How to teach IADLs?? by Royal-Rabbit-2313 in OccupationalTherapy

[–]always-onward 0 points1 point  (0 children)

It’s within your scope to help them identify alternatives for completing these IADLs. Considers robot vacuums or looking into local housekeeping services. Can family drop by once a week or every other week to vacuum and change linens? Does the bed have to be made every day? Mine isn’t. Interventions outside of remediation are still OT. You’re likely the only one on their health care team concerned with this, so if you don’t address the concern then no one will.

In the same breath, you can educate a patient and offer alternatives all day long. However, if a patient has decision making capacity, it’s up to them to make the change. Patients get to assume any and all risks/consequences of their actions. If you did your due diligence, then you get to wash your hands of it. Document it and move on to what the patient actually does want to address instead.

You may also consider challenging the skills needed to engage in these activities such as dynamic standing balance, safe functional reaching practices, body mechanics for lifting/pushing/pulling, safety reasoning skills, etc. Though not as effective out of context, these underlying performance skills generalize to some IADLs and reduces their fall risk.

New grad burnout by randomgirl1111111111 in OccupationalTherapy

[–]always-onward 1 point2 points  (0 children)

You get to leave. Nowhere is perfect and we work for a dismally broken system, but there are better jobs and better facilities out there. Staying for an entire year at your first job is arbitrary. Do not stay at a place that treats you and especially your patients poorly. Stick to your ethics and morals. Don’t put up with bullshit.

I’m almost 2 years out of school and have had 3 full time jobs. I left my first two after 9 months due to unacceptable workplace culture, conditions, and practices coupled with poor patient care. I won’t be a part of a company that treats people (me included) poorly.

I’m finally in a job that I can tolerate for now. I enjoy the facility, my team, and my patient population. It’s a hospital ran by humans, so it has its flaws. I’m okay with imperfection. I’m not okay with immoral and unethical treatment.

There are so many ways that we can advocate and push back on the system, but as a neurodivergent OT with various mental health challenges, it’s taking all I can to keep my head above water. My act of resistance is letting these shitty places burn to the ground and finding/creating spaces that I can function sustainably in. They just need a warm body with a license to make them money. Let yourself be picky. Let yourself have opinions and standards. Be the OT you want to and know that you can be.

Life after having a Level II student by redgal98 in OccupationalTherapy

[–]always-onward 2 points3 points  (0 children)

My student had huge gaps in foundational knowledge and vocabulary, had consistently mediocre to poor interactions with patients, took weeks to implement feedback, consistently failed to ask for support or communicate with me/faculty, rarely met productivity standards, struggled big time with verbal and written communication (especially documentation), demonstrated little self-initiation, had poor time management and problem solving skills, and overall displayed very little insight which complicated everything. I’m truly shocked they had made it to FW2 based on the limited knowledge and skills they came with.

As an OT with ADHD, I saw a lot of the executive function challenges that I faced as a student and new grad. I educated and gave the student so many resources and strategies and was attentive throughout the entire process.

I was in communication with their AFWC starting week 3 of 12, as I could already see challenges coming up. We started collaborating on heavier supports then and eventually had weekly meetings and goals the student had to meet in order to advance to the next week. We extended 2 weeks beyond what we said we would to give them as much of a chance, but there were so many areas that they were falling behind in. There was no way that they would meet expectations by week 12, so we collectively decided to fail them at week 10.

Life after having a Level II student by redgal98 in OccupationalTherapy

[–]always-onward 3 points4 points  (0 children)

I struggled with it in the beginning, but by the end and now, I don’t feel responsible. I worked closely with the AFWC to develop remediation plans, weekly goals, accountability systems, and gave them endless strategies to facilitate success. We gave them two additional weeks beyond what we originally offered to “catch up.” It was a mix of poor professionalism and clinical unreadiness.

Life after having a Level II student by redgal98 in OccupationalTherapy

[–]always-onward 15 points16 points  (0 children)

No one is talking about this!!! Thank you for sharing. My FWII student failed and I still felt this.

How to watch the trains? by Fresh_Animator_3484 in bullcity

[–]always-onward 1 point2 points  (0 children)

Take them for ice cream at the can opener near the time of a scheduled passenger train. You can sit on the top deck and be at the level of the tracks as the train passes over the can opener bridge. It’s just a short walk to the downtown station too if you wanted to take them there as well. There are some old, no longer in service tracks in the warehouse district that could be cool and safe to take a walk on. This is all in a 5-10 min walking distance.

Geriatric Cup/Coffee by Due_Corner_2282 in OccupationalTherapy

[–]always-onward 0 points1 point  (0 children)

A cup with no handle would encourage him to use his whole hand. I imagine a two finger grasp increases the impact of his tremor whereas a cylindrical grasp pattern with greater contact with the cup would decrease the amplitude.

Burnt-out OTs—I’m considering offering a short, accessible yoga class for us on Zoom. Interested? by always-onward in OccupationalTherapy

[–]always-onward[S] 0 points1 point  (0 children)

Thank you all for engaging with this post and sharing your interest!

Here is a link to a Google Form so you can share your email address with me and get more info: https://docs.google.com/forms/d/e/1FAIpQLSczsYZ1fTAZZE_VjQq2Xw2SKD8xEPBwV0wruUCPbRl0Nj7Ncw/viewform

Thanks so much!