ot practice may 7 issue

AOTA T H E A M E R I C A N O C C U P A T I O N A L T H E R A P Y A S S O C I A T I O N

®

PLUS

Fun Multidisciplinary Therapy IdeasU.S. Supreme Court Hears Health Care Reform ChallengesNews, Reflections, & More

Hand TherapyQ The Geriatric Hand

Q Learning Functional Anatomy in the Classroom

Q A Musician’s Recovery

MAY 7, 2012

DEPARTMENTSNews 2

Capital Briefing 5U.S. Supreme Court Hears Health Care Reform Challenges

In the Clinic 6Therapy Days: Fun (and Inexpensive) Ideas for Multidisciplinary Therapy

Perspectives 17Back in the Groove: Occupational Therapy Helps Professional Bass Player Recover From Motorcycle Accident

Calendar 19Continuing Education Opportunities

Employment Opportunities 27

Living Life to Its Fullest 32OT Reflections From the HeartNever Say Never

AOTA • THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATIONV O L U M E 1 7 • I S S U E 8 • M AY 7 , 2 0 1 2

OT PRACTICE • MAY 7, 2012

FEATURES

The Geriatric Hand 8 Degenerative Changes That Affect Hand Function and Occupational PerformanceLenore Frost, Frances Harmeyer, and Salvador Bondoc get a handle on evaluating age-related anatomical and physiological changes and associated conditions that affect hand function and occupational performance.

Hands-on Engagement 13 Learning Functional Anatomy in the ClassroomDavid LeVan and Julie Sonack describe a hands-on hand model at Gannon University that helps students better understand and apply functional anatomy concepts to clinical practice.

PAGE 8 PAGE 13 PAGE 17

• Discuss OT Practice articles at www.OTConnections.org in the OT Practice Magazine Public Forum.• Send e-mail regarding editorial content to [email protected]. • Go to www.otpractice.org/currentissue to read OT Practice online. • Visit our Web site at www.aota.org for contributor guidelines, and additional news and information.

OT Practice serves as a comprehensive source for practical information to help occupational therapists and occupational therapy assistants to succeed professionally. OT Practice encourages a dialogue among members on professional concerns and views. The opinions and positions expressed by contributors are their own and not necessarily those of OT Practice’s editors or AOTA.

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Chief Operating Officer: Christopher BluhmDirector of Communications: Laura CollinsDirector of Marketing: Beth Ledford

Editor: Ted McKennaAssociate Editor: Andrew Waite CE Articles Editor: Maria Elena E. LouchArt Director: Carol StrauchProduction Manager: Sarah Ely

Director of Sales & Corporate Relations: Jeffrey A. CasperSales Manager: Tracy HammondAdvertising Assistant: Clark CollinsAd inquiries: 800-877-1383, ext. 2715, or e-mail [email protected]

OT Practice External Advisory Board

Tina Champagne, Chairperson, Mental Health Special Interest Section

Donna Costa, Chairperson, Education Special Interest Section

Michael J. Gerg: Chairperson, Work & Industry Special Interest Section

Tara Glennon, Chairperson, Administration & Management Special Interest Section

Kim Hartmann, Chairperson, Special Interest Sections Council

Leslie Jackson, Chairperson, Early Intervention & School Special Interest Section

Gavin Jenkins, Chairperson, Technology Special Interest Section

Tracy Lynn Jirikowic: Chairperson, Developmen-tal Disabilities Special Interest Section

Teresa A. May-Benson: Chairperson, Sensory Integration Special Interest Section

Lauro A. Munoz: Chairperson, Physical Disabilities Special Interest Section

Regula Robnett, Chairperson, Gerontology Special Interest Section

Missi Zahoransky, Chairperson, Home & Community Health Special Interest Section

AOTA President: Florence ClarkExecutive Director: Frederick P. SomersChief Public Affairs Officer: Christina MetzlerChief Financial Officer: Chuck PartridgeChief Professional Affairs Officer: Maureen Peterson

© 2012 by The American Occupational Therapy Association, Inc.

OT Practice (ISSN 1084-4902) is published 22 times a year, semimonthly except only once in January and December, by The American Occupational Therapy Association, Inc., 4720 Montgomery Lane, Bethesda, MD 20814-3425; 301-652-2682. Periodical postage is paid at Bethesda, MD, and at additional mailing offices.

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2 MAY 7, 2012 • WWW.AOTA.ORG

N E W S Association updates...profession and industry news

AOTA News

Never Too Early

AOTA’s 2012 Conference & Expo may have just ended, but we are already calling

for your presentation proposals for the 2013 Conference, to be held in San Diego from April 25 to 28. Please share your practice innovations, research, and expe-rience by submitting a proposal to present at the 93rd Annual Conference & Expo. Papers may be submitted anytime between May 14 and June 19. For more, log on to the AOTA Web site (www.aota.org) and click on “Call for Papers.”

We Want Your Opinion

Do you do home modifica-tions as part of your OT or OTA practice? If so, you are

invited to complete a survey to help inform the profession about current practice. The survey is a collaboration between AOTA and Duquesne University’s Occupational Therapy Depart-ment. Please use this link to complete the survey before May 31: www.surveymonkey.com/s/YGZSMK3. For additional infor-mation, e-mail Patricia Crist at [email protected] or Karen Smith at [email protected].

ACOTE Seeks New Accreditation Evaluators

A re you interested in becom-ing a volunteer accredita-tion evaluator? Applications

are being accepted until June 15 for the Roster of Accreditation Evaluators.

For the positions to be filled in January 2013, the Accredita-tion Council for Occupational

Therapy Education (ACOTE®) is placing a strategic emphasis on recruiting a diverse pool of accreditation volunteers. Doc-torally prepared occupational therapy practitioners are espe-cially needed and are strongly encouraged to apply.

If you or someone you know would be well suited for this exciting and important volun-teer position, download the Educator or Practitioner appli-cation for membership from the Announcements & Newsletters section of the ACOTE Web site, at www.acoteonline.org, or request an application from AOTA Accreditation staff at [email protected] or 301-652-6611, ext. 2914.

