scholarly journals Beyond Calculus: Apple-apple-apple-ike and Other Embodied Pleasures for a Child Diagnosed with Autism in a Sensory Integration Based Clinic

2009 ◽  
Vol 30 (1) ◽  
Author(s):  
Melissa Park
Keyword(s):  
Clinical Practice ◽  
Occupational Therapy ◽  
Clinical Reasoning ◽  
Sensory Integration ◽  
Occupational Therapist ◽  
The Other ◽  
Font Size ◽  
Diagnostic Categories ◽  
Rehabilitation Research ◽  
Models Of Disability

<p class="MsoNormal" style="margin: 6pt 0in;"><span style="font-size: small; font-family: Arial;">Models of disability shift attention to how institutionalized forms of misrecognition are as debilitating as disease processes or diagnostic categories. Drawing from an ethnography of clinical practice, this article focuses on the poetic process—visible in fleeting, bodily-sensing images, gestures or nonsensical utterances like “apple-apple-ike”—that structures the interactions between a child diagnosed with autism and an occupational therapist. Microanalysis of moments of bodily attunement reveal how the emergence of <em style="mso-bidi-font-style: normal;">embodied pleasures</em> leads to a <em style="mso-bidi-font-style: normal;">mutual healing of regard</em>; that is, how techniques of bodily-sensing interventions work equally to restore the health of social relatedness. The tight entanglement between intercorporeality and intersubjectivity—embodied pleasure and recognition of the Other—foregrounds that the <em style="mso-bidi-font-style: normal;">healing of regard must be mutual. </em>Reframing rehabilitation research in terms of <em style="mso-bidi-font-style: normal;">aesthetics </em>and <em style="mso-bidi-font-style: normal;">folk neurology </em>considers what is at stake in developing a language to grasp what constitutes evidence of healing beyond a calculus of discrete, measureable outcomes. </span></p><span style="font-size: 12pt; font-family: Arial;">[Keywords: aesthetics, clinical reasoning, intersubjectivity, occupational therapy, recognition]</span>

Applying Clinical Reasoning: A Caseload Management System for Community Occupational Therapists

1996 ◽  
Vol 59 (5) ◽  
pp. 207-211 ◽  
Author(s):  
Tracy Fortune ◽  
Susan Ryan
Keyword(s):  
Occupational Therapy ◽  
Clinical Reasoning ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Therapy Assessment ◽  
Therapy Services ◽  
Subjective Phenomenon ◽  
Experienced Therapist ◽  
Perceived Complexity ◽  
Complex Cases

This article presents a system of caseload management for community occupational therapists. Using the clinical reasoning work of Mattingly and Fleming as a framework, the perceived complexity of each case for a community occupational therapist was analysed and then paralleled with the type and amount of clinical reasoning required. Following an initial occupational therapy assessment, each case is given a numerical weighting, graded at 3 for complex cases and from 1 for non-complex or simple cases. The degree of complexity or weighting is recognised to be a subjective phenomenon dependent on the experience, knowledge and skills of the therapist. The cases held by an occupational therapist are able to be mixed so that the experienced therapist holds a varied caseload of complex and simple work. Beginning therapists can follow the same measured approach thus augmenting their background experience. This method promotes continuing education, assists experiential learning and provides variety. Using this system, it is proposed that occupational therapy services are enhanced by reducing unnecessary casework from therapists' active caseloads, allowing increased time to work on complex cases and using expertise more efficiently.

scholarly journals A atuação do terapeuta ocupacional com base na Teoria da Integração Sensorial na assistência de crianças com Transtorno do Espectro Autista (TEA) durante a pandemia do Covid-19/The occupational therapist actuation based on the Sensory Integration Theory in the care of children with Autistic Spectrum Disorder (ASD) during the Covid-19 pandemic

2020 ◽  
Vol 4 (3) ◽  
pp. 371-379
Author(s):  
Vanessa Rafaelle Brasil De Souza
Keyword(s):  
Autism Spectrum Disorder ◽  
Occupational Therapy ◽  
Sensory Integration ◽  
Self Regulation ◽  
Autism Spectrum ◽  
Occupational Therapist ◽  
Spectrum Disorder ◽  
Integration Theory ◽  
Face To Face ◽  
Sensory Diet

