Occupational therapy is rehabilitation profession which involves the individuals with disabilities to attain maximum potential in performing function of daily living, employment, through the use of purposeful activities according to Tatyana Yakovleva, an occupational therapist based in Precision Care Medical & Sport Rehabilitation Center. She has been practicing since 2016 and registered with the New York State Occupational Therapy Association and American Associational Therapy Association (AOTA). 

Occupational therapists provide patients with motor function exercises to boost their motor skills, alternatively they device recuperative means to patients with attention deficit issues. An individual has three occupations in their lives (i.e. work, leisure, and self-care). An OT is tasked with assessing how one balances the three occupations in their lives. This helps them to identify tasks that expose patients to injuries and advises them on the best approaches to perform the tasks. For example, an OT attached to a company may realize that employees are lifting boxes incorrectly. In this scenario, workers will be given appropriate alternatives to lifting boxes to mitigate cases of injury. Besides, they will offer a monitoring and transition mechanism to ensure the workers do not slip back to the inappropriate habits that expose them to injury. Moreover, OTs assesses and diagnoses patients to determine the best treatment for their difficulty.

For instance, patients can be offered an alternative way of participating in their favorite hobby. In this case, special daily exercises can be recommended to help the patients enhance their motor skills. Also, an OT can recommend special equipment to aid the patient in performing their daily duties without strain. Elderly patients majorly benefit from these skills. For example, an elderly person may need easy to use equipment in the kitchen or shower rail to remain self-reliant and independent for long. Additionally, OTs offer experimental learning, educational programs, and treatment classes to address interpersonal and social skills, assertiveness, role development, and stress management. Classes and group treatment help patients to learn from other experiences and builds confidence in sharing an issue. For example, a patient diagnosed with cancer may avoid sharing the information due to the stigma associated with the disease. However, listening to others who have successfully undergone treatment restores their confidence. 

OTs help in the development of skills necessary for independent living like managing one’s home, using community resources, managing medication, managing time, and maintaining safety at home. These skills are essential in empowering patients to be responsible, caring, and self-reliant in life. For instance, a student joining college may experience loneliness in their freshman year; unless addressed, one may find it hard to adapt to the new lifestyle. However, an OT connects a patient to their environment and enhances positive living.

How distinct occupational therapy services are at my site

Provision of OT services has shifted from hospitals to communities; traditionally, they were reserved for hospitals, but the need has since grown. As evidenced on the site, Dr. Yakovleva is committed to offering individual services to patients based on their needs. She has three years of experience and vast knowledge in handling different cases. In the past, it was difficult to identify the individual with such exceptional skills that are need specific. Also, the site offers alternative forms of therapy (i.e. pain management, occupational therapy, physical therapy and rehabilitation). Patients enjoy a one-stop choice of services. Moreover, the OT and the patient are free to decide on the most appropriate therapy procedure. Constant communication is essential during the treatment process; the contact helps in booking, inquiries, monitoring, and rehabilitation services. 

Disciplines that OT commonly collaborate with

Occupational therapist collaborate with other health care professional to provide intervention for a group by leading activity in a group to prevent depression, increase socialization, It provide parenting skills to those parent who are disable or who have children with disabilities, They also educate regarding normal growth and improvement and how to deal with a patient with problematic behaviors. Therapist also arranges programs, to resolve conflict and for anger management to enhance motivation in a community so that people can develop interest for their work roles. In Precision Care Center all health professions elaborated between each other and provided interventions for the patient to increase their well-being

Example of how interdisciplinary collaboration facilitates health and occupational  performance of a patient

OTs and PTs work really well together in Precision Care Center, because we both help patients achieve their goals. For example, a big goal for a lot of patients is to walk again. Physical therapists will address this goal by focusing on muscle strength, balance, gait pattern and endurance for walking. Occupational therapists will practice functional mobility with the patient and perform different activities, such as obtaining items from cabinets in order to challenge the patient’s balance for walking. All therapy disciplines work together to help find the meaning behind the healing process. For example, PTs work on helping a person relearn to walk, and OTs helps the patient return to their daily occupations with as much independence as possible. OTs and PTs write goals together with the patient, as this is the optimal way to achieve success in therapy.

Journal entry #4 New

Posted by   Raphael

 My fieldwork site at Healing Rays provides Occupational Therapy services distinctly on Mondays and Wednesdays and solely provides Physical Therapy services during the rest of the week. Occupational Therapy is allowed to be the focus of the interventions done on these days and during my time at the facility. This in turn leads to client centered attention on occupational performance interventions and activities of daily living for clients who need those services. Healing Rays consistently accepts fieldwork students who are licensed and have experience working as occupational therapy assistants who are on track to become occupational therapists.The clinic benefits having students who are equipped with clinical skills in our field who can assist the lead and sole occupational therapist carry out daily tasks with her clients. The occupational therapy assistants are competent and proficient in skills such as manual muscle testing, goniometry, range of motion exercises, use of adaptive equipment, massage and administering activities that translate to increased performance in (ADL’s). 

One client at the facility is diagnosed with spastic cerebral palsy and I was able to observe the lead therapist Talia and an assistant work collaboratively to facilitate intervention for this client. In particular work on stretching his hypertonic muscles, work on range of motion, coordination and discuss strategies for ambulation and transfers. The two each combined their respective knowledge in treating the patient successfully and were able to do so under significant time constraints. Overall observing the collaboration between Talia and the occupational therapy assistants taught me the importance of teamwork in a clinical setting as it generates strong results, communication and giving the clients the best service possible. It also important to appreciate your staff members and their efforts and for each staff members to praise each other’s work to maintain a united work environment for themselves and most importantly their clients. 
 
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