tag:blogger.com,1999:blog-91217004432636518832023-11-15T14:36:39.019+00:00Ramblings of a Final Year OT StudentHeatherhttp://www.blogger.com/profile/16221587106394425337noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-9121700443263651883.post-57044736471147605222012-02-06T17:50:00.000+00:002012-02-06T17:50:34.518+00:00Client Centred Working<div style="text-align: justify;">
This afternoon I went to visit a local brain injury service that I would have been going to on placement if it were not for some circumstances.</div>
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I found it very interesting, and not only because I'm a bit of a Neuro Geek, the service seemed to represent everything that we are taught about in uni. One of the biggest things we are taught from day one is that OT is client centred and I'm not saying that it is anyone's fault but unfortunately some services are not always as client centred as they could be. In a busy hospital setting the need for client centred-ness is often overlooked by the medical model and the need to clear beds. Of OT's that I know working in this setting, they really do try their best to make their practice as good as it can be for the clients but it just isn't always practical.</div>
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I don't want to sound pessimistic but I'd like to think I'm being realistic in my opinion of the differences between theoretical OT and practical OT. There are so many examples of fantastic individuals who really champion the cause of OT and the need to be client centred, and I am very grateful to be able to engage with some of these people through social media, such as twitter. However there is still a lot that needs to be done to ensure that in bigger agencies, the disability model is just as recognised as the medical model. </div>
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Whilst we as OTs are a small(ish) minority of health and social care, we have loud and passionate voices and we need to ensure that they are heard, especially with the changes to the NHS happening quickly around us!</div>
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:)</div>Heatherhttp://www.blogger.com/profile/16221587106394425337noreply@blogger.com1tag:blogger.com,1999:blog-9121700443263651883.post-24581190925899575042012-01-25T14:57:00.001+00:002012-01-25T14:57:52.000+00:00The Role of an OT as a Benefit Claims Assessor<div style="text-align: justify;">
For an upcoming uni task, I have had to create a leaflet based on how, as an OT, I could market myself to GPs through assessing for return to work and "fit notes".</div>
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Having completed a module on Vocational Rehabilitation (VR) two years ago, and writing an Extended Research Proposal about cognitive VR Assessments I felt that I was pretty clued up about OT and VR. I had never had to research the specifics of the assessments though and was very shocked with what I found. Between 2008 and 2011 Incapacity Benefit was replaced by Employment and Support Allowance (ESA) and the process of claiming ESA involves completing a questionnaire and then possibly being called for a medical assessment. For my assignment I chose to focus on the role of the OT completing this Work Capability Assessment (WCA).</div>
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There is a copy of the questionnaire on the DirectGov website and the general aim is to discover how the claimant's illness/disability affects their abilities. It is broken down into several sections, including mobility, manual dexterity, concentration, communication and anxiety. The inclusion of both physical and mental capabilities suggests that the person who wrote this questionnaire has experience in both areas, <em>like an OT</em>. The questions are all graded, for example "Can you move around and use steps without difficulty? / Can you walk 50 metres without needing to stop? / Can you walk 200 metres without needing to stop?", I'd say that they look like they have been written <em>by an OT</em>. </div>
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The information provided on the medical assessments states that an interview will be carried out to discuss any previous employment, brief medical history, domestic situation, how the illness/disability affects performance in everyday tasks and an outline of a typical daily routine. This sounds like a good basis for an <em>OT Initial Interview</em> to me. The medical assessment may also contain a physical assessment which looks at ability to perform certain physical movements, <em>functional anatomy</em> anyone?</div>
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So imagine my surprise when I see on the Atos Healthcare website (who conduct the WCA assessments) that they employ Doctors, Nurses and Physiotherapists. But <strong>NO</strong> Occupational Therapists.</div>
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The College of Occupational Therapists have published information about how OTs can help GPs meet their NHS Priorities, one of which is to support patients back into work through WCA and Fit Notes, but it does not seem like this information has got through to the wider world of health and social care.</div>
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I actually found the leaflet a struggle to produce, as it appeared to me that it was just common sense to have an OT complete the WCA. OTs are trained to analyse activity breaking it down into both physical and cognitive demands and adapt the environment or occupation to allow for independence.</div>
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I really hope that this is going to change soon, because it just doesn't make sense to me!</div>
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<em>Useful links:</em></div>
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DirectGov website : <a href="http://www.direct.gov.uk/en/MoneyTaxAndBenefits/BenefitsTaxCreditsAndOtherSupport/Illorinjured/DG_171894">http://www.direct.gov.uk/en/MoneyTaxAndBenefits/BenefitsTaxCreditsAndOtherSupport/Illorinjured/DG_171894</a></div>
