Rehabilitation and Therapy Commons^™

The Comfort Of Being At Home: The Benefits Of Outpatient Rehabilitation In The Homes Of Rural Residents, Madison Jo Christian

Occupational Therapy Capstones

Title: The Comfort of Being at Home: The Benefits of Outpatient Rehabilitation in the Homes of Rural Residents

Background: Rural residents experience more disease, injury, and death than individuals living in metropolitan areas. Harsh weather conditions, distances to healthcare facilities, lack of public transportation options, and restrictions of health insurance coverage make accessing healthcare services difficult for these residents expediting worse health outcomes. One method to address the barriers rural residents face in accessing healthcare services, especially ongoing rehabilitation services, is to establish more accessible healthcare delivery methods in residents’ homes. Many rural residents will benefit from receiving ongoing rehabilitation …

Increasing Quality Of Life And Well-Being Among Older Adults Living In An Assisted Living Facility Through Engaging In A Wellness Program., Hannah Steckler

Occupational Therapy Capstones

Purpose: The focus of this scholarly project was to create a group protocol to increase the quality of life and well-being of older adults living in an assisted living facility (ALF). Furthermore, it promotes increased engagement in meaningful activities to combat health disparities and provide education on various areas of wellness. Older adults' quality of life and well-being are impacted when residing in an ALF due to decreased engagement in wellness activities (Bartley et al., 2018; Morgan et al., 2016). Furthermore, risk factors and health disparities increase among the older adult population, which causes a negative impact on everyday routines …

Addressing Burn Scarring And Contractures While Measuring Range Of Motion, Josie F. Sylte

Occupational Therapy Capstones

Purpose: In the community of healthcare professionals that work with individuals who have survived a burn injury there has been a shift in the way that range of motion (ROM) is being measured taking into consideration the use of cutaneous functional units (CFUs), multi joint movements, and burn scarring and contractures (Parry et al., 2019). Working with a burn intensive care unit therapy team a need was identified to address therapist education and the integration of revised positioning for measuring ROM following a burn injury and throughout the rehabilitation process.

Method: To determine the needs of the burn facility a …

Navigating The Wheelchair Recommendation Process: A Preventative Approach For Rural Providers, Kelsey M. Rajewsky

Occupational Therapy Capstones

Title: Navigating the Wheelchair Recommendation Process: A Preventative Approach for Rural Providers

Background: Wheelchair procurement is a complex process that begins with patients seeing their physician for a prescription and guidance on where to go for step two. It is this critical second step that can make the difference for someone receiving a basic wheelchair meant for short-term use, or a referral to a practitioner specializing in seating and wheeled mobility. While getting to a physician's office can be challenging for all wheelchair users, a rural wheelchair user experiences additional barriers such as limited resources available locally, culture, and difficulties …

Engage As You Age: An Interprofessional Toolkit To Increase Meaningful Activity In Long-Term Care Facilities, Annah Greenmyer

Occupational Therapy Capstones

Title: Engage as You Age: An Interprofessional Toolkit to Increase Meaningful Activity in long-term care Facilities

Background: When making the major life transition of moving into a long-term care facility, older adults have an increased chance of experiencing negative mental health symptoms. During this life transition, older adults may experience loss of self-efficacy, because of the shift from their preferred roles and activities. When older adults do not engage in their preferred activities and/or roles, they may experience loss of motivation or energy which can eventually lead to feelings of depression and anxiety. For residents in rural long-term care facilities, …

Supporting Occupational Performance For Children With Cancer, Rachel Elise Koenig

Occupational Therapy Capstones

Purpose: The purpose of this doctoral experience was divided into two categories: a) advanced clinical practice and b) needs assessment and completion of project. The advanced clinical practice objectives were to implement evidence-based evaluations and interventions to children with cancer, collaborate with parents and interprofessional team members, and adhere to safety precautions for children with cancer. The project-based objectives focus was to translate knowledge to practice by aiding in the transition process of children with cancer when leaving the hospital.

