#Occhat – Occupational Goal Setting – Grabchat

Here is the introductory blog post. Thanks all for your contributions. Next #occhat on 12th March moves on in the OT Process to Occupational Interventions. Come and brag about all your fantastic occupational practice.

Healthcare hashtags summary as a PDF, link to the analytics, and the Grabchat below.

Please do share your further comments or reflections below.

 

Involved …

@kirstyes @BillWongOT @clissa89 @Keeper85 @OTalk_Occhat @tigrez @gilliancrossley @Stalkerbird @tabbycats4 @CharOTReilly @LadybirdLynnie @Dai2584 @annabelrule @otnotes @anyadei @OTSophie @OTKaff @UKFCE @Helen_otuk @jfaias @alilou250969 @RebeccaTwinley @FrancescaABrown @RachHallster @PresenceLearn @Nursey_JimBob @Flawson12 @mamaotblog @VictoriaBetton @CommuneOT @BPDFFS @Lisa_D_OT @aiysha89 @catriona_ogilvy @OT_Jen @uk_james @HHStaff @BAOTCOT @casmarketing1 @DoBeDoBeDo14 @StaaceLouu @Sibellgul

Top resources …

http://t.co/OY9HqyaSmV
http://t.co/tzvBBQDL2O
http://t.co/4ESoxMPJuA
http://t.co/u24ODxRXfo
http://t.co/o7oyVcSzIt
http://t.co/tHpEnZrxWt
http://t.co/GQ8xvoNh92
http://t.co/BXCpeze6FJ
http://t.co/bPf6mtB4aE
http://t.co/TAq5vmJ4IN

