Occupational Therapy Topics from an Occupational Therapist and for Occupational Therapists
Thursday, April 17, 2014
Suffolk ADL Index
for those of you who are looking for an ADL Outcome Measure. Have a look at this. It was made by A. Magpantay in 2012.
Here are some information about it.
1. It measures 9 areas of ADLs compatible with OT uniform terminology and OT practice framework.
2. It uses Baseline Score so every individual would have their individual ceiling of performance and this is where improvements will be based
3. The SADL In Score has very strong positive relationship with Barthel ADL Index. This makes it valid.
4. The performance is expressed and described in percentage compared to baseline score
5. It generates a (PAN) physical assistance need score that can guide a therapist as to how much care support is required at the point of dated assessment.
6. It can easily be communicated to any other team/discipline
7. one can have an overview of performance at a glance
8. it describes level of assistance in terms of moving and handling support the person require
Tuesday, April 1, 2014
Conditions to Maximise Success of Interdisciplinary Team
9 Conditions to Maximise the Success of Interdisciplinary Team
1.
Allegiance
to a mission statement (i.e person centred rehab in the least restrictive
setting)
Does your service have a mission statement? Is it explicitly stated so
that everybody knows about it? Does everybody adhere to core values?
2. Specifically delineated roles of each
discipline
What are the roles of doctors? Physio, OT, SLT, Nursing, Care
coordinator, SW and discharge planning Nurse.
3. Balance participation by each professional
Are MDT working equally or is there a group that doe more than the
others.
4. Agreement on and implementation of ground
rules of interaction
When there is disagreement between MDTs, what do people do? Do people
shout? Do they demonstrate tantrums?
5. Clear and Effective communication and
documentation
How are things documented?
6. Scientific Approach to patient problems
Are professionals giving accurate findings or mostly opinions?
7. Clearly defined, Measurable Goals
Are we thinking about restorative goals? Adaptive and modification goals? How can goals be set if there are no
problems? Is it goals or tasks that needed to be done? Are we clear about how
goal setting should be?
8. Working Knowledge of Group Process
Who is the facilitator?
9. Expedient Procedures for coming to
consensus and decision making
What is the framework of reasoning?
OT Core Values
Topic 2: OT CORE VALUES
OT profession in the United Kingdom has no
publication relating to the core values of Occupational Therapy. (I could well be corrected on this)
There is, however, a publication regarding
Code of Ethics and Professional Conduct(COT 2010)
I do not know if OT who trained in the United Kingdom
are taught of OT core values. I, in my
personal and professional experiences, have embraced Occupational Therapy as a
vocation rather than a profession.
Embracing OT as a vocation means
embracing the core values of Occupational Therapy.
My daily actions are governed by these values and
any actions away from these values are actions that I would consider
unprofessional.
The core values and attitudes of occupational
therapy are organized around seven basic concepts--altruism, equality, freedom,
justice, dignity, truth, and prudence. How these core values and attitudes are
expressed and implemented by occupational therapy practitioners may vary
depending upon the environments and situations in which professional activity
occurs.
Altruism is the unselfish concern for the welfare of
others. This concept is reflected in actions and attitudes of
commitment, caring, dedication, responsiveness, and understanding.
Equality requires
that all individuals be perceived as having the same fundamental human rights
and opportunities. This value is demonstrated by an attitude of fairness and
impartiality. We believe that we should respect all individuals, keeping in mind
that they may have values, beliefs, or life styles that are different from our
own. Equality is practiced in the broad professional arena, but is particularly
important in day-to-day interactions with those individuals receiving
occupational therapy services.
Freedom allows
the individual to exercise choice and to demonstrate independence, initiative,
and self-direction. There is a need for all individuals to find a
balance between autonomy and societal membership that is reflected in the
choice of various patterns of interdependence with the human and nonhuman
environment. We believe that individuals are internally and externally motivated
toward action in a continuous process of adaptation throughout the life span.
Purposeful activity plays a major role in developing and exercising
self-direction, initiative, interdependence, and relatedness to the world.
Activities verify the individual's ability to adapt, and they establish a
satisfying balance between autonomy and societal membership. As professionals,
we affirm the freedom of choice for each individual
to pursue goals that have personal and social
meaning.
Justice places
value on the upholding of such moral and legal principles as fairness, equity,
truthfulness, and objectivity. This means we aspire to provide occupational
therapy services for all individuals who are in need of these services and that
we
will maintain a goal-directed and objective relationship with all those served.
Practitioners
must be knowledgeable about and have respect for the legal rights of
individuals receiving occupational therapy services. In addition,
the occupational therapy practitioner must understand and abide by the local,
state, and federal laws governing professional practice.