Applications should be completed and returned no later than June 15 to [email protected] or to the ACOTE Accredi-tation Program, c/o AOTA, P.O. Box 31220, Bethesda, MD 20824-1220.

Leaders Wanted

AOTA is excited to con-tinue our commitment to leadership development

by offering an updated Leader-ship Development Program for occupational therapy manag-ers who want to cultivate their power and influence in their practice setting and within the profession. The future viability of the profession demands that we have solid and skilled leader-ship at all levels of the profes-sion. This program will assist in meeting the Centennial Vision strategic objective of “build-ing the profession’s capacity to influence and lead.” It is open to occupational therapy practition-ers (OTs and OTAs) with more than 5 years of experience who are currently in management positions. Special consideration

will be given to practitioners new to their rehabilitation/school-based occupational ther-apy manager/director position.

Applications will be accepted from May 15 to June 15. For submission requirements and other details, please go to www.aota.org/managers.

Industry Updates

Get a Head Start

Head Start’s 11th National Research Conference will be held June 18 to 20 at

the Grand Hyatt Washington in Washington, DC. The goals of the conference are to identify and disseminate research rel-evant to young children (birth to 8 years) and their families, and to encourage collaborations and partnerships among research-ers, practitioners, and policy-makers. The conference will focus on research that consid-ers low-income families, who are Head Start’s service population. For more information, including registration details, visit www.acf.hhs.gov/programs/opre/hsrc. AOTA is a cooperating partner organization for the conference.

80 Attend Occupational Science Summit

Nearly 80 scientists and researchers attended the first-ever Occupational Sci-

ence Summit, held in St. Louis, Missouri, on March 11. For 3 days, occupational therapy researchers presented their work to colleagues to garner feedback and critiques. Spon-sored by Washington University School of Medicine, University of Southern California, Uni-versity of Illinois–Chicago, and Thomas Jefferson University,

the summit brought together senior, mid-level, and entry-level scientists to further develop research in occupational therapy. For more on the sum-mit, check out the article under the News and Events section on the home page of AOTA’s Web site (www.aota.org).

Resources

New Pediatric Tools

Several new pediatric information sheets have been released by AOTA

with downloadable information sheets for practitioners. ! Introductory Sheet reviewing

the use and intent of AOTA’s mental health information sheets for children and youth: www.aota.org/Practi-tioners/PracticeAreas/Pedi-atrics/Browse/MH/How-to.aspx?FT=.pdf

! Recess Promotion Informa-tion Sheet: www.aota.org/Practitioners/PracticeAreas/Pediatrics/New/Recess.aspx?FT=.pdf

! Obesity Prevention and Intervention Information Sheet: www.aota.org/Practi tioners/PracticeAreas/Pedi atrics/Browse/MH/Obesity.aspx?FT=.pdf

! Transitions Across Contexts Checklist: www.aota.org/Practitioners/PracticeAreas/Pediatrics/New/Checklist.aspx?FT=.pdf

New and Revised Fact SheetsAOTA has produced the follow-ing new Fact Sheets:

! Occupational Therapy’s Role in Sleep

! Occupational Therapy’s Role in Breast Cancer Rehabilitation

he U.S. Supreme Court heard oral argu-ments from March 26 to 28 challenging the constitutionality of the Afford-able Care Act (ACA), the health care reform law signed by President Obama in 2010. The ACA is meant, in part, to extend health insurance coverage to tens of millions of previously uninsured Americans.

Of the legal issues under consid-eration by the Supreme Court in con-nection with the law, the most divisive and central issue is the requirement that essentially all Americans obtain insurance coverage or face a finan-cial penalty. This requirement (the “minimum coverage provision” or the “individual mandate”) is considered necessary to ensure other underly-ing aspects of the law: that insurance companies make coverage available to all applicants without taking account of pre-existing conditions and without charging especially high fees to those with costly health care needs.

The options available to the justices are to deem a decision premature, uphold the law, or strike it down in whole or in part.

ANTI-INJUNCTION ACTOn the first day of oral arguments, the justices considered whether they are barred from hearing the case at this early date. The Anti-Injunction Act states, loosely, that litigation intended to prevent the collection of a tax may proceed only after the assessment of the tax and not before. Notably, lawyers for both the Obama administration and the challengers agree that the Supreme Court can decide the case now, and the justices are expected to move forward with a decision.

THE INDIVIDUAL MANDATEOn the second day of the hearings, the central question in the case was debated: whether Congress can mandate that individuals purchase a product (health insurance) or pay a tax penalty. The U.S. solicitor gen-eral, speaking on behalf of the Obama administration, argued that Congress is authorized to enact such a mandate pursuant to its power to regulate commerce and its power to tax under Article I, Section 8, of the Constitution. The challengers argued instead that the requirement to buy a product is unprecedented, unlawfully regulates inactivity rather than activity, and would allow Congress unlimited power to intrude on individual freedom.

The solicitor general faced the toughest questioning, with Justice Scalia asking, “May failure to purchase something subject me to regulation?” Chief Justice Roberts wondered whether the government could compel the purchase of cell phones next, and Justice Alito extended that line of thought to include forcing people to buy burial insurance.

SEVERABILITYOn day three of oral arguments, the jus-tices dealt with the issue of severability: Is the individual mandate severable from the ACA? Or, if the mandate were deemed unconstitutional, must the ACA be invalidated in its entirety? This question is of particular importance because the mandate itself is widely regarded as imperiled.

The solicitor general maintained that if the mandate falls, the only provi-sions of the ACA that should fall with it are those prohibiting insurers from

denying coverage to consumers based on pre-existing conditions and charg-ing high premiums to consumers with costly medical conditions. Justice Scalia pointedly disagreed, however, stating, “My approach would be to say that if you take the heart out of this statute, the statute’s gone.”