Related tags …

#otuesday #autism #ot #occupationaltherapy #bpdchat

See Twitter for more tweets, people, videos and photos for #occhat

@BillWongOT Counting down towards my birthday and celebrate that day with some #otgeeks . Can’t wait for Tuesday’s #occhat to do so.(Sun, 24 Feb 2013 04:28:44 +0000)
@PresenceLearn #OCChat – check out this interview with Dr. Rondalyn Whitney on why schools should adopt online occupational therapy http://t.co/2Yvyr6FY21 (Sun, 24 Feb 2013 18:15:24 +0000)
@Helen_otuk HT Social media is just as relevant as a conference when doing your CPD – useful blog from @dtbarron http://t.co/ohBlsYfkT8#otalk #occhat (Mon, 25 Feb 2013 09:57:05 +0000)
@OTalk_Occhat @Dai2584 Tomorrow is #Occhat – Occupational Goal Setting. With our very own @kirstyes . 8pm UK time.(Mon, 25 Feb 2013 19:22:15 +0000)
@Helen_otuk Hi @Sal_OTKnut @LauEmmott @SarahDobby77094 @queenmullers , just to let you know tomorrow is #occhat and all about Occupational Goal Setting.(Mon, 25 Feb 2013 19:34:56 +0000)
@Helen_otuk @SarahDobby77094 @sal_otknut @lauemmott @queenmullers Don’t forget tomorrow is #occhat . Have fun, I will expect reports for you all. (he he)(Mon, 25 Feb 2013 20:02:45 +0000)
@clissa89 #OTuesday will also be #occhat -ing tonight about occupational goal setting ๐Ÿ™‚ (8pm GMT)(Tue, 26 Feb 2013 07:06:07 +0000)
@BillWongOT This #OTuesday is my birthday. Can’t wait to celebrate it with fellow #occhat -ers.(Tue, 26 Feb 2013 07:39:06 +0000)
@OT_Jen @clissa89 #occhat later sounds extremely interesting too, but in this hectic week rising early enough to catch you could be challenging(Tue, 26 Feb 2013 08:35:43 +0000)
@BAOTCOT Tonight’s #occhat is on occupational goal setting – follow the hashtag from 8pm to join or watch the conversation…(Tue, 26 Feb 2013 14:46:00 +0000)
@casmarketing1 RT @BAOTCOT : Tonight’s #occhat is on occupational goal setting – follow the hashtag from 8pm to join or watch the conversation…(Tue, 26 Feb 2013 14:46:50 +0000)
@OTalk_Occhat #occhat – Occupational Goal Setting http://t.co/4ESoxMPJuA (Tue, 26 Feb 2013 16:13:46 +0000)
@OTalk_Occhat #occhat – Occupational Goal Setting http://t.co/u24ODxRXfo (Tue, 26 Feb 2013 16:13:46 +0000)
@HHStaff . @mamaotblog reviews the @DexteriaApp LetterReflex on @AOTAInc blog –> http://t.co/OY9HqyaSmV #OTuesday #occhat (Tue, 26 Feb 2013 16:15:00 +0000)
@Nursey_JimBob RT @OTalk_Occhat : #occhat – Occupational Goal Setting http://t.co/u24ODxRXfo (Tue, 26 Feb 2013 16:16:09 +0000)
@Sibellgul RT @OTalk_Occhat : #occhat – Occupational Goal Setting http://t.co/4ESoxMPJuA (Tue, 26 Feb 2013 16:17:40 +0000)
@kirstyes ? @OTalk_Occhat : #occhat – Occupational Goal Setting http://t.co/pnw0EYh8Qp? I’m hosting this tonight.(Tue, 26 Feb 2013 16:18:21 +0000)
@aiysha89 RT @BAOTCOT : Tonight’s #occhat is on occupational goal setting – follow the hashtag from 8pm to join or watch the conversation…(Tue, 26 Feb 2013 17:41:28 +0000)
@clissa89 8pm GMT (2 hours from now) – all welcome! RT @OTalk_Occhat : #occhat – Occupational Goal Setting http://t.co/ZBJgtalvHa (Tue, 26 Feb 2013 17:53:59 +0000)
@StaaceLouu @clissa89 thank you! Starts mid April – will be me and a band 5 to run ortho and trauma! Eek! #supervisor # #OTuesday #occhat #development (Tue, 26 Feb 2013 19:05:15 +0000)
@clissa89 @COTSSWork hi there ๐Ÿ™‚ good to interact with people – tweetchats on tuesday evenings 8pm are #occhat (tonight)/ #Otalk , also #OTuesday (Tue, 26 Feb 2013 19:23:10 +0000)
@clissa89 #occhat in half an hour: occupational goal setting. Who’s joining us tonight? (& has anyone got Haribo Tangfastics to share?) #OTuesday (Tue, 26 Feb 2013 19:31:56 +0000)
@gilliancrossley @clissa89 hoping to be online! will try not to fall asleep #occhat (Tue, 26 Feb 2013 19:45:57 +0000)
@gilliancrossley RT @BAOTCOT : Tonight’s #occhat is on occupational goal setting – follow the hashtag from 8pm to join or watch the conversation…(Tue, 26 Feb 2013 19:46:14 +0000)
@catriona_ogilvy RT @BAOTCOT : Tonight’s #occhat is on occupational goal setting – follow the hashtag from 8pm to join or watch the conversation…(Tue, 26 Feb 2013 19:47:02 +0000)
@kirstyes Hi #occhat only just got in. Going to grab some food and back at 20.00(Tue, 26 Feb 2013 19:47:45 +0000)
@OTalk_Occhat #occhat in 15mins: occupational goal setting. If new to tweetchatting, here’s a guide: http://t.co/tzvBBQDL2O #OTuesday #occupationaltherapy (Tue, 26 Feb 2013 19:47:46 +0000)
@clissa89 @gilliancrossley staying awake’s my goal too, just dozed off in the bath #occhat (Tue, 26 Feb 2013 19:48:41 +0000)
@uk_james RT @OTalk_Occhat : #occhat in 15mins: occupational goal setting. If new to tweetchatting, here’s a guide: http://t.co/tzvBBQDL2O #OTuesday #occupationaltherapy (Tue, 26 Feb 2013 19:49:12 +0000)
@gilliancrossley @Sophiebenko #occhat starts in 10 minish.. just noticed your account is private works best if public during the chat. can be relocked after(Tue, 26 Feb 2013 19:49:20 +0000)
@alilou250969 #occhat will be here hoping to learn something to take on 2nd yr placement(Tue, 26 Feb 2013 19:51:36 +0000)
@clissa89 @alilou250969 glad you could make it tonight ๐Ÿ™‚ hope you find it useful/interesting! #occhat (Tue, 26 Feb 2013 19:52:59 +0000)
@BillWongOT *brings a virtual b-day cake to celebrate my b-day today* #occhat (Tue, 26 Feb 2013 19:53:45 +0000)
@alilou250969 @clissa89 #occhat thanks(Tue, 26 Feb 2013 19:53:53 +0000)
@clissa89 @BillWongOT yay Bill! we’re honoured that you’re choosing to share your birthday with us ๐Ÿ™‚ *gets paper plates* #occhat (Tue, 26 Feb 2013 19:54:16 +0000)
@RachHallster hi #occhat . Been awhile!(Tue, 26 Feb 2013 19:56:39 +0000)
@clissa89 @RachHallster hi Rach! glad you’re here tonight ๐Ÿ™‚ #occhat (Tue, 26 Feb 2013 19:56:54 +0000)
@RachHallster @clissa89 Hi Clarissa! Hope you’re well. Glad to be here tonight #occhat (Tue, 26 Feb 2013 19:58:08 +0000)
@clissa89 @Sophiebenko ooh brilliant! ๐Ÿ˜€ welcome! let me (or @gilliancrossley ) know if you need any help ๐Ÿ™‚ #occhat (Tue, 26 Feb 2013 19:59:18 +0000)
@OTalk_Occhat Hi #occhat ! @clissa89 on the @OTalk_Occhat account tonight, trying to stay awake after a very long day.(Tue, 26 Feb 2013 20:00:21 +0000)
@kirstyes Hi all, I’m hosting #occhat tonight but I’m still grabbing some dinner. The topic is Occupational Goal Setting.(Tue, 26 Feb 2013 20:01:00 +0000)
@Dai2584 http://t.co/TdJ0B01RDl #Occhat Here the code of practice for the MH measure wales, Chapter 4 is outcomes. i.e the law in Wales now(Tue, 26 Feb 2013 20:01:37 +0000)
@OTalk_Occhat Who’s here for #occhat tonight? Say hi, even if you’re lurking! ๐Ÿ™‚ #OTuesday #occupationaltherapy (Tue, 26 Feb 2013 20:01:39 +0000)
@kirstyes First question: Do you routinely set goals with clients? #occhat (Tue, 26 Feb 2013 20:01:42 +0000)
@OTalk_Occhat A reminder: professional standards apply online too, and here are @The_HCPC guidelines: http://t.co/o7oyVcSzIt #Occhat (Tue, 26 Feb 2013 20:02:15 +0000)
@Dai2584 Hi here a guide on care planning from Hafal ,which is a MH charity in Wales, all pt in 2nd services have #Occhat http://t.co/GQ8xvoNh92 ?(Tue, 26 Feb 2013 20:02:27 +0000)
@clissa89 @Dai2584 that’s interesting, does the code of practice say anything about goal setting? #Occhat (Tue, 26 Feb 2013 20:02:57 +0000)
@BillWongOT Not much of a creative cake person. But here it comes. http://t.co/bPf6mtB4aE #occhat everyone have some “virtual cake”.(Tue, 26 Feb 2013 20:03:12 +0000)
@clissa89 @kirstyes I do, but in a less formal/structured way than I have previously #occhat (Tue, 26 Feb 2013 20:03:34 +0000)
@BillWongOT @kirstyes I will reply from a client perspective- my OT at LRD sets goals w/ me at the end of every session. #occhat (Tue, 26 Feb 2013 20:04:01 +0000)
@OTalk_Occhat @Dai2584 thanks for sharing, is there anything you would like to draw our attention to for the purpose of the chat? #Occhat (Tue, 26 Feb 2013 20:04:04 +0000)
@Stalkerbird @BillWongOT nice virtual cake and not fattening!
#occhat (Tue, 26 Feb 2013 20:04:04 +0000)
@gilliancrossley @Sophiebenko yes stress management was great! so excited to have you on #occhat :)(Tue, 26 Feb 2013 20:04:37 +0000)
@Dai2584 @clissa89 #Occhat yeah look at chapter 4 and also look at the hafal guide I posted. they were heavely involved with this new law(Tue, 26 Feb 2013 20:04:46 +0000)
@OTalk_Occhat @Sophiebenko I can imagine! do you have a specific format for recording your goals? #occhat (Tue, 26 Feb 2013 20:04:51 +0000)
@FrancescaABrown @OTalk_Occhat 1st year MSc student following here. Interested to learn more about #occhat and #ot across social media platforms(Tue, 26 Feb 2013 20:04:58 +0000)
@OTalk_Occhat @FrancescaABrown hi Francesca, great to have you with us tonight ๐Ÿ™‚ have you had any experience of goal setting on placement? #occhat #ot (Tue, 26 Feb 2013 20:05:40 +0000)
@BillWongOT @kirstyes But as an OT, I probably will set mini goals to help the clients reach STG’s and/or LTG’s. #occhat (Tue, 26 Feb 2013 20:05:50 +0000)
@RebeccaTwinley RT @OTalk_Occhat : A reminder: professional standards apply online too, and here are @The_HCPC guidelines: http://t.co/o7oyVcSzIt #Occhat (Tue, 26 Feb 2013 20:05:55 +0000)
@Stalkerbird I set goals with parents in parenting groups, can be hard to get mix of meaningful goal and measurable goal… #occhat (Tue, 26 Feb 2013 20:06:13 +0000)
@gilliancrossley @kirstyes yes. I need to be able to demonstrated that goals are set and being met. Ensure that clients can see their achievement #occhat (Tue, 26 Feb 2013 20:06:54 +0000)
@BillWongOT RT @Stalkerbird : I set goals with parents in parenting groups, can be hard to get mix of meaningful goal and measurable goal… #occhat (Tue, 26 Feb 2013 20:06:55 +0000)
@OTalk_Occhat @Stalkerbird have you got any tips for finding the balance/measur…ability? #occhat (Tue, 26 Feb 2013 20:07:12 +0000)
@gilliancrossley RT @Stalkerbird : I set goals with parents in parenting groups, can be hard to get mix of meaningful goal and measurable goal… #occhat (Tue, 26 Feb 2013 20:07:30 +0000)
@OTalk_Occhat @gilliancrossley I found my neuro placement best for goal setting, they used Goal Attainment Scaling, very structured #occhat (Tue, 26 Feb 2013 20:07:33 +0000)
@CharOTReilly #occhat I feel it’s important to make sure occupational goals and driven by client choices, client is most knowledgable(Tue, 26 Feb 2013 20:07:47 +0000)
@OTKaff I’m lurking with the lurgy, but here for debate and virtual cake #occhat (Tue, 26 Feb 2013 20:07:53 +0000)
@BillWongOT @gilliancrossley @kirstyes That’s pretty important. I think it is important for therapist and client to negotiate that. #occhat (Tue, 26 Feb 2013 20:08:08 +0000)
@OTalk_Occhat @OTKaff thank you for joining us even though you’re not well ๐Ÿ™‚ I’m sure there’s a pot of virtual tea around here somewhere… #occhat (Tue, 26 Feb 2013 20:08:29 +0000)
@gilliancrossley @OTalk_Occhat yes.. I work in the Neuro field and goals need to be attainable. Set clients up for success they can see #occhat (Tue, 26 Feb 2013 20:08:40 +0000)
@Stalkerbird @OTalk_Occhat I try to take a measure of now, specially when it is something about increasing confidence, in order to measure later #occhat (Tue, 26 Feb 2013 20:08:47 +0000)
@BillWongOT @OTalk_Occhat @Stalkerbird If it’s me, sometimes it’s in minutes. Sometimes it’s in the # of times the clients can do something. #occhat (Tue, 26 Feb 2013 20:08:52 +0000)
@OTalk_Occhat @gilliancrossley yes see and measure! #occhat (Tue, 26 Feb 2013 20:09:14 +0000)
@kirstyes @Dai2584 Could you summarise what that means for goal setting? #occhat (Tue, 26 Feb 2013 20:09:20 +0000)
@gilliancrossley RT @OTalk_Occhat : @gilliancrossley yes see and measure! #occhat (Tue, 26 Feb 2013 20:09:37 +0000)
@UKFCE @kirstyes #occhat when I case manage I set goals with folk & when doing FCEs there maybe tiny goals for that Ax(Tue, 26 Feb 2013 20:09:37 +0000)
@BillWongOT @Sophiebenko @OTalk_Occhat I think some settings have standardized time frames- influenced by facility, insurance, etc. #occhat (Tue, 26 Feb 2013 20:10:05 +0000)
@CharOTReilly #occhat SMART goals: specific, measurable, achievable, realistic and timely(Tue, 26 Feb 2013 20:10:14 +0000)
@kirstyes @Sophiebenko Hi there. So what does SMART stand for, for you? Can you give examples of types of goals you set? #occhat (Tue, 26 Feb 2013 20:10:23 +0000)
@kirstyes @clissa89 Why do you think that is? #occhat (Tue, 26 Feb 2013 20:10:34 +0000)
@tabbycats4 lurking without intent! hello I’m full of cold ๐Ÿ˜ฆ #occhat (Tue, 26 Feb 2013 20:10:59 +0000)
@gilliancrossley @UKFCE @kirstyes Yes I have to set clear goals for case management too. #occhat (Tue, 26 Feb 2013 20:11:04 +0000)
@kirstyes @BillWongOT Do you fell you have a lot of input in the goals? #occhat (Tue, 26 Feb 2013 20:11:07 +0000)
@gilliancrossley RT @tabbycats4 : lurking without intent! hello I’m full of cold ๐Ÿ˜ฆ #occhat (Tue, 26 Feb 2013 20:11:15 +0000)
@Stalkerbird @CharOTReilly check out MH4OT discussion ?facebook – A for activity – I liked the sound of that #occhat (Tue, 26 Feb 2013 20:11:20 +0000)
@clissa89 @tabbycats4 we seem to have a few ill people tonight! help yourself to some virtual cake and tea, hope you feel better ๐Ÿ™‚ #occhat (Tue, 26 Feb 2013 20:11:34 +0000)
@Dai2584 @kirstyes #occhat the law states who you have to consult with in order to outcome plan/goal set. The area’s you need to look at etc.(Tue, 26 Feb 2013 20:11:58 +0000)
@kirstyes RT @Stalkerbird : I set goals with parents in parenting groups, can be hard to get mix of meaningful goal and measurable goal… #occhat (Tue, 26 Feb 2013 20:12:00 +0000)
@BillWongOT @kirstyes Yes, because the OT directly asked me what I wanted to achieve by next session. #occhat (Tue, 26 Feb 2013 20:12:05 +0000)
@kirstyes @Stalkerbird Do you think that equates to long term (meaningful) and short term (measurable) goals maybe?? #occhat (Tue, 26 Feb 2013 20:12:35 +0000)
@OTalk_Occhat @Stalkerbird @SophieBenko @kirstyes seen a few different versions, eg R – Resourced/Realistic & M Meaningful/Measurable #occhat (Tue, 26 Feb 2013 20:12:43 +0000)
@CharOTReilly @kirstyes @sophiebenko in case studies we set goals & SMART objective e.g. Increase func independence Obj: practice transfers daily #occhat (Tue, 26 Feb 2013 20:13:01 +0000)
@kirstyes @OTalk_Occhat @gilliancrossley Did you find the GAS goals took long to come up with? #occhat (Tue, 26 Feb 2013 20:13:17 +0000)
@OTalk_Occhat @Stalkerbird @CharOTReilly I haven’t seen that discussion yet, can you summarise?? (is that possible?) #occhat (Tue, 26 Feb 2013 20:13:19 +0000)
@Stalkerbird @kirstyes maybe, and maybe that is also conflict about goal for service and goal for client? #occhat (Tue, 26 Feb 2013 20:14:01 +0000)
@BillWongOT @CharOTReilly @kirstyes @Sophiebenko In school settings, this is similar, such as # of letters recognized in alphabet. #occhat (Tue, 26 Feb 2013 20:14:08 +0000)
@CharOTReilly @Stalkerbird will do I love the sound of that #occhat #occfocused (Tue, 26 Feb 2013 20:14:10 +0000)
@tigrez #occhat the goals we set in community health tend to be loose, the emphasis is continuing rehab until ideal achieved or no further progress(Tue, 26 Feb 2013 20:14:13 +0000)
@kirstyes #occhat People used Occupational Therapy models to guide their Assessment Process but does this continue through to the goal setting stage?(Tue, 26 Feb 2013 20:14:16 +0000)
@LadybirdLynnie I continually set goals with clients throughout MH interventions. As a persons confidence increases goals can change #occhat (Tue, 26 Feb 2013 20:14:35 +0000)
@BillWongOT @LadybirdLynnie yup… I see that from a client perspective. #occhat (Tue, 26 Feb 2013 20:15:16 +0000)
@Stalkerbird @OTalk_Occhat it is quite a discussion – lots of devil’s advocate positions! #occhat (Tue, 26 Feb 2013 20:15:33 +0000)
@OTalk_Occhat @LadybirdLynnie hi Lynne ๐Ÿ™‚ can you give us some examples of types of goals? #occhat (Tue, 26 Feb 2013 20:15:34 +0000)
@kirstyes @Stalkerbird @OTalk_Occhat So would you simply measure their confidence on a scale and aim for a level of conf they wanted? #occhat (Tue, 26 Feb 2013 20:15:36 +0000)
@Dai2584 @Stalkerbird @kirstyes #occhat I’ve had issues over professionlism with how goals are worded re service goals/ client goals(Tue, 26 Feb 2013 20:15:44 +0000)
@OTSophie Interestingly,sometimes in practice we are asked to NOT b specific in order to avoid tricky legal situations!Has any1 else had this? #occhat (Tue, 26 Feb 2013 20:16:03 +0000)
@gilliancrossley GAS scaling as mentioned by @clissa89 #occhat http://t.co/BXCpeze6FJ (Tue, 26 Feb 2013 20:16:16 +0000)
@kirstyes @UKFCE FCE? #occhat (Tue, 26 Feb 2013 20:16:28 +0000)
@OTalk_Occhat @OTSophie that’s a new situation to me, can you give an example? #occhat (Tue, 26 Feb 2013 20:16:30 +0000)
@BillWongOT @kirstyes I think so because if they r motivated on the goals, then they r more likely 2 put the effort 2 at least try to meet them. #occhat (Tue, 26 Feb 2013 20:16:36 +0000)
@kirstyes @BillWongOT @Sophiebenko @OTalk_Occhat So what happens if you think the client won’t meet those time frames? #occhat (Tue, 26 Feb 2013 20:17:03 +0000)
@DoBeDoBeDo14 Just started OT course so dropping in on #Occhat tonight!(Tue, 26 Feb 2013 20:17:06 +0000)
@BillWongOT @OTSophie yes… this is interesting… please tell us more. #occhat (Tue, 26 Feb 2013 20:17:14 +0000)
@kirstyes RT @Stalkerbird : @CharOTReilly check out MH4OT discussion ?facebook – A for activity – I liked the sound of that #occhat (Tue, 26 Feb 2013 20:17:23 +0000)
@Stalkerbird @kirstyes yes – think if their identified goal is increased confidence it is the goal to go for #occhat (Tue, 26 Feb 2013 20:17:30 +0000)
@OTalk_Occhat @DoBeDoBeDo14 yay! welcome to #Occhat and to the profession ๐Ÿ™‚ hope you’ll find the chat interesting/useful. we’re talking goal setting(Tue, 26 Feb 2013 20:17:36 +0000)
@gilliancrossley RT @OTalk_Occhat : @DoBeDoBeDo14 yay! welcome to #Occhat and to the profession ๐Ÿ™‚ hope you’ll find the chat interesting/useful. we’re talking goal setting(Tue, 26 Feb 2013 20:17:51 +0000)
@BillWongOT @kirstyes @Sophiebenko @OTalk_Occhat If it’s in school setting, then the goals will have to be modified for next period. #occhat (Tue, 26 Feb 2013 20:18:00 +0000)
@UKFCE @kirstyes Soz functional capacity eval it’s for work Ax mostly #occhat (Tue, 26 Feb 2013 20:18:10 +0000)
@tabbycats4 have been on 2 placements and goals not really prioritised on acute stroke ward more about discharge #occhat (Tue, 26 Feb 2013 20:18:18 +0000)
@gilliancrossley RT @tabbycats4 : have been on 2 placements and goals not really prioritised on acute stroke ward more about discharge #occhat (Tue, 26 Feb 2013 20:18:36 +0000)
@kirstyes This chapter good #occhat Bowman, J & Mogensen, L.L (2010) Writing occupation-focused goals. In Curtin M, Molineux M & Supyk-Mellson J 1/2(Tue, 26 Feb 2013 20:18:44 +0000)
@OTalk_Occhat @tabbycats4 it’s interesting, all my placements have been very different. where I work now, “care plans” are prioritised #occhat (Tue, 26 Feb 2013 20:18:50 +0000)
@BillWongOT @kirstyes @Sophiebenko @OTalk_Occhat But in other times, you may have to fight w/ insurance company for more services. #occhat (Tue, 26 Feb 2013 20:18:55 +0000)
@gilliancrossley RT @kirstyes : This chapter good #occhat Bowman, J & Mogensen, L.L (2010) Writing occupation-focused goals. In Curtin M, Molineux M & Supyk-Mellson J 1/2(Tue, 26 Feb 2013 20:18:55 +0000)
@kirstyes #occhat 2/2 (2010) Occupational Therapy and Physical Dysfunction. Edinburgh: Churchill Livingstone/Elsevier, pp. 95-109.(Tue, 26 Feb 2013 20:18:58 +0000)
@Stalkerbird has anyone had anything to do with IAPT? (Improving access to psychological therapies)> focus on routine outcome measurement #occhat (Tue, 26 Feb 2013 20:19:02 +0000)
@gilliancrossley RT @kirstyes : #occhat 2/2 (2010) Occupational Therapy and Physical Dysfunction. Edinburgh: Churchill Livingstone/Elsevier, pp. 95-109.(Tue, 26 Feb 2013 20:19:13 +0000)
@kirstyes RT @Dai2584 : @kirstyes #occhat the law states who you have to consult with in order to outcome plan/goal set. The area’s you need to look at etc.(Tue, 26 Feb 2013 20:19:15 +0000)
@OTalk_Occhat @kirstyes I remember that being a very good chapter, but don’t remember the details of how they formatted goals #occhat (Tue, 26 Feb 2013 20:19:25 +0000)
@CharOTReilly @OTalk_Occhat @tabbycats4 agree with that, every setting is different isn’t it #occhat (Tue, 26 Feb 2013 20:19:40 +0000)
@kirstyes @Dai2584 Interesting that it dictates who, hope the client and carers are on that list. #occhat (Tue, 26 Feb 2013 20:19:41 +0000)
@CharOTReilly @kirstyes love this book!! #occhat (Tue, 26 Feb 2013 20:20:01 +0000)
@kirstyes @BillWongOT What would you say happens if they don’t feel your goal is realistic for example? Do they break it down with you? #occhat (Tue, 26 Feb 2013 20:20:33 +0000)
@kirstyes Do we have any OT clients here tonight? If so what has your experience of goal setting been? #occhat (Tue, 26 Feb 2013 20:21:01 +0000)
@BillWongOT @Sophiebenko I think it does, but it is embedded in our practice. Learned about that during my placement site evaluations. #occhat (Tue, 26 Feb 2013 20:21:19 +0000)
@OTSophie . @OTalk_Occhat not one that provided over night care yet we’re forced2due to binding legality of the goal. #occhat (Tue, 26 Feb 2013 20:21:31 +0000)
@clissa89 #BPDChat RT @kirstyes : Do we have any OT clients here tonight? If so what has your experience of goal setting been? #occhat (Tue, 26 Feb 2013 20:21:33 +0000)
@LadybirdLynnie I like people to think of a small goal initially that gives ‘an easy win’ increases confidence in the ‘doing’? and promotes more! #occhat (Tue, 26 Feb 2013 20:22:03 +0000)
@kirstyes @tigrez Who sets the ideal? Is stating an ideal not setting a goal? Albeit a long term one. #occhat (Tue, 26 Feb 2013 20:22:11 +0000)
@BillWongOT @kirstyes That never happened to me. I think it’s because I know how to set reasonable goals well for myself. #occhat (Tue, 26 Feb 2013 20:22:14 +0000)
@BillWongOT @kirstyes I think if I didn’t follow through with a goal, they will then ask me why I didn’t follow through first. #occhat (Tue, 26 Feb 2013 20:22:52 +0000)
@kirstyes @Stalkerbird @OTalk_Occhat It is well worth a read – I put the link on the blogpost #occhat (Tue, 26 Feb 2013 20:22:59 +0000)
@annabelrule Goals are tricky in acute physical settings. But no doubt patient and OT are working toward same goal of safe discharge? #occhat (Tue, 26 Feb 2013 20:23:07 +0000)
@OTalk_Occhat #occhat MT @OTSophie e.g. from the service is when someone’s goal was”to be able to toilet using commode during the night”.The service were(Tue, 26 Feb 2013 20:23:16 +0000)
@Stalkerbird @kirstyes thanks for the link – it was a good read! #occhat (Tue, 26 Feb 2013 20:23:41 +0000)
@BillWongOT @Sophiebenko Right now I am actually doing research. But, my practice interest is w/ ppl with #autism . #occhat (Tue, 26 Feb 2013 20:23:45 +0000)
@BillWongOT @annabelrule Or I will add sometimes caregivers, too… in the event patients don’t have the ability to set their own goals. #occhat (Tue, 26 Feb 2013 20:24:48 +0000)
@kirstyes @OTSophie @OTalk_Occhat That is very specific including treatment. I’d suggest, toileting safely overnight might be broader. #occhat (Tue, 26 Feb 2013 20:25:15 +0000)
@OTKaff Goals on the acute ward i’m currently on = to home as safe &indep as poss tho some folks not keen on safety and/or independence! #occhat (Tue, 26 Feb 2013 20:25:40 +0000)
@Stalkerbird quick tweet help question – can you go back and look at conversation in tweetchat? #occhat (Tue, 26 Feb 2013 20:26:03 +0000)
@kirstyes @BillWongOT How does using the model increase client motivation do you think? #occhat (Tue, 26 Feb 2013 20:26:22 +0000)
@anyadei #occhat fascinating so far! How can you help patients communicate their goals – 1st step to jointly achieving them http://t.co/TAq5vmJ4IN (Tue, 26 Feb 2013 20:27:14 +0000)
@LadybirdLynnie @OTalk_Occhat some of the goals can be things like going to the supermarket. Taking kids to a school event. Calling a friend etc #occhat (Tue, 26 Feb 2013 20:27:29 +0000)
@clissa89 #occhat MT @tigrez : the client. “ideal” tends to be what they were doing before, or what they need to manage to cope in their new lifestyle(Tue, 26 Feb 2013 20:27:38 +0000)
@BillWongOT @kirstyes If the clients buy into the goals, that’s volition. When they start working towards the goals, that’s habituation. #occhat 1/2(Tue, 26 Feb 2013 20:27:50 +0000)
@BillWongOT @kirstyes When they perform the goals successfully, that’s performance. #occhat (Tue, 26 Feb 2013 20:28:05 +0000)
@kirstyes #occhat Do people then, for example, identify which ?construct? of the model goals are directed at, e.g. for MOHO ? volition or roles, 1/2(Tue, 26 Feb 2013 20:28:19 +0000)
@kirstyes #occhat for CMOP-E, the Person, Different aspects of the environment etc? 1/2(Tue, 26 Feb 2013 20:28:33 +0000)
@LadybirdLynnie @OTalk_Occhat a lot of my patients are agoraphobic hence why these goals tend to be about expanding their world bit by bit #occhat (Tue, 26 Feb 2013 20:29:03 +0000)
@kirstyes @Stalkerbird No, do share more. Does this fit in occupationally do you think? #occhat (Tue, 26 Feb 2013 20:29:19 +0000)
@clissa89 #occhat MT @tigrez : & yes it is a goal…we set loose goals. The emphasis is to improving to maximum potential within our service then…(Tue, 26 Feb 2013 20:29:26 +0000)
@BillWongOT @anyadei This is ideal if the clients have great abilities to. But if not, then I will use motivational interviewing. #occhat (Tue, 26 Feb 2013 20:29:52 +0000)
@BPDFFS RT @clissa89 : #BPDChat RT @kirstyes : Do we have any OT clients here tonight? If so what has your experience of goal setting been? #occhat (Tue, 26 Feb 2013 20:30:36 +0000)
@kirstyes @annabelrule Not always. I’ve known some clients who don’t actually want to go home. #occhat (Tue, 26 Feb 2013 20:30:49 +0000)
@BillWongOT @clissa89 @tigrez In some settings, however, loose goals are discouraged. I know that’s the case w/ my school based placement site. #occhat (Tue, 26 Feb 2013 20:31:04 +0000)
@Dai2584 @LadybirdLynnie @OTalk_Occhat #occhat and my clients too.(Tue, 26 Feb 2013 20:31:06 +0000)
@LadybirdLynnie @annabelrule yes I agree. A lot of people initially come up with goals which are too much and unrealistic. Motivation is key in MH. #occhat (Tue, 26 Feb 2013 20:31:33 +0000)
@kirstyes @anyadei Thanks for the link #occhat (Tue, 26 Feb 2013 20:31:44 +0000)
@BillWongOT @kirstyes @annabelrule I also heard of such cases, too. in some instances, the OT might not be comfortable in sending clients home. #occhat (Tue, 26 Feb 2013 20:31:53 +0000)
@clissa89 #occhat MT @tigrez : Using compensatory measures & referring onto longer term services as appropriate, focus is on updating careplans to …(Tue, 26 Feb 2013 20:32:01 +0000)
@OTKaff MH OTs how do you help avolitional SUs who can’t see ideals or have any goals? #occhat (Tue, 26 Feb 2013 20:32:07 +0000)
@Stalkerbird @kirstyes Just that in the children’s IAPT some of it was having the discussion earlier if things aren’t working, which I liked #occhat (Tue, 26 Feb 2013 20:32:09 +0000)
@clissa89 @OTKaff do you mean, e.g. if someone is unresponsive to environment? #occhat (Tue, 26 Feb 2013 20:32:47 +0000)
@Stalkerbird Sorry – have to dip out for a short while… will catch up hopefully in a bit #occhat (Tue, 26 Feb 2013 20:32:50 +0000)
@BillWongOT @LadybirdLynnie @annabelrule I one time set a goal that my OT thought was unrealistic at the time, turned out I achieved it! #occhat (Tue, 26 Feb 2013 20:32:50 +0000)
@kirstyes RT @OTKaff : MH OTs how do you help avolitional SUs who can’t see ideals or have any goals? #occhat (Tue, 26 Feb 2013 20:32:56 +0000)
@LadybirdLynnie RT @clissa89 : #occhat MT @tigrez : the client. “ideal” tends to be what they were doing before, or what they need to manage to cope in their new lifestyle(Tue, 26 Feb 2013 20:33:27 +0000)
@kirstyes Do we always have to focus at the Occupation level or is it ok to address/set goals around performance components etc.? #occhat (Tue, 26 Feb 2013 20:33:27 +0000)
@clissa89 @kirstyes this is a v good article by Gray: occupation as ends (goal/outcome) and means (treatment modality) http://t.co/tHpEnZrxWt #occhat (Tue, 26 Feb 2013 20:34:16 +0000)
@annabelrule @BillWongOT @LadybirdLynnie It’s true the ‘realistic’ aspect of a SMART goal is definitely subjective. #occhat (Tue, 26 Feb 2013 20:34:27 +0000)
@anyadei @BillWongOT yes – not always possible! If people can still ‘own’ their goals though, however developed!? #occhat (Tue, 26 Feb 2013 20:34:35 +0000)
@BillWongOT @kirstyes That makes me think of Gray (1998) article on occupation as means and occupations as ends. #occhat (Tue, 26 Feb 2013 20:34:47 +0000)
@clissa89 @kirstyes in my practice, it’s often a combination of occupational performance and skills #occhat (Tue, 26 Feb 2013 20:34:54 +0000)
@tigrez @OTalk_Occhat @tabbycats4 care plans, and reviewing and updating them as the person progresses, are the emphasis where I work too. #occhat (Tue, 26 Feb 2013 20:35:22 +0000)
@LadybirdLynnie @BillWongOT I think that’s fair to say. It’s a skill of an OT to break down big goals and make them achievable in the end. #occhat (Tue, 26 Feb 2013 20:35:45 +0000)
@BillWongOT @Dai2584 @kirstyes what I meant is are goals that came through collaboration between the client and the OT. #occhat (Tue, 26 Feb 2013 20:35:56 +0000)
@clissa89 @tigrez @tabbycats4 what kind of setting do you work in? I’d never come across care plans until I started this job #occhat (Tue, 26 Feb 2013 20:36:20 +0000)
@Dai2584 @kirstyes #occhat whats the difference between occ and performance goals. As long as you improving function(Tue, 26 Feb 2013 20:36:31 +0000)
@kirstyes @BillWongOT You & @clissa89 mentioned the same article together #occhat Do you think the occupational goal gets forgotten sometimes?(Tue, 26 Feb 2013 20:36:45 +0000)
@BillWongOT @LadybirdLynnie well… that was actually me trying out to present at #OT conference for the first time. #occhat (Tue, 26 Feb 2013 20:36:53 +0000)
@BillWongOT @LadybirdLynnie so that was basically a “do or die” goal of sorts. #occhat (Tue, 26 Feb 2013 20:37:24 +0000)
@OTKaff @clissa89 #occhat i mean e.g. Someone who perhaps wants to ‘recover’ but can’t identify what they find meaningful(Tue, 26 Feb 2013 20:37:42 +0000)
@BillWongOT @anyadei that’s where motivational interviewing comes in… makes it more likely for clients to own their goals. #occhat (Tue, 26 Feb 2013 20:37:56 +0000)
@kirstyes @Dai2584 Ah but we are occupational therapists not functional therapists. Some say it’s about occ engagement not just performance #occhat (Tue, 26 Feb 2013 20:38:17 +0000)
@tigrez @clissa89 @tabbycats4 Community Response and Rehab team, (previously Intermediate Care) it’s in community NHS #occhat (Tue, 26 Feb 2013 20:38:24 +0000)
@tabbycats4 clissa89 @tigrez was working in MH as support worker used recovery star, next OT placement = equipment #occhat (Tue, 26 Feb 2013 20:38:37 +0000)
@clissa89 @tabbycats4 @tigrez as a support worker, I also used a Star and associated support plans ๐Ÿ™‚ #occhat (Tue, 26 Feb 2013 20:39:14 +0000)
@Dai2584 @OTKaff @clissa89 #occhat ever heard of the magic ward question. that helps. when ppl want to recover but dont know how or what to do(Tue, 26 Feb 2013 20:40:18 +0000)
@tabbycats4 @tigrez lucky you! I want to work in the community #occhat (Tue, 26 Feb 2013 20:40:40 +0000)
@kirstyes Think people have started answering – How do we involve our clients in the goal setting process ? whose goals are they anyway? #occhat (Tue, 26 Feb 2013 20:40:43 +0000)
@kirstyes And What challenges are there to being client-centred when goal setting? #occhat (but I’ll put them up anyway)(Tue, 26 Feb 2013 20:41:01 +0000)
@clissa89 @Dai2584 @OTKaff don’t think I’ve heard of it, unless it’s linked to solution focused brief therapy? #occhat (Tue, 26 Feb 2013 20:41:02 +0000)
@LadybirdLynnie @kirstyes I think it does! As a new grad I always try and keep that in mind! #occhat (Tue, 26 Feb 2013 20:41:32 +0000)
@tigrez @BillWongOT @clissa89 it depends on your setting, and what service you are trying to provide, as to what method works best #occhat (Tue, 26 Feb 2013 20:41:42 +0000)
@Dai2584 @kirstyes fair point #occhat (Tue, 26 Feb 2013 20:41:42 +0000)
@otnotes @clissa89 agree, this is what I often do too, especially if component skill is important to client. #occhat (Tue, 26 Feb 2013 20:42:24 +0000)
@clissa89 @kirstyes I often ask people what’s important to them, what they think needs to change etc #occhat (Tue, 26 Feb 2013 20:42:46 +0000)
@tigrez @kirstyes …achieve this by progressing them as the person progresses. The goal of the end result is flexible to reflect this #occhat (Tue, 26 Feb 2013 20:42:52 +0000)
@BillWongOT @tigrez @clissa89 Insurance companies can throw a wrench into setting loose goals. They want “evidence” that clients improve. #occhat (Tue, 26 Feb 2013 20:43:01 +0000)
@kirstyes @Dai2584 But I do agree that we need to work on skills, tasks and activities but ideally have an overall goal of engagement in xyz #occhat (Tue, 26 Feb 2013 20:43:09 +0000)
@anyadei @kirstyes no simple answers but concept of people “owning” their goals is really important! Co-produced, but owned by the patient! #occhat (Tue, 26 Feb 2013 20:43:35 +0000)
@kirstyes @otnotes @clissa89 Can you give an example of a component goal you might set? #occhat (Tue, 26 Feb 2013 20:43:43 +0000)
@clissa89 #occhat RT @Dai2584 : @clissa89 @OTKaff yeah its a brief solution tech. It can work well or quite badly. so you need to be careful(Tue, 26 Feb 2013 20:44:14 +0000)
@otnotes @kirstyes COPM can be useful tool, but some clients are very resistant 2 articulating own goals, just want the professional to do it #occhat (Tue, 26 Feb 2013 20:44:14 +0000)
@BillWongOT @clissa89 @kirstyes Good questions… very client centered! #occhat (Tue, 26 Feb 2013 20:44:15 +0000)
@tabbycats4 how do we help people identify goals when they have been institutionalized in MH rehab setting? motivational interviewing, help? #occhat (Tue, 26 Feb 2013 20:44:30 +0000)
@BillWongOT @annabelrule @tigrez @clissa89 Yes… I sometimes set loose goals as a client. #occhat (Tue, 26 Feb 2013 20:44:43 +0000)
@kirstyes @tigrez If you get chance once the blog post goes up would you give an example in the comments. Hard to get across in 140. #occhat (Tue, 26 Feb 2013 20:45:00 +0000)
@UKFCE @BillWongOT @kirstyes that’s the most simple explanation ever-fab ๐Ÿ™‚ thanks #occhat (Tue, 26 Feb 2013 20:45:18 +0000)
@OTSophie . @kirstyes again,i think restrictions in the setting, e.g. FACS banding, resource limitations of all kinds! #occhat (Tue, 26 Feb 2013 20:45:21 +0000)
@tigrez @BillWongOT @clissa89 there are other ways to show evidence, such as progressed care plans, reduced services, & functional scales #occhat (Tue, 26 Feb 2013 20:45:24 +0000)
@BillWongOT @otnotes @kirstyes Agreed. Culture (among 1 of many factors) may have something to do with that. #occhat (Tue, 26 Feb 2013 20:45:27 +0000)
@kirstyes @anyadei Getting their ‘sign-off’ either literally or figuaratively. #occhat (Tue, 26 Feb 2013 20:46:12 +0000)
@tigrez @tabbycats4 it suits me much better, I find there is more client (and therapist) autonomy in the rehab than a hospital setting #occhat (Tue, 26 Feb 2013 20:46:26 +0000)
@LadybirdLynnie in a psychoeducational group setting, I often think people find it hard to define their own goals and tend to go with everyone else. #occhat (Tue, 26 Feb 2013 20:46:28 +0000)
@otnotes @kirstyes @clissa89 #occhat like in hand therapy may have improve ROM/strength/p! But usually try to add “to better complete adl” or similar(Tue, 26 Feb 2013 20:46:40 +0000)
@kirstyes Which goal setting methods have people used and how effective do they find them, e.g. SMART, GAS, NLP, based on the COPM etc etc? #occhat (Tue, 26 Feb 2013 20:46:41 +0000)
@UKFCE @clissa89 @kirstyes me too #occhat (Tue, 26 Feb 2013 20:46:47 +0000)
@BillWongOT @Flawson12 @clissa89 @kirstyes for some clients, u can push them to do more. For some clients, it’s better to be conservative. #occhat (Tue, 26 Feb 2013 20:46:54 +0000)
@kirstyes Going to check my final question out there too Are people comfortable with the distinction between goals and action plans? #occhat (Tue, 26 Feb 2013 20:47:25 +0000)
@kirstyes RT @otnotes : @kirstyes @clissa89 #occhat like in hand therapy may have improve ROM/strength/p! But usually try to add “to better complete adl” or similar(Tue, 26 Feb 2013 20:47:49 +0000)
@OTSophie I think that’s why rapport is so important,to get to know that person to know how to encourage goals to come from that person. #occhat xx(Tue, 26 Feb 2013 20:47:57 +0000)
@CharOTReilly @kirstyes resources can impact ability to be occ focused e.g. Time, money, staff #occhat (Tue, 26 Feb 2013 20:48:01 +0000)
@kirstyes @otnotes @clissa89 Yay for the addition ;o) #occhat (Tue, 26 Feb 2013 20:48:02 +0000)
@annabelrule @kirstyes We were always encouraged at Uni to use SMART and I think it works well #occhat (Tue, 26 Feb 2013 20:48:18 +0000)
@BillWongOT @kirstyes as a client- COPM was used in my LRD sessions. #occhat (Tue, 26 Feb 2013 20:48:21 +0000)
@FrancescaABrown #occhat I may be misunderstanding, but often goal setting was so specific & seemed to be purely for outcome measures for service & not so cc(Tue, 26 Feb 2013 20:48:35 +0000)
@otnotes @BillWongOT yes, elderly pts also. Many parents of peds clients just want me to do things instead of being involved in tx #occhat (Tue, 26 Feb 2013 20:48:39 +0000)
@BillWongOT @kirstyes but in school settings, SMART is the way to go. #occhat (Tue, 26 Feb 2013 20:48:43 +0000)
@BillWongOT RT @CharOTReilly : @kirstyes resources can impact ability to be occ focused e.g. Time, money, staff #occhat (Tue, 26 Feb 2013 20:48:59 +0000)
@BillWongOT @OTSophie yes… have you taken a class on motivational interviewing? #occhat (Tue, 26 Feb 2013 20:49:22 +0000)
@kirstyes RT @FrancescaABrown : #occhat I may be misunderstanding, but often goal setting was so specific & seemed to be purely for outcome measures for service & not so cc(Tue, 26 Feb 2013 20:49:32 +0000)
@tabbycats4 annabelrule @kirstyes also encouraged to use SMART by uni #occhat (Tue, 26 Feb 2013 20:49:40 +0000)
@clissa89 #occhat MT @tigrez : @kirstyes I will try to put an example, but careplans can be quite lengthy in themselves and very individual(Tue, 26 Feb 2013 20:50:02 +0000)
@OTSophie . @BillWongOT I haven’t, but I have read the book! #occhat (Tue, 26 Feb 2013 20:50:35 +0000)
@kirstyes @FrancescaABrown No, I have seen this. Seen goals written as provide chair raisers. They are given but has it changed anything? #occhat (Tue, 26 Feb 2013 20:50:35 +0000)
@tigrez @kirstyes it certainly is. I will try to put an example, but careplans can be quite lengthy in themselves and very individual #occhat (Tue, 26 Feb 2013 20:50:39 +0000)
@CharOTReilly @kirstyes I haven’t acknowledged the difference before. Is goals the aim and action plan how implemented? #occhat gd question made me think(Tue, 26 Feb 2013 20:50:49 +0000)
@OTKaff #occhat a goal for pts is often to get in the bath but in acute setting that’s now for community ots to do – reduced resources(Tue, 26 Feb 2013 20:50:55 +0000)
@BillWongOT @otnotes I think that’s where we got to be flexible. Slowly maybe we can educate clients/caregivers on reality. #occhat (Tue, 26 Feb 2013 20:51:01 +0000)
@otnotes @kirstyes copm more of a tool to define goals but SMART for writing so they are reimbursed #occhat (Tue, 26 Feb 2013 20:51:07 +0000)
@BillWongOT @OTSophie I just took a class on it. Very useful. You should get 3rd edition. #occhat (Tue, 26 Feb 2013 20:51:27 +0000)
@anyadei @kirstyes but an ongoing process too – if they continue to feel ownership of it, more likely of complete goal?! Not just at outset! #occhat (Tue, 26 Feb 2013 20:51:34 +0000)
@kirstyes @tabbycats4 Do you write goals out using each letter or just use the general principles of SMART? #occhat I like writing one/ two sentences(Tue, 26 Feb 2013 20:51:47 +0000)
@tabbycats4 OTSophie . @BillWongOT are there any affordable Motivational interviewing courses?! ps for a student #occhat (Tue, 26 Feb 2013 20:51:57 +0000)
@BillWongOT RT @otnotes : @kirstyes copm more of a tool to define goals but SMART for writing so they are reimbursed #occhat (Tue, 26 Feb 2013 20:52:01 +0000)
@kirstyes @clissa89 @tigrez Thanks – no need to put a whole care plan but just interested in the looseness and how this works. #occhat (Tue, 26 Feb 2013 20:52:20 +0000)
@BillWongOT @tabbycats4 If your school offers a course, take it! That’s what I did. #occhat (Tue, 26 Feb 2013 20:52:26 +0000)
@clissa89 @kirstyes @tabbycats in assignments, I used the format in the Phys Dys book or the MOHO book #occhat (Tue, 26 Feb 2013 20:52:37 +0000)
@kirstyes @OTSophie Very good point. #occhat (Tue, 26 Feb 2013 20:52:59 +0000)
@annabelrule Action plans are the break downs of how OT and SU are going to achieve the goal, step by step? Not widely used in Physical settings? #occhat (Tue, 26 Feb 2013 20:53:00 +0000)
@tigrez @BillWongOT @annabelrule @clissa89 loose goals, such as improving generally in coping with ADL’s or finding new ways, can avoid … #occhat (Tue, 26 Feb 2013 20:53:03 +0000)
@clissa89 @kirstyes @tigrez I’m still getting my head around care plans as I didn’t encounter them as a student #occhat (Tue, 26 Feb 2013 20:53:22 +0000)
@kirstyes @otnotes reimbursed – by insurance companies is that? #occhat (Tue, 26 Feb 2013 20:53:49 +0000)
@tigrez @BillWongOT @annabelrule @clissa89 …potential disappointment of not achieving specific set goals. #occhat (Tue, 26 Feb 2013 20:54:19 +0000)
@tabbycats4 @BillWongOT only seen one run by LAU but expensive will keep a look out #occhat (Tue, 26 Feb 2013 20:54:26 +0000)
@BillWongOT @annabelrule I think they are used… but they are sometimes embedded in our practice. #occhat (Tue, 26 Feb 2013 20:54:44 +0000)
@clissa89 @tabbycats4 @BillWongOT let me know if you find anything! I’m looking too #occhat (Tue, 26 Feb 2013 20:55:09 +0000)
@CharOTReilly @Dai2584 thanks David #occhat (Tue, 26 Feb 2013 20:55:12 +0000)
@kirstyes @annabelrule That’s interesting, I worked in a phys setting and often saw action plans as the goals rather than occ outcomes. #occhat (Tue, 26 Feb 2013 20:55:23 +0000)
@tabbycats4 @kirstyes TBH writting SMART goals not a strong point yet.. feels bit false, writing out using each letter so far #occhat (Tue, 26 Feb 2013 20:55:50 +0000)
@anyadei @FrancescaABrown interesting! Not just the outcome of the goal, but who’s outcome is achieving the goal?! Patients or services?! #occhat (Tue, 26 Feb 2013 20:55:51 +0000)
@annabelrule @BillWongOT yes I guess I meant they’re not formally written or presented to patient. Feels to me more rehab than acute? #occhat (Tue, 26 Feb 2013 20:55:56 +0000)
@BillWongOT @tigrez @annabelrule @clissa89 that’s where knowing ur client is handy. I’m resilient, I don’t feel 2 discouraged w/ goals not met. #occhat (Tue, 26 Feb 2013 20:55:56 +0000)
@tigrez @BillWongOT @annabelrule @clissa89 Specific goals need to be realistically achievable AND meaningful(not so low as to be patronising) #occhat (Tue, 26 Feb 2013 20:56:06 +0000)
@clissa89 @BillWongOT @tigrez @annabelrule you’re right, it’s all about knowing our clients ๐Ÿ™‚ #occhat (Tue, 26 Feb 2013 20:56:20 +0000)
@OTKaff #occhat thanks everyone lots of food for thought and info to mull over. Need to set self a goal to read and reflect on docs posted!(Tue, 26 Feb 2013 20:56:40 +0000)
@kirstyes @CharOTReilly That’s how I would distinguish them. So goal, stand from chair safely in 1 attempt. Action -provide chair raisers etc. #occhat (Tue, 26 Feb 2013 20:56:57 +0000)
@Flawson12 @clissa89 @BillWongOT @tigrez @annabelrule Agreed ๐Ÿ™‚ #occhat (Tue, 26 Feb 2013 20:57:14 +0000)
@tabbycats4 clissa89 @tabbycats4 @BillWongOT hmmm Maybe we could strike a deal if we have a few numbers interested..will investigate ๐Ÿ™‚ #occhat (Tue, 26 Feb 2013 20:57:16 +0000)
@BillWongOT @tigrez @annabelrule @clissa89 yes… I purposely set them on the high side as a client. #occhat (Tue, 26 Feb 2013 20:57:21 +0000)
@clissa89 @OTKaff the grabchat will be up in 24 hours, if you missed any links etc ๐Ÿ™‚ #occhat (Tue, 26 Feb 2013 20:57:34 +0000)
@BillWongOT @tigrez @annabelrule @clissa89 But I know I have to tone that down if I work with individuals w/ #autism sometimes. #occhat (Tue, 26 Feb 2013 20:57:43 +0000)
@kirstyes Thanks all. Last 3 minutes. Take home messages? #occhat .
Anyone think they might explore framing goals around OT model they use?(Tue, 26 Feb 2013 20:57:59 +0000)
@tigrez @clissa89 @kirstyes how they work here is professionals assess and draw up what level of support/prompts/ independence to work to.. #occhat (Tue, 26 Feb 2013 20:58:08 +0000)
@clissa89 #occhat MT @OTSophie : I think the goal is what they want to achieve and the action plan is how to achieve it?We call them needs&outcomes(Tue, 26 Feb 2013 20:58:09 +0000)
@annabelrule @kirstyes I will look out for them as I rotate! Come to think of it, think they were used as a student in Stroke rehab lots. #occhat (Tue, 26 Feb 2013 20:58:12 +0000)
@CharOTReilly @Dai2584 yes I’m Cardiff that’s right #occhat where are you based?(Tue, 26 Feb 2013 20:58:44 +0000)
@otnotes @kirstyes yes. Also must be measurable in school settings,etc for legal reasons in US. No maintenance plans allowed #occhat (Tue, 26 Feb 2013 20:58:53 +0000)
@OTSophie . @CharOTReilly . @kirstyes goal:what they want to achieve and the action plan how to achieve it?We call them needs&outcomes #occhat (Tue, 26 Feb 2013 20:59:07 +0000)
@clissa89 @otnotes @kirstyes what do you mean by maintenance plan? #occhat (Tue, 26 Feb 2013 20:59:14 +0000)
@BillWongOT @kirstyes Client centered and/or family centered are vital in goal setting. #occhat (Tue, 26 Feb 2013 20:59:29 +0000)
@kirstyes @clissa89 @OTKaff I’m going to post grabchat nowish and then redo in 24 hours – that way if life gets in the way it’s there!! #occhat (Tue, 26 Feb 2013 20:59:30 +0000)
@tigrez @clissa89 @kirstyes with primary care workers going in upto 4xday to work from plans,then person reviewed & plans updated regularly #occhat (Tue, 26 Feb 2013 21:00:19 +0000)
@otnotes @clissa89 @kirstyes #occhat Our goals must reflect therapy achieving something new, not preventing disability or maintaining fxn.(Tue, 26 Feb 2013 21:00:51 +0000)
@kirstyes @annabelrule If you aren’t seeing that then that might be a good thing. Think an action plan needed by a goal to make it achieveable #occhat (Tue, 26 Feb 2013 21:01:06 +0000)
@clissa89 Thank you everyone for participating tonight… I’m going to sneak off now! #occhat (Tue, 26 Feb 2013 21:01:20 +0000)
@BillWongOT @tigrez @clissa89 @kirstyes speaking of primary care, OT is trying to find its place in it in US #occhat (Tue, 26 Feb 2013 21:01:36 +0000)
@Keeper85 #occhat damn! Did I miss the chat!? I wanted to see this one!(Tue, 26 Feb 2013 21:01:36 +0000)
@clissa89 @Keeper85 know you’ve got a lot to say on this topic – so talk away! officially over but grabchat includes 24hrs after #occhat (Tue, 26 Feb 2013 21:02:15 +0000)
@kirstyes @tabbycats4 Do take a look at the examples in the chapter I posted – much better format than using letters individually. #occhat (Tue, 26 Feb 2013 21:02:38 +0000)
@LadybirdLynnie @clissa89 me too…need to prepare to fly back to the UK from New Zealand ? groan!!! #occhat L x(Tue, 26 Feb 2013 21:03:10 +0000)
@Keeper85 @clissa89 ill have a read first and provide an opinion lol #occhat (Tue, 26 Feb 2013 21:04:38 +0000)
@tigrez @clissa89 @billwongot @annabelrule agreed, it works well with some.Though not popular to have unmet goals from tendering perspective #occhat (Tue, 26 Feb 2013 21:04:54 +0000)
@anyadei Thanks one and all for great conversations this evening #HAchat #occhat night night!(Tue, 26 Feb 2013 21:05:02 +0000)
@tabbycats4 kirstyes
thank you I will do #occhat (Tue, 26 Feb 2013 21:05:02 +0000)
@annabelrule @kirstyes true, I think perhaps action plans are there but not explicitly labelled so. #occhat (Tue, 26 Feb 2013 21:05:11 +0000)
@kirstyes Thanks everyone. Sorry if I missed commenting on your contribution. #occhat (Tue, 26 Feb 2013 21:05:34 +0000)
@BillWongOT @tigrez @clissa89 @annabelrule with folks with #autism (aside from myself), I will try to error on the conservative side. 1/2 #occhat (Tue, 26 Feb 2013 21:06:14 +0000)
@BillWongOT @tigrez @clissa89 @annabelrule my reason is that some individuals w/ #autism can b afraid of failure. Goals set 2 high can cause it. #occhat (Tue, 26 Feb 2013 21:07:10 +0000)
@Stalkerbird @kirstyes thanks for hosting Kirsty, was really thought provoking #occhat (Tue, 26 Feb 2013 21:07:52 +0000)
@kirstyes @Stalkerbird Thanks as always to contributors. Have Occupational Interventions and Occupational Evaluation/Outcome Measures to come #occhat (Tue, 26 Feb 2013 21:10:17 +0000)
@kirstyes RT @otnotes : @clissa89 @kirstyes #occhat Our goals must reflect therapy achieving something new, not preventing disability or maintaining fxn.(Tue, 26 Feb 2013 21:10:52 +0000)
@kirstyes RT @clissa89 : #occhat MT @OTSophie : I think the goal is what they want to achieve and the action plan is how to achieve it?We call them needs&outcomes(Tue, 26 Feb 2013 21:11:11 +0000)
@tigrez Tendering for services is having an impact on what managers want from outcome measures such as goal setting, to justify the service #occhat (Tue, 26 Feb 2013 21:11:19 +0000)
@Lisa_D_OT Looking forward to having enough brain power left over at the end of a Tuesday to join in #occhat soon – job is frying my brain at the mo :/(Tue, 26 Feb 2013 21:13:26 +0000)
@tigrez @BillWongOT @clissa89 @annabelrule that should be the main consideration :), but there is an increasing need to justify services too #occhat (Tue, 26 Feb 2013 21:14:04 +0000)
@kirstyes @gilliancrossley Do you think the emphasis is more on the service or the client wanting to see achievements? #occhat (Tue, 26 Feb 2013 21:17:09 +0000)
@tigrez @kirstyes hmm, formal official service goals, and informal working goals? i can see it working, but may be issues with ethics #occhat (Tue, 26 Feb 2013 21:18:32 +0000)
@kirstyes @OTSophie @OTalk_Occhat But that’s still an occupational goal you just aren’t specifying how you’ll get there upfront. #occhat (Tue, 26 Feb 2013 21:18:48 +0000)
@kirstyes @OTSophie @OTalk_Occhat Then you get to trial different options to find the one that works the best – win win (I hope). #occhat (Tue, 26 Feb 2013 21:19:15 +0000)
@kirstyes @BillWongOT I like the simplicity & structure of this. Think you could also set, volitional, habituational & performance goals sep 2 #occhat (Tue, 26 Feb 2013 21:21:17 +0000)
@Keeper85 @gilliancrossley @OTalk_Occhat who determines what’s achievable?? #occhat (Tue, 26 Feb 2013 21:21:33 +0000)
@kirstyes @Flawson12 Sorry missed these – think you need to leave a space before the #occhat for it to show up.(Tue, 26 Feb 2013 21:22:05 +0000)
@kirstyes RT @IanRMcMillan1 need to look at both I think, see the chapter by McMillan in Duncan’s book, Foundations for Practice in OT #occhat (Tue, 26 Feb 2013 21:23:03 +0000)
@kirstyes @IanRMcMillan1 Sorry missed this one. Don’t forget the #occhat . I’ve retweeted the link. I agree with you btw ;o)(Tue, 26 Feb 2013 21:23:41 +0000)
@mamaotblog RT @HHStaff : . @mamaotblog reviews the @DexteriaApp LetterReflex on @AOTAInc blog –> http://t.co/OY9HqyaSmV #OTuesday #occhat (Tue, 26 Feb 2013 21:24:37 +0000)
@kirstyes RT @Flawson12 yes, in my setting children and their parents. Clear goal from the inital assessment #occhat (Tue, 26 Feb 2013 21:25:25 +0000)
@kirstyes RT @Flawson12 may be more than one goal eg one for school one for home #occhat (Tue, 26 Feb 2013 21:25:40 +0000)
@kirstyes RT @Flawson12 @clissa89 similary in my practice (CAMHS) it is also a combination #occhat (Tue, 26 Feb 2013 21:27:13 +0000)
@kirstyes RT @Flawson12 end of initial assess i reflect areas of challenge& strengths for the child/family. then identify goals from that #occhat (Tue, 26 Feb 2013 21:28:09 +0000)
@Keeper85 RT @FrancescaABrown : #occhat I may be misunderstanding, but often goal setting was so specific & seemed to be purely for outcome measures for service & not so cc(Tue, 26 Feb 2013 21:28:16 +0000)
@Keeper85 @CharOTReilly @kirstyes ooooo resources shouldn’t effect an OT’s ability to be occ focused #occhat (Tue, 26 Feb 2013 21:30:29 +0000)
@kirstyes @tigrez Indeed. A question to ponder. #occhat – Or maybe need to consider diff outcome meaures – come back to chat in a month ;o) #occhat (Tue, 26 Feb 2013 21:30:54 +0000)
@Keeper85 @BillWongOT @kirstyes you can’t say that for sure #occhat (Tue, 26 Feb 2013 21:31:04 +0000)
@BillWongOT @Keeper85 @kirstyes but I heard there is a movement towards that in the US. #occhat (Tue, 26 Feb 2013 21:31:54 +0000)
@kirstyes @Keeper85 @CharOTReilly But they are a challenge. How would you overcome? #occhat (Tue, 26 Feb 2013 21:32:10 +0000)
@Keeper85 @kirstyes @CharOTReilly that’s y OT’s are trained to think outside the box. There is always a way to stay occ focused #occhat (Tue, 26 Feb 2013 21:33:49 +0000)
@kirstyes @OTSophie @OTalk_Occhat I’d still say that was specific in terms of the goal though. #occhat (Tue, 26 Feb 2013 21:33:58 +0000)
@BillWongOT @OTSophie @kirstyes @OTalk_Occhat and I think many OT’s have to deal with this. #occhat (Tue, 26 Feb 2013 21:34:07 +0000)
@kirstyes @Keeper85 @CharOTReilly What’s a box Brock? ;o) #occhat (Tue, 26 Feb 2013 21:34:34 +0000)
@Keeper85 #occhat re SMART I think a lot of ppl are taught them at uni, aren’t shown other methods or taught to critically assess the format(Tue, 26 Feb 2013 21:35:11 +0000)
@Keeper85 #occhat if ppl know no other way then of course they are going to accept what they know as “the best”(Tue, 26 Feb 2013 21:36:32 +0000)
@Keeper85 #occhat we always work with what we know….I challenge everyone to “know more”(Tue, 26 Feb 2013 21:37:00 +0000)
@Keeper85 #occhat if you learn 3-4 goal setting constructs and still think SMART is the best and can keep it occ focused then go for it(Tue, 26 Feb 2013 21:38:19 +0000)
@Keeper85 RT @kirstyes : @Keeper85 @CharOTReilly What’s a box Brock? ;o) #occhat (Tue, 26 Feb 2013 21:38:51 +0000)
@RebeccaTwinley RT @Keeper85 : #occhat we always work with what we know….I challenge everyone to “know more”(Tue, 26 Feb 2013 21:38:57 +0000)
@Keeper85 #occhat I do think though thatif you do a little reading into other methods/frameworks of goal attainment you may be surprised(Tue, 26 Feb 2013 21:39:45 +0000)
@Keeper85 #occhat I personally find smart goals very limiting, and are generally used as a service outcome measure rather then a consumer outcome m..(Tue, 26 Feb 2013 21:41:10 +0000)
@Keeper85 #occhat SMART is not fluid enough for use with a the demographic I work with who often have rapid changes in both goals and acheivability(Tue, 26 Feb 2013 21:42:46 +0000)
@Keeper85 #occhat personally I’ve never written a smart goal for myself that actually played out the way it was written.(Tue, 26 Feb 2013 21:44:08 +0000)
@Keeper85 #occhat life is not concrete so y are we making our goals to stem the natural flow of life?(Tue, 26 Feb 2013 21:44:51 +0000)
@jfaias ? @Keeper85 : #occhat SMART is not fluid enough for use w the demographic I work w who often rapid changes both goals & acheivability? agree(Tue, 26 Feb 2013 21:45:01 +0000)
@Keeper85 #occhat vent over lol just had a few things to throw out there as food for thought ?(Tue, 26 Feb 2013 21:45:26 +0000)
@kirstyes RT @Keeper85 : #occhat if ppl know no other way then of course they are going to accept what they know as “the best”(Tue, 26 Feb 2013 21:45:56 +0000)
@tigrez RT @Keeper85 : #occhat life is not concrete so y are we making our goals to stem the natural flow of life?(Tue, 26 Feb 2013 21:46:44 +0000)
@kirstyes @Keeper85 trying to change that ;o) #occhat Even encouraged to clinically reason why we need goals.(Tue, 26 Feb 2013 21:46:59 +0000)
@jfaias ? @Keeper85 : #occhat life is not concrete so y are we making our goals to stem the natural flow of life?? Good point(Tue, 26 Feb 2013 21:47:00 +0000)
@kirstyes @Keeper85 Think I need to assess your SMART goal setting Brock ;o) #occhat (Tue, 26 Feb 2013 21:48:07 +0000)
@tigrez @Keeper85 @CharOTReilly @kirstyes they shouldnt, but have to be factored in when resources are limited #occhat (Tue, 26 Feb 2013 21:49:00 +0000)
@Keeper85 @kirstyes good luck lol #occhat (Tue, 26 Feb 2013 21:49:33 +0000)
@Keeper85 RT @tigrez : @Keeper85 @CharOTReilly @kirstyes they shouldnt, but have to be factored in when resources are limited #occhat (Tue, 26 Feb 2013 21:49:47 +0000)
@BillWongOT RT @tigrez : @Keeper85 @CharOTReilly @kirstyes they shouldnt, but have to be factored in when resources are limited #occhat (Tue, 26 Feb 2013 21:50:57 +0000)
@Keeper85 @tigrez @CharOTReilly @kirstyes occ focus should be the #2 focus, resources #3 . Therapeutic use of self if no resources at all #occhat (Tue, 26 Feb 2013 21:51:58 +0000)
@Keeper85 @tigrez @CharOTReilly @kirstyes p.s. before you ask the person should be #1 lol #occhat (Tue, 26 Feb 2013 21:52:20 +0000)
@tigrez @anyadei @kirstyes important for client autonomy, motivation,
and in working together, informed consent, & cooperation in the rehab #occhat (Tue, 26 Feb 2013 21:52:59 +0000)
@tigrez @anyadei @kirstyes i find i have to guide clients in thinking what else they want to do in their life aswell as “walk better again” #occhat (Tue, 26 Feb 2013 21:55:25 +0000)
@anyadei @tigrez @kirstyes #occhat yes, as tutor with EPP, action plans and goals not always to do with health! Good to mix it up a bit and have fun!(Tue, 26 Feb 2013 21:57:15 +0000)
@tigrez @Keeper85 @CharOTReilly @kirstyes yes i agree, however for a service to continue, it has to prove it is effective and cost effecient #occhat (Tue, 26 Feb 2013 21:57:30 +0000)
@BillWongOT @tigrez @Keeper85 @CharOTReilly @kirstyes and also evidence based. #occhat (Tue, 26 Feb 2013 22:00:57 +0000)
@BillWongOT @tigrez @anyadei @kirstyes I love the guiding strategy. We should not be advice givers all the time. #occhat (Tue, 26 Feb 2013 22:02:40 +0000)
@Keeper85 @CharOTReilly @kirstyes who decides what’s realistic? #occhat (Tue, 26 Feb 2013 23:54:26 +0000)
@BillWongOT @family_success you can try by trying to responding to today’s #occhat and I will respond to what you tweet.(Wed, 27 Feb 2013 02:48:12 +0000)
@gilliancrossley @Keeper85 both client and OT sometimes we need to.guide people to reslistic too #occhat (Wed, 27 Feb 2013 06:09:36 +0000)
@gilliancrossley @kirstyes i there is always an element of both. client usually wants to, and it helps show OT works #occhat (Wed, 27 Feb 2013 06:11:10 +0000)
@Keeper85 @gilliancrossley and who decides when guidance is necessary? #occhat (Wed, 27 Feb 2013 07:01:36 +0000)
@CommuneOT RT @Keeper85 : #occhat we always work with what we know….I challenge everyone to “know more”(Wed, 27 Feb 2013 07:30:00 +0000)
@CharOTReilly @Keeper85 @kirstyes my guess would be the demands of entire service & of individual clients vs what resources are available. #occhat (Wed, 27 Feb 2013 08:02:26 +0000)
@kirstyes Didn’t do #occhat grabchat after all, people still nattering. If it’s not up by 10pm tonight feel free to nag me!(Wed, 27 Feb 2013 09:53:39 +0000)
@VictoriaBetton Calling all allied health professionals – AHP conference in Leeds will be using hashtag #AHPconf2013 tomorrow @BAOT @OTalk_Occhat #occhat (Wed, 27 Feb 2013 19:09:38 +0000)

