Occupational Therapy Commons^™

Supporting Clients And Caregivers Of Full-Time Wheelchair Users At Risk For Pressure Injuries, Jessica Lynn Wetzel

Occupational Therapy Capstones

Title: Supporting Clients and Caregivers of Full-Time Wheelchair Users at Risk for Pressure Injuries

Purpose: Wheelchair users are classified as a population at a great risk for developing pressure injuries due to their decreased sensation and extensive time seated on bony prominences (Mervis & Phillips, 2023). Affecting around three million adults each year in the United States alone, the number of pressure injuries is a cause for concern (Mervis & Phillips, 2023). More severe pressure injuries can cause sedentary lifestyles, further leading to occupational deprivation of the individual experiencing them. Although there are many strategies to prevent pressure injury formation, …

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. …

Transitional Support Programming For First-Year Occupational Therapy Graduate Students, Samantha Proctor

Occupational Therapy Capstones

Title: Transitional Support Programming for First-Year Occupational Therapy Graduate Students

Background: The focus of the project represents the Scholarship of Application, which is the translation of existing research into practice. A student’s transition from undergraduate to graduate-level programs can be challenging due to the increased academic rigor inherent to graduate programs. This can lead to an imbalance in students' lives and an increase in stress, anxiety, and burnout. As the overall well-being of students decreases, the likelihood of students experiencing academic hardships increases. Students need diverse academic and professional skills to navigate graduate school successfully; however, many students lack those …

Addressing Psychosocial Factors In Upper Extremity Injuries To Improve Outcomes And Quality Of Life, Jace Allard

Occupational Therapy Capstones

Purpose: Following upper extremity injuries, negative psychosocial factors such as anxiety, stress, post-traumatic stress disorder, and depression are found to be prevalent (Hardison et al., 2021; Maddison et al., 2023). Negative psychosocial symptoms such as these can negatively affect recovery outcomes and quality of life for individuals (Kinsley et al., 2020; Sposato et al., 2018). Typical treatment received in hand therapy for individuals with upper extremity injuries consists primarily of physical remediation through a biomedical frame of reference and less on addressing psychosocial factors (Chown et al., 2018; Kurrus et al., 2022; Robinson et al., 2016). Certified hand therapists report …

Exploring Occupation-Based Sleep Interventions For School-Aged Children Experiencing Homelessness: A Critically Appraised Topic, Aspen Delano, Joslynn Sauer, Emily Vieth

Critically Appraised Topics

Sleep is a crucial component of healthy neurological development throughout childhood. According to Suni (2023a), elementary school-aged children between the ages of 6 and 12 experience sleep deprivation when they obtain less than 9 hours of sleep per night. Contie (2022) found that children experiencing insufficient sleep had more mental health and behavioral challenges than those who had sufficient sleep. Additionally, Contie (2022) found that children experiencing sleep deprivation had less gray matter and volume in their brains. This impacts cognitive functioning, specifically decision-making, conflict-solving, working memory, and learning. The brain undergoes critical development of the basal ganglia, ganglia-thalamus-cortex circuit, …

Occupational Therapy’S Role In Natural Disasters, Olivia A. Dobrinz, Elise N. Gapp, Jocelyn R. Kirk

Critically Appraised Topics

This critically appraised topic paper (CAT) focuses on interventions for improving individuals’ quality of life and occupational participation following a natural disaster. Described within this CAT are the impacts on individual’s occupations following a natural disaster, the quality of life for individuals, and occupational therapy’s role in improving an individual’s quality of life and occupational participation.

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 …

The Role Of Occupational Therapy In Determining The Effectiveness Of Functional Task Assessments Used To Improve Quality Of Life For Older Adults With Parkinson’S Disease., Kate L. Westphal, Brooklyn L. Wiest, Jordyn M. Wolff

Critically Appraised Topics

This critically appraised topic focuses on the role of occupational therapy in ascertaining the effectiveness of specific functional assessments in improving the quality of life of older adults with Parkinson’s disease.