MEDICAID EXPANSIONThe last arguments the justices heard concerned Medicaid expansion— specifically, whether the law’s require-ment that states expand Medicaid cov-erage and increase program spending or lose federal funding is unduly coer-cive. The solicitor general, bolstered by several justices, noted that there is little question as to the constitutionality of the expansion provisions, as states are free to withdraw from the Medicaid program at any time.

IMPLICATIONS The Supreme Court’s decision, expected in June 2012, will have a significant impact on health care and possibly even the elections in Novem-ber. Losing the individual mandate, either alone or with other aspects of the law, would be a significant setback to the Obama administration’s efforts to reform health care, but we know many foundational issues of the ACA are here to stay, such as quality-based payment, local efforts to extend coverage to unin-sured citizens, and additional checks on the practices of health insurance com-panies. AOTA is closely following legal developments related to the ACA and will be analyzing the Supreme Court’s decision in June. !

Jennifer Hitchon, JD, MHA, is AOTA’s regulatory counsel. She can be reached at [email protected].

TU.S. Supreme Court

Hears Health Care Reform ChallengesJennifer Hitchon

5OT PRACTICE • MAY 7, 2012

C A P I T A L B R I E F I N G


I N T H E C L I N I C

Therapy DaysFun (and Inexpensive) Ideas for Multidisciplinary Therapy

Charlene Fitch Amy L. Fletcher Cynthia Kelleher Cherie N. Marsh Lorna Wilhelm

I N T H E C L I N I C

t Springbrook, a facility in rural upstate New York that serves people with intellectual and physi-cal disabilities, we as a team of therapists in five separate adult day habilitation programs (Day Habs) are always

thinking how best to use our expertise to serve individual clients despite our very limited budgets. Our therapy team for adults consists of an occupa-tional therapist, an occupational therapy assistant, a speech-language pathologist, a physical therapist, and a physical ther-apy assistant. Each therapist brings a traditional area of expertise to a variety of clients, addressing their varied diagnoses and wide array of abilities. Great care is taken to include and encourage every client to use all of his or her individual capabilities. It is our job to help remediate that disabil-ity so that each can participate at an optimum level.

INTEGRATED THERAPY MODELTo meet this challenge, the therapy team incorporates an integrated therapy model that includes a 1-day-per-week “Therapy Day” program. Every week, one Day Hab participates in a therapy team–led activity designed specifically for the population it serves. Initially, the team develops a theme through brainstorming. This sets the base upon which the activity is built. Goals from each therapeutic discipline are infused into the theme, focusing on functional everyday life skill activities. To prepare for the Therapy Day, the team pulls recycled products, card-board, duct tape, activities, games, and

supplies that are readily available in each Day Habilitation site.

The goals for each Therapy Day are written and distributed before the actual Therapy Day occurs (see Figure 1 on p. 20). Adaptations are made so that each client can become involved in the activity of the day. Day Hab staff members are encouraged to carry over the goal-oriented activities and incorpo-rate them into ongoing daily activities.

EXAMPLE THERAPY DAYSTherapy Day is intended to give some new and fresh ideas for activities as well as demonstrate how every activity can be tweaked for people with differ-ent needs and capabilities. Over the past 2 years, therapists have provided a wide variety of activities, with every activity incorporating picture commu-nication and adaptive and positioning equipment so that every individual can participate as fully as possible. For example, individuals with profound intellectual disability and severe motor limitation can use a sip-and-puff system

involving scanners to communi-cate choices during activities.

For one Therapy Day, each Day Hab built a bird feeder. Every client rotated from station to station, performing steps of the project. The wood for the birdfeeder was precut. The first step was sanding, and each individual took a turn sanding the wood. Some sanded by hand, those who could benefit from increased sensory input used a power sander, and still others activated the electric sander using a switch. For assembling, each client had the opportunity to use a screw driver or drill, adapted to their level of skill.

Painting finished up the project, with each individual using paint brushes or sponges with built-up or long handles to complete part of the painting. Thera-pists provided hand-over-hand model-ing and assistance as needed.

For the Amazing Race Therapy Day, the Day Habilitation program was split into three teams and “raced” against each other through a series of challenges. Once the challenge was completed, hidden pictures of gnomes gave the team picture clues to find items in a Scavenger Hunt. The team that completed all the chal-lenges, found the Scavenger items, and reached their destination the quickest won the prize—a sculpture that would be crafted later that day using leaves and wax.

Other Therapy Day themes and ideas have included:! Mayflower Day—like the colonists,

clients turned cream into butter by incorporating upper-extremity exercise to shake a recycled plastic container

AA client wins the PLINKO game during the “Price Is Right” Therapy Day.

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s we age, the musculoskel-etal, vascular, integument, and nervous systems begin to show signs of degenera-

tive changes that affect hand function—primarily strength, dexterity, and prehension. Bone demineralization, joint “wear and tear,” muscle atrophy, decreased sensation, and soft tissue changes combined with associated health conditions decrease a person’s functional abilities. As the aging population grows in the United States, with persons older than 65 years of age expected to increase to 19% of the total population by 2030,1 so will the need for occupational therapy services for adults as they age.

For some older adults, whether retired, partially retired, or still working, deteriorating hand function is a part of the aging process.2 Shumway-Cook and Woollacott identified several features of decreased reach, grasp, and manipula-tion in older adults from a motor control perspective.3 These features include reduction in manual dexterity such as manipulating buttons and opening pill bottles, and decreased efficiency in grip-and-lift tasks such as carrying a laundry basket or grasping and lifting

a milk carton off a refrigerator shelf. Fortunately, these age-related changes may be addressed through training. If unaddressed, older adults are at risk for decreased occupational performance. Incel and colleagues suggested that a loss of hand function is an important predictor of a reduction in activities of daily living (ADLs) performance and quality of life of older adults.4

TROPHIC CHANGES IN THE AGING HANDIn the sixth decade of life, bone density decreases at a rate of 0.72% per year and contributes to functional disuse secondary to joint degenerative disease that causes instability and pain.5 The wrist and hand are composed of mul-tiple joint surfaces and complex liga-mentous and cartilaginous structures, and they are prone to degenerative changes, specifically the distal inter-

phalangeal (DIP), carpometacarpal (CMC), and scaphotrapeziotrapezoid (STT) joints. The proximal interpha-langeal and metacarpal joints may show degenerative signs, but the DIP, CMC, and STT are most commonly affected, in that order.6 Absent specific dis-ease, wrist pain caused by cumulative trauma, or an inadequately treated or previous undiagnosed injury, may cause joint structural changes resulting in decreased motion, increased pain, and possible swelling.

