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Occupational Therapy Transition Services, Olivia G. Cooper Dec 2023

Occupational Therapy Transition Services, Olivia G. Cooper

Occupational Therapy Capstones

Transition services include training in daily living, social, cognitive, and vocational skills that align with occupational therapy’s (OT’s) scope of practice. However, occupational therapy (OT) is minimally represented in transition services. This doctoral capstone project (DCP) aims to contribute to the development and expansion of an outpatient, hospital-based transition program for adolescents and young adults with intellectual and developmental disabilities (IDD). Group programming in this setting is a unique and feasible environment to provide services for skill-building opportunities that also emphasize caregiver involvement. This program offers a solution to the gap in OT services for adolescents and young adults with …


Increasing Parent Confidence And Involvement In The Nicu: An Occupational Therapy Educational Guide, Megan D. Berginski Jan 2023

Increasing Parent Confidence And Involvement In The Nicu: An Occupational Therapy Educational Guide, Megan D. Berginski

Occupational Therapy Capstones

Research shows that 40% of mothers with preterm infants in the neonatal intensive care unit (NICU) reported feelings of depression, and 23% reported experiencing post-traumatic stress symptoms, with that number increasing to 40% after discharge (Harris et al., 2018). Factors that contributed to this included a lack of social support, a lack of empowerment, perceived less capability in their new roles, and the stressful experiences that can happen in this setting (Matricardi et al., 2013; Sabnis et al., 2019). A similar study found that at discharge, 69.8% of parents reported that they were not confident in providing the necessary care …


Let’S Groove: A Dance Program Designed For Children With Disabilities, Michayla Burckhard Jan 2023

Let’S Groove: A Dance Program Designed For Children With Disabilities, Michayla Burckhard

Occupational Therapy Capstones

Children with disabilities face limited opportunities to participate in the occupation of dance when compared to opportunities available for their non-disabled peers. Barriers to their participation include lack of class opportunities, cost, and knowledge about programs (Carrion et al., 2018). Many dance studios offer integrated or non-specialized classes, but participation by a child with a disability in this type of class is sometimes limited by parental or child fears, or other barriers such as lack of accommodations (Lucas, 2017).


Addressing Adherence To Home Exercise Programs In A Hand Therapy Setting, Austin B. Ellis Jan 2023

Addressing Adherence To Home Exercise Programs In A Hand Therapy Setting, Austin B. Ellis

Occupational Therapy Capstones

Roughly 1,100 per 100,000 persons experience an upper-extremity injury per year including burns, fractures, or amputations (Ootes et al., 2012). These upper-extremity injuries can impact a person’s physical function, activities of daily living (ADL), social, psychological, and financial aspects in life (Che Daud et al., 2016b). These statistics warrant the need for occupational therapy practitioners specializing in hand therapy, and other hand therapists to address these areas of client’s lives that have been affected by their upper extremity injury.


Supporting Caregivers Of Children With Complex Health Needs, Anne Louise Domanus Jan 2023

Supporting Caregivers Of Children With Complex Health Needs, Anne Louise Domanus

Occupational Therapy Capstones

The purpose of this scholarly project is to develop and implement programming that provides support and meets the needs of caregivers of children with complex health needs. This was done by providing a resource guide of local community resources to caregivers to increase engagement in leisure occupations.


Exploring Nature-Based And Animal-Assisted Therapies As A Therapeutic Modality, Rachel Cheatley Jan 2023

Exploring Nature-Based And Animal-Assisted Therapies As A Therapeutic Modality, Rachel Cheatley

Occupational Therapy Capstones

Animal-assisted therapy (AAT) is characterized by integrating animals into the therapy process as a therapeutic partner and modality (Laskowski et. al., 2019). AAT shows positive outcomes for those who take part in the practice (Ein et. al., 2018; Feng et. al., 2021; Mapes & Rosén, 2016; Nieforth et. al., 2021). Common goals that are targeted via AAT include anxiety and related symptoms, depression and related symptoms, coordination, fine motor skills, reaching, hand-eye coordination, body balance, body awareness, communication, and relationship building (Ein et. al., 2018; Feng et. al., 2021; Mapes & Rosén, 2016; Nieforth et. al., 2021). Even with the …