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#occhat – Occupational Goal Setting

This ‘Occupation through the OT Process’ series of #occhats started with a bang a few weeks back with a very busy chat focusing on Occupational Assessment – you can see the initial blog post here – and the summary of the event here.

This week’s focus is on Occupational Goal Setting and I’m wondering if we can perhaps consider some of the following questions (the discussion isn’t limited to this so as always add in your own questions as they come to mind during the chat):

A number of people appeared to use Occupational Therapy models to guide their Assessment Process but does this continue through to the goal setting stage?

Do people then, for example, identify which ‘construct’ of the model goals are directed at, e.g. for MOHO – volition or roles, for CMOP-E, the Person, Different aspects of the environment etc?

Do we always have to focus at the Occupation level or is it ok to address/set goals around performance components etc.?

How do we involve our clients in the goal setting process – whose goals are they anyway?

What challenges are there to being client-centred when goal setting?

Which methods of goal setting have people used and how effective do they find them, e.g. SMART, GAS, NLP, based on the COPM etc etc?

Are people comfortable with the distinction between goals and action plans?

There has been an interesting debate on the effectiveness of SMART goals in the MH4OT group on facebook that you may find useful to read at some point.

The other two talks in the series are on the dates below:
Mar 12th โ€“ Occupational Interventions
Mar 26th โ€“ Occupational Evaluation/Outcome Measures (Hosted with Michelle Perryman @Symbolic_Life)

Hope to see you on Twitter later – please check out the timezone converter to find out what time we’re chatting in your area.

Driving as an Occupation – 19/02/2013 Full Grab Chat

Many thanks to all those who contributed to this lively discussion. It was great to see so many new tweeters too!

Involved …

@gilliancrossley @BillWongOT @OTalk_Occhat @clissa89 @clarewilding @Cathy_OT @allisulli @Symbolic_Life @pd2ot @queenmullers @Dai2584 @Helen_otuk @Sal_OTKnut @LeonoraOT @Keeper85 @PresenceLearn @DoAbility @Sibellgul @kirsi_hyvarinen @nursefriendly @SarahDobby77094 @LauEmmott @OTSophie @The_HCPC @roynightingale2 @FoxRehab @MCroweOT @gobernpbhhl0 @hoot1388 @otnotes @elaamleung @theirvster @Nursey_JimBob @GriffithOT @anetto @subu_ot @CommGreenhouse @arhelton @laughingmind @NatriceR @gcarinlevy @marlo5776 @Bosswellman @BAOTCOT @AllSpecialEd

Top resources …

http://t.co/oU7nqIlX
http://t.co/vt9x6NZW
http://t.co/TlI6OgWD
http://t.co/jJ2aOdjl
http://t.co/LDgBxaFB
http://t.co/pSsqZjvo
http://t.co/VjPd9lYr
http://t.co/2EjNv4Ww
http://t.co/NrFu2xK7
http://t.co/iBWpdEbY

