scholarly journals The “What Now?” Workbook: Its potential utility following life-changing events

2019 ◽  
Vol 86 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Jackie A. Taylor ◽  
Vivienne Jones ◽  
Carole D. Farrell

Background. Following a life-changing event, such as a serious illness, people can experience a disruption of meaning and identity, making it difficult to move forward. The “What Now?” Workbook was developed to enable exploration of the personal meanings of specific occupations to facilitate future planning. Purpose. The aim of this study was to investigate the utility—usability and usefulness—of the workbook in practice. Method. Five occupational therapists trialled the workbook at a specialist cancer centre in England. Qualitative data were gathered via a focus group, an interview, and questionnaires. The data were subject to a realist thematic analysis. Findings. The findings showed the workbook to have actual and potential utility for service users in this setting, as perceived by their occupational therapists, by helping them to explore occupations, their loss, meanings, and future possibilities as part of an occupational therapy intervention. Implications. The workbook appears to offer a structured yet flexible way to explore personal meanings of occupations, enabling service users to gain insights and move forward following a life-changing illness.

Author(s):  
Viviani Cristina Costa ◽  
Naila Pereira Souza ◽  
Deyse Modesto Pinheiro ◽  
Lisete Vaz ◽  
Renata Caruso Mecca ◽  
...  

Este artigo discorre sobre a utilização de uma oficina de culinária como recurso operador da desinstitucionalização. Trata-se de um relato de experiência da intervenção proposta por terapeutas ocupacionais com pessoas internadas por longo período em enfermarias de um hospital psiquiátrico universitário, no município do Rio de Janeiro. Discutem-se fragmentos da trajetória de quatro participantes que exemplificaram, através de seus percursos na oficina de culinária, questões relacionadas ao processo de desinstitucionalização, criação de redes, contratualização e fomento da autonomia. Percebeu-se que as atividades realizadas foram potencializadoras dessas questões ao permitirem transcender a rotina instituída e massificadora da internação e possibilitar novas e diferentes formas de estar na vida e de estabelecer conexões diversas. A intervenção terapêutica ocupacional permitiu a análise e a adaptação das atividades, o manejo das relações que se estabeleceram a partir delas, tendo em vista o compromisso com os processos de inclusão, participação social, bem como demais ocupações. This article discusses the use of a cooking workshop as a promoter resource of the deinstitutionalization. It is an experience report about an intervention offered by occupational therapists to assist people hospitalized for long periods in University psychiatric hospital, in the city of Rio de Janeiro. We discuss the fragments of trajectory of four workshop participants who exemplified issues related to the process of deinstitutionalization, networking, contractualization and increased autonomy. It was noticed that the activities offered potentiated these issues by allowing transcend the hospital routine and enabled new and different ways of being in life and establish several connections. The occupational therapy intervention allowed the analysis and adaptation of the activities, the management of relationships established from them, in view of the commitment to the promotion of social inclusion, participation, as well as other occupations.Keywords:Desinstituciozation; Mental Health; Occupational therapy .Este artículo presenta la utilización de un taller de culinaria como recurso operador de la desinstitucionalización. Se trata de un relato de experiencia de la intervención propuesta por terapeutas ocupacionales con personas internadas por un largo periodo en enfermerías de un hospital universitario de psiquiatría de Río de Janeiro. Se discute fragmentos de la trayectoria de cuatro participantes que ejemplificaron, a través de sus rutas en el taller de culinaria, cuestiones relacionadas al proceso de desinstitucionalización, creación de redes, contratación y fomento de la autonomía. Se percibió que las actividades realizadas  potencializaron esas cuestiones al permitieren transcender la rutina instituida y masificadora de la internación. La intervención terapéutica ocupacional permitió el análisis y la adaptación de las actividades, la administración de las relaciones que se establecen a partir de ellas, llevando en consideración el compromiso con los procesos de inclusión, participación social, así como otras ocupaciones. Palabras-clave: Desinstitucionalización; Salud Mental; Terapia Ocupacional.   


