Spinal Cord Injury: A Treatment Guide for Occupational Therapists

1975 ◽  
Vol 55 (10) ◽  
pp. 1164-1164
Author(s):  
Bella J. May
Author(s):  
Amy Sullivan ◽  
Christy Morgan

OBJECTIVE: This study identified opportunities for occupational therapists serving those with a spinal cord injury needing community based dental care. METHODS: Dental professionals answered survey questions on attitudes toward treating clients with a spinal cord injury, knowledge of transfer skills, occupational therapy as a community resource, and dental clinic physical design. The data collected for this pilot study were analyzed using descriptive statistics. RESULTS: The participants revealed hesitation toward treating these clients, some knowledge of occupational therapy as a community referral source, limited knowledge for transfer skills, and questionable clinic designs for meeting accessibility guidelines. CONCLUSIONS: Findings from this pilot study should spark interest in more similar study’s and expand sample size. Based upon the initial findings, it would seem occupational therapists should search for appropriate dental offices in which to refer clients with a spinal cord injury. In addition, occupational therapists could serve as consultants to local dental clinics ensuring adequate quality of care for a variety of disabilities. Ultimately, the profession is uniquely positioned to educate clients and providers promoting utilization of community oral health care services.


1984 ◽  
Vol 51 (5) ◽  
pp. 231-235 ◽  
Author(s):  
Kathie Marina

Thirty four Ontario Rehabilitation units were surveyed to determine how occupational therapists use microcomputers for patient treatment. Twelve rehabilitation units (35.3% of the sample) presently have microcomputers and 11 of these units have recently purchased the microcomputer for clinical use. Stroke, head injury and spinal cord injury patients were identified as the population that use the microcomputer. The APPLE 11 microcomputer was the most popular type chosen by rehabilitation units. Commercially available software programs are used for cognitive, perceptual, educational and recreational purposes. Satisfaction level with the quality of the software, however, was only 42.8%. Finally, it was noted that the speech therapist was the primary professional who liaised with the occupational therapist.


1998 ◽  
Vol 61 (6) ◽  
pp. 275-279 ◽  
Author(s):  
Patti Summerville ◽  
Kryss McKenna

Sexuality is an integral component of human behaviour, being the expression of an individual's personality and identity. Consequently, sexuality education and counselling, as part of the rehabilitation process for individuals with a physical disability, are considered important. Although the role of occupational therapists in facilitating sexuality as a life skill Is recognised, their participation in this component of rehabilitation is low, reportedly as a result of perceived inadequate knowledge. This paper focuses on spinal cord injury as an example of a physical disability. To highlight the need to address sexual concerns, the physiological and psychological aspects of individuals' altered sexual status after spinal cord injury are briefly described. The limitations in the sexuality education and counselling programmes provided to date are explored, with recommendations made as to how such intervention can be improved and the role that occupational therapists may play in this service provision. The P-LI-SS-IT model is presented as an appropriate framework from which to develop and deliver an effective sexuality education and counselling programme for individuals with a spinal cord injury. It is concluded that occupational therapists, as part of a multidisciplinary team, should adopt an active role in the delivery of sexuality education and counselling programmes for individuals with a physical disability.


1995 ◽  
Vol 58 (4) ◽  
pp. 151-157 ◽  
Author(s):  
Karen Whalley Hammell

Although occupational therapists frequently state that one of their primary goals is that of enhancing quality of life, this does not appear to be supported by either their outcome measures or their literature. Studies have shown that satisfaction with quality of life following a spinal cord injury is not predicted by either degree of impairment or disability. Handicap is negatively correlated with quality of life and this may require interventions that are focused towards the environment rather than the individual. Occupational therapists may need to adopt a more client-centred approach to practice, in which assessment, Intervention and outcome measures are sensitive to the subjective views of the individual, thus enabling therapists to understand more of what quality of life means to each client.


2012 ◽  
Vol 75 (7) ◽  
pp. 337-342 ◽  
Author(s):  
Louise Gustafsson ◽  
Genna Mitchell ◽  
Jenny Fleming ◽  
Glenda Price

Introduction: Collaborative goal setting is an important part of the occupational therapy process in spinal cord injury rehabilitation. Little is known about the clinical utility of the Canadian Occupational Performance Measure (COPM) with this population, although it has potential advantages over informal methods of goal setting commonly used in a spinal injury unit (SIU). The aim of this study was to investigate the goal setting process and clinical utility of the COPM from the perspective of occupational therapists within a SIU. Method: A focus group was conducted with six occupational therapists working in a SIU to explore their experiences and use of goal setting and the COPM. Inductive thematic analysis identified key themes from their comments. Findings: Focus group themes were the impact of client adjustment and other factors, organisational and administrative factors, therapist skill level and experience requirements, benefits of the COPM and incorporating the COPM into practice. Conclusion: Formal goal setting was a concept that was identified as a priority by the participants; however, there were organisational, client and therapist related factors that were considered as both barriers and facilitators to formal goal setting and the use of the COPM in this setting.


2007 ◽  
Vol 27 (4) ◽  
pp. 149-156 ◽  
Author(s):  
Kristine Ward ◽  
Jennifer Mitchell ◽  
Pollie Price

The objective of this study was to increase the evidence regarding the use of occupation-based practice and its effects on social and occupational participation in adults with spinal cord injury. Three individuals who had experienced a spinal cord injury 2 to 5 years previously, lived in the community, and received services from one of the two selected occupation-based occupational therapists participated in the study. Using a qualitative ethnographic design, they participated in one semi-structured, open-ended interview that contained questions designed to elicit experiences of life satisfaction, participation in meaningful occupations, social roles and responsibilities, and participation in occupational therapy. Data were analyzed using thematic analysis, narrative analysis, literature review, and narrative smoothing. Seven occupation-based approaches appeared to directly support the participants' current level of occupational and social participation. This study provides occupational therapists with a more practical understanding of how to apply these approaches in their own practices.


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