#OTalk – 26th May 2014 – Handwriting

Thanks to Charlotte @CharlOTplay for this weeks chat topic, we hope to see you all there.

The chat will be at 8pm (UK), click if you want to see what time this is in different time zones.

Charlotte’s original post can be found here.

During my final placement as an OT student, I arrived new to paediatrics and my clinical lead pointed out my roles and responsibilities for the next 3 months. One of which was to run the year 3 handwriting lesson once per week, in my nieve and ignorant mind my first response was “whys that my job and not the teachers.”

How wrong I was! Two years post-graduation after attending a Sydney Chu course and completing SI module 1, I realise the complexity of the functional skill and crucial need for a developmental therapeutic approach to success. It is hopeful that by participating in this #OTalk, people will appreciate the complexity of handwriting, understand the developmental pre-requisites for writing and share resources and information from those experts in the field. I still feel like a novice with understanding the occupational functional, however, I hope this talk can broaden my perspective, share resources and learn from others.

Handwriting is defined as being a complex skill that requires motor, sensory, cognitive, praxis and perceptual skills, (Chu 1997). It’s functions include, being a form of communication in order to record information and a means of expressing feelings, thoughts and ideas, (Chu 1997).

To help us think about handwriting please refer to the following questions:

1. What are the pre-requisites required for handwriting?

2. How can you identify handwriting difficulties? What do you need to look out for?

3. What assessment tools are available to assess handwriting?

4. What resources are available for supporting handwriting both in schools and from a clinic base?

5. Who is responsible for handwriting? The OT, teacher, parent debate?

6. What is your take away message from today?

Thank you for participating in this #OTalk

References

Chu, S. (1997) Occupational Therapy for Children with handwriting difficulties: A framework for evaluation and treatment. British Journal of Occupational Therapy. 60 (12).

POST CHAT UPDATES:

Healthcare Hashtags Online Transcript. 

#OTalk – 26th May 2015 – PDF of Transcript.

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#OTalk – 19th May 2015 – Dementia: See the Person (Dementia Awareness Week)

This year, Dementia Awareness Week (#DAW2015) will run from 17-23 May. Join us on Tuesday 19th May 8pm BST (click the link to convert to your time zone) for an #OTalk tweetchat hosted by Nichola Duffy (@Nnikki_Duffy).

SeeThePerson

 

I’m not where I’m meant to be…

 

If you had asked me three years ago which clinical area I wanted to specialise in, I would have unequivocally and confidently answered neurology/ headache disorders. Yes I’m one of those annoying people that had a five-year plan!  As you can guess from the title of the blog I’m not working in neurology, my five year plan went out of the window when I started working in a pilot post as a community mental health OT working in a memory team (initially within care homes). I promise I’m not trying to convert every OT to work within the memory team (she says with her fingers crossed) but I think I have the best job in the world!

Leven et al. (2011) described the role of OT as ‘one of the most promising psychosocial interventions for those living with dementia and carers’ (p.743)

The journey travelled by each individual living with dementia is just that; individual (unique), even those with the same level of underlying pathology may experience differences in occupational performance (Holthe, Thorsen and Josephsson, 2007). Burns and lliffe (2009) defines dementia as a clinical syndrome that affects memory, disturbances in language, psychological and psychiatric thinking impacting on the  ability to perform everyday activities. However a more potent description can be found in the World Health Organisation’s (WHO, 2012) publication ‘Dementia a Public Health Priority’ defining the diagnosis as ‘overwhelming’, not only for those living with a dementia diagnosis but also care givers and families.

As OT’s we have a responsibility to  look beyond the neurological impairment and focus on strengths, capabilities and valued occuaptions. With occupational therapists having a specific responsibility to utilise approaches that ‘penetrate the bubble’ as Perrin (1997) described many years ago, to really See The Person living with dementia, not only symptoms.

I’ve also felt that one of the strengths of our professions is described in the WFOT (2010) position statement as ‘listening to the voice’ whether that is the individual, families, caregivers etc. Baldwin (2008) discusses the importance of the narrative, the stories we tell, listen to, reinforce and their ability to empower an individual, stating ‘through our stories we can give voice to or silence others’. Working in a dementia care setting this statement of advocating or ‘giving those a voice’ I believe is at the centre of what I do and I can truly say I’m exactly where I’m meant to be.

Within my trust we have adopted the statement SeeThePerson, so as we approach dementia awareness week it may be fitting to ask ourselves:

  1. Do we really see the person?
  2. What skills do occupational therapists have to enable us to look beyond the patient to see the person?
  3. What are some of the perceived barriers to delivering person centred care?

Nichola Duffy @Nikki_Duffy.

‘I have become a storyteller. Not with jokes or funny stories, although funny things happen to me a lot. But to tell others about living with Alzheimers. To tell people my story, my hopes and my intentions and, more importantly my expectations. Breaking the stereotype of a person with Alzheimers or other dementia as very elderly and in the final stages is very important to me. And it starts by speaking out, one person at a time.’

Jim Mann (2010)

Resources:

What is dementia?

https://www.youtube.com/watch?v=6q-H1-XwCZA

Barbara, the whole story

https://www.youtube.com/watch?v=DtA2sMAjU_Y

Dementia – Briefing 2 – Meaningful Activity: This briefing is aimed at occupational therapy practitioners interested in developing their knowledge and experience of working with older people. Its purpose is to distinguish between dementia, delirium and depression.

https://www.cot.co.uk/briefings/dementia-briefing-2-meaningful-activity

COT (2012) Dementia- hOT topics have a comprehensive list of a number of related articles.

https://www.cot.co.uk/system/files/privatedownloads/hot-topics/Dementia-Jan2012.pdf

Some useful articles/books on person centred care:

Bartlett, R. and O’Connor, D. (2007) ‘From personhood to citizenship: Broadening the lens for dementia practice and research.’ Journal of Aging Studies, 21(2) 107–118. doi: 10.1016/j.jaging.2006.09.002.

Brooker, D. (2007) Person-Centred Dementia Care: Making Services Better. London: Jessica Kingsley Publishers

Clarke A., Hanson E. and Ross H. (2003) ‘Seeing the person behind the patient: enhancing the care of older people using a biographical approach’, Journal of Clinical Nursing, 12(5) pp. 697–706. doi: 10.1046/j.1365-2702.2003.00784.x.

Clissett, P., Porock, D., Harwood, R. and Gladman J. (2013) ‘The challenges of achieving person-centred care in acute hospitals: A qualitative study of people with dementia and their families’, International Journal of Nursing Studies, 50(11) pp.1495-1503. doi: 10.1016/j.ijnurstu.2013.03.001.

Cook, A. (2008) Dementia And Well-Being: Possibilities And Challenges. Edinburgh: Dunedin Academic.

Kitwood, T. (1997) Dementia Reconsidered : The Person Comes First. Buckingham : Open University Press.