Intrinsic and extrinsic muscle strength decreases 20% to 25% after the age of 60, with the hypothenar muscle group showing the most signifi-cant decline.5 The opponens pollicis, adductor pollicis, and flexor pollicis brevis are the main stabilizers of the thumb during manipulation tasks, and evidence suggests that the number of motor units of the median and ulnar

Evaluating age-related anatomical and physiological changes and associated conditions that affect hand function and occupational performance.

Hand Function and Occupational Performance

The Geriatric Hand

Degenerative Changes That AffectLENORE FROST

FRANCES HARMEYER

SALVADOR BONDOC

A


or all practitioners, under-standing functional anatomy is critical to clinical reason-ing and ultimately to quality

client care. In a neurological setting, for example, when a client presents with a tonal pattern, the therapist needs the anatomical knowledge base to under-stand which muscles are high in tone, thus producing a pattern of imbalance. Only then can appropriate splinting and tonal reduction interventions be success-ful. When a client comes into an orthope-dic setting with a specific diagnosis, the therapist must rely on his or her anatomi-cal knowledge to locate the structures involved, directing further occupational therapy evaluation and developing suc-cessful intervention strategies. In both these examples, integrating knowledge and fundamental skills in functional anatomy in the educational setting is the essence of creating the foundation of a solid clinician.

Building that foundation begins in occupational therapy programs, where educators are constantly challenged to find new ways to maintain students’ interest in the learning process. One area of study that occupational therapy students typically find challenging is functional anatomy. This is especially true when students must apply ana-

tomical concepts to human movement patterns used in everyday activities. It is understandably difficult for students to imagine how a muscle attaches to the human skeleton and performs the intricate movements we see on the surface of the skin.

So, to promote better understanding of these anatomical concepts, the Anal-ysis of Human Movement, a required undergraduate course during the third year of the Master of Science in Occu-pational Therapy Program at Gannon University in Erie, Pennsylvania, has begun using a three-dimensional learn-ing and teaching tool called the Soft Anatomy Forearm/Hand Model, which contains the bones, muscles, major

nerves, and key ligaments from the elbow to the digits. In this course—the first in which students are required to describe how the function of muscles affects motion of the upper extremities, lower extremities, and trunk and iden-tify common nerve innervations of each of these regions—students also learn to analyze human movement through assessments such as range of motion (ROM) and manual muscle testing (MMT) and determine how limitations in movement affect occupational per-formance. It is also the first time when they are required to apply previously learned concepts of anatomy to normal human movement.

A hands-on hand model at Gannon University helps students

better understand and apply functional anatomy concepts to

clinical practice.

Learning Functional

Anatomy in the

ClassroomDAVID LeVAN

JULIE SONACK

F

Hands-on Engagement

David LeVan demonstrates the Soft Anatomy Forearm/Hand Model.

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Back in the GrooveOccupational Therapy Helps Professional Bass Player Recover

From Motorcycle AccidentAndrew Waite


P E R S P E C T I V E S

odney Jones leans back in his chair, the soundboard and music studio behind him. He wears a black baseball cap backward and a long chain around his neck as he’s interviewed about his bass playing in a YouTube video uploaded

in 2010 (http://www.youtube.com/watch?v=GeOPN6howxM). Jones smiles often as he con-verses, and does a lot of talking with his hands. During one point in the video, his interviewer asks him about a recent single Jones co-wrote with gospel singer and pianist Smokie Norful. Jones nods his head and swivels his chair, clenching his left fist, which punches the center of the screen as he rotates. When Jones filmed the interview, he wasn’t thinking about that left hand or its positioning in the frame. He was thinking about his musical career, lost in a question-and-answer session about his sound, style, and groove.

Little did Jones, 25, know then that 1 year later his left hand would become the center of his focus dur-ing a grueling recovery process that would teach him more about himself as a musician than he could possibly convey in the 2010 interview.

Music runs in Jones’s family. His father, grandfather, and great grandfa-ther were musicians. But Jones never fancied himself an artist.

“When I was a kid, they asked me what I wanted to be, and I said fire-man,” Jones recalls with a chuckle.

But when Jones’s grammar school choir needed a bassist, who was he to deny his lineage?

“So I started playing. And from that point on I have been a musician all my life,” he says in a gravelly voice fit for radio.

His mom, LaWanda, 48, imme-diately saw her son’s love for his instrument.

“He was very happy, very loving. He just had a passion to do it, and that was something that he strove to do really well. It meant more to him than doing homework, than going outside to hang out with the boys in the neigh-borhood,” LaWanda Jones says.

By 2006, Jones had made it. He was first call for many prominent musi-cians, including Avant, Stephanie Mills, and Donald Lawrence. First call means Jones fills in if an artist’s bassist is sick and can’t make a gig, no matter how prominent the venue.

He was playing venues like Chi-cago’s United Center, Los Angeles’s Staples Center, and the Pori Jazz Festival.

On October 8, 2011, Jones flew back to Chicago from Washington, DC. He’d spent the past few days in the nation’s capital playing in a gospel and jazz festival. Two days later, Jones thought that might be the last concert of his life.

“It’s about 2 am on a Monday morning [Oct. 10, 2011],” Jones recalls. “I was a passenger of the motorcycle. I was riding and she lost control on the expressway. When we hit the wall I went rolling and flipping…. I flew for about a block. I really don’t remember see-ing it because I had the helmet on.”

Jones went to the emergency room.

“I guess my adrenaline was still rushing, so the pain that they were expecting me to feel hadn’t kicked in yet,” Jones says. “I just wanted to go home and go to sleep and take a bath, but they told me I skinned my pinky down to the bone and lost all the tissue and muscle as well as [critically damaged] my left knee.”