1997 ◽  
Vol 64 (1) ◽  
pp. 7-15 ◽  
Author(s):  
Virginia G. Fearing ◽  
Mary Law ◽  
Jo Clark

Occupational therapists, known for their ability to coach others through difficult changes, now find themselves in changing environments that include clients' desire for participation in service delivery, and the need for evidence of the outcome of occupational therapy intervention. This paper proposes a process model that is based on core concepts of occupation and client-centred practice, that incorporates theoretical approaches, and can be applied to all clients. The process model coaches the occupational therapist through a client-centred problemsolving process. It represents a description or plan for occupational therapy assessment and intervention that leads to a collaborative approach to client-identified occupational performance issues. Examples of the application of the process to occupational therapy practice are included. This model helps to articulate core concepts and values, and provides guidance for occupational therapy practice within changing environments and expectations.


2012 ◽  
Vol 21 (3) ◽  
pp. 359-371 ◽  
Author(s):  
Sarit Tresser

The past decade has seen the emergence of rehabilitation treatments using virtual reality environments. One of the main advantages of using this technology is that it creates positive motivation. Currently, most virtual-reality-based games for children are not suitable for use in a therapeutic setting. This case study reports on the use of Growing with Timocco, a specially devised virtual reality computer game, as part of an occupational therapy regimen that addressed the developmental needs of a five-year-old patient diagnosed with dyspraxia, impaired postural structure, weak shoulder, and insufficient bilateral integration, bilateral coordination, and proprioception regulation. Developed specifically for use by occupational therapists and caregivers working with children, Growing with Timocco is equipped to provide exercises for both cognitive and motor skills, but most importantly, it provides a positive setting for this practice, by harnessing the advantages of VR to promote play, pleasure, and motivation.


1989 ◽  
Vol 56 (5) ◽  
pp. 229-235 ◽  
Author(s):  
Ellen Yack

This paper presents the findings of a survey conducted in the Winter of 1986 by the Sensory Integration: Toronto Study Group designed to investigate the use of sensory integration in clinical settings. The survey was distributed to occupational therapists in Southern Ontario who offer services to children with sensory integrative dysfunction. The results are discussed in relation to occupational therapy practice, literature and research. The findings suggest that sensory integration therapy is one of manytheoretical frameworks incorporated into occupational therapy programs for this population. In view of this information, the paper discourages the use of the term “sensoryintegration therapist” as it does not adequately represent the varied approach utilized by the respondents in this study or the extent of knowledge and skills they appear to possess. The paper proposes that the holistic nature of occupational therapy intervention needs to be considered in research designs to ensure valid and clinically relevant evaluation of sensory integration procedures.


1995 ◽  
Vol 58 (12) ◽  
pp. 507-509 ◽  
Author(s):  
Lynne Welham

Fatigue is a common but poorly understood symptom which affects a majority of patients with multiple sclerosis (MS). A questionnaire was used to study current occupational therapy intervention for fatigue in MS patients. The results showed that occupational therapists appear to focus on assisting their patients in managing their fatigue within the context of their daily lives. The majority of interventions could be described under the heading ‘energy conservation’.


2021 ◽  
pp. 073346482098628
Author(s):  
Jennifer Culph ◽  
Lindy Clemson ◽  
Yun-Hee Jeon ◽  
Justin Scanlan ◽  
Kate Laver

Background: This study examined how occupational therapists, nurses, and their managers within different organizational contexts in the Australian health and aged care system prepare for implementation. The program being implemented was the Care of People with dementia in their Environment (COPE) program, a community reablement program for people with dementia and their carers. Methods: Qualitative data from 29 in-depth interviews were collected from occupational therapists, nurses, and their managers. Recruitment ensured a variety of organizational contexts were included. Thematic analysis was used to capture key themes. Results: Themes include innovation in a time of instability and uncertainty, values that align with the innovation, shifting the day-to-day practice, and confidence in new specialized skills. Conclusion: Organizations need to carefully consider internal and external contexts when planning implementation efforts. Study findings have informed plans for embedding delivery of the program within the health and aged care sector.