Dignity
emphasizes the importance of valuing the inherent worth and uniqueness of each
person. This value is demonstrated by an attitude of empathy and respect for
self and others. We believe that each individual is a unique combination of
biologic endowment, sociocultural heritage, and life experiences. We view human
beings holistically, respecting the unique interaction of the mind, body, and
physical and social environment. We believe that dignity is nurtured and grows
from the sense of competence and self worth that is integrally linked to the
person's ability to perform valued and relevant activities. In occupational
therapy we emphasize the importance of dignity by helping the individual build
on his or her unique attributes and resources.
Truth
requires that we be faithful to facts and reality. Truthfulness or veracity is
demonstrated by being accountable, honest, forthright, accurate, and authentic
in our attitudes and actions. There is an obligation to be truthful with
ourselves, those who receive services, colleagues, and society. One
way that this is exhibited is through maintaining and upgrading professional
competence. This happens, in part, through an unfaltering commitment to inquiry
and learning, to self-understanding and to the development of an interpersonal
competence.
Prudence is the
ability to govern and discipline oneself through the use of reason. To
be prudent is to value judiciousness, discretion, vigilance, moderation, care,
and circumspection in the management of one's affairs, to temper extremes, make
judgments and respond on the basis of intelligent reflection and rational
thought.
Summary
Beliefs and values are those intrinsic concepts
that underlie the core of the profession and the professional interactions of
each practitioner. These values describe the profession's philosophy and
provide the basis for defining purpose. The emphasis or priority that is given
to each value may change as one's professional career evolves and as the unique
characteristics of a situation unfold. This evolution of values is
developmental in nature. Although we have basic values that cannot be violated,
the degree to which certain values will take priority at a given time is
influenced by the specifics situation and the environment in which it occurs.
In one instance dignity may be a higher priority than truth; in another
prudence may be chosen over freedom. As we process information and make
decisions, the weight of the values that we hold may change. The practitioner faces dilemmas because of
conflicting values and is required to engage in thoughtful deliberation to
determine where the priority lies in a given situation. The challenge for us all is to know our
values, be able to make reasoned choices in situations of conflict, and be able
to clearly articulate and defend our choices. At the same time, it is
important that all members of the profession be committed to a set of common
values. This mutual commitment to a set of beliefs and principles that govern
our practice can provide a basis for clarifying expectations between the
recipient and the provider of services. Shared values empowers the profession
and, in addition, builds trust among ourselves and with others.
source: AOTA/willard and spackman
A Vulnerable Adult and Abuse: a reminder to what it is
A vulnerable adult
If we define
vulnerable adult as somebody in pain, then most of our patients are
vulnerable. I have looked at government
sites and department of health sites
regarding vulnerable adult to see what into the category of vulnerable
adult.
A vulnerable adult is someone aged 18 or
over:
·
Who is, or may be, in
need of community services due to age, illness or a mental or physical
disability
·
Who is, or may be, unable to take care of
himself/herself, or unable to protect himself/herself against significant harm
or exploitation
(Definition from the Department of Health
2002)
Who is a vulnerable adult?
Abuse can affect any vulnerable adult, but particularly someone who is, or may be,
unable to protect themselves against significant harm or exploitation,
for example:
·
Older people
·
People with mental
health problems
·
Disabled people
·
People with learning
difficulties
·
People with acquired
brain damage
·
People who misuse
substances
What is abuse?
Abuse is a violation of an individual's
human and civil rights. It may consist of a single act or repeated acts. It can be physical,
verbal or psychological, it may be an act or omission to act, or it may occur
when a vulnerable person is persuaded to enter into a financial or sexual
transaction to which he or she has not consented, or cannot consent. Abuse can occur in any relationship
Types of abuse?
·
Physical: including hitting, shaking, biting, grabbing,
withholding food or drink, force-feeding, wrongly administering medicine,
unnecessary restraint, failing to provide physical care and aids to living
·
Sexual: including sexual assault, rape, inappropriate
touching/molesting, pressuring someone into sexual acts they don't understand
or feel powerless to refuse
·
Emotional or
psychological: including verbal
abuse, shouting, swearing, threatening abandonment or harm, isolating, taking
away privacy or other rights, bullying/intimidation, blaming, controlling or
humiliation
·
Financial or material: including witholding money or possessions,
theft of money or property, fraud, intentionally mismanaging finances,
borrowing money and not repaying
·
Neglect: including withholding food, drink, heating
and clothing, failing to provide access to health, social and educational
services, ignoring physical care needs, exposing a person to unacceptable risk,
or failing to ensure adequate supervision
·
Discriminatory abuse: including slurs, harassment and maltreatment
due to a person's race, gender, disability, age, faith, culture or sexual
orientation
·
Institutional abuse: including the use of systems and routines
which neglect a person receiving care. This can happen in any setting where
formal care is provided.
Subscribe to:
Posts (Atom)