Understanding Occupational Therapy

practiceKavitha Murthi

Justify the importance of theories in OT practice

Aid students to use the theoretical lens to solve problems in the future

Present my experiences through this journey

This lecture aims to

Discussion Presentation Problem solving session Case study 3 take home messages Feedback for me

What I intend to do in the next hour?

Become slightly comfortable with the idea of using theoretical knowledge in practice

Initiating the process of reflection

The expected outcomes....

Rheumatoid Arthritis Fractures

Autism Myocardial Infarction

Cerebral Palsy Cancer Learning disabilities Anorexia

Traumatic brain injury Stroke Schizophrenia/ Psychosis

To begin with...

How do we deal with each of these cases?

(enhancing) Theories Models Research

(delivering) Frames of reference Assessments

Therefore our practice is aided by...

Is this how we want our practice to be?

What is theory?

A particular method of doing something A system of rules/ principles/ guidance A coherent group of tested prepositions

(Dictionary.com 2012)

What is theory?

What is an OT model?

Occupation focused concept Formulating and analysing the various

processes of OT practice with specific occupation focussed goggles

(Mclean 2011)

What is an OT model?

Day – to – day guide Method to deliver the ‘OT’ process Not exclusive to OT Experience( Mclean 2011)

What is a frame of reference?

Relationship between theory and practice 1 (adapted from Google images 2012)

Relationship between theory and practice 2 (adapted from Google images 2012)

Chaos and frustration

Organization

Organizes thoughts by relating and explaining concepts which are closely connected

Uses “experiences” to provide answers Rationalization of undertaken actions Evidence Structures performance Predictor of further thoughts Lays foundation for standardization. for

example: assessments (Turpin and Iwama 2010)

Therefore theories....

Can change conventional beliefs Provides the enriched data that can be

analysed Gives room for reflection First hand valuable information

(Turpin and Iwama 2010)

But practice....

Analysing practice though the theoretical goggles

Understand Judgement/ reasoning Analysis Critique Application Reflection (Turpin and Iwama 2010)

How is that possible?

Using the right model of practice for the right client

Viewing the client as a person with a life in an environment

How is that possible?

Was very time consuming Involved a lot of reading and synthesizing Critiquing literature Reasoning and justification Application of knowledge read and acquired Reflection

My experience...

I loved the whole experience I felt that there is a connection between

why we do some particular things in practice and its rightful justification

I could analyse, critique and reason things before accepting them or simply doing them

Made me very confident in front of members of a multi – disciplinary team

I could use the theoretical knowledge anywhere and everywhere

But that tremendously aided me because...

Was that information necessary? How will that help you and me to look

at.....? Is this approach of viewing clients as holistic

human beings with feelings important? Is scrutinizing their context of any

relevance? Are family opinions useful? Will all this information help you aid the

person in a better way?

Brainstorm

Starting point.

Boyett Schell, B.A. & Boyet Schell J.W. 2008. Clinical reasoning and professional reasoning in occupational therapy. Philedelphia: Lipnocott Williams and Willkins.

Creek, J. 2010. The core concepts of occupational therapy: a dynamic framework for practice. London: Jessica Kingsley

Hammel, K.W. 2009. Sacred texts: A sceptical exploration of the assumptions underpinning theories of occupation. Canadian Journal of Occupational Therapy, 76 (1) February, pp. 6 – 13.

 

References:

Iwama, M., and Turpin, M. 2010. Using Occupational Therapy Models in Practice a field guide. Churchill Livingstone Elevieser.

Keilhofner, G. 2009. Conceptual foundations of occupational therapy practice. 4th ed. Philadelphia: F.A. Davis Co.

References:

Problem solving session

Medical and Past medical history: Mrs. Rita Phillip had been diagnosed with

Osteo – arthritis in both her knee joints 6 months ago. Due to this, she experiences stiffness, swelling, tremendous pain. She also has restricted range of knee extension. She is currently on NSAIDs and pain relievers. She is a diabetic who underwent Nephrectomy 3 months ago.

Case study – example

Family situation: She lives with her family (husband, son’s family living

nearby).

Personal self:She was very social and friendly and loved her outings. She retired from her work a year ago. She was a teacher by

profession. She taught English, mathematics and grammar.Since then she loved taking care of her house and became a

devoted grandmother taking care of her son’s child.She loves cooking, reading, and is an amazing poet.

Case – study contd..

Current mental and physical status:She is highly dependent on her husband and

carer for her personal ADL and mobility in the house due to her regressive (deteriorating) condition.

She has turned to a very apathetic and asocial life.

She does not pursue any of her interests and has cut all her contacts apart from her close family.

Case – study contd...

Conceptualize Mrs. Rita by using one of the four OT models i.e.

MOHO/ PEOM/Kawa/CMOP – E This is a group activity (approx 5-6

students) Feedback: Poster/Very small discussion

What would you do?