Medicine and Health Sciences Commons^™

The Role Of Occupational Therapy In Promoting Employment Outcomes With Individuals Diagnosed With A Serious Mental Illness, Lexie Coalwell, Allison Moran

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project is to enhance occupational therapy (OT) practitioners’ and other healthcare professionals’ knowledge on the essential role OT plays in promoting employment outcomes among individuals diagnosed with a serious mental illness (SMI).

Parental Caregiver Guide For An Adolescent With Down Syndrome: Transitioning Out Of High School, Kalindi Rachey, Hailey Johnson

Occupational Therapy Capstones

Purpose: The current literature revealed a need to address the establishment, organization, and application of primary health care as well as support programs for parental caregivers of adolescents with Down syndrome, especially during the transition period out of high school (Barros, Barros, Barros, & Santos, 2017). Providing information, resources, and support to parental caregivers of adolescents with Down syndrome and health care professionals, such as occupational therapists, can help alleviate caregiver burden and promote the parents’ quality of life. Occupational therapists can play an important role during the post-secondary transition period for adolescents with Down syndrome by assisting them in …

Occupational Therapy’S Role In Developing Social Skills For Adolescents With Complex Post-Traumatic Stress Disorder, Rachel Grubb, Amira Ragab

Occupational Therapy Capstones

The purpose of this scholarly project was to create a group protocol for occupational therapy practitioners to provide skilled mental health services to adolescents experiencing complex post-traumatic stress disorder (C-PTSD) due to domestic violence.

Occupational Therapy And Primary Care: The Tools For Referral, Alexandra Grosser, Kelsey Tadman

Occupational Therapy Capstones

Individuals with chronic conditions receive the most primary care services and account for the highest annual healthcare spending with the poorest outcomes (Leland, Fogelberg, Halle, & Mroz, 2017). Primary care providers (PCP) often address acute symptom management due to inadequate time to explore underlying problems related to diagnoses due to time limitations and a shortage of PCPs. (Dahl-Popolizio, Manson, Muir & Rogers, 2016). It has been recommended that other disciplines are incorporated into primary care to increase holistic, client-centered care and to improve health outcomes. Occupational therapy has been identified as one discipline that is well suited to contribute to …

The Occupational Therapy Guide For Enabling Meaningful Social Participation Post-Tbi, Vanessa Johnson, Hope Nelson

Occupational Therapy Capstones

Introduction: The purpose of this scholarly project was to create a guide for occupational therapists to enable meaningful social participation throughout the rehabilitation phases with adults who have sustained a moderate or severe traumatic brain injury (TBI). The Guide discusses and presents assessments and interventions recommended for each phase of the rehabilitation process.

A Practitioner's Guide: Using The Cognitive Performance Test To Increase Independent Living Skills For Individuals With Intellectual Disabilities, Alycia Peacock, Grace Spanos

Occupational Therapy Capstones

Problem: Individuals with intellectual disabilities (ID) have the desire to live as independently as possible (Gragoudas, 2014). There are a number of barriers that impact living independently including the ability to complete self-care tasks, money management, home management, and health management (Bond & Hurst, 2010). Other barriers reported for individuals with ID include relationships with caregivers, living alone, and vulnerability (Bond & Hurst, 2010). Research identifies that it is difficult to determine the amount of support needed to promote independence in individuals with ID (Francis & Reed, 2019). Occupational therapists (OTs) possess a unique skillset to assist clients with ID …

Occupational Therapy Joining Bariatric Care Teams: A Web-Based Resource, Annabelle Tarnowski, Rylee Skyberg

Occupational Therapy Capstones

Purpose

Despite the overall positive physical and mental health results patients obtain following bariatric surgery, some individuals still experience significant negative health challenges postoperatively. Researchers have asserted that the psychosocial concerns of patients that undergo bariatric surgery are not being properly addressed prior to surgery; therefore, patients are not appropriately equipped with strategies or follow-up care to promote continued weight loss and increase quality of life post-operatively (Kalarchian & Marcus, 2019). Patients who undergo bariatric surgery have experienced maladaptive eating, substance abuse, suicide and self-harm at an increased rate (Kalarchian & Marcus, 2019; Sarwer & Heinberg, 2020). Additionally, occupational therapy …