O terapeuta ocupacional é um profissional importante no tratamento de crianças com Transtorno do Espectro Autista (TEA), dada a frequência de disfunção de integração sensorial. Durante a pandemia do Covid-19, o isolamento social ocasionou que crianças com TEA vivenciassem a interrupção do atendimento presencial, gerando prejuízos em suas ocupações. Dessa forma, buscou-se descrever a atuação do Terapeuta Ocupacional no Telemonitoramento através do uso da dieta sensorial. Concluiu-se que o uso da dieta sensorial é possível de ser implementado através do Telemonitoramento em Terapia Ocupacional durante a pandemia do Covid-19, proporcionando melhor organização sensorial da rotina da criança e contribuindo na auto- regulação de seu comportamento. AbstractThe occupational therapist is an important professional in the treatment of children with Autism Spectrum Disorder (ASD) because is frequency of sensory integration disfunction. During the Covid-19 pandemic, social isolation caused children with ASD to experience interruption of face-to-face care, causing losses in their occupations. Thus, we sought to describe occupational therapist actuation in Telemonitoring through the use of the sensory diet. It was conclued that the use of the sensory diet is possible to be implemented through Telemonitoring in Occupational Therapy during the Covid-19 pandemic, providing better sensory organization of the child's routine and contributing to the self-regulation of his behavior.Key words: Occupational Therapy; Sensory Integration; Autism Spectrum Disorder; Telemonitoring. ResumenEl terapeuta ocupacional es un profesional importante en el tratamiento de niños con trastorno del espectro autista (TEA), dada la frecuencia de la disfunción de integración sensorial. Durante la pandemia de Covid-19, el aislamiento social provocó que los niños con TEA sufrieran interrupciones en el cuidado personal, lo que causó pérdidas en sus ocupaciones. Por lo tanto, buscamos describir el papel del terapeuta ocupacional en la telemonitorización mediante el uso de la dieta sensorial. Se concluyó que el uso de la dieta sensorial se puede implementar mediante Telemonitoring en Terapia Ocupacional durante la pandemia de Covid-19, proporcionando una mejor organización sensorial de la rutina del niño y contribuyendo a la autorregulación de su comportamiento.Palabras clave: Terapia Ocupacional; Integración Sensorial; Trastorno del espectro autista (TEA); Telemonitorización. 

scholarly journals AYRES SENSORY INTEGRATION FOR THE CHILDREN WITH ATTENTION DEFICIT AND HYPERACTIVITY DISORDER (ADHD):A MIXED METHOD STUDY

2020 ◽  
Vol 8 (9) ◽  
pp. 1034-1042
Author(s):  
Nandgaonkar Hemant P ◽  
◽  
Zarine Ferzandi ◽  
Keyword(s):  
Occupational Therapy ◽  
Sensory Processing ◽  
Attention Deficit ◽  
Sensory Integration ◽  
Pilot Trial ◽  
Quantitative Measure ◽  
The Other ◽  
Double Blind Study ◽  
Children With Adhd ◽  
Hyperactivity Disorder