LaWanda was horrified when she saw her son in the hospital.

“I couldn’t really look at him with the condition he was in. It was hard. His hand was messed up and his leg and stuff. Sometimes you see things and you just really start thinking the worst,” she recalls.

Jones needed a series of surgeries to repair the shredded left side of his body. (The driver of the motorcycle was not seriously injured in the crash and is doing “all right,” Jones says—he saw her recently.) After the proce-dures, Jones was in a wheelchair and couldn’t walk. But that’s not what upset him most.

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MAY 7, 2012 • WWW.AOTA.ORG

“I didn’t see my hand until maybe 4 days after the surgery,” Jones recalls. “When I saw my hand, I pretty much fainted. At that point I said that my music career was over. I was trying to think of other professions that I could pursue. So I counted it as a loss.”

Because of the plastic surgery required to repair his skinned hand, the extremity was stiff, seemingly frozen in a high-five position.

“The doctor was telling me that he wanted me to start making fists as soon as possible, and I couldn’t move my hand a half an inch toward a fist,” he says.

That’s when Jones was introduced to Sean Clancy, OTR/L, CHT, coordinator of the Hand Therapy Program at the Univer-sity of Chicago Medical Center.

“So the functional problem, the main problem, was his livelihood. He’s a profes-

sional bass player. The bass is four strings and the frets are pretty big, so it takes a lot of strength to push those things down,” Clancy says. “The guy’s a pro, so he could play with two fingers better than I probably could after 3 years. But he couldn’t play like he did. And he really prides himself on his tone, and his sound is kind of quick and funky, so he goes up and down quickly and he needs his pinky to reach up and abduct out. That was impossible at the time.”

Jones couldn’t shake a defeatist mentality.

“It was a major downer moment, depression moment, because in my career, normally, whatever I do I am always the best,” Jones says.

Fortunately, Clancy believed in his client. The therapist worked on scar mobi-lization in Jones’s tendons, strengthened range of motion, and employed custom-

fabricated orthotics to help stretch the web

space in Jones’s hand. Clancy also pushed Jones to

make a fist. “He said that

if I didn’t make a fist now, later it was going to be harder to make that fist. So

pretty much he just kept having me going through

exercises of having to close my hand and open it,” Jones recalls. “It was a lot of pain because

every time I would stretch it past one point to get

to the next level, and my hand would

swell up. Then I’d be sitting with a balloon for a left hand.”

Slowly, Jones made progress.

And after a few weeks, there was

nothing left to do but play the bass––even if

Jones could only use two fingers on his left hand.

“[Clancy] kept advising me to go play, play, play, play. It helps when you are working with someone who has such a positive attitude,” Jones says.

When not in therapy, Jones did his homework and constantly tested his range of motion. He regularly utilized Clancy’s splints to help expand his web spacing.

By December, Jones could almost make a full fist. His pinky only needed another quarter of an inch to reach the palm.

“I was playing with three fingers and the week after that I am playing with my pinky and it wasn’t hurting. So when I realized that my career wasn’t over, I came out of depression,” Jones says.

Clancy saw the change in his client. “Now it’s like the artist has come out.

The marketer, the fast talker, the charmer. He’s totally back to himself. He’s working. He’s doing the stuff he’s supposed to do,” Clancy says.

Jones even claims he is playing bet-ter now than at any point in his career. Consequently, he just released a new solo album. To find out more about Jones and his music, visit www.rodneyjonesjr.com.

“Going to therapy is like going to the gym. It’s exercising, so you have no choice but to get stronger. [Clancy] showed me a lot of these different techniques and exercises on what to do—how to spread my fingers apart, and how to strengthen all the muscles in my fingers,” Jones says. “So, at first, let’s say I am playing for an hour or two. A lot of times my pinky may get tired because the pinky is the weakest finger on your hand. Now, my pinky is the strongest finger on my hand because I had to work it out so much.”

The recovery process taught Jones about the robustness of his self-discipline. Before, he never would have imagined adhering to such a strict exercise and stretching routine. In fact, going to ther-apy and strengthening his hand inspired Jones to purchase a gym membership and get the rest of his body in shape.

“I approach my instrument differently now,” Jones explains. “I approach it pro-fessionally, of course, but now I also know the pain that has been there. I know the feeling of hurt.”

And as for that fist––once the source of stinging agony?

“No pain,” Jones says. “Every time I make a fist now there is just joy.” !

Andrew Waite is the associate editor of OT Practice.

He can be reached at [email protected].

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“ Now it’s like the artist has come out. The marketer, the fast talker, the charmer. He’s totally back to himself. He’s working. He’s doing the stuff he’s supposed to do.”


C A L E N D A RTo advertise your upcoming event, contact the OT Practice advertising department at 800-877-1383, 301-652-6611, or [email protected]. Listings are $99 per insertion and may be up to 15 lines long. Multiple listings may be eligible for discount. Please call for details. Listings in the Calendar section do not signify AOTA endorsement of content, unless otherwise specified.

Look for the AOTA Approved Provider Program (APP) logos on continuing edu-cation promotional materials. The APP logo indicates the organization has met the requirements of the full AOTA APP and can award AOTA CEUs to OT relevant

courses. The APP-C logo indicates that an individual course has met the APP requirements and has been awarded AOTA CEUs.

June

Milwaukee, WI Jun. 1–2Myofascial Release: An Encounter With Touch. This workshop has been designed for therapists who are new to the treatment technique of MFR. Pri-mary emphasis will be on learning soft tissue mobili-zation and deep tissue release, as well as the thera-peutic exercises and activities that can be used to complement them. Hands-on lab sessions will be utilized so that all participants can feel and see the direct results of their treatment. For additional infor-mation and registration, visit our Web site at www.chs-continuing.uwm.edu or call 414-227-3123.