The Effects Of Sensory Exposures On Pre-Term Infants Within The Neonatal Intensive Care Unit, Isabell Grace Fetsch Jan 2023

The Effects Of Sensory Exposures On Pre-Term Infants Within The Neonatal Intensive Care Unit, Isabell Grace Fetsch

Occupational Therapy Capstones

The neonatal intensive care unit (NICU) setting is a very dynamic, complex environment that can greatly affect the well-being and physical development of pre-term infants. Pre-term infants are defined as infants born earlier than 37 weeks’ gestation (CDC, 2021). AOTA (2018) researchers stated that a pre-term infant does not have the self-regulatory tools to adapt to the complex and highly stressful NICU environment. Pineda et al. (2017) explained that the environment within the NICU presents many adverse sensory stimuli such as bright lights, loud noises, and stressful human touches. When infants are unable to manage environmental sensory exposures appropriately due …


Caring For All In The Nicu, Zachary Daniel Gascho Jan 2023

Caring For All In The Nicu, Zachary Daniel Gascho

Occupational Therapy Capstones

In the neonatal intensive care unit (NICU), the infants who are being examined, evaluated, and treated are not the only people that need to be thought of when providing care. The parents/guardians in the NICU are just as important to consider in providing support. Research has shown that parents who have a child in the NICU experience a great deal of stress and guidelines recommend emotional support intervention in the NICU (Bigsby, 2021; Dudek-Shriber, 2004, Hynan & Hall, 2015). Emotional support is needed for these parents as they are experiencing perinatal mood and anxiety disorders that are often left untreated …


The Mind Matters: Interprofessional Mental And Emotional Health Guide For Cancer Survivors, Jaecy Giegerich Jan 2023

The Mind Matters: Interprofessional Mental And Emotional Health Guide For Cancer Survivors, Jaecy Giegerich

Occupational Therapy Capstones

Cancer is the second-highest leading cause of death in the United States with approximately 1.9 million new cancer cases and over 600,000 deaths in 2022 alone (Department of Health and Human Services et al., 2022). Cancer-related mental health is a primary barrier for engagement in treatment-related care; negatively impacting survivors’ perceived quality of life (Islam et al., 2022). Comprised mental health is one of the contributing factors to suicide. Patients undergoing a cancer diagnosis are at an ever-high suicide risk with incidences higher than other diagnoses (Saad et al., 2019).


Educating The Educator: Articulating Ot’S Role In School-Based Collaboration, Bryce Shaun Graves Jan 2023

Educating The Educator: Articulating Ot’S Role In School-Based Collaboration, Bryce Shaun Graves

Occupational Therapy Capstones

Many teachers in the educational field are unaware of the role of occupational therapists (OTs) and how OTs can support teachers and students (Kennedy et al., 2018; Truong & Hodgetts, 2017). Educators who are aware of the OT role often desire further collaboration including realistic recommendations for their classroom (Truong & Hodgetts, 2017). This presents a need for increased education about the role of occupational therapy (OT) in school-based practice and additional instruction for increased effectiveness of OT-teacher collaboration.


