Occupational Therapy Commons^™

Resource Manual For Occupational Therapists: Providing Transportation Related Resources To The Elderly Living In Poverty In North Dakota, Amanda Ralston, Lukas Wavra

Occupational Therapy Capstones

Between the ages of 65 and 74, 9% of elderly individuals live in poverty in the United States (Forum, 2010). This poverty rate increases to 11% in elderly individuals who are 75 years of age or older (Forum, 2010). In rural areas, the effects of poverty may be even more pronounced than in urban areas secondary to the societal limitations that exist within some small rural communities; rural areas in North Dakota routinely face both the effects of poverty and the societal limitations. These limitations may include a lack of public transportation or services available to the general public. Due …

Developing Fine Motor Skills In Preschool Age Children, Linnea Starkey

Occupational Therapy Capstones

Based on the findings of the literature review, fine motor skills are an important skill to develop during the preschool years. Marr, Cermak, Cohan and Henderson (2003) described the importance of fine motor skills to engage in valued occupations in addition to educational activities. A child's occupations that demand fine motor skills may be dressing, tying shoes, play, among other daily tasks. If a child has difficulty with fine motor skills it could have a negative outcome on their daily lives and how they perform in school. Children who have difficulty coordinating the small muscle groups in their hands have …

Motivation: An Occupational Therapists Guide For Motivating Young Male Clients With Spinal Cord Injuries, Michael A. Nelson, Elizabeth M. Schleicher

Occupational Therapy Capstones

According to the Center for Disease Control and Prevention (2010), males account for approximately 80% of those who endure a spinal cord injury (SCI). Most newly diagnosed clients with spinal cord injuries are between the ages of 15-35 years (50%-70%) (CDC, 2010). Occupational therapists often work with clients who have sustained a SCI. It is in the best interest of the profession and our clients to address the psychosocial impact motivation can have on clients' recovery.

According to authors of research, a major problem to participation in treatment with clients who had a spinal cord injury was a lack of …

Ride The Wave: A Guide For Implementing Biofeedback In Occupation-Based Interventions In A Rehabilitation Setting, Sarah Averett, Johanna Meister

Occupational Therapy Capstones

Historical and current research studying EMG biofeedback has shown this method to be an effective adjunct to occupational therapy intervention. Utilizing EMG biofeedback has been shown through research as effective in improving functional gains. The use of biofeedback allows an individual to visualize unseen physiological processes which are unique to each individual and provide better understanding of otherwise unseen functions (Laurenção, Battistella, Moran de Britto, Tsukimoto, & Mayizaki, 2008). An extensive literature review and students’ observations of clinical occupational therapy practice led the investigators to conclude that EMG biofeedback was a viable treatment method which has not been utilized to …

A Lifetime Of Work: A Guide To Health Promotion And Wellness On The Farm, Andrea Hensrud, Gregory Holubok

Occupational Therapy Capstones

The purpose of this project is to develop a guide to health promotion, wellness and adapting to life changes on the farm from an occupational therapy perspective to enhance quality of life for aging farmers and rural community dwellers. The authors completed a focused literature review on topics related to health promotion, wellness, adapting to life changes, making changes and aging in place. Data was collected through an extensive study of relevant information through professional journals, clinical text books, class discussion and related state and national associations. Upon completion of the review of literature, it was determined that older adults …

The Use Of Occupation-Based Interventions In Long-Term Care: A Qualitative Study, Amy Jo. Jensen, Mallory Carlson

Occupational Therapy Capstones

Purpose: To explore occupational therapists' use of occupation- based interventions in long-term care facilities.

Methodology: A literature review was completed on the use and effect occupation-based intervention has within a long-term care practice setting. Based upon the findings of this literature review, a qualitative research study was conducted using a grounded theory approach adopted from Strauss and Corbin (1998). Six occupational therapists working in long-term care facilities in Minnesota were recruited through purposive sampling using convenience and snowballing techniques. Each participant was interviewed once using a semi-structured interview. Data from the interviews was then coded and grouped into categories. Themes …

Illness Management And Recovery: The Role Of Occupational Therapy, Crystal Brecht, Jenna Mcgregor

Occupational Therapy Capstones

Purpose: The Illness Management and Recovery (IMR) model is a collaborative program that focuses on living with a chronic mental illness by educating the client on management techniques that will facilitate goal setting toward recovery (Mueser et al., 2006).The purpose of this scholarly project was to review the occupational therapy (OT) literature and determine the role of OT in IMR programs.

