized their commitment and shared vision through a letter of agreement, which specified a framework, definitions and terms for their respective roles and responsibilities. The letter of agreement was intended to foster a sense of belonging among the group and identify leadership and governance for the project. The two site coordinators were responsible for preparing and coordinating the ethical review applications and letters of support. The team decided to use the existing practices of community service providers. To facilitate referrals of participating patients, the team first identified the existing service pathways. The hospital medical director distributed an overview document to inform emergency department physicians of the project, and the clinical nurse specialist reviewed the referral process, protocols and documentation with nursing staff. ore than ever, health-care providers need to communicate with each other to stay informed about the services clients receive. Working in collaboration is essential to the delivery of effective, efficient and timely care (D'Amour, Ferrada-Videla, San Martin Rodriguez, & Beaulieu, 2005; Interprofessional Care Steering Committee, 2007). We all had roles on the Geriatric Emergency ManagementFalls Intervention Team (GEM-FIT) project, which was aimed...
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...vocational needs (Richards, Stewart, Woodbury, Senesac, & Cauraugh, 2008a). Knowing the best methods to promote motor recovery in arm and hand functioning is therefore critical in stroke rehabilitation. Lori Gage Richards, (PhD, OTR/L) is an active researcher and educator seeking to uncover which therapies drive neural reorganization after a stroke, and what are the most effective strategies leading to improvements is UE function. Richards is currently Associate Professor and Chair of the Occupational Therapy Department at the University of Utah. She was recently appointed editor-in-chief of the American Journal of Occupational Therapy and serves as Chair of the Nursing and Rehabilitation Committee-Stroke Council, of the American Heart Association. Additionally at the American Heart Association, she is a member of both the Leadership Council - Stroke Council and the Stroke Rehabilitation and Recovery Committee - Stroke Council. Her current professional affiliations include the American Occupational Therapy Association (AOTA), Society for Neuroscience, and the American Congress of Rehabilitation Medicine. Motor rehabilitation is premised on the belief that behavior (e.g., practice and motor-based intervention) forces neuroplastic changes in the central nervous system (CNS) which lead to better motor function. According to Richards, Hanson, Wellborn, & Sethi (2008b) the current evidence supports that "repetitive behavior that produces motor skill acquisition does...
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...Community Health Nursing: Quality of Life and Functioning A. Personal Perceptions After reviewing the case of Mrs. Thomas and her situation, there are many feelings I have about the final outcome. As nurses, we always have to take our feelings into account and rationalize what we feel about the health and well being of our patients. After a BRAC analysis was performed, significant results were indicated. I feel empathy for Mrs. Thomas because this technology showed what her odds were for future recurrence of breast cancer. I’m disappointed that a radical mastectomy was not suggested to be performed with Mrs. Thomas’ first surgery to help avoid a further decline. It appears almost obvious that this should have been encouraged by her medical team. I do, however, understand that it is easier to look back on this than to look forward with what options remain. What is most important is Mrs. Thomas’ quality of life for the duration of what time she has left. I define quality of life as the ability to be as emotionally, physically and mentally fulfilled as possible. Quality of life is finding all the moments that matter and cherishing them on a daily basis. There will be better days than others, but what is key is to understand the big picture. The major challenge is promoting the best quality of life when the big picture ultimately has a poor outcome. Health promotion is crucial to increase Mrs. Thomas’ quality of life. Interventions will be initiated in all areas...
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