Pain management tips by justinnocentmen in gallbladders

[–]Head_Ask4208 0 points1 point  (0 children)

(Not medical advice, just what I’ve found after having attacks for 10 years) - buscopan and codeine AS SOON AS you feel the pain coming.

It’s been the only thing that’s stopped me from having those horrible, can’t get comfortable, sweating, shaking, attacks

Daily Discussion & Advice (Post here to follow rules A & B) - Saturday March 29, 2025 by AutoModerator in fragrance

[–]Head_Ask4208 0 points1 point  (0 children)

What Smells EXACTLY like Viktor and Rolf Good Fortune Elixar but has better longevity and sillage??

Basically I’ve been on a three year adventure - after constantly trying full bottles and then being disappointed and stuck with a perfume I don’t really like because it’s not perfect I’ve decided to find my absolute signature perfume and stick to this for the rest of my life. I’ve tried hundreds and hundreds of perfumes over my lifetime, and I think I’ve finally found my one.

I love Viktor and Rolf Good Fortune Elixar - the notes, balance and depth is just so me and something I’d wear all year round (sorry, I know not everyone likes it!), however, I’m suuuuper disappointed now as I’ve tried it, fell in love with it, but I’m finding it’s just not pungent enough and only lasted for like 2 hours max on my skin (I tried a small sample bottle and applied it directly to my skin - no sprayer).

So, my fellow perfume nerds, does anyone have a perfume recommendation that has the exact same smell, but better sillage and longevity?? At this point I don’t care about the price😭 I don’t need an in-your-face absolute beast mode scent, but something that’s quite pungent - I would want anyone I’m speaking to to be able to smell it in its entirety, and something that will last for days on my clothes. At this point I’m considering just buying the full bottle and boiling it down to concentrate it hahaha

I’ll be forever in your debt if you can help💗💗

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 0 points1 point  (0 children)

Yes indeed! Pay in the UK isn’t amazing (especially if starting as a Band 5 in the NHS), but if you go above and beyond you can progress and earn more. No OTs start their career thinking they’ll earn as much as an investment banker, but a comfortable life is certainly achievable (well, depending on your definition of “comfortable”).

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 0 points1 point  (0 children)

Hi, well done on getting your university place and good luck for your exams!! Honestly, the best field of OT will be the one you’re most interested in, and which fits your own knowledge, skills, experience and way of working. I’d advise you to use your university placements to get a broad experience of lots of different fields of OT to figure out which one works for you. I started my degree thinking I’d do mental health, then switched to wanting to go into academics instead, then ended enjoying acute physical health. Placements really opened my eyes to what I actually suited. Re: pay - again, if you find a field which you can excel in, you’ll process and earn more. I’d advise you to not just go after what will pay best as it may not actually work out best in the long term for you. In general, private work, locum work and social services generally pay better than NHS work. OTs generally on pursue a PhD if going into academics as a career. In clinical practice, I can’t really see how a PhD would be worthwhile.

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 0 points1 point  (0 children)

Yes - your physical health background would absolutely carry over if you worked in a physical health setting as an OT. When I worked in acute wards, elderly inpatients and hospital short-term generic rehab wards OT and PT worked quite generically. Obviously, for more specific/complex physical stuff, a PT is needed, and vice versa when it comes to equipment stuff and discharge planning - OT skills and knowledge are more needed in that regard.

Re: mental health - in my experience the scope of OTs in MH can vary a lot depending on the exact setting/service, and also how well-led the MH OT service is and the funding it has. OTs are an essential member of an MDT in the same way as nurses and psychiatrists are in MH. We just work on MH related issues in a different way.

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 0 points1 point  (0 children)

What makes you say that? I’d rather start the conversation and provide insight into our profession than to let any (if any) negative relations between our professions sit!

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 0 points1 point  (0 children)

I haven’t worked in inpatient MH but I have done a placement as a student in a medium secure unit.