Related tags …

#ot #abcdrbchat #bigcchat #cphc #tweetchats

Top tweeps mentioned …

@otalk_occhat @gilliancrossley @clarewilding @clissa89 @allisulli

See Twitter for more tweets, people, videos and photos for #otalk

@AllSpecialEd Wed. Blog Day- Love the tech resources for edu. collaboration @rmbyrne ! #slpeeps #spedchat #Otalk http://t.co/g7qC6AZf (Wed, 13 Feb 2013 23:13:00 +0000)
@PresenceLearn “President Obama, What About ?Tech-Focused? Special Education?” ( #SLPchat & #OTalk topic) http://t.co/VjPd9lYr (Thu, 14 Feb 2013 05:00:21 +0000)
@BillWongOT This morning’s OTAC symposium workshop is like a live version of #OTalk and #OTalk2US (Fri, 15 Feb 2013 19:23:45 +0000)
@PresenceLearn RT if you’re interested in participating in an #OT tweet chat on online occupational therapy! #OTalk #OCChat #OTpeeps #OccupationalTherapy (Fri, 15 Feb 2013 19:35:31 +0000)
@arhelton RT @PresenceLearn : RT if you’re interested in participating in an #OT tweet chat on online occupational therapy! #OTalk #OCChat #OTpeeps #OccupationalTherapy (Fri, 15 Feb 2013 19:58:50 +0000)
@CommGreenhouse RT @PresenceLearn : “President Obama, What About ?Tech-Focused? Special Education?” ( #SLPchat & #OTalk topic) http://t.co/tA8uc0xs (Fri, 15 Feb 2013 20:56:13 +0000)
@subu_ot RT @BillWongOT : This morning’s OTAC symposium workshop is like a live version of #OTalk and #OTalk2US (Fri, 15 Feb 2013 20:57:57 +0000)
@BillWongOT @clissa89 @jooni1975 yup! I am doing the same thing… with #otalk , #occhat , #otalk2us , and etc.(Sun, 17 Feb 2013 08:48:17 +0000)
@PresenceLearn RT @commgreenhouse : “President Obama, What About ?Tech-Focused? Special Education?” ( #SLPchat & #OTalk topic) http://t.co/VjPd9lYr (Sun, 17 Feb 2013 23:45:17 +0000)
@clissa89 @gilliancrossley is this #otalk2us or do you mean tomorrow? #otalk (Mon, 18 Feb 2013 07:32:25 +0000)
@gilliancrossley #OTalk 2moro! Talking about driving, physical, cognitive emotional @OTalk_Occhat @BAOTCOT https://t.co/LyXFfvdv(Mon, 18 Feb 2013 07:50:57 +0000)
@GriffithOT RT @gilliancrossley : #OTalk 2moro! Talking about driving, physical, cognitive emotional @OTalk_Occhat @BAOTCOT https://t.co/LyXFfvdv(Mon, 18 Feb 2013 08:13:09 +0000)
@Helen_otuk RT @gilliancrossley : #OTalk 2moro! Talking about driving, physical, cognitive emotional @OTalk_Occhat @BAOTCOT https://t.co/LyXFfvdv(Mon, 18 Feb 2013 14:56:58 +0000)
@clissa89 RT @gilliancrossley : #OTalk 2moro! Talking about driving, physical, cognitive emotional @OTalk_Occhat @BAOTCOT https://t.co/LyXFfvdv(Mon, 18 Feb 2013 15:12:22 +0000)
@allisulli RT @gilliancrossley : #OTalk 2moro! Talking about driving, physical, cognitive emotional @OTalk_Occhat @BAOTCOT https://t.co/LyXFfvdv(Mon, 18 Feb 2013 15:18:49 +0000)
@anetto @BillWongOT @Manar426 @allisulli I did a blog post about OT – The Rheumatologists Secret Weapon http://t.co/TlI6OgWD #otalk #OT (Mon, 18 Feb 2013 17:29:29 +0000)
@allisulli RT @anetto : @BillWongOT @Manar426 @allisulli I did a blog post about OT – The Rheumatologists Secret Weapon http://t.co/TlI6OgWD #otalk #OT (Mon, 18 Feb 2013 17:32:23 +0000)
@BillWongOT RT @anetto : @BillWongOT @Manar426 @allisulli I did a blog post about OT – The Rheumatologists Secret Weapon http://t.co/TlI6OgWD #otalk #OT (Mon, 18 Feb 2013 17:33:53 +0000)
@gilliancrossley https://t.co/w16qNESY OTalk 2moro we’ll be talking about driving. Physical, cognitive, emotional, meaning, loss, freedom, adapting #otalk (Mon, 18 Feb 2013 19:14:52 +0000)
@laughingmind Good 2 discover other OT’s connecting in #OTalk : http://t.co/qlZgAyCU via @symplur Not many in #hcsmanz but needed 4 #alliedhealth views(Tue, 19 Feb 2013 02:36:46 +0000)
@clissa89 @NurChat oh no!! I was really looking forward to participating in #NurChat as a NQOT but just realised it clashes with #OTalk (Tue, 19 Feb 2013 09:04:23 +0000)
@clissa89 My routine’s all disrupted so I forgot it was #OTuesday today! Plan on finding a quiet space for restoration today, then #Otalk tonight :)(Tue, 19 Feb 2013 09:23:49 +0000)
@clissa89 #OTalk tonight, 8pm GMT: #Drivinghttp://t.co/tzsLJfQk – all welcome! #OTuesday #occupationaltherapy (Tue, 19 Feb 2013 09:39:34 +0000)
@nursefriendly Tuesday #Healthcare #Tweetchats (EST) 1p #CPHC #abcDrBchat 2p CCIO (NHS) 3p #bigCchat #dailyDtalk #otalk cc #nurseup #nursefriendly #rnchat (Tue, 19 Feb 2013 13:24:01 +0000)
@NatriceR RT @nursefriendly : Tuesday #Healthcare #Tweetchats (EST) 1p #CPHC #abcDrBchat 2p CCIO (NHS) 3p #bigCchat #dailyDtalk #otalk cc #nurseup #nursefriendly #rnchat (Tue, 19 Feb 2013 15:04:16 +0000)
@BAOTCOT Tonight’s #OTalk is on driving – follow the hashtag from 8pm to join or follow the conversation…(Tue, 19 Feb 2013 15:31:18 +0000)
@clissa89 RT @BAOTCOT : Tonight’s #OTalk is on driving – follow the hashtag from 8pm to join or follow the conversation…(Tue, 19 Feb 2013 15:32:58 +0000)
@Bosswellman RT @BAOTCOT : Tonight’s #OTalk is on driving – follow the hashtag from 8pm to join or follow the conversation…(Tue, 19 Feb 2013 15:34:14 +0000)
@nursefriendly Tuesday #Healthcare #Tweetchats (EST) 1p #CPHC #abcDrBchat 2p #CCIO (NHS) 3p #bigCchat #dailyDtalk #otalk #nurseup #nursing #epatient (Tue, 19 Feb 2013 15:37:21 +0000)
@marlo5776 RT @nursefriendly : Tuesday #Healthcare #Tweetchats (EST) 1p #CPHC #abcDrBchat 2p CCIO (NHS) 3p #bigCchat #dailyDtalk #otalk cc #nurseup #nursefriendly #rnchat (Tue, 19 Feb 2013 15:42:52 +0000)
@gilliancrossley Tonight #otalk will be discussing driving. Emotional, physical, cognitive, meaning, loss, freedom,adaptation.(Tue, 19 Feb 2013 18:58:05 +0000)
@gcarinlevy RT @gilliancrossley : Tonight #otalk will be discussing driving. Emotional, physical, cognitive, meaning, loss, freedom,adaptation.(Tue, 19 Feb 2013 19:11:48 +0000)
@clissa89 40 mins RT @gilliancrossley : Tonight #otalk will be discussing driving. Emotional, physical, cognitive, meaning, loss, freedom,adaptation.(Tue, 19 Feb 2013 19:21:26 +0000)
@clissa89 @DoAbility yes, it’s #OTalk tonight in 15 minutes, we’re discussing driving :)(Tue, 19 Feb 2013 19:42:18 +0000)
@clissa89 #OTalk in just over 10 minutes. Topic: Driving. All welcome! If you’re new to tweetchatting, here’s a quick guide: http://t.co/vt9x6NZW (Tue, 19 Feb 2013 19:48:10 +0000)
@Cathy_OT @clissa89 Ooo.. Sounds interesting. I did an activity analysis on driving once. SO complex! #OTalk (Tue, 19 Feb 2013 19:49:53 +0000)
@clissa89 @Cathy_OT hope you can join us for #OTalk tonight, it would be great to hear more about your activity analysis(Tue, 19 Feb 2013 19:51:09 +0000)
@LeonoraOT RT @clissa89 : #OTalk in just over 10 minutes. Topic: Driving. All welcome! If you’re new to tweetchatting, here’s a quick guide: http://t.co/vt9x6NZW (Tue, 19 Feb 2013 19:52:06 +0000)
@clissa89 @Nursey_JimBob look forward to your contributions afterwards – you have 24 hours for your tweets to be included in the grabchat ๐Ÿ™‚ #OTalk (Tue, 19 Feb 2013 19:52:19 +0000)
@clissa89 @LeonoraOT thanks for the RT ๐Ÿ™‚ was it you who wrote this fab guide? #OTalk (Tue, 19 Feb 2013 19:52:33 +0000)
@Cathy_OT @clissa89 Of course. It’s a great topic. ๐Ÿ™‚ #OTalk (Tue, 19 Feb 2013 19:54:00 +0000)
@clissa89 If you drive, know about #driving , or (like me) haven’t quite got the hang of it yet, you may be interested in tonight’s #OTalk in 5 minutes(Tue, 19 Feb 2013 19:54:19 +0000)
@Cathy_OT RT @clissa89 : #OTalk in just over 10 minutes. Topic: Driving. All welcome! If you’re new to tweetchatting, here’s a quick guide: http://t.co/vt9x6NZW (Tue, 19 Feb 2013 19:54:21 +0000)
@LeonoraOT Join #Otalk in 4 minutes on Driving. Close to my heart today as my car just gave up at 402,000 km. Job well done car! Now for a new one :)(Tue, 19 Feb 2013 19:56:19 +0000)
@OTalk_Occhat Hi everyone, @clissa89 here – if you need any help with participating in tonight’s chat (in 5 minutes), let me know ๐Ÿ™‚ #OTalk (Tue, 19 Feb 2013 19:56:34 +0000)
@Nursey_JimBob @clissa89 anytime, now back on shift ๐Ÿ˜ฆ have a good chat #OTalk (Tue, 19 Feb 2013 19:56:46 +0000)
@gilliancrossley Shall be tweeting various driving resources prior to the start of the chat #otalk (Tue, 19 Feb 2013 19:57:04 +0000)
@OTalk_Occhat @LeonoraOT oh no! ๐Ÿ˜ฆ poor car! I bet that was stressful for you. Yay for shopping! #OTalk (Tue, 19 Feb 2013 19:57:10 +0000)
@OTalk_Occhat @Nursey_JimBob hope you have a good rest of your shift ๐Ÿ™‚ #OTalk (Tue, 19 Feb 2013 19:57:31 +0000)
@gilliancrossley Free driving self assessment tool http://t.co/BEaXC4BU #otalk (Tue, 19 Feb 2013 19:57:39 +0000)
@gilliancrossley http://t.co/GJ4gQDin awareness about driving for professionals #otalk (Tue, 19 Feb 2013 19:58:15 +0000)
@OTalk_Occhat Time to make a last minute drink before #OTalk starts! What’s everyone got? (I didn’t get around to it…) #OTalk (Tue, 19 Feb 2013 19:58:30 +0000)
@gilliancrossley senior drivers http://t.co/hprxVXHy #otalk (Tue, 19 Feb 2013 19:58:45 +0000)
@gilliancrossley http://t.co/dkN0KL9i #otalk (Tue, 19 Feb 2013 19:59:10 +0000)
@gilliancrossley http://t.co/J2ozGVUl driving reading list #otalk (Tue, 19 Feb 2013 19:59:35 +0000)
@gilliancrossley http://t.co/jJ2aOdjl cognition and driving #otalk (Tue, 19 Feb 2013 20:00:13 +0000)
@DoAbility RT @gilliancrossley : http://t.co/pSsqZjvo awareness about driving for professionals #otalk (Tue, 19 Feb 2013 20:00:22 +0000)
@DoAbility RT @gilliancrossley : Free driving self assessment tool http://t.co/2EjNv4Ww #otalk (Tue, 19 Feb 2013 20:00:36 +0000)
@gilliancrossley http://t.co/iBWpdEbY #otalk keep drivers safe(Tue, 19 Feb 2013 20:00:39 +0000)
@gilliancrossley http://t.co/LDgBxaFB driving after a stroke #otalk (Tue, 19 Feb 2013 20:01:14 +0000)
@BillWongOT RT @DoAbility : RT @gilliancrossley : http://t.co/pSsqZjvo awareness about driving for professionals #otalk (Tue, 19 Feb 2013 20:01:34 +0000)
@BillWongOT RT @DoAbility : RT @gilliancrossley : Free driving self assessment tool http://t.co/2EjNv4Ww #otalk (Tue, 19 Feb 2013 20:01:40 +0000)
@gilliancrossley https://t.co/7Rl1lnT2 driving after a head injury #otalk (Tue, 19 Feb 2013 20:01:43 +0000)
@BillWongOT RT @gilliancrossley : http://t.co/jJ2aOdjl cognition and driving #otalk (Tue, 19 Feb 2013 20:01:53 +0000)
@OTalk_Occhat @Sibellgul we’re discussing driving – physical, emotional, cognitive, meaning, loss, freedom, adaptation. great if you could join ๐Ÿ™‚ #OTalk (Tue, 19 Feb 2013 20:02:01 +0000)
@OTalk_Occhat I make it #OTalk time! ๐Ÿ™‚ Tweets from this account tonight are by @clissa89 #OTalk (Tue, 19 Feb 2013 20:02:29 +0000)
@BillWongOT RT @gilliancrossley : http://t.co/LDgBxaFB driving after a stroke #otalk (Tue, 19 Feb 2013 20:02:32 +0000)
@gilliancrossley http://t.co/W5dctzDo LOSING INDEPENDENCE #OTALK (Tue, 19 Feb 2013 20:02:33 +0000)
@SarahDobby77094 #OTalk hi helen_otuk is helping a whole group of us to join in! She needs something stronger than coffee!(Tue, 19 Feb 2013 20:02:34 +0000)
@BillWongOT RT @gilliancrossley : https://t.co/7Rl1lnT2 driving after a head injury #otalk (Tue, 19 Feb 2013 20:02:37 +0000)
@gilliancrossley http://t.co/NrFu2xK7 #OTALK (Tue, 19 Feb 2013 20:03:07 +0000)
@Keeper85 @LeonoraOT yay for new car!!! #otalk (Tue, 19 Feb 2013 20:03:18 +0000)
@BillWongOT @OTalk_Occhat @clissa89 hello! #otalk (Tue, 19 Feb 2013 20:03:26 +0000)
@Helen_otuk Good evening all I may be here but could be distracted, have a group of newbies. #OTalk (Tue, 19 Feb 2013 20:03:31 +0000)
@gilliancrossley Hi everyone. I think it would be interesting to start by sharing what the meaning of driving is for us? #otalk (Tue, 19 Feb 2013 20:03:56 +0000)
@OTalk_Occhat Just a reminder: professional standards apply online too, and here are @The_HCPC guidelines: http://t.co/oU7nqIlX #OTalk (Tue, 19 Feb 2013 20:04:06 +0000)
@gilliancrossley @SarahDobby77094 fantastic! you have a good teacher @Helen_otuk #otalk (Tue, 19 Feb 2013 20:04:28 +0000)
@OTalk_Occhat @SarahDobby77094 wow that’s fab! great to have new people here ๐Ÿ™‚ welcome! #OTalk (Tue, 19 Feb 2013 20:04:40 +0000)
@OTalk_Occhat @BillWongOT hi Bill ๐Ÿ™‚ great to have you here again #OTalk (Tue, 19 Feb 2013 20:05:04 +0000)
@clissa89 @gilliancrossley driving is… something that I need (& struggle) to learn how to do out of necessity, but really don’t enjoy #otalk (Tue, 19 Feb 2013 20:06:15 +0000)
@gilliancrossley Driving for me= freedom and independence. being able to participate in leisure and work activities. I also have connected roles #otalk (Tue, 19 Feb 2013 20:07:12 +0000)
@Symbolic_Life Driving… I miss it ๐Ÿ˜ฆ #otalk (Tue, 19 Feb 2013 20:07:12 +0000)
@BillWongOT @clissa89 @gilliancrossley I think it’s something I have learned to enjoy, as long as the distance is not too long. #otalk (Tue, 19 Feb 2013 20:07:34 +0000)
@Dai2584 #OTalk It takes me 45mins to drive home. Excellent reflection time. get in the car ,mental health OT. Get out of the car, just me(Tue, 19 Feb 2013 20:07:35 +0000)
@gilliancrossley @clissa89 what is it that you don’t enjoy? #otalk (Tue, 19 Feb 2013 20:07:45 +0000)
@DoAbility Driving is freedom and independence #OTalk #driving (Tue, 19 Feb 2013 20:07:50 +0000)
@OTalk_Occhat @Symbolic_Life hi Michelle, glad you made it tonight ๐Ÿ™‚ what’s been limiting your driving? #OTalk (Tue, 19 Feb 2013 20:07:51 +0000)
@BillWongOT @gilliancrossley driving to unfamiliar places, particularly if I have to get on the freeways, can provoke some anxiety for me. #otalk (Tue, 19 Feb 2013 20:08:02 +0000)
@OTalk_Occhat @BillWongOT a lot of people have said this to me… that they learnt to enjoy it #OTalk (Tue, 19 Feb 2013 20:08:21 +0000)
@gilliancrossley @Dai2584 yes! I do lots of reflecting while driving and often the only time I have on my own #otalk (Tue, 19 Feb 2013 20:08:28 +0000)
@allisulli @clissa89 @gilliancrossley I agree w Clarissa mostly, but sometimes I love driving alone with music blasting and wind in my hair #OTalk (Tue, 19 Feb 2013 20:08:31 +0000)
@pd2ot I’ve always enjoyed driving, I like the freedom (used to live in countryside so was essential), I live the time with my music #OTalk (Tue, 19 Feb 2013 20:08:50 +0000)
@SarahDobby77094 #OTalk laura is about to tweet for the first time, wonderful cpd(Tue, 19 Feb 2013 20:08:59 +0000)
@clissa89 @gilliancrossley I struggle with the skills side of things (especially spatial awareness), and find it very stressful #otalk (Tue, 19 Feb 2013 20:09:01 +0000)
@BillWongOT @Dai2584 I agree it can be. I sometimes purposely drive on surface streets to do this instead of freeways. #otalk (Tue, 19 Feb 2013 20:09:09 +0000)
@gilliancrossley @allisulli @clissa89 I have had periods of not liking it. But now it is a major part of my life #otalk (Tue, 19 Feb 2013 20:09:22 +0000)
@Symbolic_Life @OTalk_Occhat Coming bk to uni. Living so far away from home it is worthless to have a car here. Although, miss ease of travel #otalk (Tue, 19 Feb 2013 20:09:30 +0000)
@gilliancrossley RT @SarahDobby77094 : #OTalk laura is about to tweet for the first time, wonderful cpd(Tue, 19 Feb 2013 20:09:32 +0000)
@BillWongOT @allisulli @clissa89 @gilliancrossley haha! That’s when I blast my Spice Girls tunes! #otalk (Tue, 19 Feb 2013 20:09:33 +0000)
@clissa89 @allisulli @gilliancrossley I can imagine that being really enjoyable ๐Ÿ™‚ I love being a passenger & listening to music in the car #OTalk (Tue, 19 Feb 2013 20:09:45 +0000)
@clissa89 @BillWongOT @clissa89 @gilliancrossley love it ๐Ÿ˜‰ maybe that’s what I need to do… #SpiceUpYourLife #otalk (Tue, 19 Feb 2013 20:10:11 +0000)
@gilliancrossley @Symbolic_Life @OTalk_Occhat how did you feel when you first stopped having a car? #otalk (Tue, 19 Feb 2013 20:10:11 +0000)
@Symbolic_Life @allisulli @clissa89 @gilliancrossley I love this to! i find i can just jump in the car listen to music and be away from it all.. #otalk (Tue, 19 Feb 2013 20:10:19 +0000)
@queenmullers #otalk hello @Sal_OTKnut good luck tweeting tonight!(Tue, 19 Feb 2013 20:10:30 +0000)
@OTalk_Occhat @SarahDobby77094 yay Laura ๐Ÿ˜€ you can do it!! #OTalk (Tue, 19 Feb 2013 20:10:30 +0000)
@Cathy_OT @gilliancrossley @dai2584 I agree. Driving is definitely good reflection time. No distractions (other than the road of course!) #OTalk (Tue, 19 Feb 2013 20:10:42 +0000)
@clarewilding #OTalk I like driving, but we all need to drive less, because its not so good for planet or our health(Tue, 19 Feb 2013 20:10:51 +0000)
@BillWongOT @clissa89 @gilliancrossley haha! I think driving sometimes is a good place to “OT ourselves”. #otalk (Tue, 19 Feb 2013 20:10:56 +0000)
@LauEmmott #otalk ok so it’s my first time on twitter! Helen OTUK is being a great teacher!(Tue, 19 Feb 2013 20:10:59 +0000)
@gilliancrossley Except from when we’re learning to we ever think about how many cognitive and physical processed go into driving? #otalk (Tue, 19 Feb 2013 20:11:00 +0000)
@OTalk_Occhat @queenmullers @Sal_OTKnut hello! ๐Ÿ™‚ great to have you here tonight #OTalk (Tue, 19 Feb 2013 20:11:06 +0000)
@Symbolic_Life @clissa89 @gilliancrossley You learn to enjoy it #otalk (Tue, 19 Feb 2013 20:11:07 +0000)
@gilliancrossley @LauEmmott welcome! #otalk (Tue, 19 Feb 2013 20:11:13 +0000)
@Dai2584 #OTalk Flow. sometimes you can get somewhere and not remember where the last 20mins went. Which can be worrying lol(Tue, 19 Feb 2013 20:11:18 +0000)
@hoot1388 RT @LauEmmott : #otalk ok so it’s my first time on twitter! Helen OTUK is being a great teacher!(Tue, 19 Feb 2013 20:11:23 +0000)
@gilliancrossley @Dai2584 yes I know that feeling! #otalk (Tue, 19 Feb 2013 20:11:43 +0000)
@BillWongOT RT @Dai2584 : #OTalk Flow. sometimes you can get somewhere and not remember where the last 20mins went. Which can be worrying lol(Tue, 19 Feb 2013 20:11:53 +0000)
@OTalk_Occhat @LauEmmott is this Laura tweeting for the first time? ๐Ÿ™‚ #OTalk (Tue, 19 Feb 2013 20:12:01 +0000)
@BillWongOT RT @clarewilding : #OTalk I like driving, but we all need to drive less, because its not so good for planet or our health(Tue, 19 Feb 2013 20:12:08 +0000)
@Symbolic_Life @gilliancrossley @OTalk_Occhat Annoyed… Organisational Stess! succluded… #otalk (Tue, 19 Feb 2013 20:12:12 +0000)
@clissa89 @Dai2584 I often zone out when walking… can’t imagine where I would end up if driving! :-/ #OTalk (Tue, 19 Feb 2013 20:12:38 +0000)
@BillWongOT @clarewilding but sometimes I think it’s unavoidable. Church, for example, would take me 20-30 minutes by car. 1/2 #otalk (Tue, 19 Feb 2013 20:12:48 +0000)
@gilliancrossley @clarewilding yes I agree, I like to try to walk more. But driving often gives greater freedom either as a driver or passenger #otalk (Tue, 19 Feb 2013 20:12:53 +0000)
@pd2ot @Dai2584 That’s the often quoted example for dissociation. #OTalk (Tue, 19 Feb 2013 20:12:55 +0000)
@Symbolic_Life @gilliancrossley I never do.. really. Although, i found learning easier than expected regardless of my dyspraxia #otalk (Tue, 19 Feb 2013 20:13:08 +0000)
@BillWongOT @clarewilding yet it will take me 1-1.5 hours if I take public transportation. #otalk 2/2(Tue, 19 Feb 2013 20:13:09 +0000)
@Keeper85 @allisulli @clissa89 @gilliancrossley I agree….driving for me is a great stress reliever #otalk (Tue, 19 Feb 2013 20:13:50 +0000)
@BillWongOT @Symbolic_Life @gilliancrossley @OTalk_Occhat and I personally hate reading maps. I would rather rely on my GPS. #otalk (Tue, 19 Feb 2013 20:13:51 +0000)
@allisulli @clarewilding I agree. I choose to live in a city near my work to cut down on the amount of driving I so. But I value the choice too #OTalk (Tue, 19 Feb 2013 20:13:58 +0000)
@LeonoraOT #OTalk I live rurally so driving = social connection out here. #access (Tue, 19 Feb 2013 20:14:00 +0000)
@Symbolic_Life @clissa89 @Dai2584 Me and my music when walking.I find i would get lost often when driving! loved it though! discovering the unknown #otalk (Tue, 19 Feb 2013 20:14:06 +0000)
@clissa89 @BillWongOT @clarewilding not driving means I often injure myself carrying things I shouldn’t… definitely limited without it #otalk (Tue, 19 Feb 2013 20:14:09 +0000)
@gilliancrossley so how would you feel if the ability to drive was taken away? How would this impact on life? occ participation? #otalk (Tue, 19 Feb 2013 20:14:33 +0000)
@OTalk_Occhat @Keeper85 what do you think it is about driving that relieves stress? #OTalk (Tue, 19 Feb 2013 20:14:34 +0000)
@clarewilding @BillWongOT #otalk I agree, driving is convenient & sometimes only poss way to get there, but still problematic(Tue, 19 Feb 2013 20:14:38 +0000)
@Cathy_OT @gilliancrossley I have done on long commutes. Especially during my stoke placement. It’s amazing how many skills are required! #OTalk (Tue, 19 Feb 2013 20:14:51 +0000)
@pd2ot @clissa89 @BillWongOT @clarewilding Oh yes, I had some ‘interesting’ moments on an overloaded bicycle when I didn’t have a car #otalk (Tue, 19 Feb 2013 20:14:55 +0000)
@clarewilding @gilliancrossley #otalk freedom yes, but also creates other difficulties(Tue, 19 Feb 2013 20:15:25 +0000)
@OTalk_Occhat @LeonoraOT this is a really good point, re rural living. Think @pd2ot also mentioned driving being necessity #OTalk (Tue, 19 Feb 2013 20:15:29 +0000)
@BillWongOT @clarewilding But I do say sometimes not driving is better. This AOTA conference I am getting there by train instead of driving. #otalk (Tue, 19 Feb 2013 20:15:33 +0000)
@kirsi_hyvarinen Came to look what?s happening in Twitter and seeing interesting #OTalk going on. Shame that have to go to sleep.(Tue, 19 Feb 2013 20:15:38 +0000)
@allisulli @gilliancrossley I think about it all the time because a lot of what you see when you drive is terrifying #OTalk (Tue, 19 Feb 2013 20:15:40 +0000)
@gilliancrossley @Cathy_OT yes stroke placement really made me think about this. There are s huge amount of skills needed #otalk (Tue, 19 Feb 2013 20:15:53 +0000)
@queenmullers @OTalk_Occhat @keeper85 i have an hr drive to and from work daily, provides time or me to reflect on day and work #OTalk (Tue, 19 Feb 2013 20:16:03 +0000)
@Cathy_OT @gilliancrossley Would certainly be a struggle. Especially if driving is considered a meaningful occupation in itself. #OTalk (Tue, 19 Feb 2013 20:16:24 +0000)
@gilliancrossley @clarewilding can you elaborate? #otalk (Tue, 19 Feb 2013 20:16:36 +0000)
@BillWongOT @pd2ot @clissa89 @clarewilding Since I can’t bike, my problems would be walking w/ heavy stuff to the nearest bus stop. #otalk (Tue, 19 Feb 2013 20:16:37 +0000)
@OTalk_Occhat @kirsi_hyvarinen what a shame you can’t join us, but please add some tweets later – we do the grabchat in 24 hours ๐Ÿ™‚ #OTalk (Tue, 19 Feb 2013 20:16:47 +0000)
@Keeper85 @OTalk_Occhat stress releif for me is driving fast ….probably the adrenaline #otalk (Tue, 19 Feb 2013 20:16:50 +0000)
@BillWongOT RT @queenmullers : @OTalk_Occhat @keeper85 i have an hr drive to and from work daily, provides time or me to reflect on day and work #OTalk (Tue, 19 Feb 2013 20:16:57 +0000)
@BillWongOT RT @gilliancrossley : @Cathy_OT yes stroke placement really made me think about this. There are s huge amount of skills needed #otalk (Tue, 19 Feb 2013 20:17:04 +0000)
@clarewilding @allisulli #otalk yes, choice is important, but not everyone has this choice. We need to find solutions for all(Tue, 19 Feb 2013 20:17:35 +0000)
@BillWongOT @allisulli @gilliancrossley and sometimes non-city roads can present their unique challenges. #otalk (Tue, 19 Feb 2013 20:17:41 +0000)
@gilliancrossley @Keeper85 @OTalk_Occhat stress relief for me is driving in the country, singing my head off!! #otalk (Tue, 19 Feb 2013 20:17:46 +0000)
@OTalk_Occhat @queenmullers great point – I often hear people say that driving is a great space for reflection #OTalk (Tue, 19 Feb 2013 20:17:55 +0000)
@gilliancrossley @Dai2584 @Cathy_OT absolutely! #otalk (Tue, 19 Feb 2013 20:18:16 +0000)
@BillWongOT @Keeper85 @OTalk_Occhat haha! Me too. Though I don’t drive too fast as I don’t want to get a speeding ticket. #otalk (Tue, 19 Feb 2013 20:18:21 +0000)
@allisulli @OTalk_Occhat @leonoraot @pd2ot also driving = occupational justice. It is illegal for women to drive in some countries! #OTalk (Tue, 19 Feb 2013 20:18:24 +0000)
@BillWongOT @Keeper85 @OTalk_Occhat Last speeding ticket cost me about $300 something USD. #otalk (Tue, 19 Feb 2013 20:18:35 +0000)
@Symbolic_Life @gilliancrossley This impacts alot of people especially in western culture. i think driving also realates to life roles #otalk (Tue, 19 Feb 2013 20:18:39 +0000)
@gilliancrossley how do you broach stopping driving with clients? #otalk (Tue, 19 Feb 2013 20:18:44 +0000)
@Keeper85 @queenmullers @OTalk_Occhat driving used to be my ‘debrief’ time when I worked community #otalk (Tue, 19 Feb 2013 20:19:12 +0000)
@Cathy_OT @Keeper85 @otalk_occhat I prefer windy country roads. But then I like be nosy and looking at the pretty houses and countryside ๐Ÿ™‚ #OTalk (Tue, 19 Feb 2013 20:19:17 +0000)
@clissa89 @gilliancrossley As a child, my parents often drove me around in the car to soothe/help me to sleep. Now still sleep when passenger #otalk (Tue, 19 Feb 2013 20:19:39 +0000)
@BillWongOT @gilliancrossley @Keeper85 @OTalk_Occhat lucky… I don’t have that. #lifeofacityboy #otalk (Tue, 19 Feb 2013 20:19:48 +0000)
@gilliancrossley @Symbolic_Life yes, driving is essential to my role as mum, worker, friend, family member, caregiver #otalk (Tue, 19 Feb 2013 20:19:53 +0000)
@queenmullers @OTalk_Occhat its often the only time I have time to myself when its quiet enough to reflect and not be distracted #OTalk (Tue, 19 Feb 2013 20:19:54 +0000)
@pd2ot @gilliancrossley I observed a memory clinic and this was an issue on initial ax – was generally the most significant part of session #otalk (Tue, 19 Feb 2013 20:20:05 +0000)
@clissa89 @BillWongOT @pd2ot @clarewilding yup ๐Ÿ˜ฆ that’s a weekly problem for me. hypermobile joints & heavy shopping don’t mix! #otalk (Tue, 19 Feb 2013 20:20:07 +0000)
@gilliancrossley @queenmullers @OTalk_Occhat same for me! I value the alone time driving gives me #otalk (Tue, 19 Feb 2013 20:20:29 +0000)
@Cathy_OT @Symbolic_Life @gilliancrossley I agree. For example a lot of jobs won’t consider you unless you have a driving licence. #OTalk (Tue, 19 Feb 2013 20:20:36 +0000)
@Sal_OTKnut #OTalk First timer tweeter; only got to not be able to drive to know how much you miss it(Tue, 19 Feb 2013 20:20:45 +0000)
@BillWongOT @gilliancrossley good question. I have some senior church members who still drive themselves. #otalk (Tue, 19 Feb 2013 20:20:52 +0000)
@gilliancrossley @Cathy_OT @Symbolic_Life essential to have a car for my job! I couldn’t work without it #otalk (Tue, 19 Feb 2013 20:21:03 +0000)
@Dai2584 @allisulli @OTalk_Occhat @LeonoraOT @pd2ot Occ justice for the poor too with jobs, out of town shopping ect #otalk (Tue, 19 Feb 2013 20:21:07 +0000)
@clarewilding @gilliancrossley #otalk pollution, high financial stress, accidents, link to obesity due to sedentary nature, take up space(Tue, 19 Feb 2013 20:21:11 +0000)
@pd2ot @queenmullers @OTalk_Occhat While placement’s with a commute were tiring I did like the reflection space, definitely #OTalk (Tue, 19 Feb 2013 20:21:18 +0000)
@theirvster @gilliancrossley @keeper85 @otalk_occhat driving on a route that I’ve not done for a while can bring back memories of happier times #OTalk (Tue, 19 Feb 2013 20:21:21 +0000)
@kirsi_hyvarinen @OTalk_Occhat Ok, good2know.For me driving motorbike is very strongly connected to restorative occ.But driving a car isn?t like that #OTalk (Tue, 19 Feb 2013 20:21:28 +0000)
@OTalk_Occhat @Sal_OTKnut so glad to have you joining us tonight ๐Ÿ™‚ think you’re right, a lot of people really miss it when they can’t #OTalk (Tue, 19 Feb 2013 20:21:33 +0000)
@Sibellgul #OTalk once I had a client he worked as a driver and only driver at home. RTA lost use of his legs. His world changed upside down(Tue, 19 Feb 2013 20:21:46 +0000)
@Cathy_OT @queenmullers @otalk_occhat I find the same. Plus it feels like more natural reflection than forced (if that makes sense) #OTalk (Tue, 19 Feb 2013 20:21:48 +0000)
@gilliancrossley @BillWongOT if you had concerns about the safety of driving would you talk to them? #otalk (Tue, 19 Feb 2013 20:21:56 +0000)
@allisulli @gilliancrossley this needs to be done with great sensitivity. It should involve more than OT/client. Clear communication. F/u #OTalk (Tue, 19 Feb 2013 20:22:01 +0000)
@BillWongOT @clissa89 @pd2ot @clarewilding and for me, it would be sweaty palms and things that are heavy and need good grasp don’t mix either. #otalk (Tue, 19 Feb 2013 20:22:13 +0000)
@Helen_otuk yay everyone here has managed to send a tweet #OTalk (Tue, 19 Feb 2013 20:22:18 +0000)
@gilliancrossley @theirvster @keeper85 @otalk_occhat yes its great for reminiscence, scenery or a song that reminds me of something is great! #otalk (Tue, 19 Feb 2013 20:22:34 +0000)
@queenmullers @pd2ot @otalk_occhat its definately exhausting having such a commute! #OTalk (Tue, 19 Feb 2013 20:22:37 +0000)
@Helen_otuk #OTalk who has a mac? where is the #?(Tue, 19 Feb 2013 20:22:40 +0000)
@OTalk_Occhat @Helen_otuk that’s great Helen! ๐Ÿ™‚ well done everyone for joining in! #OTalk (Tue, 19 Feb 2013 20:23:06 +0000)
@clarewilding @BillWongOT @pd2ot @clissa89 #otalk it’s a prob, how do we solve? Need new ways of doing(Tue, 19 Feb 2013 20:23:10 +0000)
@pd2ot @Helen_otuk alt ‘3’ I think? Maybe… #OTalk #(Tue, 19 Feb 2013 20:23:14 +0000)
@BillWongOT @gilliancrossley I might note what I observe (using clinical observation skills- if applicable) and use motivational interviewing #otalk (Tue, 19 Feb 2013 20:23:34 +0000)
@clissa89 @pd2ot @helen_otuk yup ๐Ÿ™‚ #OTalk (Tue, 19 Feb 2013 20:23:51 +0000)
@gilliancrossley @clarewilding yes there are def negatives. They are things I think about but the need to drive is always more important #otalk (Tue, 19 Feb 2013 20:23:57 +0000)
@BillWongOT @clarewilding @pd2ot @clissa89 well… with this technology age, sometimes ordering online is not a bad idea. #otalk (Tue, 19 Feb 2013 20:24:12 +0000)
@queenmullers @Cathy_OT @otalk_occhat yes i definately agree! Although sometimes you can overthink something which has an adverse effect #OTalk (Tue, 19 Feb 2013 20:24:23 +0000)
@gilliancrossley @barryclift1 yes this is often what happens in my area of practice #otalk (Tue, 19 Feb 2013 20:24:38 +0000)
@BillWongOT @clarewilding @pd2ot @clissa89 But if it’s not applicable, it might be good to pay a friend or family member to do the task. #otalk (Tue, 19 Feb 2013 20:24:39 +0000)
@clissa89 @BillWongOT @pd2ot @clarewilding I order online sometimes, but delivery costs are getting increasingly expensive #otalk (Tue, 19 Feb 2013 20:24:46 +0000)
@OTSophie Driving for me is:habitual as it is part of my daily routine.It’s also time for reflection,concentration and mindfulness #OTalk (Tue, 19 Feb 2013 20:25:01 +0000)
@BillWongOT @clarewilding @pd2ot @clissa89 That said, they still will have autonomy somewhat because they can come up with a shopping list. #otalk (Tue, 19 Feb 2013 20:25:06 +0000)
@pd2ot @clissa89 @BillWongOT @clarewilding I found waiting for delivery/letting strange person into flat stressful #otalk (Tue, 19 Feb 2013 20:25:30 +0000)
@clarewilding @clissa89 @billwongot @pd2ot #otalk does shop provide a delivery service?(Tue, 19 Feb 2013 20:25:36 +0000)
@OTalk_Occhat @OTSophie you make driving sound so peaceful! ๐Ÿ™‚ #OTalk (Tue, 19 Feb 2013 20:25:53 +0000)
@BillWongOT @clissa89 @pd2ot @clarewilding I always do the math before hand. If it’s too expensive, then I would find ways to save money. #otalk (Tue, 19 Feb 2013 20:26:00 +0000)
@Cathy_OT @gilliancrossley Depends on what driving means to them. And if/how their difficulties could be overcome. Different for each client. #OTalk (Tue, 19 Feb 2013 20:26:12 +0000)
@clissa89 @pd2ot @BillWongOT @clarewilding yes definitely… it’s becoming easier but still odd #otalk (Tue, 19 Feb 2013 20:26:43 +0000)
@clarewilding @Dai2584 @allisulli @otalk_occhat @leonoraot @pd2ot #otalk can everyone afford to drive?(Tue, 19 Feb 2013 20:26:48 +0000)
@gilliancrossley @OTSophie do you find it easy to be mindful while driving #otalk (Tue, 19 Feb 2013 20:26:58 +0000)
@Symbolic_Life @Cathy_OT @gilliancrossley especially OT it seems real important #OTalk (Tue, 19 Feb 2013 20:27:09 +0000)
@Symbolic_Life @gilliancrossley of course for you to carry out all of these roles with ease and less stress (guess) transportation is essential #OTalk (Tue, 19 Feb 2013 20:27:15 +0000)
@pd2ot @clarewilding @Dai2584 @allisulli @otalk_occhat @leonoraot insurance for new drivers is often prohibitive, never mind car #otalk (Tue, 19 Feb 2013 20:27:24 +0000)
@clissa89 @clarewilding @billwongot @pd2ot currently, delivery for me can be about 1/4 of the cost of the shopping – adds up over a month #otalk (Tue, 19 Feb 2013 20:27:36 +0000)
@allisulli @clissa89 @billwongot @pd2ot @clarewilding Well, now a big gas-guzzling delivery truck is using the gas delivering it you, too. #otalk (Tue, 19 Feb 2013 20:27:55 +0000)
@BillWongOT @pd2ot @clissa89 @clarewilding that’s why I am thinking having someone u know to shop for u may sort of solve this problem. #otalk (Tue, 19 Feb 2013 20:28:03 +0000)
@gilliancrossley what about being a passenger? have you ever ensured you clients can access an adapted vehicle?so that they can have more independence #otalk (Tue, 19 Feb 2013 20:28:12 +0000)
@LeonoraOT @Cathy_OT @symbolic_life @gilliancrossley #Otalk Yes! Important to find ways & advocate for our colleagues who don’t drive(Tue, 19 Feb 2013 20:28:16 +0000)
@pd2ot @clissa89 @clarewilding @billwongot I tended to do monthly ‘big shop’ delivered and top up fresh stuff on foot to compromise #otalk (Tue, 19 Feb 2013 20:28:22 +0000)
@clissa89 @BillWongOT @pd2ot @clarewilding I was fortunate to have a friend who gave me a lift to shop, made the shop itself more enjoyable #otalk (Tue, 19 Feb 2013 20:28:59 +0000)
@clarewilding @gilliancrossley #otalk agree, have to drive too as I’m rural, but we need to find new solutions. Prob for all to solve(Tue, 19 Feb 2013 20:29:12 +0000)
@BillWongOT @pd2ot @clissa89 @clarewilding that’s a great strategy. You just got to figure out what’s work for you before hand #otalk (Tue, 19 Feb 2013 20:29:16 +0000)
@Cathy_OT @Symbolic_Life @gilliancrossley I did meet a community OT who cycled instead. Small geographical area though. And MH so no equipment! #Otalk (Tue, 19 Feb 2013 20:29:26 +0000)
@gilliancrossley @Symbolic_Life I tried not having a car for 3 months. I was physically healthy but couldn’t geteverything done and was super stressed #otalk (Tue, 19 Feb 2013 20:29:47 +0000)
@LeonoraOT Yes! Time loss w long commute also! ? @clarewilding : @gilliancrossley #otalk pollution? link to obesity due to sedentary nature,(Tue, 19 Feb 2013 20:30:18 +0000)
@OTalk_Occhat @clarewilding have you got any ideas about improvements? #otalk (Tue, 19 Feb 2013 20:30:30 +0000)
@gilliancrossley @Cathy_OT @Symbolic_Life yes if your area is small cycling or public transport is a good option. #otalk (Tue, 19 Feb 2013 20:30:42 +0000)
@BillWongOT @Cathy_OT @Symbolic_Life @gilliancrossley I think biking is good if u can do it. But, road safety is also important. #otalk (Tue, 19 Feb 2013 20:31:15 +0000)
@queenmullers #otalk i have previously done home visits with clients in my own car…handybar is brilliant for providing for assisting transfers(Tue, 19 Feb 2013 20:31:24 +0000)
@clarewilding @clissa89 @billwongot @pd2ot #otalk great idea, builds social connection too(Tue, 19 Feb 2013 20:31:30 +0000)
@Sal_OTKnut @gilliancrossley #otalk would consider how they access vehicle in holistic assess and signpost to relevant service, did this today actually(Tue, 19 Feb 2013 20:31:58 +0000)
@BillWongOT @Cathy_OT @Symbolic_Life @gilliancrossley One thing I like about buses in LA is that you can put the bikes on their racks. #otalk (Tue, 19 Feb 2013 20:32:13 +0000)
@gilliancrossley @clarewilding we need other solutions. the prob for people who lose the ability to drive is that public trans has new set of problems #otalk (Tue, 19 Feb 2013 20:32:17 +0000)
@allisulli @LeonoraOT @cathy_ot @symbolic_life @gilliancrossley this is why end must be a team intervention. Family, friends, public trans. #OTalk (Tue, 19 Feb 2013 20:32:34 +0000)
@gilliancrossley @pd2ot @clissa89 @clarewilding @billwongot I often get shopping delivered that saves me lots of time #otalk (Tue, 19 Feb 2013 20:32:58 +0000)
@OTalk_Occhat @Sibellgul that’s such an important point, when illness/disability impacts on driving & therefore roles – can be devastating #OTalk (Tue, 19 Feb 2013 20:33:28 +0000)
@BillWongOT @Symbolic_Life @gilliancrossley When I was in HK, though, driving is not a necessity. Public transportation system is too good. #otalk (Tue, 19 Feb 2013 20:33:29 +0000)
@gilliancrossley @Sal_OTKnut thats great! I think its important to recognize needs and know where to signpost #otalk (Tue, 19 Feb 2013 20:33:42 +0000)
@BillWongOT @gilliancrossley @clarewilding in my city, we have dial-a-ride. That can be one alternative. #otalk (Tue, 19 Feb 2013 20:34:23 +0000)
@OTalk_Occhat Sometimes clients will feel more comfortable talking in a car – less eye contact, perceived as less threatening/vulnerable #OTalk (Tue, 19 Feb 2013 20:34:36 +0000)
@gilliancrossley @BillWongOT @Symbolic_Life I really dislike public transport! too busy! too unreliable #otalk (Tue, 19 Feb 2013 20:34:37 +0000)
@gilliancrossley @BillWongOT @clarewilding yes we have similar services but they can often be expensive #otalk (Tue, 19 Feb 2013 20:35:20 +0000)
@clarewilding @pd2ot @clissa89 @billwongot #otalk nice one! Could also grow own fresh stuff?(Tue, 19 Feb 2013 20:35:31 +0000)
@gilliancrossley RT @OTalk_Occhat : @clarewilding have you got any ideas about improvements? #otalk (Tue, 19 Feb 2013 20:35:38 +0000)
@gilliancrossley @queenmullers yes, I carry clients in my car. take them to appointments etc because they can’t access otherwise #otalk (Tue, 19 Feb 2013 20:36:29 +0000)
@BillWongOT @gilliancrossley @Symbolic_Life In HK, I got spoiled w/ reliable public transport. Cuz of it, I now hate 2 wait > 15 minutes 4 them. #otalk (Tue, 19 Feb 2013 20:37:02 +0000)
@gilliancrossley what about the stress that come with the role of being the ‘driver’ #otalk (Tue, 19 Feb 2013 20:37:05 +0000)
@OTalk_Occhat @Sal_OTKnut what sorts of services are available to support people with driving? #OTalk (Tue, 19 Feb 2013 20:37:35 +0000)
@pd2ot @OTalk_Occhat Very true, also experienced it in taxis – had to try and keep the conversation ‘safe’ to protect their confidentiality #OTalk (Tue, 19 Feb 2013 20:38:08 +0000)
@BillWongOT @gilliancrossley @clarewilding At least it’s better than airport shuttles. It’s >= $50 per trip if I hire personal driver 1 way. 1/2 #otalk (Tue, 19 Feb 2013 20:38:25 +0000)
@OTalk_Occhat #OTalk MT @Sibellgul : yes also constant and demotivating battles with getting Benefits, adaptations. Bed sores in and out of hospitals +(Tue, 19 Feb 2013 20:38:27 +0000)
@clarewilding @OTalk_Occhat #otalk more & better public transport, use tech, develop local communities, plan tasks(Tue, 19 Feb 2013 20:38:35 +0000)
@Cathy_OT @gilliancrossley I find it extremely tiring. Especially in heavy traffic. And that can make me stressed. #OTalk (Tue, 19 Feb 2013 20:38:51 +0000)
@BillWongOT @gilliancrossley @clarewilding But with LAX Flyaway buses, it’s only $7 per one way trip. 2/2 #otalk (Tue, 19 Feb 2013 20:38:52 +0000)
@gilliancrossley @OTalk_Occhat @Sal_OTKnut this is difficult there are driver assessment services. there are dial a ride.. but can be costly #otalk (Tue, 19 Feb 2013 20:39:01 +0000)
@clarewilding @OTalk_Occhat #otalk social inclusion-work together(Tue, 19 Feb 2013 20:39:11 +0000)
@gilliancrossley @Cathy_OT the recent snow had me very stressed while driving! #otalk (Tue, 19 Feb 2013 20:39:35 +0000)
@BillWongOT @Symbolic_Life @gilliancrossley you would walk 1/4 of 26.2 mile marathon if you walk from my home to HSC at USC. #otalk (Tue, 19 Feb 2013 20:39:50 +0000)
@OTalk_Occhat #OTalk MT @queenmullers : I have had clients open up to me about there past/currents concerns in the car when they feel they cant on the ward(Tue, 19 Feb 2013 20:40:03 +0000)
@Cathy_OT @OTalk_Occhat Definitely. And it’s a more everyday setting than day a clinical room. Probably feels more natural. #OTalk (Tue, 19 Feb 2013 20:40:08 +0000)
@OTalk_Occhat @pd2ot good point re protection of the person we are with #OTalk (Tue, 19 Feb 2013 20:40:31 +0000)
@Sal_OTKnut @OTalk_Occhat #otalk Mobility assess Centre’s there are several around the country(Tue, 19 Feb 2013 20:40:38 +0000)
@BillWongOT @pd2ot @OTalk_Occhat brings up another point- sometimes MH facilities transport their clients to community outings. #otalk (Tue, 19 Feb 2013 20:40:38 +0000)
@gilliancrossley @BillWongOT @Symbolic_Life i love to walk. before I started working was doing 10mile a day.. I miss it now I don’t have the time #otalk (Tue, 19 Feb 2013 20:40:51 +0000)
@Dai2584 our local fire service have a car with xbox in the back and find boy racers & ask them to play car games to show how bad they drive #otalk (Tue, 19 Feb 2013 20:40:57 +0000)
@gilliancrossley RT @Sal_OTKnut : @OTalk_Occhat #otalk Mobility assess Centre’s there are several around the country(Tue, 19 Feb 2013 20:41:01 +0000)
@OTalk_Occhat @Dai2584 that’s interesting – I’ve not heard of that before! #otalk (Tue, 19 Feb 2013 20:41:16 +0000)
@clarewilding @gilliancrossley #otalk true, but public trans should b trans for all. OT needs to advocate this(Tue, 19 Feb 2013 20:41:31 +0000)
@BillWongOT @gilliancrossley @Symbolic_Life I bet you would love to walk if you are in my school situation then. ๐Ÿ™‚ #otalk (Tue, 19 Feb 2013 20:41:47 +0000)
@gilliancrossley @pd2ot @OTalk_Occhat yes thats a good point. talking in taxis can be an issue #otalk (Tue, 19 Feb 2013 20:41:51 +0000)
@Symbolic_Life Sorry #OTalk my twitter or Internet function is being an apsolute donkey!! Restricting my participation. Apologies.(Tue, 19 Feb 2013 20:42:59 +0000)
@Cathy_OT @gilliancrossley Oh yes. Snow driving is the worst. Especially as you can almost sense everyone else’s stress! Ha ha. #OTalk (Tue, 19 Feb 2013 20:43:10 +0000)
@gilliancrossley @clarewilding yes, but more than just being accessible physically. timetables can be hard to understand. Fear of crowds, managing ๏ฟฝ #otalk (Tue, 19 Feb 2013 20:43:22 +0000)
@BillWongOT @gilliancrossley I bet you will be excited to try out the driving simulators at #AOTA13 . #otalk (Tue, 19 Feb 2013 20:43:38 +0000)
@OTalk_Occhat @Symbolic_Life how frustrating! thanks for trying, remember tweets will still be included in grabchat for up to 24hrs #OTalk (Tue, 19 Feb 2013 20:44:13 +0000)
@BillWongOT @Cathy_OT @gilliancrossley That’s why I prefer living in warm climates. #otalk #noneedtoworry (Tue, 19 Feb 2013 20:44:25 +0000)
@BillWongOT @gilliancrossley @clarewilding I agree. I was in crowded buses many times during my final placement. #otalk (Tue, 19 Feb 2013 20:45:02 +0000)
@otnotes Not able to really do #otalk d/t work but don’t forget carfit program & @AOTAInc initiatives to help ppl drive longer(Tue, 19 Feb 2013 20:45:11 +0000)
@queenmullers #otalk I would feel like a lot of my freedom had been taken away if I wasnt able to drive(Tue, 19 Feb 2013 20:45:22 +0000)
@gilliancrossley @otnotes @AOTAInc thanks Cheryl. think I tweeted the link to that ๐Ÿ™‚ #otalk (Tue, 19 Feb 2013 20:45:44 +0000)
@BillWongOT @gilliancrossley @clarewilding I actually did a case study in my presentation a few weeks ago regarding this. #otalk (Tue, 19 Feb 2013 20:45:47 +0000)
@pd2ot Going to slip off early from #Otalk – thanks to all involved :)(Tue, 19 Feb 2013 20:46:03 +0000)
@OTalk_Occhat @otnotes thanks for popping in Cheryl ๐Ÿ™‚ I hadn’t heard of the initiatives #OTalk (Tue, 19 Feb 2013 20:46:03 +0000)
@clarewilding @gilliancrossley #otalk xcellent point, this is why OT needs to advocate-consider all barriers(Tue, 19 Feb 2013 20:46:34 +0000)
@BillWongOT @otnotes @AOTAInc yup! That’s right! I got a chance to visit that as a student. NICE facility and program! #otalk (Tue, 19 Feb 2013 20:46:37 +0000)
@gilliancrossley @queenmullers me too. I feel it would put massive occupational limitations on me and my family #otalk (Tue, 19 Feb 2013 20:46:43 +0000)
@OTalk_Occhat @pd2ot thank you for participating, know your time is precious today as you have a lot to do! #OTalk (Tue, 19 Feb 2013 20:46:51 +0000)
@gilliancrossley RT @clarewilding : @gilliancrossley #otalk xcellent point, this is why OT needs to advocate-consider all barriers(Tue, 19 Feb 2013 20:47:17 +0000)
@BillWongOT @queenmullers That’s true. And sometimes it’s easier to scramble for restrooms when you are driving than on public transit. #otalk (Tue, 19 Feb 2013 20:47:22 +0000)
@Sal_OTKnut @queenmullers #otalk well try taking a bus from home to work and then doing the job on public transport! Would drive you mad(Tue, 19 Feb 2013 20:47:33 +0000)
@gilliancrossley @clarewilding totally agree! can’t see the UK’s public transport systems ever being good enough and barrier free #otalk (Tue, 19 Feb 2013 20:48:06 +0000)
@BillWongOT @Sal_OTKnut @queenmullers Some OT settings will be hard if you don’t drive. e.g. school based peds. #otalk (Tue, 19 Feb 2013 20:48:30 +0000)
@gilliancrossley RT @Sal_OTKnut : @queenmullers #otalk well try taking a bus from home to work and then doing the job on public transport! Would drive you mad(Tue, 19 Feb 2013 20:48:59 +0000)
@BillWongOT @gilliancrossley @clarewilding I think HK is worse in a sense. Not completely UD friendly. #otalk (Tue, 19 Feb 2013 20:49:24 +0000)
@allisulli @clarewilding @otalk_occhat these are fine as long-term community-based objectives but not practical for individuals w real lives #OTalk (Tue, 19 Feb 2013 20:49:31 +0000)
@allisulli RT @otnotes : Not able to really do #otalk d/t work but don’t forget carfit program & @AOTAInc initiatives to help ppl drive longer(Tue, 19 Feb 2013 20:49:56 +0000)
@clarewilding @gilliancrossley #otalk didn’t say it was an easy prob to solve! ?(Tue, 19 Feb 2013 20:50:08 +0000)
@queenmullers @Sal_OTKnut It would take me about 2hrs to travel to work on public transport, never mind working in the community #stress #OTalk (Tue, 19 Feb 2013 20:50:44 +0000)
@gilliancrossley @allisulli @clarewilding @otalk_occhat I agree. lives are so busy that convenience wins..and driving is cheaper that public transport #otalk (Tue, 19 Feb 2013 20:51:11 +0000)
@OTalk_Occhat #OTalk MT @OTSophie : I find it peaceful driving in the sun and in my country areas.Not so much when drivers are rude or its snowing!(Tue, 19 Feb 2013 20:51:37 +0000)
@BillWongOT @queenmullers @Sal_OTKnut Had that on my last placement. I would prefer that than being stuck on busy Beverly Hills traffic. #otalk (Tue, 19 Feb 2013 20:51:54 +0000)
@gilliancrossley @clarewilding no I know. The prob is buying in from the people in charge. but if it was better more would use.. more crowds etc. #otalk (Tue, 19 Feb 2013 20:52:17 +0000)
@allisulli @gilliancrossley @clarewilding @otalk_occhat as far as patient care is concerned, #telehealth is a great new option to cut driving #OTalk (Tue, 19 Feb 2013 20:52:24 +0000)
@clarewilding @allisulli @otalk_occhat #otalk community is made of individuals with real lives, not sure I get your point?(Tue, 19 Feb 2013 20:52:34 +0000)
@BillWongOT @gilliancrossley @allisulli @clarewilding @OTalk_Occhat Not always. I think in HK, public transport wins over driving. #otalk (Tue, 19 Feb 2013 20:52:53 +0000)
@BillWongOT @gilliancrossley @allisulli @clarewilding @OTalk_Occhat An OT I would have met during my trip there said that he doesn’t have a car. #otalk (Tue, 19 Feb 2013 20:53:20 +0000)
@OTalk_Occhat @allisulli @gilliancrossley @clarewilding that’s a good point, I know of a #CFS / #ME service that uses #skype due to rural location #OTalk (Tue, 19 Feb 2013 20:53:29 +0000)
@gilliancrossley @OTSophie yes I love good scenery when driving! #otalk (Tue, 19 Feb 2013 20:54:06 +0000)
@clarewilding @gilliancrossley @allisulli @otalk_occhat #otalk consider all costs of driving-car, insurance, maintenance, roads, etc(Tue, 19 Feb 2013 20:54:40 +0000)
@OTalk_Occhat We’ve got 5 minutes left until the ‘official’ end of the chat (but of course, people can keep talking after!) #OTalk (Tue, 19 Feb 2013 20:55:38 +0000)
@gilliancrossley @clarewilding @allisulli @otalk_occhat I do. def cheaper for me #otalk especially as I have passengers train/buss for 4 isn’t cheap(Tue, 19 Feb 2013 20:56:00 +0000)
@allisulli @clarewilding @otalk_occhat when client’s primary desire is stated as “I want to drive again”, if possible, this goal directs tx #otalk (Tue, 19 Feb 2013 20:56:19 +0000)
@BillWongOT @allisulli @gilliancrossley @clarewilding @OTalk_Occhat I c that in a state like California. It can be a hassle 2 drive from N to S. #otalk (Tue, 19 Feb 2013 20:57:16 +0000)
@clarewilding @gilliancrossley @allisulli @otalk_occhat #otalk you’re making your own public transport! Xcellent!(Tue, 19 Feb 2013 20:57:40 +0000)
@gilliancrossley http://t.co/Ir5oCCT7 my day out driving today as a passenger #otalk #lovemy job(Tue, 19 Feb 2013 20:58:13 +0000)
@Dai2584 @allisulli #OTalk I agree. If its the clients goal, then that where the treatment begins(Tue, 19 Feb 2013 20:58:33 +0000)
@BillWongOT @gilliancrossley @clarewilding @allisulli @OTalk_Occhat In LA, that’s opposite. Part of my reason I went busing was cuz of cost. #otalk (Tue, 19 Feb 2013 20:58:34 +0000)
@gilliancrossley @clarewilding @allisulli @otalk_occhat yes more car sharing should be done #otalk (Tue, 19 Feb 2013 20:58:41 +0000)
@Helen_otuk Had a great evening thanks to @sal_otknut for having us all around! #OTalk (Tue, 19 Feb 2013 20:58:41 +0000)
@BillWongOT @gilliancrossley @clarewilding @allisulli @OTalk_Occhat Cost of busing < driving + parking expenses. #otalk (Tue, 19 Feb 2013 20:58:55 +0000)
@OTalk_Occhat In 140 characters or less, what are you taking away from tonight’s chat? ๐Ÿ™‚ #OTalk (Tue, 19 Feb 2013 20:59:01 +0000)
@clarewilding @allisulli @otalk_occhat #otalk ok, fair point. But just because we want something doesn’t always mean its good for us!(Tue, 19 Feb 2013 20:59:21 +0000)
@BillWongOT @gilliancrossley @clarewilding @allisulli @OTalk_Occhat Great in the workplace! Plus, drivers can use carpool lanes on freeways. #otalk (Tue, 19 Feb 2013 20:59:33 +0000)
@gilliancrossley thanks all for joining in tonights #otalk its been an interesting chat! I’ll grab the chat after 24 hours. any last points?(Tue, 19 Feb 2013 20:59:35 +0000)
@BillWongOT @OTalk_Occhat Importance of driving for clients will be determined by personal, environmental, and occupational factors. #otalk (Tue, 19 Feb 2013 21:00:13 +0000)
@Sal_OTKnut #otalk thanks OTalk for letting us join in(Tue, 19 Feb 2013 21:00:53 +0000)
@OTalk_Occhat Thanks to everyone who participated in #OTalk tonight, and welcome again to our new Otalkers- hope to have you back again soon! :)(Tue, 19 Feb 2013 21:01:17 +0000)
@Cathy_OT Great #OTalk tonight. Very interesting, especially due to my own car troubles today! Ha ha. Thanks all :)(Tue, 19 Feb 2013 21:01:26 +0000)
@BillWongOT and next week… it will be cool to celebrate my birthday on #occhat . #otalk . #celebratingwithotgeeks (Tue, 19 Feb 2013 21:01:32 +0000)
@gilliancrossley @Sal_OTKnut thanks for joining! hope to see you all here again! #otalk @Helen_otuk is a good influence :)(Tue, 19 Feb 2013 21:01:39 +0000)
@queenmullers RT @Helen_otuk : Had a great evening thanks to @sal_otknut for having us all around! #OTalk (Tue, 19 Feb 2013 21:01:43 +0000)
@elaamleung @gilliancrossley #otalk gutted i missed the chat! was working ๐Ÿ˜ฆ will catch up later. thansk for hosting though :)(Tue, 19 Feb 2013 21:02:20 +0000)
@allisulli @clarewilding @otalk_occhat I agree. But I do try to consider unconditional positive regard in creating client-centered objectives #OTalk (Tue, 19 Feb 2013 21:02:27 +0000)
@clarewilding @BillWongOT @gilliancrossley @allisulli @otalk_occhat #otalk yes, often pub trans is cheaper when all costs considered(Tue, 19 Feb 2013 21:02:30 +0000)
@OTalk_Occhat @elaamleung please feel free to add comments – we’ll do the grabchat in 24 hours ๐Ÿ™‚ #otalk (Tue, 19 Feb 2013 21:02:38 +0000)
@LauEmmott @Helen_otuk @sal_otknut excellent first twitter experience, thanks Sal_otknut for hosting! #otalk (Tue, 19 Feb 2013 21:02:39 +0000)
@BillWongOT @clarewilding @gilliancrossley @allisulli @OTalk_Occhat In Beverly Hills, parking can cost a fortune in parking lots! #otalk (Tue, 19 Feb 2013 21:03:26 +0000)
@OTalk_Occhat @emma_4286 glad you could pop in! ๐Ÿ™‚ feel free to add any more comments as you read through – you have 24 hours #OTalk (Tue, 19 Feb 2013 21:04:41 +0000)
@Dai2584 #otalk . Driving is both a Macro and Micro issue. It can mean alot to you as a person but also the society in which we all function(Tue, 19 Feb 2013 21:05:05 +0000)
@BillWongOT RT @Dai2584 : #otalk . Driving is both a Macro and Micro issue. It can mean alot to you as a person but also the society in which we all function(Tue, 19 Feb 2013 21:05:32 +0000)
@clarewilding @allisulli @otalk_occhat #otalk I’m not dissing regard, just encouraging a broader view.(Tue, 19 Feb 2013 21:05:46 +0000)
@queenmullers @SarahDobby77094 @Sal_OTKnut @LauEmmott @Helen_otuk productive evening eating spag bol and tweeting #tweettweet #OTalk (Tue, 19 Feb 2013 21:05:56 +0000)
@gilliancrossley RT @queenmullers : @SarahDobby77094 @Sal_OTKnut @LauEmmott @Helen_otuk productive evening eating spag bol and tweeting #tweettweet #OTalk (Tue, 19 Feb 2013 21:06:20 +0000)
@clissa89 @queenmullers @SarahDobby77094 @Sal_OTKnut @LauEmmott that sounds like so much fun! #tweettweet #OTalk (Tue, 19 Feb 2013 21:06:28 +0000)
@gilliancrossley RT @Dai2584 : #otalk . Driving is both a Macro and Micro issue. It can mean alot to you as a person but also the society in which we all function(Tue, 19 Feb 2013 21:06:28 +0000)
@BillWongOT @Dai2584 I like that. Having drivers subjectively say that they are safe drivers is not good enough. #otalk (Tue, 19 Feb 2013 21:06:33 +0000)
@clarewilding #OTalk thanks all for the chat ?(Tue, 19 Feb 2013 21:07:09 +0000)
@Dai2584 #otalk enjoyed the chat tonight. I’ve got to say, Its good being an OT. The profession has alot to offer, especially in a wider context(Tue, 19 Feb 2013 21:12:05 +0000)
@gobernpbhhl0 RT @clarewilding : #OTalk I like driving, but we all need to drive less, because its not so good for planet or our health(Tue, 19 Feb 2013 21:15:54 +0000)
@Sibellgul #OTalk @OTalk_Occhat +not just the end of his #roles but start if a very difficult and much poorer life #disability (Tue, 19 Feb 2013 21:17:57 +0000)
@Sibellgul #OTalk @OTalk_Occhat yes also constant and demotivating battles with getting #Benefits , #adaptations . Bed sores in and out of hospitals(Tue, 19 Feb 2013 21:19:12 +0000)
@gilliancrossley RT @Dai2584 : #otalk enjoyed the chat tonight. I’ve got to say, Its good being an OT. The profession has alot to offer, especially in a wider context(Tue, 19 Feb 2013 21:32:36 +0000)
@gilliancrossley @Dai2584 very much agree! OT have great bigger picture skills! #otalk (Tue, 19 Feb 2013 21:33:15 +0000)
@Dai2584 RT @gilliancrossley : @Dai2584 very much agree! OT have great bigger picture skills! #otalk (Tue, 19 Feb 2013 21:54:10 +0000)
@allisulli #MentionSomeoneYoureThankfulFor All my #OTalk tweeps every #OTuesday @gilliancrossley @Helen_otuk @clissa89 @kirstyes @claireOT ???(Tue, 19 Feb 2013 23:30:04 +0000)
@Helen_otuk @allisulli : #MentionSomeoneYoureThankfulFor All my #OTalk tweeps every #OTuesday @gilliancrossley @Helen_otuk @clissa89 @kirstyes @claireOT (Wed, 20 Feb 2013 01:38:40 +0000)
@MCroweOT Interesting reading last night’s #OTalk – driving as an occupation not something I had fully appreciated until stroke rehab placement.(Wed, 20 Feb 2013 09:00:34 +0000)
@The_HCPC RT @OTalk_Occhat : Just a reminder: professional standards apply online too, and here are @The_HCPC guidelines: http://t.co/oU7nqIlX #OTalk (Wed, 20 Feb 2013 10:33:34 +0000)
@roynightingale2 RT @OTalk_Occhat : Just a reminder: professional standards apply online too, and here are @The_HCPC guidelines: http://t.co/oU7nqIlX #OTalk (Wed, 20 Feb 2013 12:35:30 +0000)
@FoxRehab RT @gilliancrossley : http://t.co/Yd99I8Ue #otalk keep drivers safe(Wed, 20 Feb 2013 15:15:32 +0000)