Increasing Participation In Meaningful Occupations For Disabled Veterans Through The Promotion Of Spirituality: An Intervention Resource Manual For Occupational Therapists., Tristen Smith, Audrya Tarango

Occupational Therapy Capstones

Purpose: Veterans with psychological disorders may experience a combination of deficits that decrease their ability to engage in meaningful activities (Speicher, Walter, & Chard, 2014). Increasing the well-being and quality of life for veterans is an optimal opportunity for the OT profession to assert its distinct value in addressing the mental health needs of veterans through the enhancement of spirituality. The inclusion of spirituality in interventions are beneficial when alleviating symptoms of a physical and mental capacity, reestablishing beliefs, values, moral code, and relationships with self and the transcendent (Brémault-Phillips et al., 2019).

Empowering Grand-Families Through Occupation: An Occupational Therapy Intervention Program For Grandchildren And Custodial Grandparents, Macie Romsdal, Gabrielle Wavra

Occupational Therapy Capstones

The purpose of this scholarly project was to create a program for occupational therapists to use with custodial grandparents and their grandchildren. The number of grandparents becoming primary caregivers to grandchildren continues to increase, and more than 5.7 million grandchildren in the United States were living with and being provided for by grandparents in 2014 (U.S. Census Bureau, 2014). Although there are benefits to being placed in grandparent care, there are also challenges. Some of the challenges custodial grandparents face are health concerns, financial resources, and changes in social supports and occupational roles (Marken & Howard, 2014). Grandchildren may have …

Youth Mental Health Community Based Ot Intervention Guide: Putting The Pieces Back Together, Bailey Schumacher, Meaghan Wolfgram

Occupational Therapy Capstones

Introduction: Each year, approximately half a million youth are brought to juvenile detention centers. Based on these statistics, 26,000 children are detained each day (Holman & Ziedenber, 2006). Many children and youth who encounter the juvenile justice system have past experiences of exposure to trauma and mental health illnesses. When these are overlooked or neglected, this may lead to worsening mental health and longstanding involvement within the criminal justice system. For young people, action of prevention to keep them in school and in the community is key: kids should not be in jail in the first place, especially not as …

Coffee With Farmers, Ivy Steiger, Kelsey Sherry

Occupational Therapy Capstones

Purpose: The farming community is an underserved population in health care and historically there has been a lack of recognition of the psychosocial stress farmers endure. There is a lack of programming for addressing farmers’ psychosocial stress and mental health, specifically within the field of occupational therapy. The overall purpose of this independent study was to explore the role occupational therapy has within the farming community and develop a program that can be implemented to address psychosocial health with this population.

Interweaving Teaching Strategies In Interprofessional Education: A Pilot Study With Graduate Occupational Therapy And Physician Assistant Students, Eric C. Nemec, Lola Halperin, Jaimee Betts Hegge

Physician Associate Studies Faculty Publications

The importance of interprofessional education (IPE) has been emphasized by the World Health Organization and is currently required by both the occupational therapy (OT) and physician assistant (PA) education accreditation agencies in the United States. Moreover, a growing body of evidence suggests that IPE fosters learners’ understanding of the roles different disciplines play in healthcare delivery and prepares future health professionals for patient-centered care. Authors designed and implemented an IPE event aimed to foster the following core Interprofessional Education Collaborative (IPEC) competencies among graduate OT and PA students: Values/Ethics for Interprofessional Practice, Roles and Responsibilities, Interprofessional Communication, and Teams and …

Addressing Culture Throughout The Occupational Therapy Process: Beyond The Basics, Samantha Plutko, Jacey Savage

Occupational Therapy Capstones

Purpose: Our product, a continuing education course for occupational therapy practitioners, was created with the purpose of giving attendees an opportunity to engage in hands-on learning exercises that will assist them with addressing culture throughout the occupational therapy process.

