OTalk

#OTalk – 1st June 2021 – Outcome Measures and interventions used by Occupational Therapists to manage long COVID

To be hosted by Anita Atwal @anita_atwal, Associate Professor, South Bank University, Emma Nicklin @emmakears Trust Wide Head of Profession for Occupational Therapy, Central and North West London NHS Foundation Trust Kirsty Stanley @Occ4LifeLtd, Independent Occupational Therapist

@preston_jenny will be on the account

Occupational Therapy is viewed as key to enabling persons with long COVID return back to their everyday daily activities.  Evidence is needed to guide interventions and to monitor changes. This is challenging since evidence from NICE guidance (2020) on the management of long covid acknowledges that there is little evidence on intervention and or the common symptoms related to COVID-19, such as fatigue, dizziness and cognitive problems (such as ‘brain fog’), but the panel agreed that support, such as setting achievable goals, should be tailored to the person’s needs.

This Twitter chat is anchored within co-production workshops involving occupational therapists  to reflect on interventions used within practice to identify barriers and facilitators to providing services.  Key findings from the workshop were:

1. Existing interventions being adapted but no agreement on actual occupational therapy interventions

2. Outcome measures not being used to evaluate occupational therapy elements of services

3.  Occupational therapists not always being able to articulate the unique selling point and or value of occupational therapy

4. Acknowledgement that current interventions carried out by occupational therapists could be adopted by other members of the multi- disciplinary team

This Twitter chat will explore each of the findings from the workshop.

POST CHAT

The Numbers

1.966M Impressions
452 Tweets
64 Participants
9 Avg Tweets/Hour
7 Avg Tweets/Participant

OTalk

Improving Representation in OT – One Year On – What Next – #OTalk 25th May 2021

Take a look at the blog posts and summaries for the four chats hosted over the last year.

BAME

Disability

LGBTQIA+ and Gender

Review

1) What have you done personally?

2) What progress has the profession made?

3) What have been the barriers?

4) And the opportunities?

5) What opportunities are coming next?

6) What should we pledge to do by May 2022?

7) And how will we get there? (Practical steps)

POST CHAT

The Numbers

2.184M Impressions
645 Tweets
93 Participants
13 Avg Tweets/Hour
7 Avg Tweets/Participant

OTalk

#OTalk – 18th May 2021 – The new stroke service specification – what does this mean for community services?

This weeks chat will be hosted by Louise Clark @louiseclark15

April 2021 saw the NHS England endorsement of a new stroke service model, in response to the NHS Long Term Plan (2019). One of the priorities in the LTP (https://www.longtermpl) was to develop specialist, intensive rehabilitation services in the community for all who require them. With the new stroke service model detailing integrated community services, psychological care, and vocational rehabilitation, what does this mean for community stroke services as we know them?

Join Louise Clark (@louiseclark15) and colleagues from the RCOT- SSNP stroke forum (@RCOT_NP) and Dr Rebecca Fisher (NHS England- Rehabilitation and life after stroke lead @RebeccaJFisher_) to explore this in more detail.

Please join the stroke community on the NHS Futures platform to read the integrated community stroke service specification and many more useful documents and discussions (https://future.nhs.uk/strokecommunity/view?objectId=16024272#16024272).

We will explore the following questions:

1) What are the key features/most significant changes in the stroke service model for community services?

2) What are the benefits/opportunities of the proposed model?

3) What are the challenges/threats of the proposed model?

4) What steps are important in moving towards this model?

POST CHAT

The Numbers

1.013M Impressions
302 Tweets
70 Participants
6 Avg Tweets/Hour
4 Avg Tweets/Participant

OTalk

#OTalk – 11th May 2021 – “Resilience” – helpful or a hindrance?

This weeks chat will be hosted by Rachael Daniels @RachaelD_OT .

“We work in a world of traumas and triumphs. Most of the persons we serve come to us out of necessity, struggling with the sequelae of disease and illness or the aftermath of natural or manmade disasters.” (Fine, 1991). 