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Atos Healthcare website : <a href="http://www.atoshealthcare.com/index.php?option=com_content&task=view&id=126&Itemid=425">http://www.atoshealthcare.com/index.php?option=com_content&task=view&id=126&Itemid=425</a></div>
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</div>Heatherhttp://www.blogger.com/profile/16221587106394425337noreply@blogger.com0tag:blogger.com,1999:blog-9121700443263651883.post-9969131878947212722012-01-20T13:57:00.000+00:002012-01-20T13:57:53.863+00:00Visit from COT Student Officer<div style="text-align: justify;">
At my university we have a student-led regional BAOT group that organises monthly events and talks. Although I am not part of the committee for this, I am a regular attendee and many of my friends are involved in the committee.</div>
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Several months ago I noticed via twitter that Fiona Fraser (COT Student Officer) was beginning a tour of universities and so I invited her to present as part of our student group. This very event happened during the week and it gave me lots to think about.</div>
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Firstly I learnt that this event was a bit of a first. It was the first presentation that Fiona had been a part of that had been organised through twitter. This lead onto a pre-event discussion about how personally and professionally we are moving into a technological age where more and more networking is done on line. I can (and have) go on for hours about the benefits of social media for our profession as a whole, and for an individuals' continuing professional development, so I'll save that for another time ... if you're really interested there is an older post that touches on the subject.</div>
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Fiona's presentation was entitled <em>"Developing your toolkit: Constructing a career that enhances the profession and helps you fulfil your potential" </em>she included a brief overview of several topics including BAOT/COT; Specialist Sections; CPD; Job prospects and Personal Development. Fiona provided many tips for students in all years, and the few practitioners that were in attendance.</div>
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The biggest thing that I will take away from this event is that CPD can be fun! In university, CPD has always appeared as a heavy chain that hangs around your neck from the moment you qualify. It is something that requires extensive time to attend conferences and write up reflections. There is a cost to attending these conferences which often appears completely impossible on a student loan budget (!) </div>
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However, Fiona presented a different side. A picture of CPD being about what you come across on a daily basis that makes you think, even just for a second, about being an OT. </div>
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That news article where no-body reported that the individual had seen an OT, even though you know they must have ...</div>
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That film that dealt with a mental health issue, or included a character with a physical disability ...</div>
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The person you spoke to on the bus this morning who had never heard of OT ...</div>
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I know that each persons' CPD is theirs to make their own and that is why mine contains a lot about my contribution to social media, and a lot of my CPD can be found online, through this blog and my twitter account, but it was refreshing to hear these being encouraged. </div>
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The final message that I will take with me from the event was nicely summed up in the badges we received as we left and a quote from the presentation "there is no such thing as an overly enthusiastic or too geeky OT"</div>
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<br /></div>Heatherhttp://www.blogger.com/profile/16221587106394425337noreply@blogger.com0tag:blogger.com,1999:blog-9121700443263651883.post-81524113255380032332011-12-11T15:17:00.000+00:002011-12-11T15:24:14.401+00:00Such a busy few weeks ...<div style="text-align: justify;">
Hi Everyone :)</div>
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I'm sorry for neglecting this blog recently but I've had a very busy few weeks!</div>
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The dissertation was (finally) handed in on Thursday, and we went straight to the pub to celebrate! I am proud of the work I've done, and would like to think at at some point in the future I'll actually get the opportunity to discover just how "Occuaptional Therapists assess the return to work potential of individuals following traumatic brain injury"!</div>
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Plans have also been made for my next module at uni, using activity analysis techniques to evaluate the use of live interactive music concerts for those with dementia in care homes. I'll keep you all up to date with the progress after Christmas!</div>
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Whilst most of the busy-ness in my life has come from uni work, unfortunately my Nanna also passed away a couple of weeks ago, which gave me the opportunity to make the motorway my new best friend travelling between home and uni. As sad as this was, I would really like to take this opportunity to publically thank the healthcare staff involved; the commnity COPD nurses, the staff in A&E, and finally the ward staff who were so fantastic for those few days. My family flocked from around the country, and we are not a small family, but the staff on the ward were welcoming and never made us feel like we were intruding or in the way. The medical staff were so willing to talk to us, explaining procedures and the nursing staff included us in all situations. It was also touching to see how many of the staff were visibly upset when we left the hospital for the final time. I have taken these experiences as a personal best practice situation that I will always remember when I am qualified.</div>