Fostering A Loving Connection: A Foster Parent’S Toolkit For Understanding And Addressing Behaviors For Children Placed In Out-Of-Home Care, Emily A. Knust Jan 2023

Fostering A Loving Connection: A Foster Parent’S Toolkit For Understanding And Addressing Behaviors For Children Placed In Out-Of-Home Care, Emily A. Knust

Occupational Therapy Capstones

Children placed in out-of-home care have an 80% chance of having a mental health diagnosis or experiencing negative behaviors related to trauma experiences (Armstrong-Hiemsoth et al., 2020). Children in foster care have been exposed to trauma by being removed from their biological parents and the abuse, neglect, or unsafe conditions that occurred leading up to the removal and placement in out-of-home care (Bartlett, 2021). From this trauma, a child is more likely to experience difficulty with basic self-care skills, executive functioning, emotional regulation, attachment disorders, or positive interactions and relationships within the foster home and their environment (Pervis et al., …


Primitive Reflex Screening And Caregiver Education And Support. A Product To Support Children With Retained Primitive Reflexes Transitioning Into The Formal Education System., Anna Justine Logan Jan 2023

Primitive Reflex Screening And Caregiver Education And Support. A Product To Support Children With Retained Primitive Reflexes Transitioning Into The Formal Education System., Anna Justine Logan

Occupational Therapy Capstones

Infants are born with movement patterns called primitive reflexes. Primitive reflexes are active for approximate times during the first few years of life (Smet et al, 2020; Myott et al., 2016). Retained primitive reflexes are primitive reflexes that have not integrated in the expected time. Retained primitive reflexes have been linked to a variety of developmental delays in older children including fine and gross motor (Gieysztor et al., 2018a), visual (Andrich et al., 2018), and academic performance (Feldhacker et al., 2021; Calvin & Ramli, 2020).


Development Of A School Based Program: Implementing Occupational Therapy Into General Education Classrooms, Samantha Jo Larson Jan 2023

Development Of A School Based Program: Implementing Occupational Therapy Into General Education Classrooms, Samantha Jo Larson

Occupational Therapy Capstones

The purpose of this scholarly project (SP) was to build a program containing activities for kindergarten and first grade general education classrooms that promote childrens’ skills that are necessary for development in handwriting, reading, writing, spelling, and clothing management.


The Newly Arrived Client: Applying Culturally Responsive Occupational Therapy Approaches To The Refugee Population To Promote Occupational Justice, Dominique Menard Jan 2023

The Newly Arrived Client: Applying Culturally Responsive Occupational Therapy Approaches To The Refugee Population To Promote Occupational Justice, Dominique Menard

Occupational Therapy Capstones

At the end of 2021, there were 836,300 Somali refugees and asylum seekers worldwide; in Minnesota alone, there are more than 70,000 Somali refugees, which is the largest concentration in the United States (Culture Care Connection, 2022; The UN Refugee Agency, n.d.). As with many refugee populations, Somali refugees experience many healthcare inequities including limited understanding of the resettled nation's healthcare system, poor functional health literacy, provider and/or interpreter gender preferences, discrimination, and limited cultural competence of providers (Eklöf et al., 2019; Fang et al., 2015; Gele et al., 2016; Houston et al., 2021; Njenga, 2022; Wångdahl et al., 2018). …


A Successful Start With New Start: Transitional Community-Based Services For Student Veterans, Sheena Kay Miller Jan 2023

A Successful Start With New Start: Transitional Community-Based Services For Student Veterans, Sheena Kay Miller

Occupational Therapy Capstones

For veterans, integration into the community post-service poses a variety of unique challenges as they pursue many different opportunities. One of those opportunities sought out by this population according to the literature is higher education. It is estimated that approximately 900,000 veterans and their families had utilized the post-9/11 GI Bill as of 2018, with that number expected to only increase over time (Ulrich & Freer, 2020). Some of the unique challenges faced by this population include higher rates of mental health diagnoses, suicidal thoughts, and service-related injuries such as traumatic brain injuries (TBI) than their civilian peers (Eakman et …


Reading The Warning Signs: Preventive Mental Health Youth Education Program, Cammy Cate Robertson Jan 2023

Reading The Warning Signs: Preventive Mental Health Youth Education Program, Cammy Cate Robertson