Method: The primary author completed a literature review of best practices for children with cancer prior to their arrival on-site. …

Sensory Processing And Trauma: A Practical Approach In A Clinical Context, Katya Kivi

Occupational Therapy Capstones

A large majority of people who are receiving mental health services have experienced a form of trauma (Arnaly et al., 2019; Champagne et al., 2010). Individuals who have experienced trauma-related sensory processing issues often have decreased occupational performance because of avoidance of the occupation or dysregulation during the occupation (Cerny, 2019; Gerney & Muffly, 2015). PTSD can affect an individual's overall quality of life and the creation and maintenance of social relationships, resulting in social isolation (Arnaly et al., 2019). The product is a guide to inform care within the adult mental health setting following sensory-based information and trauma-informed care. …

Stroke Rehabilitation Through The Continuum Of Care: Integrating Evidence And Occupation-Based Practice, Emily L. Geissler

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to provide patients with knowledge on the rehabilitation process and practitioners with a resource to assist in implementing occupation and evidence-based practice in stroke rehabilitation throughout the continuum of care.

Methodology: A literature review was conducted using articles, textbooks, and expert opinions regarding evidence-based and occupation-based interventions within stroke rehabilitation. The author partnered with a midwestern healthcare agency to experience stroke rehabilitation as an occupational therapy practitioner across the continuum of care. Through a needs assessment, it was found patients lack knowledge regarding the rehabilitation process and that practitioners lack knowledge of …

Helping Hands: Self-Managing Chronic Upper Extremity Pain, Kaylee Mae Athmann

Occupational Therapy Capstones

Background: This scholarly project aims to provide education on self-management techniques for chronic upper extremity (UE) pain. There are currently limited resources that properly educate clients on self-management techniques for chronic (UE) pain. Nevertheless, there is a need for a chronic UE pain self-management program because chronic pain affects individuals’ performance of all their occupations and has the potential to lead to social limitations, a decline in work ability and productivity and a decrease in quality of life. Furthermore, it is currently the leading cause of disability worldwide. Occupational therapy practitioners who focus on the UE are known as hand …

Expecting Better When You’Re Expecting: Empowering Mothers Through Occupational Therapy, Ann K. Landreville

Occupational Therapy Capstones

The maternal health crisis of the United States presents an opportunity to improve the level of care provided to the maternal population. A new standard of care must be established, going beyond decreasing maternal mortality and morbidity rates, but instead working to promote the health and well-being of mothers. While many well-recognized health professionals currently play a role on the interdisciplinary care team for postpartum mothers, occupational therapists are emerging in this field, proving they have a vital role in providing services that addresses the current gap in care. Many professions largely address physical health; occupational therapists have a holistic …

Sensory Home Programming Handouts, Taylor Ann Koopmeiners

Occupational Therapy Capstones

Background: Sensory processing is the way the brain and nervous system receive sensory information (Star Institute, 2023). When there are difficulties with processing sensory information, it is called Sensory Processing Disorder (SPD). Consequently, the inability to process sensory input results in affected motor and behavioral responses (Star Institute, 2023. This creates difficulty in participating in necessary tasks such as activities of daily living (ADLs), social participation, and school (Lane et al., 2019; Star Institute, 2023). Occupational therapists address these challenges by providing sensory activities in therapeutic sessions and as part of home programming (Gabriele, 2020). The goal of this scholarly …

An Occupational Therapy Approach To The Cumulative Trauma Disorder Of Trigger Finger: A Case Report, Makenzie Lynn Kroupa

Occupational Therapy Capstones

Background: The purpose of this product is to focus on furthering exposure to cumulative trauma disorder (CTD) of the upper extremity (UE) through the development of a case report. This will further explore treatment methods, therapy progression, and management for diagnoses that are associated with repetition and the overuse of the UE. The client of focus possesses the UE CTD of trigger finger as the primary diagnosis but has several concurrent conditions. This increases the complexity of the case since the client must navigate the symptomatology of UE CTDs to engage in occupational performance.