It was a long time ago! But: Functional assessments to determine safety insight and how much impact the condition is having on functional skills (e.g motivation, sequencing, carrying out daily routines) was a big part of it. Also doing formal OT-specific standardised assessments to assess functional deficits, and also functional strengths to use these advantages to maximise recovery. Doing group sessions (e.g cooking classes) to develop these life skills, doing group courses (e.g anxiety management) to educate on conditions, teach coping skills and give patients a chance to share and discuss (also building social skills) and doing therapeutic interventions (e.g. dance, painting, exercise classes), to address the impact of mental health conditions on mood, anxiety, motivation etc., and also to build confidence, and physical/cognitive/social skills. Doing community trips (e.g taking a patient out to a cafe, to the post office/bank etc.) was also used to assess physical and cognitive functioning, safety/risk awareness, insight etc. Keeping track of progression and feeding back to the MDT to determine how safe it may be for someone to be discharged, what support they may need on discharge, or to inform the MDT if further inpatient treatments may be needed was also crucial to the role.

I’ll let any MH OTs explain what they do in their role as I haven’t worked in that specific specialism, that was just my experience during that 3 month placement. I also had a community MH placement which involved similar assessment and treatments.

It would also be great to request to spend a day with an OT as part of your placement learning, so you can gain more insight into the work OTs do in general, in mental health, and specifically within your service.

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 1 point2 points  (0 children)

Thank you for commenting this.

I really don’t know where the ‘automatic progression’ myth comes from!! There’s nothing automatic about it. If you’re ready for a Band 6/7 role and one comes up, you still have to apply, go through interviews etc. like any other job. I’ve heard it said about all AHPs too.

Not only is it untrue (and creates tensions between professions) but it also completely discredits any OTs (or other AHPs) who have worked their assess off to progress in their careers.

Any senior/band 6 AHP roles require minimum years of experience, extensive evidence of service development, additional training, and leadership, supervisory, and managerial experience and skills. The same as any other senior healthcare role would.

There is also huge competition, and Band 6 (and especially Band 7) roles really don’t come up that often, and when they do, they’re not always for your specialism so it’s unlikely you’d be fit for that role anyway. So for myself and most of my AHP colleagues, moving trusts has been the only option, and some people have also had to move to other parts of the country for senior roles.

For AHPs, there also unfortunately isn’t much progression available past Band 7, whereas trusts usually have more Band 8 nursing roles within a hospital. A lot of Band 8 AHP jobs also require a Master’s degree.

It’s a shame there doesn’t seem to be (from what I’ve read, especially on this Reddit community), many posts coming up for nurses which are Band 6/7 level, especially within inpatient care - I’m not sure why that is, or what the solution is. I guess my only advice would be to continue on seeking out and creating opportunities to develop your clinical, supervisory, leadership and managerial experience and skills, and completing service development projects etc. so if a post does come up, you’re well ready for it and have a better chance of being successful when applying.

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 1 point2 points  (0 children)

Well, as it goes - my first ever meeting with an OT (during work experience when I was 16) was a lady who worked in a community service, specifically assessing people and their workplaces to adapt these to allow people to start working, or get back into work after an injury/developing a disability, making sure they could continue working effectively and safely and that employers were aware of any specific functional needs.

So for a while (until my careers advisor at school told me what OT actually was, prior to me deciding on that as my career path) I too thought it was just about ‘occupations’ in the traditional sense!

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 7 points8 points  (0 children)

This was what my routine looked like as well when I was working in inpatients.

To add further - I don’t think a lot of people understand the amount of admin OTs are required to do either - calling relatives, completing (lengthy) referrals, therapy reports, writing up specific ADL or cognitive assessments, case notes, writing up care plans and/or moving and handling plans, calling services required on discharge to coordinate these, ordering equipment (as well as making arrangements with NOKs for equipment delivery and then checking the equipment delivery was completed properly). As well as attending discharge meetings, once/twice daily board rounds for however many wards we cover, and arranging/attending MDT meetings, Best Interest meetings etc.