Method: A comprehensive review was conducted on occupational therapy interventions appropriate for inclusion in the IMR modules. Sources utilized for the review included: United States and international OT journals, OT textbooks, and other publications authored by OTs from the …

Embracing Life With Als: The Role Of Occupational Therapy From Diagnosis To End Of Life Care, Chelsey Edwards, Amy Ferguson

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to develop a comprehensive document that describes the role of the occupational therapist in working with clients and families affected by Amyotrophic Lateral Sclerosis CALS) from diagnosis to end-of-life care.

Method: A literature review was conducted using the AJOT, PubMed, CINAHL, and OT SEARCH databases. Information was gathered regarding current literature of ALS, the disease process, occupational therapy's role in ALS treatment, caregiver's role in end-of-life care, assistive technology, palliative care options, and additional support strategies. Additional ALS material was gathered from the ALS Association's informational manuals.

Results: Designed from the perspective …

Resources For Assisting Elderly Individuals With Insomnia: An Occupational Therapy Perspective, Michelle Linn Anderson

Occupational Therapy Capstones

The purpose of this scholarly project is to provide a resource manual for elderly individuals, and those providing care to elderly people, to assist the individual in relieving symptoms of insomnia. Insomnia affects elderly individuals worldwide. Studies document that approximately 50% of individuals in the United States over the age of 65 are noted to have either clinically diagnosed or self-diagnosed insomnia (National Institute of Neurological Disorders and Stroke, 2007). As the population worldwide continues to age, it is important that occupational therapists, elderly individuals, family members and care providers be aware of the impact that symptoms of insomnia may …

A Research Study To Explore Casper College Undergraduate Education Majors' Perceptions Of Educational Curriculum Concerning Occupational Therapy's Role In The Public School System, Jenny Lok, Mike Seabeck

Occupational Therapy Capstones

Purpose: The purpose of this study was to determine the level of knowledge concerning OT roles in the school district setting that undergraduate education majors are receiving at Casper College.

Methodology: Data was collected from 57 participants through the use of a survey to identify pre-service teachers’ perception of occupational therapy and the education they have received in their coursework.

Results of this study indicate that undergraduate education majors at Casper College are receiving less than optimal instruction on the role of OT in school-based practice. Overall 91% of students polled indicated that they had not received education on OT …

Bariatric Surgery And The Impacts On Occupations: A Qualitative Study, Emily Schlosser, Annie Van Erem

Occupational Therapy Capstones

Purpose: The aim of this study was to explore the lived experiences of individuals who had undergone bariatric surgery and the impact weight loss has on occupations.

Methodology: A comprehensive literature review was conducted on the affects of obesity, bariatric surgery and the impacts on occupational performance. Based on the findings of the literature review, a qualitative research study using a phenomenological approach was completed. The Model of Human Occupation (MOHO) served as a guide in developing the interview questions and data analysis process. Four female participants who have undergone bariatric surgery were recruited using a purposive sampling method. The …

Improving Community Participation Of The Inactive Elderly: Preferred Learning Style-Based Interventions, Catherine Bailey

Occupational Therapy Capstones

Occupational therapists believe social engagement is vital to the health and well-being of the older adult. Social isolation has been linked to loss of physical, cognitive and emotional health. Elders at risk of social isolation are not specifically addressed by community health programs due to lack of knowledge and resources. Social isolation and loss of meaningful activity are significant precursors to rapid decline in the health and well-being of elderly people living in their communities.

