Occupational Therapy at Hall & Prior

Occupational Therapy at Hall & Prior.

The Occupational Therapy Team. 04. TABLE OF CONTENTS.

—Valerie Pea, Occupational Therapist. “Hopeless into hope, can’t into can, impossible into possible.”.

The OT at Concorde. Joanna Ball, BSc Occupational Therapy.

Jo Ball. Jo’s schedule Concorde: 60 beds (approximate) Mondays and Tuesdays (full days) Thursdays (half days) Leighton: 70 beds (approximate) Wednesdays Thursdays (half days).

Who are the Occupational Therapy Assistants at Concorde?.

Are Physiotherapists the same as Occupational Therapists?.

No, here’s why..... A physiotherapist helps a person to improve their MOVEMENT . A n occupational therapist helps a person to improve their ability to perform TASKS ..

OTs at H&P can practice what they actually learned at uni, thanks to Madelyne Glover!.

Holistic, person-centred approach. Occupational therapists have a holistic view of a person’s health, function, quality of life and well-being. Rather than focusing on decline, we see potential. OTs are trained to create ways for a person to engage in what they need and love to do, regardless of how severe their condition is. (Occupational Therapy Australia, 2019)..

Person Body Thinking skills Emotions Spirit. Occupation Self care tasks Leisure activites Chores and work.

Aged Care Quality Standards agedcarequality.gov.au Standard 8 outcome J c*nt the organisation is run. I can gmrtner in improving and servkes. Standard 7 outcune get care and need them from Rople Mto are Standard 6 Consumer outcome 'feel safe and am encouro,ßd supported to give feedbcxh md complaints. I am to address my md complaints, and appromate Standard 5 Consumer outcome I feel and am comfortable in service environment planning o o Australian Government Standard 1 Consume' outcome I am dignity and and can maintain my identity. I can mahe informed chokes my care and services. and live the life I Standard 2 Consumer outcome am a in ongoing assess'Mtt and get the care services I my Standard 3 i rt care, ctinkd care, care and '*tfor Standard 4 I get the services and supports daily living that are important and well-being and that enaUe to Ilwantto&. Aged Care Quality and Safety Commission Engage Empou*r Safeguard.

Aged Care Quality Standards app. https://play.google.com/store/apps/details?id=com.ausgov&hl=en_AU&gl=US&pcampaignid=pcampaignidMKT-Other-global-all-co-prtnr-py-PartBadge-Mar2515-1.

The OT Process …. Agree on objectives/plan. Evaluate outcome.

What do Hall & Prior OTs do??.

What do OTs at Hall & Prior do??. Assessments. Information gathering.

Meet the new consumer and their family … Learn about their occupational Story and collect the following information for the ‘About Me’ -Who they are -What they like -Important relationships -Important achievements they are proud of -What they don’t like -Cultural/spiritual life -What makes them comfortable.

Strengths-based assessments. OTs assess each person individually , to see their capabilities . We create person-focused interventions so people can engage fully in what they want to do. Strengths-based assessments lead to better quality of life ..

Risk Assessment. Standard 1 of the Aged Care Quality Standards: Consumer Dignity and Choice . I am treated with dignity and respect and can maintain my identity. I can make informed choices about my care and services, and live the life I choose. What is ‘Dignity of Risk’? ‘Dignity of risk’ refers to the concept of affording a person the right (or dignity) to take reasonable risks, and that the impeding of this right can suffocate personal growth, self-esteem and the overall quality of life. Ausmed (2019)..

OT Assessment. This is a formal assessment Person's Diagnosis Explains ; Person -vision, hearing, touch, taste and smell, temperature (hot/cold), hand function, seating requirements, cognitive assessments (if needed), mood, communication, spiritual preferences Environment - Physical, social, cultural Occupation - Leisure. positive and negative factors impacting ability to carry out task.

Cognitive Assessments. MOCA. Montreal Cognitive Assessment F o r consumers who are known to already have mild cognitive impairment.

Seating assessment. OT’s very carefully assess a person’s seating needs and they will review them if the person; Has a change in their ability ( eg they have become more tired and can’t sit up) They are sliding out of their chair They are leaning over and can’t sit up on their own The current chair does not suit their needs anymore They need a new cushion.

Why not recline a wheelchair? Causes s hearing on their back. Increased pressure in sacral (bottom) area when they sit back up , causing a pressure injury. Pelvis tilts backwards , puts lower spine out of alignment, causing back pain. Increases risk of falling out of the chair..

Hips 90⁰ angle ✅. (United Nations, 2004)..

-Please don’t recline chairs, please ONLY tilt -Some chairs are worth $$$$$$ please be gentle with them ?.

Setting goals. As a team, the consumer, family and OT set goals that the consumer wants to set. Specific Measured Achievable Relevant Timed.

‘About Me’. Occupational Story Goals Community outings and visitors Spiritual/cultural engagement Individual and group interventions that are ‘graded’ or ‘adapted’ (changed) so the consumer can successfully do the activity..

Group Activity and Wellness Calendar. In consultation with consumers, the OT designs group programs that are carried out by the very hard-working OTA's..

Behaviour support. OTs provide intervention for consumers who are experiencing “Sundowning” in the afternoons. -For example, some people can become settled with Music/Nordic Swing Chair, doll therapy, robotic pets, vibro-acoustic pillow. These are all evidenced based ways to help some people who are experiencing distress or Sundowning syndrome..

Assistive equipment can help a person to be independent! Equipment like built up cutlery, so the person can feed themselves instead of being fed by staff. This can make a huge difference in a person's self-esteem, helping them to gain a sense of control of their life that they have lost..

Hand Therapy. When a consumer has problems with using their hands, like difficulty holding a pen or they have contracture (very stiff and tight muscles) To maintain range of motion and grip strength of hands. At times, consumers need referral to specialists for hand splints or surgery etc..

Changes in Activity. Refer to the OT if a consumer has; Lost interest in activities that they normally enjoy They don’t take part in any activities, either group or individual They are alone in their bedroom a lot more They would benefit from getting out and about in the community.

Pressure injuries. OT’s help; if a consumer’s Braden score is below 12 – they are at high risk for a pressure injury If there is a pressure sore ( eg on their bottom, heels, spine or other places).

Falls prevention. Detective work! Looking at the interaction between the person , their environment and their occupation (activity) to see what happened and develop ways to prevent it from occurring again!.

R eview/Reassessment. Changes. The consumer has the right to request a change in their care plan. They also must be involved in all care planning (See Standard 2.).

THANKS!. Thank you so much for having me here. The consumers at Concorde are lucky to be cared for by such a warm, caring and welcoming team. – Bec xxx.

References. Editorial Team, A. (2019). Dignity of Risk. Ausmed . Retrieved from https://www.ausmed.com.au/cpd/articles/dignity-of-risk Townsend, E., & Polatajko, H. (2007). Enabling occupation II: Advancing an occupational therapy vision for health, well ‐ being & j ustice through occupation. Ottawa, ON: CAOT Publications ACE Glover, M . (2021). Hall & Prior Occupational Therapist o rientation booklet. Perth, Australia. 2003-04, United Nations , Department of Economic and Social Affairs Division for Social Policy and Development https://www.un.org/esa/socdev/enable/designm/AD5-02.htm.