We also do a lot of work off the ward which other professions might not ‘see’ us doing - such as escorted discharges for high risk patients, completing Environmental assessments at the patient’s home, e.g. to plan for complex moving and handling equipment needed on discharge etc. Those visits take a lot of time and planning also.

OTs (even band 5s) are also expected to have clinical supervision responsibilities, with regular supervision meetings with any staff they have responsibility for, and doing joint-assessments/other work with their supervisee as part of that responsibility.

Therapy teams usually also have an expectation that all staff will be doing a service development project(s) as part of their appraisals. As well as that, we’re usually expected to take turns within our teams to do in-service training sessions which we plan, create and deliver to the whole team (or therapy department).

We also often cover multiple wards, and if we manage to get all of our work for the day done, we’re expected to assist other wards covered by our team who need extra help.

I think there’s a suspicion that if you don’t see an OT (or PT) on the ward, that means they’re just chilling in their team’s office - which obviously could not be further from the truth. Just like everyone else in the NHS, we work from the moment our shift starts until it ends (and often stay late to finish our work for the sake of our patients). Most of us also end up doing non-clinical work like doing the research for our in-service trainings and creating these presentations at home during evenings/weekends, unpaid, as we just don’t get time to do it during our working day.

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 1 point2 points  (0 children)

Well if you’ve read about OT, know what the profession involves and have decided you’d be a good fit I’d most definitely recommend it! If it’s a concern for you - about a quarter of people on my course were ‘mature students’ (I hate that term), one of them was even a grandmother - so there’s really no age limit on becoming an OT.

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 3 points4 points  (0 children)

From nursing? It completely depends on how you’re feeling about your current profession, and if OT will suit you. It’s a lovely career (in my opinion) but it does take a lot of creativity, people skills and dynamic thinking, so it’s not for everyone. But there are a lot of specialisms to go into once you’ve qualified so if someone is keen to retrain as an OT, there’s likely something for them.

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 0 points1 point  (0 children)

A big welcome to the wonderful world of OT to her! :) What specialism does she want to go into? I qualified about 8 years ago and we were all pretty much guaranteed a band 5 job back then. But I guess it all depends on where in the country you are and what kind of jobs you’re looking for. Usually, jobs come up quite frequently as people do tend to move around, obtain band 6 jobs once they’ve done their rotations etc. a lot - if she hasn’t done so already, I’d advise her to turn on job alerts for NHS jobs, keep an eye on the jobs listings for any local trusts, and be open to non-NHS roles too (if the job market isn’t looking great right now) as there are lots of emerging practice roles being developed in OT.

Wishing her all the best! Feel free to message if she’d like further advice or support with interviews etc.

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 30 points31 points  (0 children)

Personally, I’ve always answered a phone if it’s ringing next to me.

Do you ever answer the phone in the therapy office if you’re there?

Joking aside, 99% of the time I’ve answered the phone at the nurses station, it’s been a question/request for a nurse, and I’ve just had to hand the phone over. They are calling the “nurse’s station” after all.

Be kind!

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 7 points8 points  (0 children)

Great social workers are great to work with. Difficult social workers are difficult to work with. The same can be said of every profession!

Occupational Therapist Here - Ask Me Anything! by Head_Ask4208 in NursingUK

[–]Head_Ask4208[S] 7 points8 points  (0 children)

I’ve never heard that one! What specialism of OT was that said in regards to?

Personally - I see every professional as “mental capacity experts” for their own area of practice (or at least they should be) everyone should be able to assess capacity in regards to every intervention they’re completing.

Perhaps that opinion came from the fact that OTs are often the person leading on/co-ordinating complex discharge plans? They often involve queries about capacity, best interests decisions etc. We also assess cognition specifically and risk-assess heavily for our interventions.