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So, despite the sad circumstances, I have so many thank you's for the staff on Ward 2C of Whiston Hospital that I know are shared by all my family and our friends.</div>
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xHeatherhttp://www.blogger.com/profile/16221587106394425337noreply@blogger.com0tag:blogger.com,1999:blog-9121700443263651883.post-48753047101975819842011-11-14T23:10:00.001+00:002011-11-14T23:10:23.089+00:00OTs in non-OT JobsSparked from a twitter discussion last night ...<br />
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As a soon-to-be-qualified OT, I've recently started taking more of an interest in the jobs on offer. More and more Band 5 OT jobs are now asking for post-graduate experience in certain areas. Given that this post-graduate experience is difficult to find when no-one will offer you a job in the first place it is not surprising to see an increasing amount of qualified OTs in non-OT roles. Last night I learnt that this is also affecting other professions, such as social work. This issue was reflected in a recent uni task, where we had to find a job not advertised as an OT, but one where we felt we could use our OT skills. Whilst there were many jobs put there, such as "rehabilitation officers" and "vocational advisors" that specified a desirable degree in OT, there is a lot of opinion surrounding this topic and it lead to a bit of a discussion. <br />
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The main themes that came out of a quick chat on twitter last night were:<br />
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It distracts from our unique skills base. We (and I'm speaking from experience) put a hell of a lot of effort into getting a degree in OT and this should be recognised with a protected title. <br />
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In a way it is good, as it allows OT skills to be spread to more people in need of our services, and we will be educating more people about OT who may have previously not heard of us. <br />
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However, OTs often struggle to identify a professional identity and definition as it is, and by moving away from the title of Occupational Therapist this may confuse us, and our service users, even more!<br />
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Ultimately though, it is becoming a necessity. If I want a job when I graduate where I can use my knowledge and skill base that I have built up over the last three years, then I am going to have to look further than the traditional roles and protected titles. <br />
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This topic is in line to be discussed further in a future #OTalk, so I may be able to update you with more experiences and opinions then. <br />
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Many thanks to @Clissa89 , @OT_Expert and @Ermintrude2 for the original twitter discussion :)Heatherhttp://www.blogger.com/profile/16221587106394425337noreply@blogger.com1tag:blogger.com,1999:blog-9121700443263651883.post-91615404389763159982011-11-11T13:38:00.001+00:002011-11-13T20:01:10.045+00:00OT Week CelebrationsHappy OT Week everyone :) <br />
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Hope you've had a great week sharing the vision of OT and generally spreading the word of such a fantastic professional (yeah ... so I might be a little biased).<br />
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Unfortunately, I have to say that my OT Week has not been spectacularly different. I had great plans, some were lived out, others weren't, but I've really enjoyed hearing what others have been up too.<br />
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One of my main plans was to increase OT awareness in the setting where I work as a support worker. I had plans with the OT there to create a noticeboard promoting the profession and to hold some sessions to further explain the role of OT in the particular setting. As with all good intentions, things didn't quite go to plan though. Workmen never installed the noticeboard we were planning to use, and a sickness bug knocked down staff and clients alike to leave us too short staffed to run sessions :( but the plans and resources are still there to be completed another time on another day, and hopefully it will only be the dates on the OT Week pens that don't match up!<br />
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However, Tuesday came around and presented us (on twitter) with #OTuesday in #OTweek featuring #OTalk, which was guaranteed to cheer me up! This weeks topic was how to use SM for CPD and provoked some interesting discussions. So here is my experience and opinion ...<br />
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I first began using social media (SM) professionally after rediscovering my twitter account, and a slow Saturday afternoon searching by interest. I began tweeting about my experiences as an OT student; lectures I'd just been too, articles I had just read, and calls for help with assignments! I then started my blog when I struggled to fit everything I had to say into 140 characters! My main outputs of SM are on twitter, participating formally in OTuesday, NHSSM and more recently, OTalk and OChat. I also use twitter for informal discussions with OT students from other universities, practicing OTs and academics (a personal highlight was a tweet from E Duncan!). <br />
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I get a lot of benefits from my use of SM, the main one being the opportunity to communicate with so many other people, each with their own interesting stories and viewpoints on current issues. It allows exposure to a wider range of opinions - and with NHSSM, not just from OT perspectives - which breeds constructive debates. Another benefit of using SM is the speed at which information in shared. Previously we talked of how journals bypassed text books in getting information out there, now with SM your news, findings, thoughts and experiences are spread to a waiting audience instantly! I also find SM is a nice fall back for those days when the work can get too much, as a gentle reminder of why OT is so fantastic, why we do it, and mostly importantly why we love it!Heatherhttp://www.blogger.com/profile/16221587106394425337noreply@blogger.com0tag:blogger.com,1999:blog-9121700443263651883.post-59112097723788252052011-10-31T21:05:00.000+00:002011-10-31T21:05:16.716+00:00The role of OT with people with Eating DisordersHey :)<br />