Literature indicates that use of personal learning style preferences to problem solve improves success in occupation. Older adults often lack awareness of their personal learning …

The Upside To Down Syndrome: An Educational Manual For Parents, Brittany Larson, Seth Luoma

Occupational Therapy Capstones

Parents of children with Down syndrome want their child to be as successful as other children in areas of development, specifically play. Play is crucial to a child's development as it assists with the progression through childhood developmental stages. This can help lay a foundation for learning daily life skills such as dressing, feeding, and social interaction. For children with Down syndrome, performing daily living tasks may be more difficult as fine and gross motor skills are affected by low-tone, cognition level, and coordination. Providing children with a variety of play activities to build both fine and gross motor skills …

The Occupational Therapy Handbook For Parents (Othp), Kristen Rosenbeck

Occupational Therapy Capstones

Children spend 60% of their day completing fine motor activities (Feder, 2007; Mackay, 2010). Therefore, it is essential that young children be exposed to a variety of fine motor activities in school and home settings to promote fine motor development. Often times parents are willing to help their children develop these skills, however, they do not feel they have the resources to do this.

The Occupational Therapy Handbook for Parents (OTHP) was designed by an occupational therapist to provide consistent parent education regarding children's fine motor skills. A literature review was completed to define typical fine motor development, best practices …

Psychosocial Assessment In Orthopedic Evaluations: A Clinical Tool For Occupational Therapists, Sara M. Sipple

Occupational Therapy Capstones

"When 1 touch a human hand, 1 touch heaven. " - Malebranche

Holistic, occupation-based treatment in a hand therapy setting is associated with enhanced patient outcomes (Chan & Spencer, 2004), yet it is easy for occupational therapists working in hand and upper extremity orthopedic settings to become fixated on the pathology and anatomy of medical diagnoses and inadvertently ignore psychosocial and contextual influences on rehabilitation. Although there is research that identifies how physical disease may lead to psychosocial role changes, there is a paucity of literature that addresses how hand and upper extremity injuries affect these roles (Schier & Chan, …

Promoting Fine Motor And Visual-Motor Skill Development In Preschool Age Children, Patty Soldner

Occupational Therapy Capstones

Fine motor skills are important in childhood development (Beilei, Lui, Qu & vonHofsten, 2002; Rosenblum, Weiss & Parush, 2003 as cited in Jackman & Stagnitti, 2007). These skills become critical when a child reaches school age when the child is expected to perform fine motor tasks such as cutting, coloring, and writing as part of his or her daily routine. Research has shown that there is a high rate of fine motor difficulties in school-age children in the United States (Hammerschmidt & Sudsawad, 2004 as cited in Jackman & Stagnitti, 2007). Caregivers of preschool age children often seek the assistance …

Living With A Spinal Cord Injury: A Workshop For Parenting And Play, Ana Sobolik, Laura Gunderson

Occupational Therapy Capstones

Individuals with newly acquired spinal cord injuries (SCI) may experience fears of inadequacy with their ability to be parents. This is a problem due to the fact that the average age of individuals who acquire SCIs is between 16 and 30, the prime child bearing years (Martin, Hamilton, Sutton, Ventura, Mathews, & Osterman, 2010; Mathews & Hamilton, 2009). There is a lack of literature to address these fears by supporting and developing parenting skills for individuals with SCIs. The purpose of this scholarly project is to address the fears of individuals with SCIs and their abilities with parenting occupations, as …

Seven Dimensions Of Wellness In Athletes With Upper Extremity Orthopedic Injuries: A Manual For Occupational Therapists, Ashley S. Chan, Micah J. Davids

Occupational Therapy Capstones

Increased attention has been placed on sports and athletes within the United States cultural. The latest reports of the noted sports economist Andrew Zimbalist estimated that the annual revenue of only 4 North American sports amounts to approximately $15 billion (Markovits, 2010). Athletes with upper extremity orthopedic injuries have traditionally been treated by occupational hand therapists (Hanson, Nabavi, & Yuen, 2000) however; research does not adequately address their needs outside of physical injury and musculoskeletal gain. Evidence is lacking within the profession of occupational therapy that encompasses the athlete as an occupational being. An occupational being is a person who …

Antecedent Techniques Used To Regulate Aggressive Behavior In Patients With Brain Injuries: A Teaching Module, Elizabeth A. Freidel, Megan J. Larson