The term “resilience” is used when referring to how individuals overcome adversity (Bonanno, 2004). The term seems to be everywhere, but what does it really mean? Is referring to somebody as resilient a compliment? Or could it be considered insulting? 

In recent decades, there has been an influx of research on resilience (Bonanno, 2004; Leipold & Greve, 2009; Becvar, 2012) and yet a collective notion on its value is yet to be reached. Such interest in resilience is not surprising, as many industries and professions continue to move from a deficit-based approach to a strength-based approach. It is likely through the influx of this traction that the buzzword ‘resilience’ has taken off. 

In terms of defining resilience, there is controversy in the literature as to whether resilience is a personal trait, a process, or an outcome (Ahern, Ark, & Byers, 2008). In the field of psychology, resilience is considered to be a biopsychosocial and spiritual phenomenon. It is often defined as ‘the developable capacity to rebound or bounce back from adversity, conflict, and failure or even positive events, progress, and increased responsibility’ (Luthans, 2002, p. 702). 

When considering individuals and their perceived resilience,  Becvar (2012) surmised that one of the most accepted beliefs is that resilience refers to the capacity of those who, even in incredibly stressful situations, are able to cope, to rebound, and to eventually go on and thrive (Becvar, 2012). Lopez (2011) stated that Occupational Therapy practitioners should be cognizant of a patient’s resilient and adaptive capacity when providing services to a patient that has endured a traumatic event. With that in mind, is there a role for Occupational Therapists in assisting individuals to increase their resilience? Or indeed, is it even possible for one to improve their resilience? 

Newman (2005); Padesky & Mooney (2012) and Peters (2020), argue that we can all learn techniques to help build resilience. These are said to include: cognitive reframing techniques, character-building, stress management, viewing crises as challenges, learning to accept things you can’t change; sharing feelings, and keeping things in perspective (Peters, 2020). Is this something that we, as Occupational Therapists, are already addressing? If not, should we be?

  1. What does resilience mean to you?
  2. Would you be happy to be referred to as resilient? Please explain your answer. 
  3. Have you ever referred to somebody as resilient? If so, what was their response?
  4. Do you feel that the term resilient could demean the conscious efforts of individuals to overcome adversity?

References

Ahern, N. R., Ark, P., & Byers, J. (2008) ‘Resilience and coping strategies in adolescents’, Paediatric Nursing, 20, pp.32-36.

Becvar, D.S. ed., (2012) Handbook of family resilience. New York: Springer Science & Business Media.

Bonanno, G.A (2004) ‘Loss, Trauma, and Human Resilience: Have We Underestimated the Human Capacity to Thrive After Extremely Aversive Events?’ American Psychologist, 59(1), pp.20–28. DOI: https://doi.org/10.1037/0003-066X.59.1.20

Fine, S.B. (1991) ‘Resilience and human adaptability: Who rises above adversity?’, American Journal of Occupational Therapy45(6), pp.493-503.

Leipold, B. & Greve, W. (2009) ‘Resilience: A conceptual bridge between coping and development’, European Psychologist14(1), pp.40-50.

Lopez, A. (2011) ‘Posttraumatic stress disorder and occupational performance: building resilience and fostering occupational adaptation’, Work38(1), pp.33-38.

Luthans, F. (2002) ‘The need for and meaning of positive organizational behavior’, Journal of Organizational Behavior: The International Journal of Industrial, Occupational and Organizational Psychology and Behavior23(6), pp.695-706.

Newman, R. (2005) ‘APA’s resilience initiative’, Professional psychology: research and practice36(3), p.227.

Padesky, C.A. & Mooney, K.A. (2012) ‘Strengths‐based cognitive–behavioural therapy: A four‐step model to build resilience’, Clinical psychology & psychotherapy19(4), pp.283-290.Peters, M.A. (2020) ‘The Plague: Human resilience and the collective response to catastrophe’, Educational Philosophy and Theory, DOI: 10.1080/00131857.2020.1745921

POST CHAT

The Numbers

2.199M Impressions
465 Tweets
91 Participants
9 Avg Tweets/Hour
5 Avg Tweets/Participant