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#Occhat – Occupational Assessment – Transcript

Hello

Apologies for the delay in posting this – sickness strikes again.

A huge thanks to everyone who participated in the Occupational Assessment occhat – it was a very hectic chat (over 500 tweets) and I was 20 minutes behind in the timeline but I hope I got round to responding to people eventually.

Unfortunately I missed being able to use the grabchat tool we usually do so instead here is the link to the chat transcript at Healthcare Hashtags. I’ve also included this as a PDF.

Also Charlotte O’Reilly (@CharOTReilly) kindly agreed to share the Home Visit Assessment form (for a Paediatric setting) that she developed based on CMOP-E. Don’t forget to credit her if you use it.

I do hope you all join us for the second in the series on Occupational Goal Setting on 26th February.

 

#OTalk 5th February 2013, Long Term Conditions – Risk Stratification. Grabchat

Involved …

@uk_james @BillWongOT @claireOT @OTalk_Occhat @kirstyes @helen_whiteside @CharOTReilly @DearPharmacist @Nursey_JimBob @Symbolic_Life @clarkmike @nchadborn @PresenceLearn @anyadei @Helen_otuk @RobWebster_LCH @clissa89 @NurChat @Keeper85 @MariWardahp @RebeccaTwinley @aiysha89 @jacsonot @clarewilding @skk5874 @GentleChaos @AllSpecialEd @kennywong886 @HelenPersey @LeonoraOT @naberoutine @TTESmith @TheOTSIProject @SenKidsCharity @MelieKate

Top resources …

http://t.co/ewJrEiGT
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http://t.co/y6ZcWAx3
http://t.co/zzZDTqjn