Occupational Therapy Capstones

An estimated 1.7 million individuals sustain a brain injury each year (Centers for Disease Control & Prevention, 2010). Some behaviors associated with brain injuries include: decreased academic performance, severe aggression, self-injurious behavior, and suicidal and homicidal ideation (Finfgeld-Connet, 2009; Pace, Dunn, Luiselli, Cochran, & Skowron, 2005). The aforementioned behaviors pose a risk to the well-being of patients, therapists, healthcare providers and caregivers. The purpose of this scholarly project was to explore current methods used to minimize dangerous behavioral clients and ultimately provide a teaching module of antecedent techniques - a form of intervention used in order to reduce a behavior …

A Comparative Analysis Of Tractor Seating For Individuals With Spinal Cord Injury Using A Pressure Mapping System, William Kennington, Veronica Boeser

Occupational Therapy Capstones

Purpose: Research is limited in addressing the many factors and variables associated with enabling farmers/ranchers with disabilities and health impairments to sit within and operate dynamic agricultural equipment safely, comfortably, and without integument and musculoskeletal injury. As an initial foray into investigating this problem, an independent study project by graduate students in an occupational therapy program compared the seated pressure distribution of two people with paraplegia. Six testing conditions were completed while participants were seated upon two different tractor seats under static conditions.

Methodology: Using a quantitative cross-over design, two adult subjects with paraplegia meeting the inclusion criteria were recruited …

An Occupation-Based Program For The Dual Diagnosis Of An Eating Disorder And Post-Traumatic Stress Disorder, Tessa Larson, Dana Rome

Occupational Therapy Capstones

The purpose of this project was to develop an occupation-based occupational therapy program for the dual diagnosis of an eating disorder and post-traumatic stress disorder for use in an outpatient setting. A literature review was conducted to identify the challenges associated with the assessment and treatment of eating disorders and post-traumatic stress disorder. The literature supports the need for occupation-based interventions, especially in the areas of self-care, meal planning and preparation, sleep and rest, leisure, and various life skills. Guided by the Model of Human Occupation in conjunction with cognitive behavioral therapy techniques, an occupation-based program guide was developed. The …

Enabling Personal Occupation Through Sensory Interventions, Caroline Mattson, Gretchen Prohofsky

Occupational Therapy Capstones

Individuals with developmental disabilities and/or mental illness are predisposed to having a co-occurring sensory processing disorder. Many adults and children with sensory processing disorder have never been assessed or treated. Consequences of untreated sensory processing disorder include decreased ability to engage in meaningful occupations or healthy relationships, leading to lowered self-esteem and perception regarding quality of life. A literature review defines sensory processing, sensory processing disorders, consequences of sensory processing disorder dysfunction, sensory processing disorder co-morbidity, sensory processing disorders in individuals with mental illness and/or developmental disabilities, interventions for sensory processing disorders, the role of occupational therapy, deficiencies in knowledge, …

Children With Gastroesophageal Reflux Disease: A Guide To Therapeutic And Pharmacological Treatments, Rebecca Mcomie

Occupational Therapy Capstones

Gastroesophageal reflux disease (GERD) is becoming a more common diagnosis with young children and babies (PAGER, 2010). GERD is often misdiagnosed and there is no single test available to determine its presence (Eisen, 2001). The term reflux can be confusing and used to mean different things to different people. Often reflux is linked to colic in babies or may be considered a "normal" part of being a baby. But when a sequalae of symptoms arise in an infant, gastroesophageal reflux becomes a serious issue that needs to be addressed through a variety of interventions and sources (Sondheimer, 2006 ).

In …

Strategies To Promote Oral Motor Skills And Progression Of Foods For Infants And Young Children With Feeding Concerns, Heather Davis, Anne Winter

Occupational Therapy Capstones

Eating is a primary occupation for individuals from birth through adulthood. However, some infants and young children experience difficulty and frustration as they begin to eat and transition to foods with texture. Field, Garland, and Williams (2003) determined that up to 80% of children with developmental disabilities experienced problems with feeding. There is a need for providing education and support for the families of these children (White-Traut & Norr, 2009). Pilkington (2006) conveyed that supporting and building the parent's capacity for caring for their child resulted in enhanced outcomes for the infant or child. Current resources may not be parent-friendly …

Implementing The Integrated Dual Disorder Treatment Model In Occupational Therapy, Amber Jessen, Nicole Nelson

Occupational Therapy Capstones

The purpose of this project was to develop a resource manual for occupational therapists to guide treatment planning for persons with a co-occurring mental illness and substance use disorder, according to the stages and components of the Integrated Dual Disorder Treatment (IDDT) Model.