Occupational Therapy Capstones

Wyoming is the third leading state in suicide related death (Centers for Disease Control and Prevention [CDC], 2018; Wyoming Department of Health, n.d.). According to the National Institute of Mental Health (2022), suicide is the second leading cause of death in individuals aged 10-14. One in six youth experiences a mental health disorder yearly, while 50% of individuals aged 14 begin to have lifelong mental health concerns (Kessler et al., 2005; Whitney & Peterson, 2019). Students who experience depression are twice as likely to drop out of school, and students with mental, emotional, or behavioral concerns are three times more …


Occupational Therpay’S Role When Treating Pediatric Feeding Disorders, Callie Vold Jan 2023

Occupational Therpay’S Role When Treating Pediatric Feeding Disorders, Callie Vold

Occupational Therapy Capstones

Feeding and eating are required occupations that all humans must engage in to meet one of their most basic needs (AOTA, 2020; Maslow, 1943). While feeding and eating allows humans to meet their most basic physiological needs it also allows them to meet other needs of Maslow's Hierarchy along with engaging in valued occupations (AOTA, 2020; Maslow, 1943. Children with Pediatric Feeding Disorders (PFD) have difficulty with one or more areas of feeding which are medical, nutritional, feeding skill and/or psychosocial dysfunction (Fleet et al., 2022; Goday et al., 2019; Howe & Wang, 2013; Marshall et al., 2015; Sharp et …


Fostering Early Literacy Skill Development In School Aged Children, Jaden Pikarski Jan 2023

Fostering Early Literacy Skill Development In School Aged Children, Jaden Pikarski

Occupational Therapy Capstones

The purpose of this scholarly project is to foster early literacy skill development for children within the school system. The materials created are intended to enhance the context and promote learning in a way that is meaningful and developmentally appropriate.


Disability Awareness To Promote Inclusivity For Children In The Educational Setting, Abby Bauman Jan 2023

Disability Awareness To Promote Inclusivity For Children In The Educational Setting, Abby Bauman

Occupational Therapy Capstones

A large barrier to an effective and successful educational experience is the stigma and perceived judgment surrounding a child’s disability (Fontil et al., 2020). Implementing disability awareness materials into young classrooms is a way to prevent the development of stigma towards disability. Children who received disability awareness programming in the past have shown improved attitudes towards disabilities as opposed to those who have not (Chae et al., 2019). The purpose of this scholarly project is to assist teachers with implementing disability awareness materials to increase encouragement for young peers to accept, include, and support young individuals with disabilities.


Transitioning A Hand Therapy Clinic From Traditional Paper Home Programs To An Electronic Platform: A Quality Improvement Project, Megan Raissa Fuka Jan 2023

Transitioning A Hand Therapy Clinic From Traditional Paper Home Programs To An Electronic Platform: A Quality Improvement Project, Megan Raissa Fuka

Occupational Therapy Capstones

Individuals with upper extremity conditions who receive occupational therapy within the hand therapy context are often provided with paper or electronic home programs (HPs) as part of their rehabilitation protocol. Electronic HPs may promote greater adherence and functional improvements than paper handouts, as they can accommodate various learning styles and address patient barriers (Chung et al., 2020; Harte & Law, 2019; Lambert et al., 2017; Nussbaum et al., 2019; Toci et al., 2021; Valdes et al., in press). Despite evidence showing positive patient satisfaction and outcomes as a result of using electronic HPs, some occupational therapy practitioners (OTPs) may be …


Best Practice Occupational Therapy Interventions For Addressing Trauma And Posttraumatic Stress Disorder: A Practitioner Guide, Madison Kay Ertelt Jan 2023

Best Practice Occupational Therapy Interventions For Addressing Trauma And Posttraumatic Stress Disorder: A Practitioner Guide, Madison Kay Ertelt