Related tags …

#otalk #socialcare #nurchat #ot #awesome

See Twitter for more tweets, people, videos and photos for #OTalk

@helen_whiteside RT @Helen_otuk : Time to make a coffee and settle down for #OTalk . Risk Stratification and Long Term Conditions with @uk_james http://t.co/wdnC4T9V (Tue, 05 Feb 2013 20:00:00 +0000)
@Helen_otuk I agree! RT @uk_james : @clissa89 you know the right thing to do! #OTalk #OTalk (Tue, 05 Feb 2013 20:00:17 +0000)
@clissa89 yup…. read the grabchat ๐Ÿ˜ฆ RT @uk_james : @clissa89 you know the right thing to do! #OTalk #OTalk (Tue, 05 Feb 2013 20:00:34 +0000)
@DearPharmacist @Helen_otuk @OTalk_Occhat I think I got confused with #OTalk (Tue, 05 Feb 2013 20:00:54 +0000)
@DearPharmacist RT @claireOT : Sorry, folks, tonight the chat is tagged #OTalk and it’s about risk stratification and long term conditions… #fallschat was last night!(Tue, 05 Feb 2013 20:01:25 +0000)
@helen_whiteside @uk_james #OTalk all ready here(Tue, 05 Feb 2013 20:01:27 +0000)
@Helen_otuk @DearPharmacist you are more than welcome to join us for #OTalk Risk Stratification.(Tue, 05 Feb 2013 20:01:40 +0000)
@DearPharmacist @claireOT #fallschat #Otalk I’m glad I’m not the only one! :D(Tue, 05 Feb 2013 20:02:01 +0000)
@OTalk_Occhat Good evening all welcome to this evening chat with @uk_james . #OTalk (Tue, 05 Feb 2013 20:02:08 +0000)
@uk_james Hello everyone – I’m co-hosting #OTalk tonight with @OTalk_Occhat – now! #OTalk (Tue, 05 Feb 2013 20:02:16 +0000)
@uk_james Join me for a #OTalk TweetChat at: http://t.co/y6ZcWAx3 #OTalk (Tue, 05 Feb 2013 20:02:21 +0000)
@DearPharmacist RT @Helen_otuk : @DearPharmacist you are more than welcome to join us for #OTalk Risk Stratification.(Tue, 05 Feb 2013 20:02:32 +0000)
@BillWongOT @clissa89 @uk_james hello folks! #otalk (Tue, 05 Feb 2013 20:02:37 +0000)
@uk_james . @OTalk_Occhat Hello everyone! Hope you’re all well this evening and ready to talk long term conditions #OTalk (Tue, 05 Feb 2013 20:02:58 +0000)
@CharOTReilly evening #otalk (Tue, 05 Feb 2013 20:03:00 +0000)
@OTalk_Occhat Please remember the hashtag so we can all see your comments. #OTalk (Tue, 05 Feb 2013 20:03:02 +0000)
@claireOT @ThatJoelfella it means separating people according to known risk factors so we can target interventions #OTalk (Tue, 05 Feb 2013 20:03:18 +0000)
@clissa89 RT @OTalk_Occhat : Good evening all welcome to this evening chat with @uk_james . #OTalk (Tue, 05 Feb 2013 20:03:26 +0000)
@OTalk_Occhat It is @helen_otuk behind the account this evening. Have fun and enjoy! #OTalk (Tue, 05 Feb 2013 20:03:42 +0000)
@OTalk_Occhat Yay! RT @uk_james : . @OTalk_Occhat Hello everyone! Hope you’re all well this evening and ready to talk long term conditions #OTalk (Tue, 05 Feb 2013 20:04:04 +0000)
@claireOT RT @OTalk_Occhat : Good evening all welcome to this evening chat with @uk_james . #OTalk (Tue, 05 Feb 2013 20:04:13 +0000)
@uk_james We’re going to be talking about “Risk Stratification” in the context of long term conditions management tonight #OTalk (Tue, 05 Feb 2013 20:04:16 +0000)
@claireOT RT @uk_james : . @OTalk_Occhat Hello everyone! Hope you’re all well this evening and ready to talk long term conditions #OTalk (Tue, 05 Feb 2013 20:04:20 +0000)
@clissa89 RT @uk_james : We’re going to be talking about “Risk Stratification” in the context of long term conditions management tonight #OTalk (Tue, 05 Feb 2013 20:04:22 +0000)
@BillWongOT @uk_james @OTalk_Occhat so what kind of long term conditions are we talking about? #otalk (Tue, 05 Feb 2013 20:04:28 +0000)
@claireOT #OTalk hi everyone, Claire here, and I just wondered if @uk_james would like to define Risk stratification and explain why it’s useful?(Tue, 05 Feb 2013 20:05:01 +0000)
@BillWongOT @uk_james @OTalk_Occhat By the title of it, it sounded very vague to me. #otalk (Tue, 05 Feb 2013 20:05:12 +0000)
@claireOT RT @uk_james : We’re going to be talking about “Risk Stratification” in the context of long term conditions management tonight #OTalk (Tue, 05 Feb 2013 20:05:21 +0000)
@uk_james . @BillWongOT We’re talking about ALL long term conditions – depending on which list you look at about 20+ #OTalk (Tue, 05 Feb 2013 20:05:41 +0000)
@LeonoraOT #OTalk Hi there, will check in here & there as I get ready for work – interesting topic #australia :)(Tue, 05 Feb 2013 20:05:43 +0000)
@uk_james OK, so, a definition… of risk stratification…. #OTalk (Tue, 05 Feb 2013 20:06:27 +0000)
@OTalk_Occhat Yes please… RT @uk_james : OK, so, a definition… of risk stratification…. #OTalk (Tue, 05 Feb 2013 20:07:06 +0000)
@uk_james Risk stratification is about identifying people who are at risk of hospital admission over course of next year (roughly speaking)… #OTalk (Tue, 05 Feb 2013 20:07:12 +0000)
@uk_james There are various risk stratification software solutions that are being used now…. #OTalk (Tue, 05 Feb 2013 20:07:41 +0000)
@helen_whiteside #OTalk @uk_james our CCG IT tool describes risk as risk of the patient having hospital admission within next year(Tue, 05 Feb 2013 20:07:54 +0000)
@BillWongOT @uk_james yeah… I was thinking about #autism belongs in this category because it is a long term thing. #otalk (Tue, 05 Feb 2013 20:08:01 +0000)
@uk_james It’s all about predicting risk of admission to hospital…. #OTalk (Tue, 05 Feb 2013 20:08:18 +0000)
@uk_james RT @helen_whiteside : #OTalk our CCG IT tool describes risk as risk of the patient having hospital admission within next year #OTalk (Tue, 05 Feb 2013 20:08:31 +0000)
@OTalk_Occhat RT @uk_james : It’s all about predicting risk of admission to hospital…. #OTalk (Tue, 05 Feb 2013 20:08:44 +0000)
@CharOTReilly @uk_james does this mean, risk stratification has a link with public health needs? #otalk (Tue, 05 Feb 2013 20:08:51 +0000)
@uk_james In the UK, risk stratification is beginning to be used to proactively manage care in health and #socialcare #OTalk (Tue, 05 Feb 2013 20:09:01 +0000)
@BillWongOT @uk_james yes… it is important. Sometimes people we see on the streets belong in this category. #otalk (Tue, 05 Feb 2013 20:09:08 +0000)
@claireOT @ThatJoelfella it’s usually done centrally using software as its a multi factorial issue, I’m no expert, learning lots from #otalk tonight!(Tue, 05 Feb 2013 20:09:28 +0000)
@anyadei @uk_james do any take into account what risk the patient considers there to be around themselves going to hospital? #OTalk (Tue, 05 Feb 2013 20:09:30 +0000)
@uk_james . @CharOTReilly yes, there’s a link to public health needs at a higher level – can be used at population or individual level #OTalk (Tue, 05 Feb 2013 20:09:41 +0000)
@claireOT RT @uk_james : It’s all about predicting risk of admission to hospital…. #OTalk (Tue, 05 Feb 2013 20:09:44 +0000)
@TTESmith RT @uk_james : RT @helen_whiteside : #OTalk our CCG IT tool describes risk as risk of the patient having hospital admission within next year #OTalk (Tue, 05 Feb 2013 20:09:45 +0000)
@claireOT RT @uk_james : RT @helen_whiteside : #OTalk our CCG IT tool describes risk as risk of the patient having hospital admission within next year #OTalk (Tue, 05 Feb 2013 20:09:51 +0000)
@uk_james Yes claireOT – can be done at population level, or can be used at patient level to map change over time #OTalk (Tue, 05 Feb 2013 20:10:21 +0000)
@Nursey_JimBob @clissa89 @helen_otuk @uk_james #OTalk why am I always traveling during these chats!(Tue, 05 Feb 2013 20:10:22 +0000)
@BillWongOT @uk_james @CharOTReilly so I guess maybe community organizations/non-profits can be helpful in addressing this issue. #otalk (Tue, 05 Feb 2013 20:11:08 +0000)
@uk_james I see risk stratification as a bit like crystal ball gazing – seeing who you might need to start intervention with now to stop crisis #OTalk (Tue, 05 Feb 2013 20:11:11 +0000)
@PresenceLearn Just finished our webinar on online #OT ! If any #OTpeeps want to be notified when the video is released, pls tweet us! #OTalk #OCChat (Tue, 05 Feb 2013 20:11:14 +0000)
@uk_james Using risk stratification is part of the DH Long Term Conditions model of care #OTalk (Tue, 05 Feb 2013 20:11:43 +0000)
@OTalk_Occhat RT @uk_james : Using risk stratification is part of the DH Long Term Conditions model of care #OTalk (Tue, 05 Feb 2013 20:12:04 +0000)
@DearPharmacist @uk_james #OTalk do COPD patients come into this category? We are doing a lot of work currently to reduce exacerbation’s.(Tue, 05 Feb 2013 20:12:07 +0000)
@uk_james There are 3 components to the LTC model of care. Any guesses? ….. #OTalk (Tue, 05 Feb 2013 20:12:10 +0000)
@helen_whiteside #OTalk @uk_james our system has about 25 broad disease areas. takes info account no. of hospital, nurse,GP appoints(Tue, 05 Feb 2013 20:12:19 +0000)
@BillWongOT @uk_james yes… prevention is essential in OT practice, isn’t it? #otalk (Tue, 05 Feb 2013 20:12:27 +0000)
@uk_james RT @helen_whiteside : #OTalk our system has about 25 broad disease areas. takes info account no. of hospital, nurse,GP appoints #OTalk (Tue, 05 Feb 2013 20:13:12 +0000)
@naberoutine RT @OTalk_Occhat : Good evening all welcome to this evening chat with @uk_james . #OTalk (Tue, 05 Feb 2013 20:13:17 +0000)
@Nursey_JimBob RT @uk_james : It’s all about predicting risk of admission to hospital…. #OTalk (Tue, 05 Feb 2013 20:13:44 +0000)
@CharOTReilly @uk_james environment, person, family? #otalk (Tue, 05 Feb 2013 20:13:55 +0000)
@uk_james . @helen_whiteside some risk strat systems just use hospital data (secondary care), others use GP (primary care)…. #OTalk (Tue, 05 Feb 2013 20:13:57 +0000)
@BillWongOT @uk_james @helen_whiteside can you put a link up please? #otalk (Tue, 05 Feb 2013 20:14:15 +0000)
@kirstyes @uk_james is it the three aspects mentioned on the Facebook event? #OTalk risk stratification, self care and forget the other-intervention?(Tue, 05 Feb 2013 20:14:16 +0000)
@CharOTReilly @BillWongOT @uk_james i would agree it is an important part of OT practice Bill #otalk (Tue, 05 Feb 2013 20:14:32 +0000)
@BillWongOT @uk_james environment, person, occupation #otalk (Tue, 05 Feb 2013 20:14:35 +0000)
@uk_james some risk strat systems are beginning to include #socialcare data to inform the predictive modelling too #OTalk (Tue, 05 Feb 2013 20:14:42 +0000)
@Nursey_JimBob @Helen_otuk #OTalk I am but will London Underground allow me to partake?(Tue, 05 Feb 2013 20:15:23 +0000)
@Nursey_JimBob RT @CharOTReilly : @uk_james environment, person, family? #otalk (Tue, 05 Feb 2013 20:15:38 +0000)
@Helen_otuk @kirstyes Integrated health and social care neighbourhood care teams? #OTalk (Tue, 05 Feb 2013 20:15:40 +0000)
@uk_james @BillWongOT no… have another go – have you done your background reading? ๐Ÿ˜‰ #OTalk (Tue, 05 Feb 2013 20:15:53 +0000)
@CharOTReilly @kirstyes @uk_james other one on FB is “Integrated health and social care neighbourhood care teams” #otalk (Tue, 05 Feb 2013 20:16:13 +0000)
@BillWongOT @Nursey_JimBob @Helen_otuk you can contribute within 24 hours. We don’t grab chat until tomorrow night your time. #otalk (Tue, 05 Feb 2013 20:16:27 +0000)
@OTalk_Occhat Yay! RT @CharOTReilly : @kirstyes @uk_james other one on FB is “Integrated health and social care neighbourhood care teams” #otalk (Tue, 05 Feb 2013 20:16:33 +0000)
@uk_james . @Helen_otuk you got it! ….. so the three are….. 1. Risk stratification 2. Integrated teams 3. self care – and DO THEM ALL!! #OTalk (Tue, 05 Feb 2013 20:16:44 +0000)
@PresenceLearn @billwongot Sorry we missed you! You will be notified once we have the #SPEDAhead webinar video on online occupational therapy up. =) #OTalk (Tue, 05 Feb 2013 20:17:04 +0000)
@Nursey_JimBob @uk_james @helen_whiteside #OTalk like the algorithm used by community matrons?(Tue, 05 Feb 2013 20:17:12 +0000)
@BillWongOT @uk_james now i see it… it’s in the blog. :p #otalk (Tue, 05 Feb 2013 20:17:18 +0000)
@kirstyes @uk_james When talking about hospital are you just talking about ‘physical health’ rather than ‘mental health’ hospital admissions? #OTalk (Tue, 05 Feb 2013 20:17:26 +0000)
@clarkmike #OTalk One of the difficulties for risk stratification and predictive modelling is poor source data (eg coding of admissions)(Tue, 05 Feb 2013 20:17:32 +0000)
@uk_james So tonight we’re talking about the first bit of the jigsaw. #socialcare and clinical commissioning groups looking at models now #OTalk (Tue, 05 Feb 2013 20:18:03 +0000)
@BillWongOT @kirstyes @uk_james that’s a good question… because it was confusing to me. #otalk (Tue, 05 Feb 2013 20:18:30 +0000)
@uk_james . @kirstyes could include mental health too – depression, anxiety, dementia, etc #OTalk (Tue, 05 Feb 2013 20:18:32 +0000)
@uk_james MT @clarkmike : #OTalk One difficulty of risk stratification and predictive modelling is poor source data (eg coding of admissions) #OTalk (Tue, 05 Feb 2013 20:18:55 +0000)
@nchadborn A CCG I’m working with are talking about using the Devon model for risk stratification – any info on this? #OTalk (Tue, 05 Feb 2013 20:19:13 +0000)
@uk_james . @clarkmike agree. And time lag too – sometimes up to 3 months. No good for the here and now of patient care #OTalk (Tue, 05 Feb 2013 20:19:25 +0000)
@helen_whiteside @kirstyes @uk_james #OTalk mental health 1 of conditions. as mike says sorcery data needs to come from right places and be coded accurately(Tue, 05 Feb 2013 20:19:58 +0000)
@BillWongOT RT @uk_james : MT @clarkmike : #OTalk One difficulty of risk stratification and predictive modelling is poor source data (eg coding of admissions) #OTalk (Tue, 05 Feb 2013 20:20:04 +0000)
@uk_james I don’t know about the Devon model @nchadborn – although familiar with Medeanalytics in Torbay, maybe they’re using that? #OTalk (Tue, 05 Feb 2013 20:20:24 +0000)
@OTalk_Occhat RT @uk_james : . @kirstyes could include mental health too – depression, anxiety, dementia, etc #OTalk (Tue, 05 Feb 2013 20:20:42 +0000)
@OTalk_Occhat RT @clarkmike : #OTalk One of the difficulties for risk stratification and predictive modelling is poor source data (eg coding of admissions)(Tue, 05 Feb 2013 20:20:54 +0000)
@anyadei @uk_james are these models co-produced with patients? Patients are acutely aware of their risks! #OTalk (Tue, 05 Feb 2013 20:21:07 +0000)
@kirstyes RT @uk_james : . @kirstyes could include mental health too – depression, anxiety, dementia, etc #OTalk (Tue, 05 Feb 2013 20:21:10 +0000)
@BillWongOT @uk_james @clarkmike I think electronic medical records should help hopefully eventually. #otalk (Tue, 05 Feb 2013 20:21:12 +0000)
@uk_james One of the challenges we face is the increasing numbers of people with multiple long term conditions #OTalk (Tue, 05 Feb 2013 20:21:23 +0000)
@kirstyes @uk_james cool thanks. #OTalk Both equally as important and possibly preventable.(Tue, 05 Feb 2013 20:21:35 +0000)
@claireOT RT @uk_james : MT @clarkmike : #OTalk One difficulty of risk stratification and predictive modelling is poor source data (eg coding of admissions) #OTalk (Tue, 05 Feb 2013 20:21:41 +0000)
@kirstyes RT @helen_whiteside : @kirstyes @uk_james #OTalk mental health 1 of conditions. as mike says sorcery data needs to come from right places and be coded accurately(Tue, 05 Feb 2013 20:21:57 +0000)
@OTalk_Occhat RT @uk_james : One of the challenges we face is the increasing numbers of people with multiple long term conditions #OTalk (Tue, 05 Feb 2013 20:22:17 +0000)
@PresenceLearn @leonoraot You got it! We think you’ll enjoy this #SPEDAhead webinar on online occupational therapy. #OTalk #OCChat (Tue, 05 Feb 2013 20:22:19 +0000)
@claireOT @uk_james @clarkmike Mike, I totally agree, particularly in #mentalhealth where outcomes for PbR not clinical indicators of risk #OTalk (Tue, 05 Feb 2013 20:22:21 +0000)
@uk_james The old way of treating people on single disease pathways isn’t future-fit. Lots of people have 2 or more LTC’s #OTalk (Tue, 05 Feb 2013 20:22:32 +0000)
@BillWongOT @anyadei @uk_james I don’t think all of them do, though. #otalk (Tue, 05 Feb 2013 20:22:32 +0000)
@clarewilding #OTalk wot kind of indicators are used to predict hospital admission?(Tue, 05 Feb 2013 20:22:36 +0000)
@kirstyes @helen_whiteside @uk_james Is it all lumped as one condition though when may have varied needs? #OTalk (Tue, 05 Feb 2013 20:22:42 +0000)
@uk_james . @kirstyes Kings Fund state that a third of people with LT phys health probs also have mental health problems #OTalk (Tue, 05 Feb 2013 20:23:19 +0000)
@claireOT RT @uk_james : The old way of treating people on single disease pathways isn’t future-fit. Lots of people have 2 or more LTC’s #OTalk (Tue, 05 Feb 2013 20:23:31 +0000)
@CharOTReilly @uk_james risk stratification is a form of collecting data 2 find potential trends & reduce future hospital admissions? #otalk #thatright ?(Tue, 05 Feb 2013 20:23:33 +0000)
@OTalk_Occhat RT @uk_james : . @kirstyes Kings Fund state that a third of people with LT phys health probs also have mental health problems #OTalk (Tue, 05 Feb 2013 20:23:36 +0000)
@uk_james RT @clarewilding : #OTalk wot kind of indicators are used to predict hospital admission? < any experts in the room? #OTalk (Tue, 05 Feb 2013 20:23:46 +0000)
@RebeccaTwinley @nchadborn Hi, you have no doubt seen this info, but if not http://t.co/zzZDTqjn #OTalk (Tue, 05 Feb 2013 20:23:50 +0000)
@anyadei @BillWongOT @uk_james no, but some will! And those are the ones who could help?! #OTalk (Tue, 05 Feb 2013 20:24:01 +0000)
@helen_whiteside @uk_james #OTalk & increasing number of professionals thus who needed to deliver care. is this where mixed skills may come to be v helpful(Tue, 05 Feb 2013 20:24:22 +0000)
@kirstyes @uk_james Only a third. #OTalk I would almost have guessed more.(Tue, 05 Feb 2013 20:24:30 +0000)
@MariWardahp @uk_james is this not where your CGA’s are vital #otalk (Tue, 05 Feb 2013 20:24:32 +0000)
@OTalk_Occhat @RebeccaTwinley thanks for the link #OTalk (Tue, 05 Feb 2013 20:24:33 +0000)
@uk_james . @CharOTReilly that’s right. All very interesting, but the trick is what to do with the info you find out. How does it improve care? #OTalk (Tue, 05 Feb 2013 20:24:38 +0000)
@Nursey_JimBob @uk_james #OTalk so true, the days of one LTC are well in the past, also expert patients with good control having normal A+E attendance(Tue, 05 Feb 2013 20:24:44 +0000)
@Nursey_JimBob @uk_james #OTalk are increasing,(Tue, 05 Feb 2013 20:25:03 +0000)
@uk_james http://t.co/ewJrEiGT for more on LTCs – brill resource #OTalk (Tue, 05 Feb 2013 20:25:19 +0000)
@anyadei RT @uk_james : The old way of treating people on single disease pathways isn’t future-fit. Lots of people have 2 or more LTC’s #OTalk (Tue, 05 Feb 2013 20:25:40 +0000)
@uk_james . @Nursey_JimBob I’ve seen local data that shows some people have up to 8 LTCs recorded (that we know of!) #OTalk (Tue, 05 Feb 2013 20:25:52 +0000)
@nchadborn @RebeccaTwinley Thanks that’s helpful, but didn’t get how it was different – presumably all predictive use local data? #OTalk (Tue, 05 Feb 2013 20:25:56 +0000)
@CharOTReilly @uk_james ok thanks, its true, I suppose the info can be used to influence policy & guidelines such as NICE/NSF that all HCP follow #otalk (Tue, 05 Feb 2013 20:26:04 +0000)
@claireOT #OTalk I’m concerned that people with psychosis have 20yrs lower life expectancy, I hope risk stratification will help this group #OTalk (Tue, 05 Feb 2013 20:26:10 +0000)
@anyadei RT @Nursey_JimBob : @uk_james #OTalk so true, the days of one LTC are well in the past, also expert patients with good control having normal A+E attendance(Tue, 05 Feb 2013 20:26:13 +0000)
@Nursey_JimBob @uk_james @kirstyes #OTalk most LTC have evidence of a mental component to there care, but is often never supported(Tue, 05 Feb 2013 20:26:35 +0000)
@nchadborn @MariWardahp I’m just about to start some work on Comprehensive Geriatric Assessment in Emergency Dept #OTalk (Tue, 05 Feb 2013 20:26:54 +0000)
@claireOT #OTalk I would like to see us move towards real-time analytics of changes in service provision to understand how they impact on communities(Tue, 05 Feb 2013 20:27:03 +0000)
@BillWongOT RT @uk_james : http://t.co/ewJrEiGT for more on LTCs – brill resource #OTalk (Tue, 05 Feb 2013 20:27:09 +0000)
@PresenceLearn @charotreilly No problem! “Online Occupational Therapy – Really?” has been one of our most popular webinars. We hope you like it! #OTalk (Tue, 05 Feb 2013 20:27:14 +0000)
@helen_whiteside #OTalk @uk_james ours uses activity data from GP systems – think counts no. ogre prim care appoints and secondary care appoints/ admissions(Tue, 05 Feb 2013 20:27:25 +0000)
@DearPharmacist @claireOT #OTalk I’m working with COPD patients. Will this help them?(Tue, 05 Feb 2013 20:27:27 +0000)
@OTalk_Occhat RT @uk_james : http://t.co/ewJrEiGT for more on LTCs – brill resource #OTalk (Tue, 05 Feb 2013 20:27:33 +0000)
@claireOT #OTalk by doing this, we could understand how to meet the needs of people who are harder to hear for commissioners (and have higher risks)(Tue, 05 Feb 2013 20:27:51 +0000)
@BillWongOT @anyadei @uk_james That I agree. #bpdchat community comes to mind. #otalk (Tue, 05 Feb 2013 20:27:52 +0000)
@uk_james Here’s an example of how risk stratification can help identify people http://t.co/cR7loGDs #OTalk (Tue, 05 Feb 2013 20:27:56 +0000)
@Nursey_JimBob @uk_james #OTalk I can well believe it(Tue, 05 Feb 2013 20:28:02 +0000)
@uk_james Has anyone here seen risk stratification tools in action yet? #OTalk (Tue, 05 Feb 2013 20:29:12 +0000)
@OTalk_Occhat RT @uk_james : Here’s an example of how risk stratification can help identify people http://t.co/cR7loGDs #OTalk (Tue, 05 Feb 2013 20:29:12 +0000)
@claireOT @DearPharmacist yes, sure, e.g. might have 1)diabetes 2)COPD 3)osteoarthritis in hip and planning elective hip arthoplasty #Otalk (Tue, 05 Feb 2013 20:29:29 +0000)
@BillWongOT @uk_james This is great! Client involvement is definitely important here! #otalk (Tue, 05 Feb 2013 20:29:38 +0000)
@claireOT @uk_james nope, but I’m all ears! #OTalk (Tue, 05 Feb 2013 20:29:52 +0000)
@RebeccaTwinley @nchadborn Yes, not explicit but thats what I took I to mean #OTalk (Tue, 05 Feb 2013 20:30:10 +0000)
@kirstyes @Nursey_JimBob @uk_james Guessing that’s where the integrated teams bit might come in. Also supports general professional training #OTalk (Tue, 05 Feb 2013 20:30:17 +0000)
@helen_whiteside @uk_james : Has anyone here seen risk stratification tools in action yet? #OTalk ” yep and i then no full med reviews on pts flagged up(Tue, 05 Feb 2013 20:30:36 +0000)
@uk_james . @BillWongOT key that clients know and involved – especially of we approach them and say we want to work proactively, diff approach #OTalk (Tue, 05 Feb 2013 20:30:43 +0000)
@OTalk_Occhat @emma_4286 Integrated health and social care neighbourhood care teams is the topic of our next LTC chat. #OTalk (Tue, 05 Feb 2013 20:30:45 +0000)
@DearPharmacist @claireOT #OTalk thanks. I will need to look at local policy to see if I can input in some way.(Tue, 05 Feb 2013 20:30:51 +0000)
@OTalk_Occhat RT @uk_james : Has anyone here seen risk stratification tools in action yet? #OTalk (Tue, 05 Feb 2013 20:31:06 +0000)
@kirstyes @Nursey_JimBob @uk_james by general training I mean not splitting up into condition specialists necessarily. E.g. OT not MHOT etc #OTalk (Tue, 05 Feb 2013 20:31:07 +0000)
@uk_james RT @helen_whiteside : ” @uk_james : Has anyone here seen risk stratification tools in action yet? #OTalk ” yep and i then no full med reviews on pts flagged up(Tue, 05 Feb 2013 20:31:12 +0000)
@nchadborn Does risk stratification include demographics etc as well as past access to health resources? ‘hard to reach’ may have low access #OTalk (Tue, 05 Feb 2013 20:31:50 +0000)
@uk_james . @helen_whiteside tell us more about your experience – do you use the tool yourself? #OTalk (Tue, 05 Feb 2013 20:31:52 +0000)
@helen_whiteside #OTalk @uk_james . last sweet no= do med reviews(Tue, 05 Feb 2013 20:32:01 +0000)
@MariWardahp @uk_james yes models being developed in scotland linking nursing and ahps to manage LTCs preventing needing for secondary care #otalk (Tue, 05 Feb 2013 20:32:08 +0000)
@BillWongOT @uk_james yes… I think motivational interviewing will be a good tool to use here- have the clients to think of their solutions. #otalk (Tue, 05 Feb 2013 20:32:10 +0000)
@anyadei ? @Nursey_JimBob : @uk_james @kirstyes #OTalk most LTC have evidence of a mental component to there care, but is often never supported? KEY!(Tue, 05 Feb 2013 20:32:40 +0000)
@uk_james . @kirstyes @Nursey_Jimbob – a great reason for MDT training and non-profession or non-specific #OTalk (Tue, 05 Feb 2013 20:32:44 +0000)
@uk_james . @BillWongOT motivational interviewing great #selfcare intervention. We’re covering this in the #OTalk in April! #OTalk (Tue, 05 Feb 2013 20:33:16 +0000)
@clarewilding #OTalk are risk stratification used by therapists or policy makers?(Tue, 05 Feb 2013 20:34:06 +0000)
@uk_james RT @helen_whiteside : #OTalk @uk_james . last sweet no= do med reviews. Community pharmacists involvement so important #OTalk (Tue, 05 Feb 2013 20:34:22 +0000)
@BillWongOT @uk_james even in the beginning stage is helpful too… as mentioned in stage 1 of your link. #otalk (Tue, 05 Feb 2013 20:34:23 +0000)
@anyadei @anyadei : @Nursey_JimBob @uk_james @kirstyes as a patient, the mental component can have the most significant positive impact for me #OTalk (Tue, 05 Feb 2013 20:34:38 +0000)
@uk_james So, what do you think the “stratification” in risk stratification is all about? #OTalk (Tue, 05 Feb 2013 20:34:50 +0000)
@CharOTReilly @BillWongOT @uk_james i definately agree, service users are the people who know what keeps them out of hospital, #otalk (Tue, 05 Feb 2013 20:35:19 +0000)
@kirstyes @uk_james @nursey_jimbob As in Inter-profess education at undergrad and postgrad levels? (Not generic undergrad training though?). #OTalk (Tue, 05 Feb 2013 20:35:22 +0000)
@PresenceLearn For info on reimbursement of online #OT , visit @AOTAInc website & d/l their “telerehabilitation paper” w/ a section on funding. #OTalk (Tue, 05 Feb 2013 20:35:25 +0000)
@helen_whiteside @uk_james #OTalk used 2 tools. current 1 searchable @ practice CCG & PCT level. search can b by disease area e.g. stroke respiratory cardiac(Tue, 05 Feb 2013 20:35:33 +0000)
@uk_james . @nchadborn yes, there are various indicators in the model, a series of algorithms that sit in the background #OTalk (Tue, 05 Feb 2013 20:35:41 +0000)
@RobWebster_LCH @claireOT and providers, including GPs #otalk (Tue, 05 Feb 2013 20:35:52 +0000)
@BillWongOT @CharOTReilly @uk_james especially if they have to be frequently hospitalized. #otalk (Tue, 05 Feb 2013 20:36:05 +0000)
@claireOT ? @RobWebster_LCH : @claireOT and providers, including GPs #otalk ? <absolutely, Rob(Tue, 05 Feb 2013 20:36:46 +0000)
@DearPharmacist #otalk is there an angle pharmacists could help with. I’m working on a few interventions to lower hospital admissions for patients with LTC(Tue, 05 Feb 2013 20:36:57 +0000)
@uk_james Kings Fund did early work on predictive modelling http://t.co/qPEVp58H #OTalk (Tue, 05 Feb 2013 20:37:07 +0000)
@kirstyes @anyadei @nursey_jimbob @uk_james Totally agree. Often ignorance of this is why self care initiatives fail. #OTalk (Tue, 05 Feb 2013 20:37:34 +0000)
@CharOTReilly @BillWongOT @uk_james does there need to be a standard evaluating tool 4 people leaving hospital? Inc, what will best keep u at home #otalk (Tue, 05 Feb 2013 20:37:37 +0000)
@helen_whiteside #OTalk @uk_james data shows as low to very high risk of admission. aim to prevent medium moving to high risk. Pts identified then discussed(Tue, 05 Feb 2013 20:37:42 +0000)
@claireOT *waves* to #nurchat I would be very interested in this chat, but dammit, I’m already following #OTalk !!(Tue, 05 Feb 2013 20:37:50 +0000)
@RobWebster_LCH #otalk great topic tonight. Needs to be linked to social care data, then self care, integrated teams & technology http://t.co/RjVcscWn (Tue, 05 Feb 2013 20:37:50 +0000)
@clissa89 @emma_4286 @uk_james that sounds like a really interesting system! #OTalk (Tue, 05 Feb 2013 20:38:05 +0000)
@OTalk_Occhat RT @uk_james : Kings Fund did early work on predictive modelling http://t.co/qPEVp58H #OTalk (Tue, 05 Feb 2013 20:38:14 +0000)
@kirstyes @anyadei @nursey_jimbob @uk_james e.g. With obesity. Often we know what we should be eating but psychological issues impact too #OTalk (Tue, 05 Feb 2013 20:38:19 +0000)
@NurChat RT @claireOT : *waves* to #nurchat I would be very interested in this chat, but dammit, I’m already following #OTalk !!(Tue, 05 Feb 2013 20:38:35 +0000)
@BillWongOT @CharOTReilly @uk_james for some people that maybe home visits, for some people maybe a transition related planning. #otalk (Tue, 05 Feb 2013 20:38:37 +0000)
@RobWebster_LCH #otalk how do we get OTs more involved in MDTs in practices to support risk strat?(Tue, 05 Feb 2013 20:38:40 +0000)
@CharOTReilly @BillWongOT @uk_james those techniques be great, but as well as that some kind of evaluation form to complete? #otalk (Tue, 05 Feb 2013 20:39:50 +0000)
@BillWongOT @clissa89 @emma_4286 @uk_james I agree! #otalk (Tue, 05 Feb 2013 20:40:08 +0000)
@claireOT RT @RobWebster_LCH : #otalk how do we get OTs more involved in MDTs in practices to support risk strat?(Tue, 05 Feb 2013 20:40:28 +0000)
@BillWongOT @CharOTReilly @uk_james will it be a subjective or objective measure? #otalk (Tue, 05 Feb 2013 20:41:02 +0000)
@BillWongOT @CharOTReilly @uk_james But maybe our daily SOAP notes will be a good start. #otalk (Tue, 05 Feb 2013 20:41:57 +0000)
@uk_james Think technical glitch at my end, keep chatting…. #OTalk (Tue, 05 Feb 2013 20:42:11 +0000)
@BillWongOT @uk_james no… I don’t see anything in the past few minutes either. #otalk (Tue, 05 Feb 2013 20:42:39 +0000)
@helen_whiteside @RobWebster_LCH #OTalk @uk_james does each practice or locality have an identified OT who could link ?(Tue, 05 Feb 2013 20:42:45 +0000)
@kirstyes @uk_james No, didn’t really think about it before to be honest #OTalk Important though for future workforce planning too (and education).(Tue, 05 Feb 2013 20:42:46 +0000)
@claireOT @RobWebster_LCH great question! @uk_james how did you get involved in risk stratification- was it as part of your commissioning job? #OTalk (Tue, 05 Feb 2013 20:43:06 +0000)
@uk_james My tweets posting, just cant see what you’re all saying! #OTalk (Tue, 05 Feb 2013 20:43:18 +0000)
@OTalk_Occhat RT @kirstyes : @uk_james No, didn’t really think about it before to be honest #OTalk Important though for future workforce planning too (and education).(Tue, 05 Feb 2013 20:44:21 +0000)
@helen_whiteside @helen_whiteside @uk_james #OTalk discussed at MDT of nurse GP district nurse pharmacist social care and whoever else invited / can make it(Tue, 05 Feb 2013 20:44:28 +0000)
@RobWebster_LCH @helen_whiteside @uk_james #otalk – future model being developed in Leeds. Decision to be made about team structure & practice footprint(Tue, 05 Feb 2013 20:44:49 +0000)
@BillWongOT @uk_james I can see you… but there are no new tweets on that hash tag feed. #otalk (Tue, 05 Feb 2013 20:44:54 +0000)
@uk_james how can identifying ?at risk? people can benefit them / deliver better outcomes? #OTalk (Tue, 05 Feb 2013 20:44:57 +0000)
@kirstyes @uk_james Isn’t this why we should treat people as people and not conditions though. Biased of course but think OTs hv tons 2 offer #OTalk (Tue, 05 Feb 2013 20:44:58 +0000)
@CharOTReilly @BillWongOT @uk_james both is ideal with a quantitative measure, but this is hard to do #otalk (Tue, 05 Feb 2013 20:45:10 +0000)
@PresenceLearn [ #OTalk Blog Post] Why More Schools Should Adopt Online Occupational Therapy http://t.co/xWf8Km0e (Tue, 05 Feb 2013 20:45:20 +0000)
@OTalk_Occhat yay your back? RT @uk_james : how can identifying ?at risk? people can benefit them / deliver better outcomes? #OTalk (Tue, 05 Feb 2013 20:45:22 +0000)