A comprehensive literature review of the issues facing persons with co-occurring disorders, the IDDT model, and the role of occupational therapy for persons with co-occurring disorders was conducted. The literature supported the effectiveness of the IDDT model, and indicated justification for occupational therapy’s implementation of the IDDT model.

A resource manual was developed to support occupational therapists’ …

An Afterschool Toolkit For Implementing Occupation-Based Activities, Kelsey Miller, Kayla Petersen

Occupational Therapy Capstones

"Each day in America, millions of kids go home to an empty house after school" (Afterschool Alliance, 2009, p.1). The Afterschool Alliance (2009) indicates that based on a 2009 survey of30,000 families, there are more children unsupervised each afternoon in the U.S. and the demand for afterschool programming is higher than ever. In the United States, 30% of middle school students and 4% of elementary aged children are responsible for taking care of themselves and only 15% currently participate in an afterschool program (Afterschool Alliance, 2009, pg. 4). Students are at particular risk during these hours, millions are unsupervised each …

Smart Grant Writing Project, Shannon L. Flegel

Occupational Therapy Capstones

“The estimated cost burden to the Minnesota K-12 system due to children entering kindergarten unprepared for school success is about $113 million annually” (Chase, Coffee-Borden, Anton, Morre, and Valorose, 2008, pg. 1). These delays in school readiness can lead to continued achievement gaps throughout a child’s academic career (Gonzali-Lee and Mueller, 2010). One way to decrease that achievement gap is through offering innovative early intervention programming to increase readiness skills before kindergarten. Hand in Hand Preschool, located in Northfield, MN is a preschool that is continuously looking for ways to increase all students’ readiness skills. One such program that increases …

Adolescents With Disabilities: The Development Of Life Skills Through Occupational Therapy, Diane Magnuson, Courtney Mohler

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to create a workshop for occupational therapists (OTs) who work with adolescents as they transition from high school to adulthood focusing on life skill development.

Methodology: An Internet search was completed to determine the current role of OT in the transition process and the needs of adolescents as they transition to adulthood. Information was obtained from the following databases: PubMed, PsychInfo, SCOPUS, and Cumulative Index to Nursing and Allied Health Literature (CINAHL). Resources included professional journals, scholarly text books, and government websites. The literature review also included information on the Ecology of …

A Constraint-Induced Movement Therapy Protocol For Children With Acquired Brain Injuries, Amber Bath, Kortni Heckart

Occupational Therapy Capstones

Acquired brain injury (ABI) includes any non-traumatic brain injuries such as stroke, cerebral palsy, and brain diseases such as cancer (Book, 2005). A child who sustains an acquired brain injury may experience profound impairments in motor performance, and significant deficits in sensory awareness and responsiveness, secondary to hemiplegia. (Taub et al., 2007, Taub, Ramey, DeLuca & Echols, 2004). Constraint Induced Movement Therapy (CIMT) is a intervention developed by Dr. Edward Taub for the secondary condition of hemiplegia affecting the adult stroke population. This intervention has also produced positive results in studies conducted with children (Taub et al., 2007). An extensive …

Occupational Therapy Intervention For Patients With Spinal Cord Injury, Cheryl A. Nickerson

Occupational Therapy Capstones

Spinal cord injuries are complex and debilitating, affecting every aspect of a patient's life. This causes a general reduction in personal independence and social participation (Pillastrini et al., 2008). In order to provide effective and appropriate care, the interdisciplinary team must have extensive knowledge of the diagnosis and potential problems that the spinal cord patient may encounter. The purpose of this study was to identify successful interventions for an effective occupational therapy approach and to develop an education manual for use in the rehabilitation setting in order for entry-level therapists to develop competency.

Based on information found in the literature …