Case Presentation: The client was selected …

Bridges To Bright Beginnings: A Resource Guide For Caregivers Of Infants Diagnosed With Neonatal Abstinence Syndrome (Nas), Makayla E. Murden

Occupational Therapy Capstones

Background Neonatal abstinence syndrome (NAS) is a condition that happens in newborn babies who were exposed to illicit substances or opiates while in the womb. The baby becomes dependent on the substances and will experience withdrawal symptoms after birth. Between 2010 and 2017, NAS births increased by 131%. Approximately 6.6% of pregnant women admitted to using prescription opioids, of which 21.2% acknowledged misuse. A significant portion (31.9%) of these women reported not receiving information on the potential effects of opioid use on their unborn baby. Infants exposed to opioids in utero are at higher risk of Neonatal Intensive Care Unit …

An Occupational Therapy Program For First Responders Facing Trauma Fatigue And Work-Related Stressors Using Equine Facilitated Approaches, Kady Locke

Occupational Therapy Capstones

The proposed program is a mental health program, targeting meaningful daily occupations for the population of first responders facing trauma fatigue and antecedents of posttraumatic stress disorder symptoms related to stress from work. For individuals who serve as first responders, there is significant prevalence for trauma exposure, leading to trauma fatigue due to events encountered on the job. Mazur and Collins (2023) found that 80% of police and first responders experience traumatic events on the job and that 25% have experienced suicidal ideation due to impacts of trauma exposure. There is a lack of professional mental health services supporting this …

Promoting Independence In An Existing Cancer Survivorship Program: Adaptive Equipment And Intimacy & Sexuality, Bailee Scheer

Occupational Therapy Capstones

Purpose: The purpose of this project was to create educational materials for cancer survivors and their caregivers/families on the topics of adaptive equipment and intimacy/sexuality. A person is considered a cancer survivor at any point after receiving a cancer diagnosis, regardless of what stage they are at in their course of treatment (American Cancer Society, 2024). The rate of cancer survivors within the United States has grown drastically over the past several years, due to advances in treatment and early detection (Cronin et al., 2022). Cancer survivors experience many changing side effects during and after treatment that influence the way …

An Interdisciplinary Approach To Fall Prevention In Rural Health, Casidi Pullar

Occupational Therapy Capstones

Background: Hospital-acquired falls can lead to severe injuries and complications, posing significant challenges for patient safety and the healthcare facility (Agency for Healthcare Research and Quality, 2023). Healthcare workers in rural, Critical Access Hospitals often handle a wide range of responsibilities due to the smaller staff size, limited resources, and difficulty retaining or recruiting staff due to the remote location, typically resulting in fall prevention being less prioritized (Abelsen et al., 2020; Agency for Healthcare Research and Quality, 2023). Addressing patient safety and fall prevention strategies is an organizational and systemic challenge that requires evidence-based education and an interdisciplinary team …

Exploring Postpartum Care: A Guide For Mothers, Amber Joy Matlock

Occupational Therapy Capstones

Title: Exploring Postpartum Care: A Guide for Mothers

Background: Thousands of babies are born in hospitals each year. Before being discharged home from the hospital, mothers receive education from interprofessional team members about their infant’s care, but there is a lack of information and education provided to mothers about their care and postpartum recovery. Without having adequate information on a mother’s recovery, there is an increased risk for poor maternal outcomes to occur during the postpartum journey. Maternal health is an emerging practice area for occupational therapy practitioners; the population is within the scope of practice for the profession. Currently, …

The Distinct Role: A Toolkit To Promote Occupational Therapy Services For Palliative Care Patients In Acute Care Hospitals, Kailey Ann Squier

Occupational Therapy Capstones

Purpose: Each year, 56.8 million people receive palliative care services and experience significant impacts overall quality of life. Occupational therapy is well-equipped to maximize engagement in meaningful activities and improve overall quality of life for this population. Despite evidence supporting the unique value of OT, it has had many barriers limiting the ability to expand into palliative care effectively. There is a need to provide education and increase resources to occupational therapy practitioners (OTPs) in palliative care. The purpose of this scholarly project was to increase the understanding of OTs’ role in palliative care and promote increased OT services within …

Breaking The Barrier To Leisure Engagement In Long-Term Care Facilities To Enhance Residents’ Health, Well-Being, And Quality Of Life, Callie M. Kleindl

Occupational Therapy Capstones

Title: Breaking the Barrier to Leisure Engagement in Long-Term Care Facilities to Enhance Residents’ Health, Well-being, and Quality of Life

Purpose: The purpose of this scholarly project was to promote leisure engagement for residents with dementia in long-term care (LTC) facilities to enhance their overall health, well-being, and quality of life (QOL).