Chattanooga, TN Jun. 2–12Lymphedema Management. Certification courses in Complete Decongestive Therapy (135 hours), Lymphedema Management Seminars (31 hours). Coursework includes anatomy, physiology, and pathology of the lymphatic system, basic and ad-vanced techniques of MLD, and bandaging for primary/secondary UE and LE lymphedema (incl. pediatric care) and other conditions. Insurance and billing issues, certification for compression-garment fitting included. Certification course meets LANA re-quirements. Also in San Francisco, CA, June 2–12, 2012. AOTA Approved Provider. For more information and additional class dates/locations or to order a free brochure, please call 800-863-5935 or log on to www.acols.com.

July

Kansas City, MO Jul. 27–28Introduction to Driver Rehabilitation. Course designed for individuals new to the field of driver rehabilitation. Topics include program develop-ment, driver training, adaptive driving equipment, and program documentation. Course will also em-phasize collaboration with mobility dealers and con-sumers and families. Contact ADED 866-672-9466 or visit our Web site at www.aded.net.

Kansas City, MO Jul. 27–28Application of Vehicle Modifications. Course designed for those desiring knowledge of adaptive driving equipment as well as the process for pre-scribing and delivering such equipment to individu-als with disabilities. Contact ADED 866-672-9466 or visit our Web site at www.aded.net.

Kansas City, MO Jul. 29–31ADED Annual Conference and Exhibits. Profession-als specializing in the field of driver rehabilitation meet annually for continuing education through work-shops, seminars, and hands-on learning. Earn con-tact hours for CDRS renewal and advance your ca-reer in the field of driver rehabilitation. Contact ADED 866-672-9466 or visit our Web site at www.aded.net.

September

St. Louis, MO Sept. 12–15Envision Conference 2012. Learn from leaders in the field of low vision rehabilitation and research

while earning valuable continuing education credits. Attend the multi-disciplinary low vision rehabilitation and research conference dedicated to improving the quality of low vision care through excellence in professional collaboration, advocacy, research, and education. Envision Conference, September 12–15, 2012, Hilton St. Louis at the Ballpark. Learn more at www.envisionconference.org.

Ongoing

Clinician’s View Offers Unlimited CEUs Two great options: $177 for 7 months or $199 for 1-Full Year of unlimited access to over 640 contact hours and over 90 courses. Take as many courses as you want. Approved for AOTA and BOC CEUs and NBCOT for PDUs. www.clinicians-view.com 575-526-0012.

Internet & 2-Day On-Site Training Become an Accessibility and Home Modifica-tions Consultant. Instructor: Shoshana Shamberg, OTR/L, MS, FAOTA. Over 22 years specializing in design/build services, technologies, injury preven-tion, and ADA/504 consulting for homes/jobsites. Start a private practice or add to existing services. Extensive manual. AOTA APP+NBCOT CE Registry. Contact: Abilities OT Services, Inc. 410-358-7269 or [email protected]. Group, COMBO, personal men-toring, and 2 for 1 discounts. Calendar/info at www.AOTSS.com. Seminar sponsorships avail-able nationally.

AOTA Self-Paced Clinical Course Occupational Therapy and Home Modification: Promoting Safety and Supporting Participation. Edited by Margaret Christenson, MPH, OTR/L, FAOTA, and Carla Chase, EdD, OTR/L, CAPS. This new SPCC consists of text, exam, and a CD-ROM of hundreds of photographic and video resources that provide education on home modification for occupational therapy professionals. Practitioners who work with either adults or children will find an overview of evaluation and intervention, detailed descriptions of assessment tools, and guidelines for client-centered practice and occupation-based outcomes. Earn 2 AOTA CEUs (20 NBCOT PDUs/ 20 contact hours). Order #3029, AOTA Members: $370, Nonmembers: $470. http://store.aota.org/view/ ?SKU=3029.

AOTA Self-Paced Clinical Course Mental Health Promotion, Prevention, and In-tervention With Children and Youth: A Guiding Framework for Occupational Therapy. Edited by Susan Bazyk, PhD, OTR/L, FAOTA. This important new SPCC provides a framework on the role of oc-cupational therapy in mental health interventions for children that can be applied in all pediatric practice settings. The public health approach to occupation-al therapy services at all levels puts an emphasis on helping children develop and maintain positive mental health psychologically, socially, functionally, and in the face of adversity. Earn 2 AOTA CEUs (20 NBCOT PDUs/20 contact hours). Order #3030, AOTA Members: $370, Nonmembers: $470. http://store.aota.org/view/?SKU=3030.

Continuing Education

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Santa Rosa, CA Starting July 12Sensory Integration Certification Program Sponsored by USC/WPSCourse 1: July 12–16 Course 2: August 16–20Course 3: October 18–22 Course 4: Nov. 30–Dec. 4For additional sites and dates, or to register, visit www.wpspublish.com or call 800-648-8857

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2008 Conference Schedule

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Assessment & Intervention TrainingTwo Days of Hands-On Learning (1.6 CEU)

Upcoming Locations & Dates:

San Antonio, TX May 17–18

Kearney, NE May 31–1

Stafford, TX June 28–29

Harrison, AR August 16–17

Warrenton, VA August 23–24

San Antonio, TX October 4–5

Miami, FL October 13–14

Kissimmee, FL November 1–2

For complete training schedule & information visit www.beckmanoralmotor.com

Host a Beckman Oral Motor Seminar!Host info (407) 590-4852, or

[email protected]

New Edition of Occupational Therapy Bestseller!

The Occupational Therapy Manager, 5th EditionEdited by Karen Jacobs, EdD, OTR/L, CPE, FAOTA, and Guy L. McCormack, PhD, OTR/L, FAOTA

In today’s health care environment, occupational therapy practitioners in clinical and leadership positions must be prepared to ensure that clients receive the highest quality of care; morale and efficiency remain high; businesses and organizations are profitable; and the profession is recognized by other health care professionals, reimbursers, and clients as a valuable service steeped in evidence.