Occupational Therapy Capstones

Posttraumatic stress disorder (PTSD) impacts approximately 3.6% of adults and 5% of adolescents in the United States and has pervasive impacts on occupational performance (National Institute of Mental Health, n.d.). Occupational therapy practitioners (OTPs) likely encounter clients with PTSD frequently due to this widespread prevalence in addition to trauma being comorbid with a variety of mental and physical health conditions. Despite the widespread prevalence of trauma, many OTPs find that trauma-informed care is not adequately implemented in practice (Holman et al., 2022). There is a gap in the literature regarding occupational performance deficits experienced among clients with trauma, knowledge of …


Becoming An Occupational Therapy Advocate: A Toolkit For Practitioners, Tiana Jo Griffith Jan 2023

Becoming An Occupational Therapy Advocate: A Toolkit For Practitioners, Tiana Jo Griffith

Occupational Therapy Capstones

Advocacy is an important component of the occupational therapy profession. Advocacy helps advance the profession, promote client well-being, and ensures access to services. Although practitioners are aware of the importance of advocacy, there is still a lack of involvement in advocacy efforts. There are several reasons for the lack of involvement, including insufficient knowledge and preparedness, limited discussion of advocacy, and lack of time to interact with the policy process (Dhillon et al., 2010; Marfeo, 2020; Osman et al., 2020). A toolkit was developed to address the identified barriers by providing occupational therapy practitioners in Wyoming with information and resources …


Submitting Research Grant Applications To Fund A Study Examining The Effect Of Equine-Assisted Therapy On Compassion Fatigue In Caregivers, Briana Minette Kent Jan 2023

Submitting Research Grant Applications To Fund A Study Examining The Effect Of Equine-Assisted Therapy On Compassion Fatigue In Caregivers, Briana Minette Kent

Occupational Therapy Capstones

Caregivers are expected to provide the best care possible to their patients, no matter the circumstances. Depending on the need of the individual being cared for, a caregiver’s job can cause an abundance of stress at various levels and can even lead to decreased mental health. This is often accompanied by a lack of self-care, poor health, and overall diminished wellness, otherwise known as compassion fatigue. Occupational therapists can address poor mental health due to compassion fatigue in caregivers by introducing a variety of important skills, habits, routines, and activities that patients need or want to engage in on a …


How Adaptive Sports Promote Occupational Engagement And Quality Of Life For Individuals With Disabilities In A Rural Community, Michael Helgeson Jan 2023

How Adaptive Sports Promote Occupational Engagement And Quality Of Life For Individuals With Disabilities In A Rural Community, Michael Helgeson

Occupational Therapy Capstones

Health management, play, leisure, and social participation are all valued occupations related to sports. However, individuals with physical disabilities face many barriers that inhibit them from engaging in sports, depriving them of these occupations. Some of these barriers include a lack of adaptive sports resources, adaptive equipment, adaptive sports programs in rural communities, and knowledge of how to include individuals with disabilities (Obradovic et al., 2021). The purpose of this scholarly project was to address these barriers through the development of adaptive sports programs; hereby, increasing occupational engagement, quality of life (QOL), and life satisfaction for individuals with disabilities. To …


An Occupation-Based Approach To Chronic Pain In Rural Alaska, Emma Elizabeth Lehman Jan 2023

An Occupation-Based Approach To Chronic Pain In Rural Alaska, Emma Elizabeth Lehman

Occupational Therapy Capstones

Adults with chronic pain living in rural communities experience occupational deprivation due to a lack of access to healthcare resources. While chronic pain is multifaceted and treated by multiple professions, occupational therapy (OT) can have a significant role in treating adults experiencing chronic pain with occupation-based interventions to improve their daily complications (Lagueux et al., 2018). The role of OT with chronic pain management is reflected in the evidence-based program entitled Lifestyle Redesign®, which offers effective strategies to improve quality of life, selfefficacy, and daily functioning for those who experience chronic pain (Uyeshiro Simon & Collins, 2017). However, there are …