Methodology: A thorough literature review supported the need for increased leisure engagement in LTC facilities for residents with dementia. Chronic conditions, such as dementia, impact a resident’s ability to engage in meaningful occupations which leads to occupational deprivation. In addition, a decline in leisure engagement has been found …

Increasing Success For Children With Sensory Processing Difficulties: Education And Support For Individuals Working With Children In Community Settings, Alyssia D. Pucel

Occupational Therapy Capstones

Integration into community settings with limited ability to control one’s exposure to sensory stimuli is often challenging for children with sensory processing difficulties (Isamel et al., 2018). To self-regulate, children often exhibit behaviors that appear to others as abnormal or inappropriate to the expectations within the social environment but are out of the child’s control (Brown et al., 2019). Individuals who do not know about sensory processing may respond to the behavior in a way that is unsupportive to the child’s sensory needs and overall daily functioning. To advocate for children in natural community contexts, Success with Sensory provides individuals …

Addressing Health Care Needs Of Farmers In Rural Areas Through The Lens Of Occupational Therapy, Josie Lynn Huot

Occupational Therapy Capstones

Title: Addressing Health Care Needs of Farmers in Rural Areas through the Lens of Occupational Therapy

Background: Over three million farmers and farm laborers across the United States (U.S.) perform one of the most essential careers to support human life (Hildebrand et al., 2019; USDA, 2020). Farming is considered a highly dangerous job, putting farmers at risk for numerous health concerns, with a high prevalence of musculoskeletal injuries (Fethke et al., 2015; Hildebrand et al., 2019). Low back pain is a leading source of musculoskeletal pain, closely followed by neck pain, both of which are associated with the spine (Davis …

Toolkit For Teachers Who Have Students Who Have Experiences Aces: An Occupational Therapy Guide, Abigail Kasper

Occupational Therapy Capstones

Background: Individuals who experience trauma are at a higher risk of experiencing decreased occupational performance, specifically in education. Students are more likely to have decreased emotional and sensory regulation, decreased attention, problem-solving, and social skills, and struggle to transition between activities (Bhsushan, 2021; Fraser et al., 2019; Goddard, 2021; Whiting, 2018). These difficulties can create barriers to participating and succeeding in education. In addition to experiencing barriers while engaging in school, trauma can also result in an increased risk of experiencing long-term health impacts, such as heart disease, obesity, depression, hypertension, and other chronic conditions (Bhushan, 2021; Centers for Disease …

An Intergenerational Program Approach To Support Successful Aging And Decrease Social Isolation In Nursing Home Residents, Mariah Herring

Occupational Therapy Capstones

Purpose As older adults transition to nursing facilities, their involvement in community activities diminishes, impacting their physical health, cognitive abilities, and social engagement (Lowry et al., 2012; Serrat-Graboleda et al., 2010). Evidence suggests that utilizing intergenerational programs in nursing facilities can effectively reduce social isolation, enhance quality of life for residents, and support academics and social skills in preschool students (Gustavsson, 2015; Lowry et al., 2012; Mondaca et al., 2018; Pillemer et al., 2022; Tak et al., 2015). This scholarly project aims to support successful aging and decrease social isolation in nursing facilities through the development of occupation-based psychomotor activities …

Primary Reflex Testing And Integration Guide For Parents And Providers, Abby Jessen

Occupational Therapy Capstones

Purpose: Parents are often unaware of the signs and characteristics of retained reflexes making it difficult to identify if there is a problem (Grigg et al., 2018). Once a problem is identified parents are frequently uninformed of the effects primary reflexes can have on a child’s development and how to foster integration (Grigg et al., 2018). Therefore, demonstrating a need for parent and provider education to support reflex integration amongst the pediatric population. The purpose of this project was to educate parents and providers on retained primary reflexes in children ages four to 11.