For intervention of children with a diagnosis of Attention deficit hyperactivity disorder (ADHD), there are many modalities. Sensory Processing issues are present in children with ADHD. There is a wide use of Ayres Sensory Integration (ASI®) to treat children with ADHD. But effectiveness of ASI® in children with ADHD is unknown. The purpose of study was to examine the effects of ASI® Interventions on Participation of the child in addition to the parent’s perspective about the outcome of therapy in children with a diagnosis of ADHD. Method: Study was divided as 1. Development of the questionnaire for the evaluation of “Participation of the child with ADHD”. 2. Randomized controlled Pilot trial, double blind study. 3. Family perspective about the effect of intervention on children with ADHD using qualitative interview method. Eligible candidates were children having average intelligence with a diagnosis of ADHD, between age of 5 years and 12 years, sensory processing disorder. Children included in the study received occupational therapy with either protocol. Results: 1. Self-care, academics, interpersonal interactions and communication are important primacies for the parents of children with a diagnosis of ADHD. 2. Priorities of the parents of children with a diagnosis of ADHD change according to the culture they belong. 3. ADHD Participation Profile (APP) is a valid & reliable questionnaire to monitor progress of children with a diagnosis of ADHD. The responsiveness of the ADHD Participation Profile questionnaire has been proven to be good. Herein, the ADHD Participation Profile can be used reliably to document the treatment progress of patients with ADHD for research and clinical purposes.The children in ASI® Group, made gains that were significantly greater than the children in the other group on Goal Attainment Scale and ADHD Participation Profile. Large Effect sizes were found between and within the on both the outcome measures (1.87 & 0.939). Conclusion: ADHD does not have only represents sensory processing issues. It’s is complex disorder which embodies issues other than Sensory Processing and will be receptive to the other modes of intervention. If existing, the sensory processing issues needs to be addressed specifically, as it will influence the global performance.Occupational Therapy has brought a notable change in kids and parent’s life. Most of the caretakers were ready for new boundaries in their daily family occupations. Though some goals are met after the intervention, the list of apprehensions is unending. Many parents less worried after Occupational Therapy intervention, whereas the few were still doubtful about future of their kids. We would have overlooked this ironic data, if we should have given a verdict about the effect of the intervention though quantitative measure. Mixing the methods was a suitable solution.

scholarly journals Clinical practice as a mean of the professional identity formation of prospective physical and occupational therapists

2021 ◽  
pp. 29-33
Author(s):  
Nataliia Bielikova ◽  
Nataliia Ulianytska ◽  
Svitlana Indyka
Keyword(s):  
Clinical Practice ◽  
Occupational Therapy ◽  
Professional Identity ◽  
Identity Formation ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Professional Activity ◽  
Professional Identity Formation ◽  
Clinical Practices ◽  
Initial Choice

The professional identity formation of prospective physical and occupational therapists in the clinical practices process has been studied. The presence of the formed professional identity provides their orientation in the professional field and professional community that allows to realize more fully personal potential in a multidisciplinary team, to predict possible consequences of professional choice and to define own professional development prospects. There are three main stages in the formation of professional identity of the prospective physical therapy and occupational therapy specialists: an initial choice; a confirmation or refutation of the initial choice; an implementation of the initial choice in the activity. The dynamics of professional identity formation during the whole period of their professional training in a higher education institution has been determined. The peculiarities of early students` professionalization in the process of clinical practice have been revealed in a passive form, later - at the stage of active practice. Among the principles of professional identification development of future masters in physical and occupational therapy in the process of clinical practices, the principle of reflectivity and the principle of a value attitude forming to professional activity have been singled out. The clinical practice, taking place in medical and rehabilitation institutions, involving participation in the rehabilitation diagnosis establishment and in the rehabilitation program has been defined. Formation, development, a moral and psychological qualities complex, as an integral part of professional training of physical and occupational therapy specialists for their future professional activity; ensuring the growth of students` professional competence level; promoting self-identification and choosing the future professional activity direction are the main tasks of the research. The professional identification and personal identity formation of the prospective physical and occupational therapist is the unity of three processes: student`s self-acceptance as a prospective physical and occupational therapist; comparison with the professional ideal, norm and sample of a physical therapist; recognition by the external environment of the prospective specialist's affiliation to the professional group of practicing physical and occupational therapists. Throughout life professional identity is a product of continuous personal and professional development of the physical and occupational therapist.