Usefulness Of Kinesiotaping For Children Experiencing High Tone And Spasticity As A Symptom Of Cerebral Palsy, Hailey Koep, Hailey Mcguire, Claire Meyer

Critically Appraised Topics

This critically appraised topic focuses on the use of Kinesiotape for improving occupational engagement for children and adolescents experiencing high tone or spasticity related to the diagnosis of Cerebral Palsy treated in the outpatient setting. To develop a better understanding of the different factors in question, Cerebral Palsy and Kinesiotape are first addressed, then the impacts on the quality of life in children with CP, and finally, occupational therapy's role in the use of Kinesiotape and treatment of CP.

The Role Of Occupational Therapy In The Transition Process For Young Adults With Developmental Disabilities, Hannah Tanous, Mckenzie Ulrich, Alexis Walther

Critically Appraised Topics

This critically appraised topic (CAT) focuses on occupational therapy’s role and best practice in assisting families with young adults that have developmental disabilities in making the transition out of the home into the community, secondary education, or supported independent living. The transition experience is unique to each individual, as there are both supports and barriers to the process.

Effectiveness Of The Use Of Kinesiotape For Adults With Elbow Tendinosis In Reducing Pain To Promote Engagement In Occupations, Natasha Minar, Kinley Nordin, Kaitlyn Peterson

Critically Appraised Topics

This critically appraised topic paper focuses on the use of kinesiotape for adults experiencing chronic pain associated with elbow tendinosis that greatly influences their ability to engage fully in their meaningful occupations. Adults with elbow tendinosis may experience decreased functional mobility due to pain from their diagnosis (Eraslan et al., 2017; Karlıbel & Aksoy, 2022; Shakeri et al., 2018), thus decreasing their overall quality of life and well-being. In this paper, pain associated with elbow tendinosis, the effectiveness of kinesiotape compared to alternative interventions, and the role of occupational therapy in promoting engagement in meaningful occupations will be discussed. Kinesiotape …

Examining Occupational Therapists’ Role In Providing Client-Centered Care For School-Aged Children In The Educational Setting With Visual Impairment, Nicole Gentry, Skye Gross, Alyssa Hammon, Angela Mossman-Larson

Critically Appraised Topics

In a foundational statement outlining the profession’s belief regarding the needs of the pediatric population with visual impairments, the American Occupational Therapy Association (AOTA) stated children with visual impairments “benefit significantly from coordinated and comprehensive services to enable them to learn to use their remaining vision more efficiently and use nonvisual methods to complete activities” (Warren & Nobles, 2011, p. 2). According to Warren and Nobles (2011), individuals can have two types of visual impairments: cortical visual impairment and ocular visual impairment. Cortical visual impairment (CVI) deals with affected areas of the brain that limits visual processing, whereas ocular visual …

Telehealth Benefits In Rural Areas: Occupational Therapy, Grant E. Tolkkinen, Grace K. Torgerson, Kaitlyn J. Wanner

Critically Appraised Topics

This paper focuses on the efficacy of occupational-based interventions administered via telehealth within a rural-dwelling adult (18 years and older) population with mental health conditions. The main factors to consider in this scenario are the mental health services in rural areas, the features of the rural population, and the role of occupational therapy (OT) and telehealth in rural mental health. The Occupational Therapy Practice Framework defined health management as “activities related to developing, managing, and maintaining health and wellness routines, including self-management, with the goal of improving or maintaining health to support participation and other occupation” (AOTA, 2020, p.32).