Improving School Readiness In Home-Based Care Settings, Malea Peters, Shelby Wittenberg

Occupational Therapy Capstones

Introduction: The purpose of this project was to create a resource guide for home-based daycare providers to promote school readiness skills in preschool-age children. Several national and local policies promote children’s school readiness in early childhood years (NEGP, 1995). Children in home-based daycares may be at-risk for lower school readiness skills upon school entry compared to similar-age children in other childcare arrangements (Bassok, Greenberg, Fitzpatrick, & Loeb, 2016). Occupational therapists can play a role in supporting home-based daycare providers to implement school readiness activities for preschool-age children into their daily routines.

Expanding Rehabilitation Beyond The Clinic—Strategies To Increase Total Restorative Therapy Time For Adults With Hemiplegia, Niamh M. Tunney, Ellen R. Perlow

Internet Journal of Allied Health Sciences and Practice

Background: Positive neuroplastic changes involving cortical reorganization after stroke are experience dependent and are facilitated more effectively when rehabilitation occurs with high volume. Structured experiences to promote adaptive changes can be implemented during scheduled therapies in any rehabilitation setting. However, time spent in supervised restorative therapy is limited regardless of setting. Time spent in therapeutic activity can be extended by a variety of options that patients can engage in independently, that are low-cost, and that have evidence to support their use as a supplement to physical and occupational therapy. Purpose: The purpose of this paper is to present four …

Occupational Therapist’S Role In Addressing Transition Support Through Life Skills, Rupa Parikh

Student Capstone Papers

The transition period from high school to postsecondary education has been shown to be a difficult time for youth, especially those with disabilities. The use of occupational therapists in transition services can positively affect a student's ability to attend postsecondary education. Guidance and support are necessary to teach these individuals life skills needed for future success in the transition to postsecondary education. This capstone project aims to assess the needs of students at the Winston school to identify occupational limitations in the area of life skills. Through identification of problem areas, a detailed program was created and implemented to meet …

Impact Of Social Skills Groups On School Aged Children With Emotional Disturbance, Stephanie Coauette, Kaitlyn Ekre, Benjamin Stagg

Critically Appraised Topics

According to the Individuals with Disabilities Education Act (U.S. Department of Education, 2017, Sec. 300.8), emotional disturbance is defined as a condition in which there are one or more of the following symptoms that interferes with a child’s ability perform successfully in their education: “An inability to learn that cannot be explained by intellectual, sensory, or health factors, an inability to build or maintain satisfactory interpersonal relationships with peers and teachers, inappropriate types of behavior or feelings under normal circumstances, a general pervasive mood of unhappiness or depression, and a tendency to develop physical symptoms or fears associated with personal …

Identifying Occupational Therapy’S Role In The Interprofessional Team For Combating Barriers To Correct Medication Adherence For Older Adults, Megan Berginski, Bryce Graves, Christopher Hernandez

Critically Appraised Topics

Occupational therapy is crucial to the interprofessional team, with a focus on client-centered interventions, a holistic approach to health promotion and prevention and a comprehensive overlook on quality of life. The focus of occupational therapy is to collaborate with clients to find meaningful engagement in occupations to promote participation. The occupational therapist’s perspective on the person holistically marks their contribution to the interprofessional team in order to meet the needs to provide for the client, their families, and their community (Doll & Earland, 2020). Other than occupational therapists, the interdisciplinary team may consist of nurses, pharmacists and caregivers. Nurses are …

Evidence For The Use Of Health Promotion Programs In Schools, Anna Burggraf, Kathryn College, Taylor White

Critically Appraised Topics

Health promotion is defined as “a process of enabling people to increase control over and to improve their health” (Scaffa, 2019, p. 442). Promotion of health is a common goal that is shared by numerous disciplines (Reitz & Graham, 2019). Health promotion directed towards occupational therapy is the “client-centered use of occupations, adaptations to context, or alteration of context to maximize individuals’, families’, communities’, and groups’ pursuit of health and quality of life” (Reitz & Graham, 2019). Health promotion is essential for all age groups, especially for young children who are completing their beginning years of school. Children’s thoughts, behaviors, …