This new edition includes 37 new and updated chapters, discussing the how-to aspects of creating evidence-based practice; effectively leading and motivating staff; ensuring ethical service delivery; and important day-to-day items such as budgeting, documentation, and reimbursement. Chapters feature case studies, learning activites, multiple-choice questions, and topic-specific evidence tables and are updated to reflect health care reform and its potential effects on occupational therapy.

Highlights Include—• Section I: Defining and Rethinking Management• Section II: Strategic Planning• Section III: Leading and Organizing• Section IV: Controlling Outcomes• Section V: Public Policy, Professional Standards, and Collaboration• Section VI: Supervision• Appendixes—Occupational Therapy Code of Ethics and Ethics Standards,

Scope of Practice, and more.

Order #1390CAOTA Members: $79, Nonmembers: $112

To order, call 877-404-AOTA, or shop online at http://store.aota.org/view/?SKU=1390C

BK-187ISBN-13: 978-1-56900-273-5

The Occupational Therapy Manageris the most comprehensive

leadership and management book in occupational therapy.


E M P L O Y M E N T O P P O R T U N I T I E SFaculty

Assistant Professor of Occupational TherapyThe Depmtment of Occupational Therapy in the School of Medicine and Health Sciences at the University of North Dakota, is seeking applications for a full-time, 12-month faculty member beginning August 1, 2012. Rank and salary will be determined based on qualifications and ex-perience.Candidates will have the opportunity to be an integral part of an occupational therapy program that grants an entry-level Master of Occupational Therapy degree. The program is based in Grand Forks, ND, with a satellite professional level MOT program available at Casper College, Casper, WY. The faculty position is located in Grand Forks.Position Qualifications and ResponsibilitiesRequired: Occupational therapist with eamed master’s degree, minimum of 3 years of clinical experience, evidence of teaching experience, strong leadership background, and familiarity with a variety of educational approaches (e.g., traditional, online education, distance education). Can-didates must hold current certification by NBCOT and be eligible for licensure in North Dakota and Wyoming. Each full-time faculty member is responsible for supporting the teaching, scholar-ship, and service missions of the department as designated in collaboration with the department chair. The faculty member is responsible for providing effective learning experiences for students with diverse interests, abilities, and expectations. Faculty members are expected to engage in creative/scholarly activities and be involved in activities that support individuals and or groups in the institution, University System, professional associations, or external communities at the local, state, regional, national, or international levels. The position also includes student advise-ment and advisement for graduate students completing the scholarly project and/or independent study process.The individual will be responsible for teaching in his or her area(s) of expertise in relation to be-ing able to teach a variety of courses within the physical disabilities and pediatric practice areas and healthcare management, which requires broad clinical experiences. The individual must have strong writing and interpersonal communication skills.Preferred: Earned doctorate (or progress toward this degree) experience in higher education and proficiency in using multiple modes of teaching/leaming technologies including video-conferenc-ing and online instruction.Application Process: Apply only online.Application review will begin May 1st, 2012 and remain open until the position is filled. Inter-ested candidates should submit: 1) a letter of application that includes a copy of current and in-formation on past state licensure; 2) curriculum vita; 3) a teaching statement and; 4) the complete names, addresses, and phone numbers of three references. A Criminal History Record Check will also be completed per SBOHE (State Board of Higher Education) Procedures 602.3Questions concerning this position may be directed to: Dr. LaVonne Fox, Search Committee Chair, University of North Dakota; UND OT Department; Hyslop 210; 2751 2nd Ave. No. STOP 7126; Grand Forks, ND 58202-7126; Phone: 701-777-2216; Email: [email protected], over 13,000 students attend classes on the UND campus each year. UND is one of only 47 public universities in the United States that has both accredited schools of law and medicine. UND offers 89 under-graduate majors, 63 undergraduate minors, 57 master’s programs, 23 doctoral programs, two professional programs (medicine and law), and a specialist diploma program in educational leadership. UND is an equal opportunity/affirmative action institution. F-6017

Faculty

School of Health ProfessionsDepartment of Occupational Therapy1 University Plaza, Brooklyn, New York 11201-8423

The Department of Occupational Therapy at Long Island University–Brooklyn Campus is seeking to fill two full-time, nontenure-track faculty positions (NTTA). We are seeking educators with experience in teaching (in class or online) and student advise-ment. We are looking for one educator with expertise in mental health/health and wellness promotion and one educator with expertise in physical disabilities.

Qualifications: Qualified applicants will have an earned doctoral degree or would be at the final stage of completion of their doctoral degree. Clinical ex-perience of 5 years or more and eligibility for state of New York licensure required.

One of the positions is currently available and the other position has a starting date of September 1, 2012.

Our department offers high quality education to students from diverse socio-cultural backgrounds, using innovative teaching pedagogies that inte-grate theory, evidence-based practice, and ongo-ing clinical experience through community service and fieldwork education. Our faculty is committed to teaching, scholarship, and service to the univer-sity and the community. As an Equal Opportunity Employer/Affirmative Action Employer, LIU seeks a diverse pool of applicants.

For consideration please forward your letter of interest, Curriculum Vitae, and three letters of references to:Supawadee-Cindy Lee, Ph.D., OTR/L, Chair, Faculty Search CommitteeDepartment of Occupational TherapyLong Island University–Brooklyn Campus718-780-4332E-mail: [email protected]

F-5999

Faculty

Brown Mackie College–Tucson is seeking a full-time aca-demic fieldwork coordinator for its Occupational Therapy Assistant Program. This position will include teaching re-sponsibilities.The minimum educational qualification is a bachelor’s de-gree. The candidate may have a master’s degree. The can-didate needs to be a COTA (certified occupational therapy assistant) or an OTR (registered occupational therapist). Qualified candidates should submit resumes to www.edmc.edu/careers/jobpostings.aspx. F-5998