@BillWongOT RT @RobWebster_LCH : #otalk how do we get OTs more involved in MDTs in practices to support risk strat?(Tue, 05 Feb 2013 20:45:23 +0000)
@MariWardahp @uk_james hash tag not working for me just now ๐Ÿ˜ฆ #otalk (Tue, 05 Feb 2013 20:46:01 +0000)
@kirstyes @uk_james @clarewilding can I be controversial and suggest poor discharge planning can contribute to hospital admissions at times? #OTalk (Tue, 05 Feb 2013 20:46:04 +0000)
@BillWongOT @CharOTReilly @uk_james We should lobby the PhD’s in OT to come up with some great ones! #otalk (Tue, 05 Feb 2013 20:46:05 +0000)
@clarkmike @uk_james Geraint Lewis did lot of early work on PARR. Nuffield picked it up as DH no longer supported work. Geraint now at NHSCB #OTalk (Tue, 05 Feb 2013 20:46:12 +0000)
@BillWongOT RT @OTalk_Occhat : yay your back? RT @uk_james : how can identifying ?at risk? people can benefit them / deliver better outcomes? #OTalk (Tue, 05 Feb 2013 20:46:38 +0000)
@HelenPersey RT @RobWebster_LCH : #otalk how do we get OTs more involved in MDTs in practices to support risk strat?(Tue, 05 Feb 2013 20:46:42 +0000)
@CharOTReilly @uk_james the old phrase ‘prevention is better than cure’ if we can identify risks & manage them, will improve wel lbeing 4 SU #otalk (Tue, 05 Feb 2013 20:46:52 +0000)
@kirstyes #OTalk Thinking that our previously raised theme of raising general health literacy is important for this topic.(Tue, 05 Feb 2013 20:47:30 +0000)
@uk_james . @MariWardahp think #OTalk hashtag playing up for a few people by sounds of it… Let’s keep going!(Tue, 05 Feb 2013 20:47:34 +0000)
@claireOT I don’t think we’re being bold enough about the possibility presented by risk stratification- in delivering personalised services #OTalk (Tue, 05 Feb 2013 20:47:50 +0000)
@uk_james RT @RobWebster_LCH : @helen_whiteside @uk_james #otalk – future model being developed in Leeds. Decision to be made about team structure & practice footprint(Tue, 05 Feb 2013 20:48:09 +0000)
@OTalk_Occhat RT @kirstyes : #OTalk Thinking that our previously raised theme of raising general health literacy is important for this topic.(Tue, 05 Feb 2013 20:48:37 +0000)
@helen_whiteside @RobWebster_LCH @uk_james #OTalk Im LSE pharmacist/ IP. do med reviews 4 patients – approx 80 reviews – good outcomes and practice feedback(Tue, 05 Feb 2013 20:49:05 +0000)
@clarkmike @uk_james #OTalk CCGs who don’t use risk strat/predictive modelling could possibly run out of money – LTC costs in England = ๏ฟฝ70bn pa(Tue, 05 Feb 2013 20:49:09 +0000)
@BillWongOT @CharOTReilly @uk_james In Chinese, that will be ?????. #otalk (Tue, 05 Feb 2013 20:49:11 +0000)
@uk_james RT @clarkmike : ‘ @uk_james #OTalk CCGs who don’t use risk strat/predictive modelling could possibly run out of money – LTC costs in England = ๏ฟฝ70bn pa(Tue, 05 Feb 2013 20:49:15 +0000)
@claireOT What if we could present a case to local commissioners to provide a specific OT service for harder to hear groups? #OTalk (Tue, 05 Feb 2013 20:49:21 +0000)
@OTalk_Occhat Some tweeps having difficulty with the #OTalk , lets keep going… some still getting through.(Tue, 05 Feb 2013 20:49:28 +0000)
@kirstyes @Symbolic_Life @uk_james Yes, but I guess we still need that evidence about what the right therapy is. #OTalk (Tue, 05 Feb 2013 20:50:04 +0000)
@PresenceLearn @CharOTReilly @BillWongOT #OTalk Virtual learning with occupational therapy is definitely important for schools. http://t.co/xWf8Km0e (Tue, 05 Feb 2013 20:50:05 +0000)
@uk_james . @clarkmike @DHgovuk tell us LTCs account for 70% of #NHS and #socialcare spend #OTalk (Tue, 05 Feb 2013 20:50:07 +0000)
@BillWongOT @CharOTReilly sure… I just need to secure a position at USC first after I am done with my doctorate. #otalk (Tue, 05 Feb 2013 20:50:08 +0000)
@OTalk_Occhat RT @clarkmike : ‘ @uk_james #OTalk CCGs who don’t use risk strat/predictive modelling could possibly run out of money – LTC costs in England = ๏ฟฝ70bn pa(Tue, 05 Feb 2013 20:50:08 +0000)
@nchadborn @clarkmike @uk_james Is there robust evidence that risk strat does reduce costs? #otalk (Tue, 05 Feb 2013 20:50:15 +0000)
@claireOT RT @clarkmike : ‘ @uk_james #OTalk CCGs who don’t use risk strat/predictive modelling could possibly run out of money – LTC costs in England = ๏ฟฝ70bn pa(Tue, 05 Feb 2013 20:50:16 +0000)
@claireOT @clarkmike there seems to be some confusion on the #OTalk tag- people thinking it applies to individual interventions @uk_james (Tue, 05 Feb 2013 20:51:01 +0000)
@uk_james RT @OTalk_Occhat : Some tweeps having difficulty with the #OTalk , lets keep going… some still getting through.(Tue, 05 Feb 2013 20:51:04 +0000)
@uk_james . @OTalk_Occhat we’re a hardy lot! #OTalk
9 mins still to go….(Tue, 05 Feb 2013 20:51:48 +0000)
@claireOT @clarkmike risk stratification has meaning at population level- it is a probability measure, not applicable individually @uk_james #OTalk (Tue, 05 Feb 2013 20:51:56 +0000)
@claireOT @clarkmike I think I’ve got this right, but please do tell me if I’ve misunderstood?! #OTalk @uk_james (Tue, 05 Feb 2013 20:52:21 +0000)
@helen_whiteside @RobWebster_LCH @uk_james #OTalk if pharmacist not able to attend MDT meet we send our plan to the GP/ practice nurse to circ. to attendees(Tue, 05 Feb 2013 20:52:42 +0000)
@uk_james #OTalk people who would otherwise end up in hospital can get better outcomes by being identified early using risk stratification(Tue, 05 Feb 2013 20:52:50 +0000)
@OTalk_Occhat RT @uk_james : #OTalk people who would otherwise end up in hospital can get better outcomes by being identified early using risk stratification(Tue, 05 Feb 2013 20:53:20 +0000)
@uk_james . @kirstyes yes, health literacy and “activated” patients key
@HealthFdn have great resources on this #OTalk (Tue, 05 Feb 2013 20:54:07 +0000)
@OTalk_Occhat For anyone having problems, don’t forget we do not post to the blog for another 24hrs. So you can still input your thoughts. #OTalk (Tue, 05 Feb 2013 20:54:25 +0000)
@claireOT @uk_james so, we use computer models to add up risk, ie unmanaged diabetes+ obesity+unemployment= ++ risk? (Example!) #OTalk (Tue, 05 Feb 2013 20:55:08 +0000)
@CharOTReilly @Symbolic_Life @kirstyes @Nursey_JimBob @uk_james i think we R selling ourselves short, how can we b holisitic if we r solely MHOT? #otALK (Tue, 05 Feb 2013 20:55:11 +0000)
@uk_james . @Symbolic_Life @kirstyes @nursey_jimbob shouldn’t split MH and phys health – that’s the point of risk Strat. Non-condition specific #OTalk (Tue, 05 Feb 2013 20:55:13 +0000)
@BillWongOT @uk_james I think it’s part of our responsibility to help them in this department, especially for symptoms that are prone 2 relapse #otalk (Tue, 05 Feb 2013 20:55:19 +0000)
@clarkmike #OTalk Reason that Kaiser developed risk strat is that past history of hosp admissions is not good predictor of future – regression to mean(Tue, 05 Feb 2013 20:55:28 +0000)
@kirstyes @OTalk_Occhat yes my search seems to be stuck too. Boo #OTalk (Tue, 05 Feb 2013 20:55:37 +0000)
@uk_james RT @claireOT : @uk_james so, we use computer models to add up risk, ie unmanaged diabetes+ obesity+unemployment= ++ risk? (Example!) #OTalk (Tue, 05 Feb 2013 20:55:45 +0000)
@OTalk_Occhat Boo! RT @kirstyes : @OTalk_Occhat yes my search seems to be stuck too. Boo #OTalk (Tue, 05 Feb 2013 20:56:23 +0000)
@uk_james . @claireOT I think when we getter sophisticated at risk prediction models we’ll see diff factors included in scoring #OTalk (Tue, 05 Feb 2013 20:56:27 +0000)
@helen_whiteside @claireOT @clarkmike @uk_james it can do both #OTalk risk strat tool shows specific pts who then reviewed. commissioners use at global level(Tue, 05 Feb 2013 20:56:30 +0000)
@uk_james RT @helen_whiteside : @claireOT @clarkmike @uk_james it can do both #OTalk risk strat tool shows specific pts who then reviewed. commissioners use at global level(Tue, 05 Feb 2013 20:56:38 +0000)
@OTalk_Occhat RT @helen_whiteside : @claireOT @clarkmike @uk_james it can do both #OTalk risk strat tool shows specific pts who then reviewed. commissioners use at global level(Tue, 05 Feb 2013 20:56:51 +0000)
@claireOT Twitter, you are being very annoying. Cut it out. Love, all of us #OTalk #nurchat #lgovsm (Tue, 05 Feb 2013 20:57:00 +0000)
@uk_james . @helen_whiteside @claireot @clarkmike it can. I’ve seen used for both….. #OTalk (Tue, 05 Feb 2013 20:57:11 +0000)
@claireOT RT @clarkmike : #OTalk Reason that Kaiser developed risk strat is that past history of hosp admissions is not good predictor of future – regression to mean(Tue, 05 Feb 2013 20:57:15 +0000)
@Keeper85 @CharOTReilly @Symbolic_Life @kirstyes @Nursey_JimBob @uk_james to be holistic you don’t have to treat everything urself though #otalk (Tue, 05 Feb 2013 20:57:18 +0000)
@kirstyes @CharOTReilly @symbolic_life @nursey_jimbob @uk_james don’t think we can so why we need to fight when arguements come round. #OTalk (Tue, 05 Feb 2013 20:57:27 +0000)
@claireOT @helen_whiteside thanks, that makes sense #OTalk @clarkmike @uk_james (Tue, 05 Feb 2013 20:57:56 +0000)
@uk_james . @helen_whiteside @claireot @clarkmike was with a GP earlier looking at tool at individual level, tracking score change over time #OTalk (Tue, 05 Feb 2013 20:57:57 +0000)
@clarkmike @claireOT #OTalk There is an issue about anonymised hosp data/coding. Requires GP to unlock risk strat work to identify potential ind cases(Tue, 05 Feb 2013 20:58:03 +0000)
@NurChat RT @claireOT : Twitter, you are being very annoying. Cut it out. Love, all of us #OTalk #nurchat #lgovsm (Tue, 05 Feb 2013 20:58:10 +0000)
@claireOT @helen_whiteside I’m thinking about inclusion of economic and cultural risk factors, too #OTalk @clarkmike @uk_james (Tue, 05 Feb 2013 20:58:21 +0000)
@OTalk_Occhat ok Folks last few minutes of #OTalk , but do keep your thought coming.(Tue, 05 Feb 2013 20:58:24 +0000)
@claireOT @helen_whiteside are we anywhere near there, yet? #OTalk @clarkmike @uk_james (Tue, 05 Feb 2013 20:58:35 +0000)
@uk_james . @helen_whiteside @claireot @clarkmike in Kent we’ve cross matched #socialcare data with risk Strat profile at population level #OTalk (Tue, 05 Feb 2013 20:58:38 +0000)
@NurChat @claireOT Are you having issues on #OTalk as well? #NurChat (Tue, 05 Feb 2013 20:58:45 +0000)
@BillWongOT RT @helen_whiteside : @claireOT @clarkmike @uk_james it can do both #OTalk risk strat tool shows specific pts who then reviewed. commissioners use at global level(Tue, 05 Feb 2013 20:59:11 +0000)
@uk_james RT @OTalk_Occhat : ok Folks last few minutes of #OTalk , but do keep your thought coming.(Tue, 05 Feb 2013 20:59:23 +0000)
@uk_james My final thoughts on risk stratification #OTalk – huge potential to reduce unnecessary hospital admissions and improve quality of life(Tue, 05 Feb 2013 21:00:34 +0000)
@DearPharmacist RT @uk_james : My final thoughts on risk stratification #OTalk – huge potential to reduce unnecessary hospital admissions and improve quality of life(Tue, 05 Feb 2013 21:01:14 +0000)
@claireOT @uk_james love to chat more about it- I’m just starting develop data viz tools #OTalk @helen_whiteside @clarkmike (Tue, 05 Feb 2013 21:01:26 +0000)
@uk_james #OTalk Risk stratification tools vital to proactively identify people before a crisis occurs. All health and #socialcare staff need training(Tue, 05 Feb 2013 21:01:35 +0000)
@helen_whiteside #OTalk @Keeper85 @CharOTReilly @Symbolic_Life @kirstyes @Nursey_JimBob @uk_james plan inc. referral to specialists e.g. physio/nurse/clinic(Tue, 05 Feb 2013 21:01:39 +0000)
@OTalk_Occhat RT @uk_james : #OTalk Risk stratification tools vital to proactively identify people before a crisis occurs. All health and #socialcare staff need training(Tue, 05 Feb 2013 21:01:49 +0000)
@claireOT RT @uk_james : #OTalk Risk stratification tools vital to proactively identify people before a crisis occurs. All health and #socialcare staff need training(Tue, 05 Feb 2013 21:02:01 +0000)
@BillWongOT @uk_james yes… and that’s important to reduce length of stay, given the landscape we work in health care nowadays. #otalk (Tue, 05 Feb 2013 21:02:02 +0000)
@OTalk_Occhat RT @uk_james : My final thoughts on risk stratification #OTalk – huge potential to reduce unnecessary hospital admissions and improve quality of life(Tue, 05 Feb 2013 21:02:06 +0000)
@clarkmike @uk_james #OTalk Have you developed risk strat for potential care home admissions building on GL’s work at Nuffield Trust?(Tue, 05 Feb 2013 21:02:14 +0000)
@claireOT @uk_james bingo! So, what training is planned to help ordinary clinicians know and use this data? #OTalk (Tue, 05 Feb 2013 21:02:30 +0000)
@uk_james #OTalk Risk stratification only any good if we do something good with the info. Vital to create local MDTs in community based around GP prac(Tue, 05 Feb 2013 21:02:34 +0000)
@kirstyes @helen_whiteside @keeper85 @charotreilly @symbolic_life @nursey_jimbob @uk_james Why not include client as part of MDT up front? #OTalk (Tue, 05 Feb 2013 21:02:35 +0000)
@BillWongOT @Symbolic_Life @kirstyes @CharOTReilly @Nursey_JimBob @uk_james yes… very true. Hence, the first step is very important. #otalk (Tue, 05 Feb 2013 21:02:43 +0000)
@OTalk_Occhat RT @uk_james : #OTalk Risk stratification only any good if we do something good with the info. Vital to create local MDTs in community based around GP prac(Tue, 05 Feb 2013 21:02:53 +0000)
@uk_james #OTalk and individuals need to be given self care / self management skills to manage own LTCs(Tue, 05 Feb 2013 21:03:16 +0000)
@claireOT RT @uk_james : #OTalk Risk stratification only any good if we do something good with the info. Vital to create local MDTs in community based around GP prac(Tue, 05 Feb 2013 21:03:18 +0000)
@nchadborn @clarkmike Interested to talk more about anonymity/data issues #OTalk (Tue, 05 Feb 2013 21:03:26 +0000)
@Symbolic_Life @CharOTReilly @BillWongOT @uk_james Although! not every outcome measure will work for all #otalk (Tue, 05 Feb 2013 21:03:44 +0000)
@DearPharmacist @claireOT @uk_james Where do you all see the role of pharmacy in this. We are an untapped resource. #otalk (Tue, 05 Feb 2013 21:03:47 +0000)
@uk_james @kirstyes @helen_whiteside @keeper85 @charotreilly @symbolic_life @nursey_jimbob yes, patient should be seen as part of the team #OTalk (Tue, 05 Feb 2013 21:03:57 +0000)
@OTalk_Occhat Oh thats part 3 in April RT @uk_james : #OTalk and individuals need to be given self care / self management skills to manage own LTCs(Tue, 05 Feb 2013 21:04:04 +0000)
@kirstyes @anyadei having the same difficulty with #otalk .(Tue, 05 Feb 2013 21:04:07 +0000)
@nchadborn @uk_james mixing #socialcare data with risk stratification sounds good #OTalk (Tue, 05 Feb 2013 21:04:08 +0000)
@BillWongOT @nchadborn @clarkmike yes… given more and more facilities use electronic medical records. #otalk (Tue, 05 Feb 2013 21:04:23 +0000)
@uk_james RT @DearPharmacist : @claireOT @uk_james Where do you all see the role of pharmacy in this. We are an untapped resource. #otalk (Tue, 05 Feb 2013 21:04:24 +0000)
@Keeper85 @kirstyes @helen_whiteside @charotreilly @symbolic_life @nursey_jimbob @uk_james definitely! #otalk (Tue, 05 Feb 2013 21:04:36 +0000)
@OTalk_Occhat RT @DearPharmacist : @claireOT @uk_james Where do you all see the role of pharmacy in this. We are an untapped resource. #otalk (Tue, 05 Feb 2013 21:04:47 +0000)
@DearPharmacist @uk_james #otalk I am working on a couple of projects to help this. Where/how do I make contact to access tool?(Tue, 05 Feb 2013 21:04:52 +0000)
@claireOT @uk_james have you seen my new startup @Recovery4_Me ? Space for people in #mentalhealth #recovery #OTalk (Tue, 05 Feb 2013 21:04:58 +0000)
@RobWebster_LCH @OTalk_Occhat @uk_james any chance of summary given problems on the chat tonight #otalk :)(Tue, 05 Feb 2013 21:05:04 +0000)
@uk_james . @DearPharmacist @claireot role of pharmacist important – part of the community MDT. We’ll cover that on 5th March #OTalk (Tue, 05 Feb 2013 21:05:11 +0000)
@BillWongOT @kirstyes @anyadei same here in the US. There was like 20+ minutes of this chat went missing in the search. #otalk (Tue, 05 Feb 2013 21:05:38 +0000)
@uk_james RT @claireOT : @uk_james have you seen my new startup @Recovery4_Me ? Space for people in #mentalhealth #recovery #OTalk (Tue, 05 Feb 2013 21:05:43 +0000)
@helen_whiteside @uk_james : #OTalk Risk strat only good if we do something good with info. Vital to create local community MDTs based round GP prac” Agree(Tue, 05 Feb 2013 21:05:54 +0000)
@DearPharmacist RT @uk_james : . @DearPharmacist @claireot role of pharmacist important – part of the community MDT. We’ll cover that on 5th March #OTalk (Tue, 05 Feb 2013 21:05:56 +0000)
@claireOT @helen_whiteside depends what’s on C&B #OTalk @robwebster_lch @keeper85 @charotreilly @symbolic_life @kirstyes @nursey_jimbob @uk_james (Tue, 05 Feb 2013 21:06:05 +0000)
@kirstyes RT @uk_james : #OTalk Risk stratification tools vital to proactively identify people before a crisis occurs. All health and #socialcare staff need training(Tue, 05 Feb 2013 21:06:24 +0000)
@CharOTReilly thank you @uk_james , I learnt a lot from tonight’s #otalk on risk stratification(Tue, 05 Feb 2013 21:06:25 +0000)
@BillWongOT @CharOTReilly @Symbolic_Life @uk_james good idea. More ideas to connect with academia folks to collaborate. #otalk (Tue, 05 Feb 2013 21:06:37 +0000)
@uk_james . @MariWardahp that’s right – huge cost of residential and nursing care – often result of avoidable hosp admission #OTalk (Tue, 05 Feb 2013 21:07:08 +0000)
@kirstyes @DearPharmacist @claireot @uk_james agree. Loved having pharmacist in team I worked in. Integrated teams are wonderful. #OTalk (Tue, 05 Feb 2013 21:07:19 +0000)
@DearPharmacist @uk_james @claireOT Thanks will put in my diary. #otalk (Tue, 05 Feb 2013 21:07:44 +0000)
@uk_james Thanks everyone for tonight’s contributions to #OTalk on risk stratification(Tue, 05 Feb 2013 21:07:45 +0000)
@kirstyes RT @uk_james : #OTalk Risk stratification only any good if we do something good with the info. Vital to create local MDTs in community based around GP prac(Tue, 05 Feb 2013 21:07:58 +0000)
@clarkmike @nchadborn #OTalk – Nuffield Trust picked up the risk strat work when DH no longer supported it – plenty at http://t.co/H5JU6fiG (Tue, 05 Feb 2013 21:07:59 +0000)
@DearPharmacist RT @kirstyes : @DearPharmacist @claireot @uk_james agree. Loved having pharmacist in team I worked in. Integrated teams are wonderful. #OTalk (Tue, 05 Feb 2013 21:08:00 +0000)
@BillWongOT @Keeper85 @CharOTReilly @Symbolic_Life @uk_james yes… academia folks can develop a general model, but clinics can customize. #otalk (Tue, 05 Feb 2013 21:08:00 +0000)
@Helen_otuk #OTalk Thanks you to @uk_james for a great topic and for sticking with us through the difficulties – thanks to EVERYONE!(Tue, 05 Feb 2013 21:08:14 +0000)
@kirstyes RT @uk_james : #OTalk and individuals need to be given self care / self management skills to manage own LTCs(Tue, 05 Feb 2013 21:08:22 +0000)
@uk_james RT @clarkmike : ‘ @nchadborn #OTalk – Nuffield Trust picked up the risk strat work when DH no longer supported it – plenty at http://t.co/H5JU6fiG (Tue, 05 Feb 2013 21:08:22 +0000)
@Symbolic_Life RT @uk_james : My final thoughts on risk stratification #OTalk – huge potential to reduce unnecessary hospital admissions and improve quality of life(Tue, 05 Feb 2013 21:08:29 +0000)
@OTalk_Occhat RT @clarkmike : ‘ @nchadborn #OTalk – Nuffield Trust picked up the risk strat work when DH no longer supported it – plenty at http://t.co/H5JU6fiG (Tue, 05 Feb 2013 21:08:38 +0000)
@helen_whiteside @helen_whiteside @Keeper85 @CharOTReilly @Symbolic_Life @kirstyes @Nursey_JimBob @uk_james #OTalk pt gets chance 2 amend /change /agree plan(Tue, 05 Feb 2013 21:09:42 +0000)
@Symbolic_Life @uk_james agree! Also ‘supposedly’ the core purpose of OT.. Building coping strategies and empowerment! This model will support this! #otalk (Tue, 05 Feb 2013 21:09:45 +0000)
@Keeper85 @helen_whiteside @kirstyes @CharOTReilly @Symbolic_Life @Nursey_JimBob @uk_james clients are involved in MDT in my unit #otalk (Tue, 05 Feb 2013 21:09:56 +0000)
@uk_james @Helen_otuk phew!
Thanks to you too! #OTalk (Tue, 05 Feb 2013 21:10:03 +0000)
@Symbolic_Life RT @kirstyes : @DearPharmacist @claireot @uk_james agree. Loved having pharmacist in team I worked in. Integrated teams are wonderful. #OTalk (Tue, 05 Feb 2013 21:10:27 +0000)
@OTalk_Occhat @uk_james Great job! Busy chat even with the difficulties! Need to have a coffee now! #OTalk (Tue, 05 Feb 2013 21:10:52 +0000)
@claireOT Thanks for tonight’s #OTalk @uk_james , I got confused in the middle, and Twitter was rubbish, but it was STILL worth it!(Tue, 05 Feb 2013 21:10:57 +0000)
@clarkmike @uk_james #OTalk Link for some of the feasibility work on #socialcare risk strat (admission to care homes) http://t.co/buYkxiEa (Tue, 05 Feb 2013 21:10:58 +0000)
@BillWongOT RT @uk_james : . @kirstyes yes, health literacy and “activated” patients key
@HealthFdn have great resources on this #OTalk (Tue, 05 Feb 2013 21:11:07 +0000)
@claireOT Thanks @helenOT_UK for sterling work on the @OTalk_Occhat account tonight #OTalk (Tue, 05 Feb 2013 21:11:32 +0000)
@Nursey_JimBob @Keeper85 @helen_whiteside @kirstyes @charotreilly @symbolic_life @uk_james #OTalk that’s basic standard for all goal planning?(Tue, 05 Feb 2013 21:11:41 +0000)
@helen_whiteside RT @RobWebster_LCH : @OTalk_Occhat @uk_james any chance of summary given problems on the chat tonight #otalk :)(Tue, 05 Feb 2013 21:11:51 +0000)
@uk_james RT @clarkmike : #OTalk Link for some of the feasibility work on #socialcare risk strat (admission to care homes) http://t.co/PUJkIiJw #OTalk (Tue, 05 Feb 2013 21:11:59 +0000)
@Symbolic_Life #otalk i have been here for 30 minutes i have learnt SO much! Thank you @uk_james for a great topic proposal… #awesome (Tue, 05 Feb 2013 21:12:13 +0000)
@nchadborn @OTalk_Occhat @uk_james Thanks good to get OT opinions on statification! (says health researcher) #otalk (Tue, 05 Feb 2013 21:12:35 +0000)
@OTalk_Occhat YAY RT @Symbolic_Life : #otalk i have been here for 30 mins i have learnt SO much! Thank you @uk_james for a great topic proposal. #awesome (Tue, 05 Feb 2013 21:12:55 +0000)
@claireOT Special thanks to @clarkmike who managed to drop key links in for #OTalk and #nurchat at the same time! Bravo, sir!(Tue, 05 Feb 2013 21:13:46 +0000)
@claireOT RT @uk_james : Thanks everyone for tonight’s contributions to #OTalk on risk stratification(Tue, 05 Feb 2013 21:13:54 +0000)
@OTalk_Occhat More yay! RT @nchadborn : @OTalk_Occhat @uk_james Thanks good to get OT opinions on statification! (says health researcher) #otalk (Tue, 05 Feb 2013 21:14:00 +0000)
@helen_whiteside #OTalk @Helen_otuk @claireOT @uk_james thanks all tech hitch here too – not duress i saw all tweets or if mine arrived. date 4 nxt RS chat?(Tue, 05 Feb 2013 21:14:54 +0000)
@OTalk_Occhat multi tasking at it’s best! MT @claireOT : Special thanks to @clarkmike who managed to drop key links in for #OTalk and #nurchat ! Bravo, sir!(Tue, 05 Feb 2013 21:15:10 +0000)
@NurChat RT @claireOT : Special thanks to @clarkmike who managed to drop key links in for #OTalk and #nurchat at the same time! Bravo, sir!(Tue, 05 Feb 2013 21:15:34 +0000)
@kirstyes @CharOTReilly @uk_james yes thanks. Look forward to seeing (and probably critiquing ;0)) some of these tools. #OTalk (Tue, 05 Feb 2013 21:15:52 +0000)
@helen_whiteside RT @claireOT : Thanks @helenOT_UK for sterling work on the @OTalk_Occhat account tonight #OTalk (Tue, 05 Feb 2013 21:16:23 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james or you can select parts of a standardized assessment. #otalk (Tue, 05 Feb 2013 21:17:12 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james yes… and possibly combine that to make a quality study. #otalk (Tue, 05 Feb 2013 21:17:38 +0000)
@kirstyes @helen_whiteside @keeper85 @charotreilly @symbolic_life @nursey_jimbob @uk_james where online technology might come in useful?? #OTalk (Tue, 05 Feb 2013 21:17:54 +0000)
@kirstyes @claireOT @helen_whiteside Ah ha. Thanks. #OTalk (Tue, 05 Feb 2013 21:19:08 +0000)
@kirstyes @claireOT @helen_whiteside maybe another #otalk topic then ;0)(Tue, 05 Feb 2013 21:20:00 +0000)
@Symbolic_Life @BillWongOT @CharOTReilly @uk_james Logically, how many standardised asssessments are formally used in practice? Time restictions? #otalk (Tue, 05 Feb 2013 21:20:18 +0000)
@kirstyes @Nursey_JimBob @keeper85 @helen_whiteside @charotreilly @symbolic_life @uk_james well Wed like to think so but?…. #OTalk (Tue, 05 Feb 2013 21:21:25 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james BOT-2 and PDMS-2 are two common ones used in peds practice. #otalk (Tue, 05 Feb 2013 21:21:27 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james then there is also the VMI, Bayley… but that is dependent on what the facility has. #otalk (Tue, 05 Feb 2013 21:22:14 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james In mental health, a common one I think is the ACLS. #otalk (Tue, 05 Feb 2013 21:22:37 +0000)
@Nursey_JimBob @kirstyes @keeper85 @helen_whiteside @charotreilly @symbolic_life @uk_james #OTalk it’s the model we are trying to set up here(Tue, 05 Feb 2013 21:22:38 +0000)
@helen_whiteside #OTalk @Helen_otuk @claireOT @uk_james tool LSE used was Tribal. CCG then chose ACG(Tue, 05 Feb 2013 21:22:48 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james though I do heard that ACLS is also used in geriatric settings in some instances. #otalk (Tue, 05 Feb 2013 21:23:02 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james of course… clinical reasoning is involved when deciding what assessment to use. #otalk (Tue, 05 Feb 2013 21:23:51 +0000)
@clarkmike #OTalk Another link on the early PARR risk strat work done at the Kings Fund http://t.co/HZWkar4L (Tue, 05 Feb 2013 21:24:27 +0000)
@Nursey_JimBob @kirstyes @keeper85 @helen_whiteside @charotreilly @symbolic_life @uk_james #OTalk will do(Tue, 05 Feb 2013 21:24:56 +0000)
@Symbolic_Life @Nursey_JimBob @kirstyes @Keeper85 @helen_whiteside @CharOTReilly @Symbolic_Life @uk_james id really like to see that! #otalk (Tue, 05 Feb 2013 21:26:15 +0000)
@helen_whiteside @Helen_otuk @uk_james @RobWebster_LCH #OTalk LSE CCG med reviews in 4 practices. 80pts RV >135 med recommendations. breakdown on 1st 60…(Tue, 05 Feb 2013 21:30:07 +0000)
@Symbolic_Life @Helen_otuk I have no clue what that is? #OTalk (Tue, 05 Feb 2013 21:30:24 +0000)
@clarkmike #otalk Good slide deck from Kaiser (2007) on popln management for chronic conditions – good use of electronic records http://t.co/Zyos6oeA (Tue, 05 Feb 2013 21:31:39 +0000)
@helen_whiteside @helen_whiteside @Helen_otuk @uk_james @RobWebster_LCH #OTalk 35% stop/reduce med, 23% drug safety/efficacy monitoring needed e.g BP U&Es(Tue, 05 Feb 2013 21:31:54 +0000)
@Symbolic_Life @BillWongOT @charotreilly @uk_james they are but recently there is more a refocus of this in services. #OTalk (Tue, 05 Feb 2013 21:32:29 +0000)
@TheOTSIProject RT @OTalk_Occhat : YAY RT @Symbolic_Life : #otalk i have been here for 30 mins i have learnt SO much! Thank you @uk_james for a great topic proposal. #awesome (Tue, 05 Feb 2013 21:33:29 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james we don’t administer every assessment, we only administer ones that are necessary, right? #otalk (Tue, 05 Feb 2013 21:36:57 +0000)
@OTalk_Occhat RT @clarkmike : #otalk Good slide deck from Kaiser (2007) on popln management for chronic conditions – good use of electronic records http://t.co/Zyos6oeA (Tue, 05 Feb 2013 21:37:56 +0000)
@OTalk_Occhat RT @clarkmike : #OTalk Another link on the early PARR risk strat work done at the Kings Fund http://t.co/HZWkar4L (Tue, 05 Feb 2013 21:38:11 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james yes… but I think we shouldn’t take too much stock on 1 assessment sometimes. #otalk (Tue, 05 Feb 2013 21:45:47 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james I have heard stories where a child performed avg in 1 assessment, but below avg in another. #otalk (Tue, 05 Feb 2013 21:46:33 +0000)
@Symbolic_Life @kirstyes @charotreilly @uk_james il join you Kirsty! Theoretical link to practical application #fan ! #OTalk (Tue, 05 Feb 2013 21:46:36 +0000)
@helen_whiteside @uk_james @claireOT #OTalk yep aim is that interventions/ better care reduces score. prevent medium risk inc. to high, high to very high etc(Tue, 05 Feb 2013 21:46:41 +0000)
@Symbolic_Life @BillWongOT @charotreilly @uk_james yea we shouldn’t! But bill that’s what’s happening… #practical #OTalk (Tue, 05 Feb 2013 21:47:59 +0000)
@BillWongOT @helen_whiteside @uk_james @claireOT or in the case of FIM, it will be increasing independence levels. #otalk (Tue, 05 Feb 2013 21:48:19 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james good ethical dilemma I guess. #otalk (Tue, 05 Feb 2013 21:49:23 +0000)
@Symbolic_Life Nearly an hour after #OTalk has ended I’m still here? I’m outta! :-). Thanks again! #itsbeenemotional #attemptingtocharmOTalk !(Tue, 05 Feb 2013 21:49:39 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james sometimes I am not too confident in making claims. :p #otalk (Tue, 05 Feb 2013 21:50:29 +0000)
@SenKidsCharity CPD Workshops for OT’s < http://t.co/lIlwiNHm> #OTalk #ot #autism #dyspraxia #sensoryprocessing Pls RT(Tue, 05 Feb 2013 21:50:50 +0000)
@BillWongOT RT @SenKidsCharity : CPD Workshops for OT’s < http://t.co/lIlwiNHm> #OTalk #ot #autism #dyspraxia #sensoryprocessing Pls RT(Tue, 05 Feb 2013 21:51:24 +0000)
@MelieKate RT @uk_james : The old way of treating people on single disease pathways isn’t future-fit. Lots of people have 2 or more LTC’s #OTalk (Tue, 05 Feb 2013 21:51:33 +0000)
@aiysha89 RT @uk_james : My final thoughts on risk stratification #OTalk – huge potential to reduce unnecessary hospital admissions and improve quality of life(Tue, 05 Feb 2013 21:52:11 +0000)
@aiysha89 RT @claireOT : #OTalk I would like to see us move towards real-time analytics of changes in service provision to understand how they impact on communities(Tue, 05 Feb 2013 21:52:33 +0000)
@skk5874 RT @kirstyes : @DearPharmacist @claireot @uk_james agree. Loved having pharmacist in team I worked in. Integrated teams are wonderful. #OTalk (Tue, 05 Feb 2013 22:17:28 +0000)
@nchadborn @BillWongOT @CharOTReilly @Symbolic_Life @uk_james We need to talk more! Mutual benefit – academics & clinicians @CLAHRC_NDL #OTalk (Tue, 05 Feb 2013 22:27:01 +0000)
@BillWongOT @nchadborn @CharOTReilly @Symbolic_Life @uk_james @CLAHRC_NDL Agreed- this network will be a good start. #otalk (Tue, 05 Feb 2013 22:28:56 +0000)
@GentleChaos @Lyndsey_OT Other things that might interest you: #OTalk #occhat etc on Tuesdays. Catch up in the a.m xx(Tue, 05 Feb 2013 23:57:58 +0000)
@kennywong886 RT @BAOTCOT : Tonight’s @otalk_occhat is on long term conditions and risk stratification – follow #otalk from 8pm to see the chat…(Wed, 06 Feb 2013 00:14:53 +0000)
@OTalk_Occhat @jfaias : The OccupationalTherapists Daily is out! http://t.co/51MQOqOZ ? Top stories today via @OTalk_Occhat #OTalk #fallschat & more.(Wed, 06 Feb 2013 08:50:30 +0000)
@Helen_otuk @mgoat73 look forward to it. #OTalk (Wed, 06 Feb 2013 08:57:24 +0000)
@jacsonot RT @uk_james : . @kirstyes Kings Fund state that a third of people with LT phys health probs also have mental health problems #OTalk (Wed, 06 Feb 2013 12:07:07 +0000)
@jacsonot RT @uk_james : #OTalk Risk stratification tools vital to proactively identify people before a crisis occurs. All health and #socialcare staff need training(Wed, 06 Feb 2013 12:09:21 +0000)
@AllSpecialEd Wed. Blog DAY: โค @ruthmorgan55 Speech/OT groups-there’s a method to my madness! Gr8 4 Collab. #slpeeps #OTalk #spedchat http://t.co/p4W84Y66 (Wed, 06 Feb 2013 20:26:24 +0000)