Occupational Therapy’S Role In Addressing The Intersectionality Of Veterans Who Are Chronically Homeless, Mental Health, And Sleep Deprivation, Maci Bakken, Abby Eken, Morgan Halliday

Critically Appraised Topics

Currently, there are interventions available for rest and sleep for the general population. However, those interventions do not usually address the unique needs of the population of veterans who are homeless with mental health disorders. While there is information on the person, environmental, and occupational factors surrounding this topic separately, there is limited literature regarding how to address all of these factors when they transact with each other. The purpose of this critically appraised topic paper is to examine the impacts that being a veteran, having a mental health disorder, and being homeless have on sleep deprivation as well as …

A Holistic Approach To Promote Sleep For People Emerging From Homelessness: A Good Night’S Rest In Your Nest Sleep Toolkit, Anna Burggraf

Frank Low Research Day Posters

Background: Sleep deprivation has been linked to chronic health issues, decreased physical and cognitive functioning, and overall decreased quality of life, which limits the ability to engage in desired tasks and occupations (Gonzalez & Tyminski, 2020). Obtaining restful sleep serves as a foundation for optimal cognitive and physical functioning during daily tasks, roles, and activities (AOTA, 2017). Individuals who have experienced homelessness consistently demonstrate higher rates of sleep inadequacies compared to the general public, highlighting the need for service providers to address the quality of sleep participation for this population (Gonzalez & Tyminski, 2020).

Purpose

• Promote sleep participation for …

The How To’S For Engaging With Medically Complex Children: A Resource Guide, Allyson Bourque

Frank Low Research Day Posters

Purpose: The purpose of this scholarly project is to identify and address the factors that serve as barriers to engagement in valued occupations for children with serious or life-threatening illness.

Background: Children with serious or life-threatening illness are at great risk for occupational deprivation due to their complex medical needs as well as the inhibiting physical symptomology that may accompany their diagnoses (Doukkali et al., 2013; Kasven-Gonzales & Miale, 2010). Individuals working with this population have reported a need for more specialized education for working with children with medically complex needs (Gysels et al., 2005; Whiteford et al., 2020). It …

Cat Part Iv: Occupational Therapy Interventions To Support Upper Extremity Spasticity In Older Adults Following A Stroke, Mary Redlin, Allie Reiffenberger, Shannon Ring, Aubrey Rude

Critically Appraised Topics

This critically appraised topic focuses on interventions for improving hand functions in activities of daily living (ADLs) for elderly adults who have chronic upper extremity spasticity following a stroke. For the purpose of this critically appraised topic, the focus will be on the elderly population, defined as being age 55 and older; research indicates stroke is most prevalent in this population (Mayo Clinic, 2022). When considering a particular theory, the Ecology of Human Performance (EHP) is the most suitable model for our focus question (Dunn, 2017). The Ecology of Human Performance is focused on the person and environment to increase …

The Impact Of Sensory Deprivation And Sensory-Based Intervention For Incarcerated Adults Over The Age Of 65, Kyara G. Crowley, Connor N. Fuchs, Sydney L. Johnson

Critically Appraised Topics

This critically appraised topic (CAT) focuses on sensory-based interventions for improving the quality of life for older adults who are incarcerated in the United States. There are many aspects to this topic; sensory deprivation in the prison system is addressed first, followed by the importance of sensory-based interventions, and finally the relationship between occupational therapy and quality of life.

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, …

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).

A Holistic Approach To Promoting Sleep For People Emerging From Homelessness: A Good Night’S Rest In Your Nest Sleep Toolkit, Anna Frances Burggraf

Occupational Therapy Capstones

Sleep deprivation has been directly linked to chronic health issues, decreased physical and cognitive functioning, and overall decreased quality of life, which limits the ability to engage in desired tasks and occupations (Gonzalez & Tyminski, 2020). Individuals who have experienced homelessness consistently demonstrate higher rates of sleep inadequacies compared to the general public, which highlights the need for service providers to address the quality of sleep participation for this population (Gonzalez & Tyminski, 2020).

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 …

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 …

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 …

Social Skills Development: A Program For Pediatric Occupational Therapy Group Sessions, Kenadee Eyre

Occupational Therapy Capstones

Children with a neurological disorder often demonstrate delays in social skills development (Glenn et al., 2020; Goldingay et al. 2020; & Tanta & Kuhaneck, 2020). This delay in development impacts their participation in meaningful occupations as optimal performance range includes an element of social interaction. The purpose of this product is to provide pediatric occupational therapists with the resources necessary to build social skills groups following a hierarchy of social skills development.

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.