Methods: Prior to the start of …

Sensory Toolkit For Childcare Providers And Parents Of Children In The Daycare Setting, Cierra Marie Jacobson

Occupational Therapy Capstones

Title: Sensory Toolkit for Childcare Providers and Parents of Children in the Daycare Setting

Purpose: Around 62% of children in the United States receive care from care-based centers (U.S Department of Education, National Center for Education Statistic [NCES], (2021). Of the children in daycare, about 41% attend for 35 or more hours a week (Capizzano & Adams, 2000). The children’s environment within a daycare provides several sensory experiences that can both support and hinder their success in their daily occupations. When sensory needs are unmet, undesired behaviors can occur and impact their performance in daily occupations (Bodison & Parham, 2017). …

The Virtual Therapist: An Occupational Therapy Practitioner’S Guide To Telehealth Service Delivery In Pediatrics, Jossette Hannah M. Gianan

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to improve the telehealth competency and confidence of occupational therapy practitioners working in pediatrics through the use of a quick reference resource guide.

Methodology: The development of The Virtual Therapist: An Occupational Therapy Practitioner’s Guide to Telehealth Service Delivery in Pediatrics was guided by the concepts found in the Ecology of Human Performance model (Dunn, 2017). The concepts of person, context, and task were used in the overall creation of the guide, while the five intervention strategies outlined in the model were used in the creation of the intervention plan section. A …

Implementation Of A Recreational Program For Those With Visual Impairments, Caitllyn Fussy

Occupational Therapy Capstones

Purpose: Quality of life can be found through participation in meaningful and rewarding occupations (Cote-Letlerc, 2017). Studies have shown that individuals with visual impairments have impacted occupational performance and engagement in occupations leading to a loss of independence, changes to identity, and lowered self-esteem (Duquette, et. al., 2019; Kumar, et. al., 2022). Some barriers these individuals face that impact their ability to participate in meaningful occupations include having fewer opportunities available, difficulty navigating, having impaired proprioception, accessibility, and physical or cognitive impairments (Diaz, 2019; Hill, 2023). Opportunities to engage in recreational activities presented as a clear need for this scholarly …

Inclusive Physical Education And Its Impact On Adolescents With Disabilities In A School Setting, Ashley Renee Freund

Occupational Therapy Capstones

Background: Adolescents with disabilities frequently encounter barriers preventing participation in physical education alongside their peers. The absence of inclusive practices and adaptations tailored to students with disabilities poses challenges that impact students' physical health and mental well-being (Carbone et al., 2021). Fostering improved mental and physical health for adolescents with and without disabilities is related to group-based programming as well as instructor leadership and knowledge regarding disability and activity modification (Shirazipour et al., 2020). By integrating these elements, physical education teachers can optimize the benefits of participation in physical education, including enhanced mental health, increased physical participation and engagement, and …

A Resource Guide For Improving Participation In The Pediatric Casper Community, Rylie Garner

Occupational Therapy Capstones

Title: A Resource Guide for Improving Participation in the Pediatric Casper

Community Background and Problem: Regardless of ability level, all children should have the same rights, access, and opportunities to participate in leisure, social, physical, and recreational activities. Research shows that typically developing children participate more in social, physical, and recreational activities than children with disabilities (Solish et al., 2010). Identified barriers that can decrease participation for children with disabilities include the child’s functional limitations, high costs, accessibility, and lack of known nearby facilities, programs, and sports (Murphy & Carbone, 2018; Aytur et al., 2018). Participation in leisure, social, physical, …

A Holistic Approach To Occupational Therapy Intervention: Addressing Psychosocial Factors And Upper Extremity Injuries, Aleece N. Durbin

Occupational Therapy Capstones

Purpose: Occupational therapy practitioners (OTPs) working in a hand therapy setting primarily focus on neuromusculoskeletal injuries of the upper extremity (UE) (Kurrus et al., 2023). However, clients who experience UE injuries can also experience adverse psychosocial factors limiting their performance in daily activities (Kurrus et al., 2023). Psychosocial factors are rarely addressed in the practice setting due to institutional barriers and a lack of confidence in OTPs (Kurrus et al., 2023). This project aims to provide OTPs with resources to provide occupational therapy intervention to address psychosocial factors despite the barriers present within the practice setting of hand therapy.

Methods: …