Hello Jean:

Thanks for sharing and I am glad you enjoy the list! Spread the news!

Oh,  sometime students get a little overwhelmed at the negativity of the
list.  If that should happen just hang in there. There are LOTS of great
therapists in LOTS of great therapy settings.

Ron

----- Original Message -----
From: Jean Patterson <[EMAIL PROTECTED]>
Sent: Friday, December 09, 2005
To:   [email protected] <[email protected]>
Subj: [OTlist] What is Occupation Based Practice?

JP> Hi,

JP> I've been reading with interest this discussion. I am an OTA student. I just
JP> finished the "book learnin'" and will start my Level IIs in January. We have
JP> been taught over and over to use functional activities when working with
JP> patients. We were taught that it is ok to use the theraband, theraputty etc.
JP> but it should be followed by something functional.

JP> I have been a little (ok a lot) nervous about trying to always come up with
JP> a functional activity for every patient. 

JP> I had a one week Fieldwork experience in a rehab setting a few months ago.
JP> When I had to work with a patient I tried to think of ways to make the
JP> therapy fun. For example, one patient needed to gain strength, ROM, and
JP> endurance in both upper and lower body. I used a wooden checker board that
JP> had Velcro square wooden pieces with little loops attached. I had her stand,
JP> put a light wrist weight on, placed the board on a table top slant board
JP> with the table raised to the level I wanted, and we played checkers. She had
JP> a good work out that she enjoyed. For documentation you look at the
JP> components of the activity.

JP> Another day I was to lead a two person activity. The patients needed to gain
JP> endurance and walker safety. I decided instead of just an exercise group I
JP> would have them make cupcakes (it was Halloween)one younger patient made a
JP> sarcastic remark about how she couldn't wait to tell her family what she did
JP> in therapy today. I asked her if she really new what OT was all about. I
JP> said we look at what occupies a persons time, how we can change it now that
JP> they have this disability or weakness, and how we can help them to get back
JP> to that "occupation". I pointed out that the way she was moving in the
JP> kitchen with her walker was unsafe, and if we had not "practiced" making
JP> cupcakes she might not have realized this. She actually couldn't finish the
JP> whole activity because she needed to sit and rest. 

JP> I have run into several people who not only know what OT is, but they tell
JP> how wonderful their therapist was and how much they have been helped.

JP> The reason I am in OT at the age of 55 is because an OT in home health
JP> observed my mother couldn't raise her arm without severe pain. She insisted
JP> my Mother get another checkup. Seems that my Mom had a torn rotator cuff
JP> that no one caught the entire time she was in the hospital with their
JP> therapy department. 

JP> Sorry, didn't mean to ramble, but I just wanted to share my little
JP> experience with OBP as a student. 

JP> Maybe therapists need to do as my fellow students and I do. We are aware
JP> that we can fall into just using the theraband for an activity, but we share
JP> different ideas on how we can make therapy more functional. Our teachers
JP> give us different scenarios and we have to come up with treatment plans.

JP> I enjoy being on this list. 

JP> Jean Ann

 




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