West

OCCUPATIONAL THERAPISTCommunity Hospital, located in beautiful Grand Junction, Colorado, is a 44-bed acute care hospital. We are a smaller, community–minded organization that works as a team. Our outpatient and inpatient Therapy Works departments and Home Health agen-cy are expanding due to our innovative, community-oriented programs.We are seeking a certified occupational therapist to practice in our outpatient and inpatient therapy. The qualified candidate will possess current, unre-stricted certification as an occupational therapist in the state of Colorado. Master’s degree preferred; new graduate acceptable.Community Hospital provides a competitive salary and generous benefit package. You may apply online at yourcommunityhospital.com or submit resumes to: Laurie Sinner, Director of Human Resources, Commu-nity Hospital, 2021 North 12th St., Grand Junction, CO 81501, [email protected] EOE W-6019

West

EOE

Occupational Therapists needed by RehabCare Group,and all its subsidiaries and affiliates, in Palm Desert, CA andConcord, CA to be responsible for providing a full-range ofoccupational therapy services, including assessment, treatmentplanning, organizing and therapeutic interventions in aninterdisciplinary environment consistent with the position'squalifications, professional practices, and ethical standards.Requires a Bachelor’s or foreign equivalent in OccupationalTherapy or related field and a current State of CaliforniaOccupational Therapy license. To apply, mail resume to J. Ark, RehabCare Group,Inc., 680 South Fourth St., Louisville, KY 40202.

W-6018

Northeast

Amazing OTopportunities inLow Vision Rehabilitation.

Part-time positionAllentown, PA.Willing to train.

www.astorinovisionrehab.comCall Ryan at 610-892-8767 N-5996

Become a Member

AOTA’s Online CommunityCONNECTIONS

www.otconnections.org

CHILDREN & YOUTHAutism Topics Part I: Relationship Building, Evaluation Strategies, and Sensory Integration and PraxisEdited by Renee Watling, PhD, OTR/L, FAOTAEarn .6 AOTA CEU (7.5 NBCOT PDUs/6 contact hours) Order #4848AOTA Members: $210Nonmembers: $299

Response to Intervention (RtI) for At Risk Learners: Advocating for Occupational Therapy’s Role in General EducationAuthored by Gloria Frolek Clark, PhD, OTR/L, BCP, FAOTA, and Jean Polichino, OTR, MS, FAOTAEarn .2 AOTA CEU (2.5 NBCOT PDUs/2 contact hours)Order #4876AOTA Members: $68Nonmembers: $97

The Short Child Occupational Profile (SCOPE)Presented by Patricia Bowyer, EdD, MS, OTR, FAOTA; Hany Ngo, MOT, OTR; and Jessica Kramer, PhD, OTREarn .6 AOTA CEU (7.5 NBCOT PDUs/6 contact hours)Order #4847AOTA Members: $210Nonmembers: $299

Young Adults on the Autism Spectrum: Life After IDEAAuthored by Lisa Crabtree, PhD, OTR/L, and Janet DeLany, DEd, OTR/L, FAOTAEarn .3 AOTA CEU (3.75 NBCOT PDUs/3 contact hours)Order #4878AOTA Members: $105Nonmembers: $150

PRODUCTIVE AGINGAn Occupation-Based Approach in Postacute Care to Support Productive AgingA collaborative project between AOTA and Platinum Partner Genesis Rehabilitation ServicesAuthored by Denise Chisholm, PhD, OTR/L, FAOTA; Cathy Dolhi, OTD, OTR/L, FAOTA; and Jodi L. Schreiber, MS, OTR/LEarn .6 AOTA CEU (7.5 NBCOT PDUs/6 contact hours)Order #4875AOTA Members: $210Nonmembers: $299

Using the Occupational Therapy Practice Guidelines for Adults With Stroke to Enhance Your PracticePresented by Joyce Sabari, PhD, OTR, FAOTAEarn .2 AOTA CEU (2.5 NBCOT PDUs/2 contact hours)Order #4845AOTA Members: $68Nonmembers: $97

Determining Capacity to Drive for Drivers With Dementia Using Research, Ethics, and Professional Reasoning: The Responsibility of All Occupational Therapists Presented by Linda A. Hunt, PhD, OTR/L, FAOTAEarn .2 AOTA CEU (2.5 NBCOT PDUs/2 contact hours)Order #4842AOTA Members: $68Nonmembers: $97

Skilled Nursing Facilities 101: Documentation, Reimbursement, and Ethics in Practice Presented by Christine Kroll, MS, OTR, and Nancy Richman, OTR/L, FAOTAEarn .3 AOTA CEU (3.75 NBCOT PDUs/3 contact hours)Order #4843AOTA Members: $108Nonmembers: $154

GENERAL PRACTICELet’s Think BIG About WellnessPresented by Winnie Dunn, PhD, OTR, FAOTAEarn .25 AOTA CEU (3.13 NBCOT PDUs/2.5 contact hours) Order #4879AOTA Members: $68Nonmembers: $97

Everyday Ethics: Core Knowledge for Occupational Therapy Practitioners and Educators, Second EditionDeveloped by the AOTA Ethics CommissionEarn .3 AOTA CEU (3.75 NBCOT PDUs/3 contact hours)Order #4846AOTA Members: $105Nonmembers: $150

Strategic Evidence-Based Interviewing in Occupational TherapyPresented by Renée R. Taylor, PhDEarn .2 AOTA CEU (2.5 NBCOT PDUs/2 contact hours)Order #4844AOTA Members: $68Nonmembers: $97

Model of Human Occupation Screening Tool (MOHOST): Theory, Content, and PurposePresented by Gary Kielhofner, DrPH, OTR/L, FAOTA; Lisa Castle, MBA, OTR/L; Supriya Sen, OTR/L; and Sarah Skinner, MEd, OTR/LEarn .4 AOTA CEU (5 NBCOT PDUs/4 contact hours)Order # 4838Member Price: $125Nonmember Price: $180

EARN YOUR CE CREDITS WITH AOTA CEonCDsTM!Welcome to AOTA Learning! Our CEonCDs provide relevant continuing education on a wide variety of topics in an easy-to-use format with electronic exam. Choose any of these CEonCDs or others at http://store.aota.org to advance your professional development and meet your state licensure requirements!

SHOP AT HTTP://STORE.AOTA.ORG OR CALL 877-404-AOTA!CE-221

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