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It's been a while since I updated this, I've been mad busy over the last few weeks. It's my own fault, I need to learn to say no to opportunties (!). </div>
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Anyway, since it's been a while I thought I'd start with a (relatively) easy post. A few weeks ago I went to a SHOUT event. <em>SHOUT is a student led regional BAOT group and I would highly recommend checking them out on twitter and facebook!</em> This month's event was entitled "The role of Occupational Therapy with People with Eating Disorders". I will confess that I had never shown any particular interest in ED before, but I was pleasantly surprised at how engaged I got in discussions. </div>
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One thing that I never knew before the event was that ED are classed as a Mental Health Condition. I knew about the background of mental health disorders to ED, resulting in the need for control, but had not thought about how they were classified. This put ED in a very different light for me. I have always maintained that I am more of a mental health OT, and suddenly ED was on my radar. </div>
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Whilst my local area has very good service provisions for those suffering from ED, there is still a lack of OT input into their therapeutic programmes and deliveries. One of the speakers had spent a role emerging placement with the ED team and she presented her experience. Many of the situations she came across and the methods used to deal with these were "bread and butter OT". There was nothing spectacularly different about helping people with ED. The emphasis was simply put on being there for them, listening to them and supporting them to change their life. Surely this sums up all OT interventions?</div>
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The talk certainly challenged many of my ideas and preconceptions about ED, both from a personal and professional level. It made me realise that our inherent OT skills <strong>ARE</strong> transferable and they should be used in so many more situations. It does not take a team of researchers to realise there is a role for OT, nor does it take an academic to implement changes. These are grass roots plans that can be put into action by any qualified or student OT. </div>Heatherhttp://www.blogger.com/profile/16221587106394425337noreply@blogger.com0tag:blogger.com,1999:blog-9121700443263651883.post-36701391843761006502011-10-18T18:05:00.000+01:002011-10-18T18:05:13.143+01:00If you have a small amount of time to spareThis is completely non-OT related, but it is a subject very close to my heart.<br />
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Please, if you have a few minutes to spare, watch this video ...<br />
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<a href="http://www.liverpoolfc.tv/video/interview/9935-steve-rotheram-speech-in-full">http://www.liverpoolfc.tv/video/interview/9935-steve-rotheram-speech-in-full</a><br />
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Justice For The 96 <3Heatherhttp://www.blogger.com/profile/16221587106394425337noreply@blogger.com0tag:blogger.com,1999:blog-9121700443263651883.post-29739193027745771772011-10-14T17:50:00.001+01:002011-10-14T17:50:45.412+01:00Question timeI wouldn't consider myself a fan of BBC's Question Time, but as I do have a moderate interest in politics I tune in occasionally. Last night I switched it on (admittedly because at the time there was nothing else on!) and found myself getting very involved in the debates. <br />
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The main debate that caught my attention surrounded the NHS Reforms, and put Andrew Lansley right in the spotlight. <br />
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Whilst there were many points from all sides that can be praised and criticised, I just want to pull apart a few. <br />
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Firstly, and as far as I'm concerned the most important was the lack of recognition that there are more than just doctors and nurses working in the NHS. Obviously as an OT I feel very strongly about the (lack of) promotion and recognition of our skills and services in the public domain but there are many other Allied Health Professionals out there who face similar situations. If those who are ultimately in charge of all these reforms cannot acknowledge this breadth of sets of unique skills, what hope have we got?? <br />
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Whilst I understand and respect the fact that we have to be more confident in our promotional skills, this change needs to be reflected and aided by government and media otherwise it will be pointless. I know that there are many OTs out there who champion their services and that BAOT/COT have been involved in a lot of the discussion stages of this current reform and the general public need to be aware of this. I recently heard awareness of OT referred to as "most people have never heard of us or what we do, but once someone has benefited from OT they will never forget the impact". <br />
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A second point that I found fascinating was the results of a word count in one of the versions of the white paper. I will admit that personally I have not been able to read the full document - I agree with the comments about it being 'unreadable' - however I find it a frightening thought that "competition" is being, formally and officially, put in front of "integration" and "cooperation". Surely this renders everything that I have been taught in all my inter professional modules about collaborative working and service user involvement, useless?<br />