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#OTalk โ€“ Using Risk Stratification to case find people with Long Term Conditions โ€“ Tues 5th Feb 8pm

Thanks to @uk_james for proposing this weeks topic and volunteering to host the discussion. Please join us for what is looking to be an interesting first of three.

This weekโ€™s #OTalk is the first of a series of three looking at how to meet the challenge of providing care and support to increasing numbers of people living with long term conditions, equal to, if not greater than the challenge of an ageing population.

In total around 70% of the total health and care spend in England (ยฃ7 out of every ยฃ10) is attributed to caring for people with long term conditions (LTCs).

Weโ€™ll be exploring the Department of Healthโ€™s recommendations to implement the Long Term Conditions model of care.ย  There are 3 components โ€“ which MUST all be done together at the same time:

  1. Risk stratification โ€“ predicting who is at risk of hospital admission
  2. Integrated health and social care neighbourhood care teams
  3. Self care โ€“ supporting people to understand and manage their own conditions better themselves

This weekโ€™s #OTalk is on the topic of risk stratification, which is all about how to use a predictive model to identify / case find people who are at the greatest risk of going into hospital.ย  Risk stratification tools (clever software) can also be used to identify the people who can be offered targeted preventative and self care support. Itโ€™s a bit like crystal ball gazing โ€“ looking ahead in time and working with people now to prevent a crisis at a later stage.ย  All too often, health and social care professionals work with people at or after a time of crisis, rather than preventing one in the first place.

risk strat

(from http://www.nuffieldtrust.org.uk/our-work/projects/predicting-future-costs-social-care )

To read more about the current picture, including the changing needs of our ageing population why health and social care professionals need to adopt a different way of working, see the DHโ€™s Long Term Conditions Compendium of Information at http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_134486.pdf

Also the DH LTC website at: http://www.dh.gov.uk/health/category/policy-areas/nhs/long-term-conditions/

Thereโ€™s a great guide for staff, produced by Leeds health and social care organisations available.ย  Check out page 9 for an easy to read explanation of risk stratification: http://www.leeds.gov.uk/docs/Professionals%20Guide%20Sept%202012.pdf

A detailed implementation guide for a Long Term Conditions model of care has been developed by Kent health and social care organisations and can be found at: https://shareweb.kent.gov.uk/Documents/adult-Social-Services/professionals-and-projects/long-term-conditions-programme/lct-guidance.pdf

Follow @SirJohnOldham , GP and National Clinical Lead for Quality and Productivity at the DH on Twitter.ย  He has been leading the LTC programme at a national level and tweets related observations.

During the #OTalk weโ€™ll be covering:

  1. Gaining an understanding about the challenge of increasing numbers of people with multiple long term conditions
  2. Gaining an understanding of the process of risk stratification.ย  What is it and how to do it?
  3. Working out how identifying โ€œat riskโ€ people can benefit them / deliver better outcomes
  4. Thinking about implications for practice โ€“ what does this approach mean for you?

The next #OTalk in this series about LTCs on the topic of integrated health and social care teams will be Tuesday 5th March at 8pm.

#Fallschat, Monday 4th February 2013

Hi everyone. Weโ€™re co-hosting a one off special tweetchat on Monday night, as well as our usual Tuesday chat this week.

#fallschat โ€“ Falls Prevention Monday 4th Feb 8-9pm (and live tweets during day from falls prevention conference โ€“ โ€œInside the Circleโ€)

Weโ€™re hosting #fallschat in partnership with Kent County Council and the NHS and will follow on from a one day conference being held in Kent earlier in the day.ย  The day event will look at the issues around best practice in falls prevention and kicks off some work to address the fact that there has been a 59% increase in reporting of hospital related falls admissions over the past 6 years in Kent and Medway.

The 8pm #fallschat will be co-hosted by @uk_james an occupational therapist now working in adult social care strategic commissioning.

We will cover:

  1. Your story of falls โ€“ have you ever fallen or know someone who has?
  2. Top tips for preventing falls โ€“ practical tips, advice for older people
  3. What kinds of falls prevention services or support should be available for older people living in our communities?ย  Are there any examples of things being done now that are proven to benefit people?

To read more about falls prevention you can visit the Prevention of Falls Network Earth at www.profane.co and on twitter @ProFane2

Extra daytime #fallschat if youโ€™re interested from the โ€œInside the Circleโ€ conference – 9.30am-4pm

@KentSocialCare will be tweeting live from the conference during the day 9.30am-4pm so youโ€™re very welcome to join in on Twitter too then โ€“ all 100 delegates are being encouraged to tweet from the event too using the #fallschat hashtag.ย  Tweets are being projected for all to see during the day so please do contribute to the discussion and say hello to everyone!

The programme for the day event can be found at: https://shareweb.kent.gov.uk/Documents/adult-Social-Services/Inside%20the%20Circle%20Programme%20for%20participants.doc

Dr Dawn Skelton, Professor of Ageing and Health from Glasgow Caledonian University, national expert in falls prevention, will be speaking between about 11.05 and 11.35am, so donโ€™t miss the conference tweets around that time on hashtag #fallschat.ย  More about Dr Skelton at http://www.gcu.ac.uk/hls/staff/professordawnskelton/

Presentations will be posted after the event so weโ€™ll post the link here when itโ€™s available. Weโ€™ll also post a link to a new short video which gives older peopleโ€™s views on what itโ€™s like to have a fall and what they thought of the services available to support them from having another, when it becomes available. We have started a storify with links to some resources and will be building on these as the day progresses and will include tweets and resources.ย  http://storify.com/OTalk_Occhat/fallschat-4th-february-2013-2014

Look forward to seeing you there!