Occupational Therapy in the Market Place

1983 ◽  
Vol 46 (7) ◽  
pp. 200-201
Author(s):  
Marian Hemsworth
Keyword(s):  
Occupational Therapy ◽  
Sales Force ◽  
Occupational Therapist ◽  
The Other ◽  
Market Place ◽  
Disabled People ◽  
Self Interest ◽  
Definition Of

Occupational Therapy and the marketing of equipment for disabled people may seem unlikely allies. Yet each has something to contribute to the other, and their skills can be mutually enriching. Certainly this has been the experience of the company for which I work, whose range of products includes stairlifts and homelifts for disabled people. One definition of marketing speaks of ‘identifying and satisfying consumer needs’, and there is truth in the maxim that a satisfied customer is the best advertisement for any manufacturer. In pursuit of a policy of enlightened self-interest, my company about eighteen months ago, advertised for an occupational therapist to fill a vacancy in the technical sales force. An unusual step to take perhaps but it could be reasoned that an OT would be able to help towards ensuring that every stairlift sold would really be what the client needed.

scholarly journals “Vamos te levar no ponto mais alto daqui”: conhecendo ações da terapia ocupacional com crianças/"We'll take you to the highest point here": knowing occupational therapy actions with children

2021 ◽  
Vol 5 (4) ◽  
pp. 475-483
Author(s):  
Marina Di Napoli Pastore
Keyword(s):  
Occupational Therapy ◽  
Urban Community ◽  
Occupational Therapist ◽  
The Other ◽  
Image Description ◽  
Photo Essay

Objetivo: Este ensaio fotográfico propõe pensarmos as práticas com as crianças nos mais diversos territórios, em diálogos constantes com suas realidades e contextos. Descrição da imagem: é trazida uma imagem de duas crianças numa comunidade urbana e a interlocução com a terapeuta ocupacional, em que mostram seus espaços de significado e de sentidos, em meio ao território, e nos fazem repensar, juntamente com as demais imagens ao longo do texto, as ações territoriais e práticas com crianças a partir e em diálogo com suas realidades e a produção das imagens por elas como apropriação do espaço.Palavras-chave: Criança. Fotografia. Terapia Ocupacional AbstractObjective: this photo essay proposes to think about the practices with children in the most diverse territories, in constant dialogues with their realities and contexts. Image description: An image of two children in an urban community is brought and the dialogue with the occupational therapist, in which they show their spaces of meaning and meanings in the middle of the territory and make us rethink, together with the other images throughout the text, the territorial and practical actions with children from and in dialogue with their realities and the production of images by them as appropriation of space.Keywords: Children. Photography. Occupational Therapy ResumenObjetivo: este ensayo fotográfico propone pensar las prácticas con los niños en los más diversos territorios, en diálogos constantes con sus realidades y contextos. Descripción de la imagen: se trae una imagen de dos niños en una comunidad urbana y el diálogo con el terapeuta ocupacional, en el que muestran sus espacios de significado y significados en medio del territorio y nos hacen repensar, junto con las otras imágenes a lo largo del texto, las acciones territoriales y prácticas con los niños desde y en diálogo con sus realidades y la producción de imágenes por ellos como apropiación del espacio.Palavras Clave: Niños y Niñas. Fotografía. Terapia Ocupacional 

Clinical Reasoning in Local Authority Paediatric Occupational Therapy: Planning a Major Adaptation for the Child with a Degenerative Condition, Part 1

1996 ◽  
Vol 59 (5) ◽  
pp. 203-206 ◽  
Author(s):  
Angela Medhurst ◽  
Susan Ryan
Keyword(s):  
Occupational Therapy ◽  
Reflective Practice ◽  
Social Services ◽  
Clinical Reasoning ◽  
Local Authority ◽  
Occupational Therapist ◽  
Therapy Planning ◽  
Theory Base ◽  
Service Manager

Three-track reasoning, narratives and reflective practice frameworks form the background for examining the clinical reasoning of a social services occupational therapist during a supervision session. Telling the story of a child with a degenerative condition and the family's needs to the service manager helps to clarify the underlying meanings in the unfolding events the therapist is confronted with. Her reasoning is further challenged by presenting this work to her peers on a postgraduate course on clinical reasoning. This article provides the background and theory base for examining the use of narratives in greater depth in part 2.