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Whilst I find myself agreeing with some of the reasons behind the reform - more accountability, more patient involvement and relevant professionals involved in decision making - I definitely think that Lansley has gone about it in completely the wrong way, and not listened or taken note of the opinions of professionals, patients and the general public who disagree. Heatherhttp://www.blogger.com/profile/16221587106394425337noreply@blogger.com0tag:blogger.com,1999:blog-9121700443263651883.post-17843206608277380252011-10-05T21:52:00.000+01:002011-10-05T21:52:34.194+01:00NHS and Social Media<div style="text-align: justify;">Tonight I took part in my first NHS and Social Media (#NHSSM) discussion on twitter. I had seen the hashtag mentioned before but never known what it was for, and tonight I used my best multi tasking and conversation-following skills to try it out!</div><div style="text-align: justify;"><br />
</div><div style="text-align: justify;">Tonight's discussion was around electronic patient records. I will have to admit that it got a bit too technical for me at some points, for example when discussing specific systems and programmes for electronic patient records but it was still fascinating! Once I got used to following the conversation (TweetDeck saved me!) it became a fantastic chance to see social media in action. Professionals from around the country, and quite possible the globe all came together to share their opinions and professional experience. </div><div style="text-align: justify;"><br />
</div><div style="text-align: justify;">Some of the main points from tonight's discussion were:</div><ul><li><div style="text-align: justify;">How secure can electronic records ever be?</div></li>
<li><div style="text-align: justify;">Can we restore public trust in the NHS and Electronic Records in general, enough to use electronic records as a standard?</div></li>
<li><div style="text-align: justify;">Would electronic records improve communication between different settings? e.g. community and inpatient, physical and mental health</div></li>
</ul><div style="text-align: justify;">Personally, I have only had experience of paper records, both in the NHS and in the Private Sector but I do fully agree that electronic records would mean more improved communication between services. I also think that having electronic records would encourage more individuals to check their own records, which in turn should reduce errors. As for the safety of electronic records, well I am definitely not technical enough to know that (!) but I think there does need to be a shift in the public opinion over electronic records, especially following recent media stories over lost information from both governments and businesses.</div><div style="text-align: justify;"><br />
</div><div style="text-align: justify;">As this week was my first NHSSM I did not get actively involved, but I am thoroughy looking forward to next weeks discussion and hopefully I will be able to read fast enough to reply!</div><div style="text-align: justify;"><br />
</div><div style="text-align: justify;">Heather</div>Heatherhttp://www.blogger.com/profile/16221587106394425337noreply@blogger.com2tag:blogger.com,1999:blog-9121700443263651883.post-35316833710494292052011-10-03T14:26:00.000+01:002011-10-03T16:02:06.473+01:00OT in the New NHS System<div style="text-align: justify;">So last week we had a lecture in Uni with the topic "Current Issues". We ended up discussing lots of things about the politics of the NHS, the old system, the new system, where OT fits it and what we can do about it! It's had me thinking so I thought I'd try and get some of those thoughts down now.</div><div style="text-align: justify;"><br />
</div><div style="text-align: justify;">First of all, with GPs now in charge of commissioning services, how many of them actually know what OT is, and what we can do? Even if they have heard of an OT in a specific area, how likely are they to know the vast spectrum that we can work in and help ease their patient numbers and costs (unfortunately now a bigger worry for many). </div><div style="text-align: justify;"><br />
</div><div style="text-align: justify;">Cost cutting in the NHS nationally then led onto a subject a bit closer to heart, the funding of healthcare students. Currently tution fees are still being paid for those wishing to study for an AHP degree, and because of the funding coming straight from the Government, Universitys are currently tied into teaching what they are told to teach.</div><div style="text-align: justify;"><br />
</div><div style="text-align: justify;">As OTs in general - and perhaps even more important for those like me who will qualify in the height of all these changes - we need to develop our marketing strategy skills. Many OTs who have already moved out of the NHS into private companies, voluntary organisations and social enterprises have already done this by choice, but soon we may have no choice. BAOT have already published guides to 'Influence Service Commissioners' which are available on their website to help OTs to develop their skills. </div><div style="text-align: justify;"><br />
</div><div style="text-align: justify;">But our main question was ... shouldn't we be being taught all these skills anyway?? </div><div style="text-align: justify;"><br />
</div>Heatherhttp://www.blogger.com/profile/16221587106394425337noreply@blogger.com0tag:blogger.com,1999:blog-9121700443263651883.post-37025632299190057542011-10-02T16:43:00.000+01:002011-10-02T16:43:49.331+01:00Welcome!Hi :) <br />
I'm Heather and I've just started the final year of my OT degree. I already tweet about OT so I thought I'd go to the next step and free myself of 140 characters!<br />
Hopefully this will improve some of my reflective skills and give me a chance to share my learning and experiences over the next 12 months ...<br />
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Heather xHeatherhttp://www.blogger.com/profile/16221587106394425337noreply@blogger.com0