Sensory-Based Universal Design Strategies For Head Start Students To Optimize Educational Engagement, Lexi Elizabeth Zahn Jan 2023

Sensory-Based Universal Design Strategies For Head Start Students To Optimize Educational Engagement, Lexi Elizabeth Zahn

Occupational Therapy Capstones

This scholarly project aims to educate and enable early childhood education teachers on how children’s sensory systems can be positively or negatively influenced to improve overall classroom experiences for all children. A teacher’s resource guide was developed to inform early education teachers about the sensory system and sensory regulation so that they can better understand the sensory needs of their students. The guide provides them with universally designed, sensory-based strategies to implement in the classroom to increase the performance ranges of students in their educational pursuits.


A Proactive Approach To Lymphedema Treatment: A Patient’S Educational Guide, Bridget Jae Reuss Jan 2023

A Proactive Approach To Lymphedema Treatment: A Patient’S Educational Guide, Bridget Jae Reuss

Occupational Therapy Capstones

Lymphedema affects between 90 and 250 million people worldwide, yet there is little information about it, and it is poorly understood by the medical community (Manrique et al., 2022). This too often results in patients not receiving proactive treatment for their symptoms. Proactive intervention increases the patient’s ability to engage in meaningful occupations, socialization, quality of life, mobility, and confidence (Dominick et al., 2014; Lu et al., 2015; Warren et al., 2007; Yarmohammadi et al., 2021).


Program Structure For Children And Adolescents With Disabilities To Increase Participation In Physical Activity, Abbigail Mackenzie Smith Jan 2023

Program Structure For Children And Adolescents With Disabilities To Increase Participation In Physical Activity, Abbigail Mackenzie Smith

Occupational Therapy Capstones

Children and adolescents with disabilities face barriers and are often excluded from engaging in daily activities such as physical activity and social participation (Bundy & Du Toit, 2019; Hocking, 2019). Activities such as physical activity and social participation not only increase children's and adolescents' sense of belonging, mental health, and quality of life but also impact the development of skills needed to fully engage in society (Bundy & Du Toit, 2019). Opportunities for children and adolescents with disabilities to engage in physical activity and social participation are commonly seen in the form of programs supported by nonprofit organizations. These programs …


A Guide For Occupational Therapists: Utilizing Equine-Assisted Therapy For Children In The Foster Care System Dealing With Trauma, Alexis Skogen Jan 2023

A Guide For Occupational Therapists: Utilizing Equine-Assisted Therapy For Children In The Foster Care System Dealing With Trauma, Alexis Skogen

Occupational Therapy Capstones

In 2015, over three million children who were affected by trauma or abuse were reported to Child Protective Services (Papovich, 2019). “Children in the foster care system have often been exposed to traumatic experiences such as violence, illicit substances, and neglect” (Crabill & Hanson, 2018, p.8). Adverse childhood experiences (ACEs) can be similar to experiencing trauma; children, prior to entering the foster care system, often experience ACEs (Craig, 2020). Children in the foster care system face hardships such as being taken out of their homes, passing through multiple homes, in addition to other childhood traumas they experience prior to their …


Development Of Wellness And Nutrition Through The Use Of Gardening, Josie Anhorn Jan 2023

Development Of Wellness And Nutrition Through The Use Of Gardening, Josie Anhorn

Occupational Therapy Capstones

The population of older adults has been rising exponentially in recent years (Duffin, 2022), leading to an influx in people moving into retirement or independent living communities. This transition may cause many changes in the new residents’ occupational participation and overall well-being. Research has shown specific areas of concern in socialization, nutrition, self-esteem, physical abilities, and continued participation in meaningful occupations (Holland et al., 2017; Knecht-Sabres et al., 2020; Smith, 2015; Sommerfeld et al., 2018; Swann, 2006; Swann, 2010). Gardening has been shown to positively impact these areas of health and well-being and ease some of the negative symptoms (Thompson, …