1991 ◽  
Vol 58 (5) ◽  
pp. 234-240 ◽  
Author(s):  
Susan Oke ◽  
Elue Kanigsberg

Multiple Personality Disorder (MPD) has been diagnosed with increasing frequency in the last ten years. It is no longer considered rare. A result of child abuse or trauma, MPD is a dissociative disorder which defends the child from the overwhelming experiences of abuse. In adulthood the client may present with amnesia, auditory hallucinations, depression, eating disorders and borderline personality disorder. Occupational Therapy intervention has become more common and has gained recognition by both clients and clinicians. Mosey's developmental frame of reference serves as a basis for the treatment of Multiple Personality Disorder by occupational therapists at the Royal Ottawa Hospital. This treatment approach uses projective techniques and life skills teaching with alter personalities to offer age appropriate learning experiences. A composite case history is included to illustrate the range of goals and activities involved


2018 ◽  
Vol 82 (1) ◽  
pp. 38-47 ◽  
Author(s):  
Becky Field ◽  
Elizabeth Coates ◽  
Gail Mountain

Introduction Health policy promotes living well with dementia. Occupational therapists deliver interventions to support people with dementia and family carers to live well. This study aimed at identifying influences on uptake of a community occupational therapy intervention by people with dementia and carers, as little evidence about this topic exists. Method Seventeen semi-structured, paired interviews with people with dementia and carers were conducted as part of the ‘Valuing Active Life in Dementia’ research programme. A secondary, qualitative analysis of these interviews explored influences on uptake of the intervention. Findings Four main themes were identified: ‘Grabbing at straws and keen to take part’; ‘We’re trying to put a routine in’; ‘We didn’t know what to expect’, and ‘Give it a go’. Factors identified as potentially influencing uptake included whether the intervention was perceived as potentially meeting needs for support and activity, and whether participants were struggling to adjust or cope. Conclusion Despite limited expectations or apprehension, uptake of this intervention was demonstrated. Understanding why people with dementia and carers accept intervention offers can inform what occupational therapists provide and how it is offered. Further research is required to determine the occupational therapy interventions people with dementia and carers might find supportive at different stages of the disease trajectory.


1989 ◽  
Vol 52 (3) ◽  
pp. 93-96 ◽  
Author(s):  
Denise Bellefeuille-Reid ◽  
Suzanne Jakubek

Adaptive positioning is one aspect of occupational therapy intervention with premature infants. This article reviews briefly the literature on the benefits of positioning strategies with premature infants, as well as the literature pertaining to infant alert states and the development of early parent-child interactions, in an attempt to present important roles for the occupational therapist working with this population: It is suggested that for successful implementation of positioning intervention, occupational therapists need to be able to recognise infant states and educate caregivers of their implications. In addition, occupational therapists should encourage caregivers to assume a greater responsibility for the positioning aspect of their infants care.


2013 ◽  
Vol 76 (5) ◽  
pp. 242-245 ◽  
Author(s):  
Vanessa Parmenter ◽  
Jon Fieldhouse ◽  
Ruth Barham

This evaluation of an Occupational Therapy Intervention Service within homeless persons' hostels in Bristol, England, highlights the efficacy of occupational therapy with this service user group and reflects on the practicalities of delivering such a service in an inter-agency context. Occupational therapy engaged homeless individuals with complex needs who were often defended against change in their own lives. Over 7 months an Occupational Therapy Intervention Service provided an individual service for 16 residents and made a further 542 contacts through group work. The creation of psychosocial microenvironments within hostels allowed individuals to experience themselves differently and contemplate the possibility of change. The importance of collaborative working between occupational therapists and hostel staff is examined in the light of the psychologically informed environments agenda.


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