Therapeutic Management Of A Patient With Necrotizing Fasciitis Resulting In Quadrilateral Amputation And Critical Illness Myopathy In The Intensive Care Setting: A Case Report., Mallory A. Kargela, Annette J. Siebens

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this case is to illustrate the best available evidence to provide early therapeutic intervention for a critically ill patient presenting with cardiovascular and pulmonary complications due to multi-system compromise. Case Description: A 19-year-old male was admitted to the hospital with the diagnosis of necrotizing fasciitis and necrotizing pneumonia. He experienced numerous additional medical complications ultimately leading to tracheostomy, delirium, critical illness myopathy, and quadrilateral amputation secondary to necrotizing fasciitis and critical limb ischemia following prolonged veno-venous extracorporeal membrane oxygenation (VV-ECMO). Outcomes: Patient was discharged to an outside rehabilitation hospital after 103 days in the acute setting …

An Introduction To Interprofessional Education For First Semester Doctoral Occupational Therapy And Physical Therapy Students, Suzanne Trojanowski, Jillian Woodworth, Anna Rose Wiencek, Amy Yorke

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education (IPE) engages health care professional students in order to develop the knowledge, skills, and attitudes required of a health care practitioner. IPE can be challenging to execute; however, exposing students early in their professional education in IPE has positive results. Occupational therapy (OT) and physical therapy (PT) are health care professions who commonly work with each other. The purpose of this study is to describe the process and outcomes of implementing an IPE experience with first year doctoral OT (OTD) and PT (DPT) students completed within the first six weeks of the first semester of their respective …

Tacit To Explicit Knowledge Transfer In A University Health Care Program: Use Of Student-Professor And Professor-Professor Collaboration, Geela Spira, Allen S. Keener

Pedagogicon Conference Proceedings

Student feedback indicated difficulty applying Occupational Therapy values such as “participation in meaningful occupations” into clinical interventions. Two instructors of a components-based course and a theory course collaborated to link practical OT interventions to conceptual OT models. Use of a model for transfer of tacit knowledge was utilized. Each instructor kept a reflective diary. An iterative process for a semester attempted to transfer learned explicit knowledge into an integrated intuitive ‘art of the therapy’ which incorporated Occupational Science core concepts. Worksheets were developed to make the pathway more explicit. By semester’s end, students completed a comprehensive plan for client care.

Role And Responsibilities Of Supervisors In The Sustainable Return To Work Of Workers Following A Work-Related Musculoskeletal Disorder, Iuliana Nastasia, Marie-France Coutu, Romain Rives, Jessica Dubé, Sarah Gaspard, Audrey Quilicot

Études primaires

Purpose Supervisors play an important role during the return to work (RTW) of injured workers. Yet little research has been done on the actions associated with this role or the contexts in which they are taken. The purpose of this study was to develop courses of action to promote supervisors’ involvement in the process aimed at achieving sustainable RTW for workers following a work-related musculoskeletal disorder (MSD), and to verify their pertinence, feasibility, and applicability in practice. Methods A two-phase qualitative method was used. (1) Secondary content analysis of 46 interviews of 14 workers post-MSD and 32 other actors in …

Structural Remodeling Of The Lumbar Multifidus, Thoracolumbar Fascia And Lateral Abdominal Wall Perimuscular Connective Tissues: A Search For Its Potential Determinants, Christian Larivière, Sharon M. Henry, Richard Preuss

Études primaires

Recently remodeling of lumbar soft tissues has received increased research attention. However, the major determinants that influence remodeling need to be elucidated in order to understand the impact of different rehabilitation modalities on tissue remodeling. The main aim of this study was to explore the between-subject variance of different measures of lumbar soft tissues quantified with rehabilitative ultrasound imaging (RUSI). RUSI measures (n = 8) were collected from 30 subjects without and 34 patients with LBP: (1) lumbar multifidus (LM) echogenicity (fatty infiltration/fibrosis) at three vertebral levels (L3/L4, L4/L5 and L5/S1) (n = 3); (2) posterior layer thickness …

The Editors’ Perspective: Online Teaching And Learning In A Pandemic, Cindy L. Hayden, Dana M. Howell, Renee Causey-Upton

Journal of Occupational Therapy Education

No abstract provided.