On Geropsychology in the Czech Republic

GeroPsych ◽  
2012 ◽  
Vol 25 (3) ◽  
pp. 161-166
Author(s):  
Hana Stepankova ◽  
Eva Jarolimova ◽  
Eva Dragomirecka ◽  
Irena Sobotkova ◽  
Lenka Sulova ◽  
...  
Keyword(s):  
Czech Republic ◽  
Clinical Practice ◽  
Old Age ◽  
Cognitive Rehabilitation ◽  
The Czech Republic ◽  
Rehabilitation Research

This work provides an overview of psychology of aging and old age in the Czech Republic. Historical roots as well as recent activities are listed including clinical practice, cognitive rehabilitation, research, and the teaching of geropsychology.

Radioimmunszintigraphie mit SPECT: Methodik, Probleme und klinische Erfahrungen

1987 ◽  
Vol 26 (05) ◽  
pp. 202-205 ◽  
Author(s):  
J. Fass ◽  
S. Truong ◽  
U. Büll ◽  
V. Schumpelick ◽  
R. Bares
Keyword(s):  
Clinical Practice ◽  
The Other ◽  
Whole Body ◽  
Blood Clearance ◽  
Planar Scintigraphy ◽  
Gastrointestinal Carcinomas ◽  
Body Regions ◽  
Other Hand ◽  
Body Retention ◽  
Klinische Erfahrungen

Radioimmunoscintigraphy (RIS) with 111ln- and 131 I-labelled monoclonal anti bodies (MAbs) against CEA and/or CA 19-9 was performed in 83 patients with various gastrointestinal carcinomas. A total of 276 body regions could be examined. The results of planar scintigraphy and SPECT were compared intraindividually. Using 111 In-labelled MAbs the sensitivity of RIS was significantly improved by SPECT (88.9 vs. 52.4% with planar scintigraphy, p <0.01). For131 l-labelled MAbs the effect was smaller (83.9 vs. 65.6% with planar scintigraphy, n.s.). This finding can be explained by different kinetics and biodistribution of the used MAb preparations.111 In-labelled MAbs with long whole-body retention and rapid blood clearance reveal ideal qualities for SPECT; on the other hand, the short whole-body retention of131 l-labelled MAbs leads to small count rates and therefore long counting times that make delayed SPECT unsuitable in clinical practice

scholarly journals Interventional radiology and artificial intelligence in radiology: Is it time to enhance the vision of our medical students?

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Pierre Auloge ◽  
Julien Garnon ◽  
Joey Marie Robinson ◽  
Sarah Dbouk ◽  
Jean Sibilia ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Interventional Radiology ◽  
Clinical Practice ◽  
Medical Students ◽  
Medical Curriculum ◽  
New Technology ◽  
Large Population ◽  
The Other ◽  
Clinical Phase ◽  
Preclinical Phase

Abstract Objectives To assess awareness and knowledge of Interventional Radiology (IR) in a large population of medical students in 2019. Methods An anonymous survey was distributed electronically to 9546 medical students from first to sixth year at three European medical schools. The survey contained 14 questions, including two general questions on diagnostic radiology (DR) and artificial intelligence (AI), and 11 on IR. Responses were analyzed for all students and compared between preclinical (PCs) (first to third year) and clinical phase (Cs) (fourth to sixth year) of medical school. Of 9546 students, 1459 students (15.3%) answered the survey. Results On DR questions, 34.8% answered that AI is a threat for radiologists (PCs: 246/725 (33.9%); Cs: 248/734 (36%)) and 91.1% thought that radiology has a future (PCs: 668/725 (92.1%); Cs: 657/734 (89.5%)). On IR questions, 80.8% (1179/1459) students had already heard of IR; 75.7% (1104/1459) stated that their knowledge of IR wasn’t as good as the other specialties and 80% would like more lectures on IR. Finally, 24.2% (353/1459) indicated an interest in a career in IR with a majority of women in preclinical phase, but this trend reverses in clinical phase. Conclusions Development of new technology supporting advances in artificial intelligence will likely continue to change the landscape of radiology; however, medical students remain confident in the need for specialty-trained human physicians in the future of radiology as a clinical practice. A large majority of medical students would like more information about IR in their medical curriculum; almost a quarter of students would be interested in a career in IR.

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