The Occupation-Centered Intervention Assessment: Bridging Theory And Practice In Fieldwork Education, Erin Main, Carolyn Michaud, Amelia Kellar, Kate Wondra, Vanessa D. Jewell, Taylor Wienkes, Brenda M. Coppard

Journal of Occupational Therapy Education

Occupational therapy’s identity is grounded in occupation-centered care. However, evidence suggests external factors in the healthcare system burden practitioners’ time and resources, reducing attention directed toward occupation-centered practice and student learning and transfer of theoretically grounded knowledge. The departure from theory-based practice can threaten the identity and viability of the profession. The Occupation-Centered Intervention Assessment (OCIA) was designed for practitioners or students to self-rate the degree to which interventions are occupation-based or occupation-focused, creating an occupation-centered framework. In this pilot explanatory sequential mixed methods study, Level II fieldwork educators and fieldwork students in Alaska completed OCIA training and utilized the …

Survey Of Occupational Therapy Education In Telehealth, Katrina M. Serwe, Ranelle Nissen

Journal of Occupational Therapy Education

Telehealth delivered occupational therapy services are increasing, and students will need to be prepared to safely and ethically deliver telehealth services. Occupational therapy education standards require that students demonstrate knowledge of telehealth and related technology. However, there is a limited discussion in the literature on how programs are preparing students to deliver services via telehealth. This explanatory mixed methods study examined telehealth education in entry-level occupational therapy programs to understand if and how students are learning about telehealth. The quantitative portion involved a survey of 429 occupational therapy programs in the United States. The qualitative part involved four survey respondents …

Meaning And Impact Of Interprofessional Simulation Participation For Occupational Therapy Students: A Qualitative Descriptive Study, Elena Wong Espiritu, Steven Busby

Journal of Occupational Therapy Education

Occupational therapy programs are incorporating simulation experiences more regularly into their curricula. However, there continues to be a need for more evidence demonstrating simulation benefits, particularly when various client populations, standardized actors, interpersonal skill practice, and multiple disciplines are incorporated into scenarios. The purpose of this qualitative descriptive study was to describe the meaning and impact of participating in an interprofessional simulation for occupational therapy students as part of their current academic preparation and future clinical practice in the hopes of increasing the participants’ interpersonal and clinical reasoning skills. Study participants were entry-level occupational therapy doctoral students (N=64) and their …

Application Of Active Learning Strategies For Online Delivery In An Occupational Therapy Assistant Program, Tiffany L. Benaroya, Jennifer C. George, Deborah Mckernan-Ace, Margaret Swarbrick

Journal of Occupational Therapy Education

The COVID-19 pandemic had a significant impact worldwide in every aspect of society including occupational therapy assistant students enrolled in academic coursework. This manuscript examines the unique experience of occupational therapy assistant faculty in a northeast state who were able to quickly modify classroom and lab teaching-learning strategies to a fully online virtual format for two semesters. Since no available information on strategies for online delivery of occupational therapy assistant education were found in the literature, their experiences implementing active learning strategies are described and discussed. Strategies covered include: the flipped classroom model; think-pair-share and jigsaw technique using breakout rooms; …

Perceptions Of Stress, Mindfulness, And Occupational Engagement Among Graduate-Level Occupational Therapy Students, Patricia Henton, Caroline Targonski, Acacia Gambrel, Catherine Rink, Sarah Wirtz

Journal of Occupational Therapy Education

Previous literature explored the concepts of stress, mindfulness, and occupational engagement, yet there is a substantial gap linking these terms within the field of occupational therapy (OT). The researchers identified a need to investigate the perceptions of these concepts among graduate-level OT students and its impact on their quality of life and occupational balance. Current research identified mindfulness and occupational engagement as healthy coping strategies for reducing stress and both concepts emphasized the action of being fully present and engaged. The exploratory mixed-methods study consisted of 490 students from graduate-level OT programs throughout the United States. Results revealed that the …