Blog Posts

OTalk

#OTalk 29th June 2021 – Working with older people through Covid-19

This OTalk is hosted by RCOT Specialist Section for Older People (@RCOT_OP).

The global pandemic caused by the Covid-19 virus has had huge direct and indirect impacts on the ageing population. In some settings Occupational Therapists have been experiencing the direct impact of people having the disease, and in others the indirect impacts of social isolation, reduced community services and the lock down restrictions. 

The RCOT Specialist Section for Older People want to start discussions about the impact the pandemic has had on Occupational Therapists working with older people, and the people they are working with. The questions and discussion for the OTalk have been informed by emerging themes from a piece of work looking into the impact of Covid-19 on hospitalised older people through follow up. These include changes in the Clinical Frailty Scores from pre-admission to discharge and follow up, significant changes in function, and added pressure on the health and social care systems through additional packages of care, equipment needs and ongoing professional input required. 

The questions to facilitate discussion on the night will include: 

  1. Are Occupational Therapists using a Clinical Frailty Score in screening and initial assessments of people presenting with Covid-19? 
  2. Did people see a change in frailty score as a result of Covid-19?
  3. What are peoples experiences of seeing a change in functional level in older people as a result of Covid-19?
  4. How did Covid-19 impact discharge planning, decisions and destinations from hospital? immediate and long term.

POST CHAT

The Numbers

1.014M Impressions

253 Tweets

49 Participants

11 Avg Tweets/Hour

5 Avg Tweets/Participant 

OTalk

#OTalk – 22nd June 2021 – Using podcasts for CPD

This weeks talk is hosted by @Ruth_Hawley and @OT_KateT who jointly run @OTPodcastClub.

With recent growths in the production and availability of podcasts relevant to occupational therapy across health and social care settings, podcasts are a valuable resource to support students’ and practitioners’ learning and CPD.  Podcasts provide a flexible, accessible way for learning to take place (Nielsen et al, 2018).  Research suggest that podcasts support active, social, and creative aspects of learning and strengthen reflection (Palenque, 2015) with sound as a powerful way to absorb information (Plomp, 2021). 

Yet many individuals across the Occupational Therapy community are either not aware or do not regularly engage with podcasts in this way to support their learning and CPD.  For those who do use podcasts this is often done in an individual context with limited opportunity to discuss their learning or consider its application to their practice with other Occupational Therapists.

OT podcast club was started in June 2020 with the aim of encouraging regular listening to podcasts on relevant topics and to create an opportunity to discuss the content with others.  Connecting through word of mouth and twitter (@OTPodcastClub) this group of friendly and enthusiastic OTs meet online every three weeks to review and discuss a chosen podcast.  Following the meeting an edited version of this discussion is subsequently released as a podcast.  Over the past year the group has met 17 times, discussing 16 podcasts across a wide range of topics.  Topics have included online technology use within OT, imposter syndrome, attachment styles, gender identity, race, occupational balance, the darkside of occupation, sex and intimacy within OT and more.  To see full details of podcasts the group has listened to, recommended and the wide range of podcasts available please visit and contribute to this spreadsheet. https://docs.google.com/spreadsheets/d/1mUTjQEraP5PhS3HbN_QUOg8MFl9rtwIAbYOdPj2USGw/edit#gid=0 

To listen to highlights of OT podcast club discussions, find our podcast on most podcast platforms, or access it here.

https://redcircle.com/shows/ot-podcast-club

Q’s :

  1. Do you listen to podcasts for leisure or professional reasons? Have you ever considered listening to a podcast for your professional learning or ongoing CPD?
  2. Do you have any recommendations of podcasts that you thought were useful and if so, what topics do they cover?  If not, what would like to see a podcast covering?
  3. How do podcasts fit into your life? Where, when and how do you listen and does this affect what you gain from them?
  4. How do you/could you apply your learning from podcast listening?  Do you have any examples of something you have learnt and applied from a podcast?
  5. What would help you to make more use of podcasts to support your CPD?

References:

Nielsen, S.N., Andersen, R.H. and Dau, S., 2018, October. Podcast as a learning media in higher education. In European Conference on E-learning (pp. 424-430). Academic Conferences International Limited.

Palenque, S. M., 2015. THE POWER OF PODCASTING: PERSPECTIVES ON PEDAGOGY. Journal of Instructional Research, pp. 4-7 .

Plomp, C. (2021) Podcasts, an essential part of our educational approach?  Available at: https://media-and-learning.eu/type/featured-articles/podcasts-an-essential-part-of-our-educational-approach/  (Accessed 27th May 2021)

Post Chat

The Numbers

1.111M Impressions
436 Tweets
81 Participants
7 Avg Tweets/Hour
5 Avg Tweets/Participant

OTalk

#OTalk – 15th June 2021 – Sensory Approaches: OT in Prisons

This week’s chat is hosted by Charlotte French (@charfrenchOT) and Charlotte Wise (@charlee_w).

Charlee works as an Occupational Therapist in a prison secondary mental health team in Shropshire. My main role has been supporting individuals with symptom management and decreasing distress by encouraging them to utilise sensory strategies alongside a Compassion Focused Therapy model.

Charlotte works as a Specialist Occupational Therapist in a specialist mental health unit, within the North East of England’s remand prison which supports those with acute mental illness whilst in custody. Charlotte provides occupational assessment and interventions to improve ability to participate and perform necessary and meaningful occupations.

Currently, we complete elements of sensory assessment and interventions, as part of our overall occupational therapy provision. This aims to improve occupational skills, abilities and routines by identifying and regulating emotions and behaviours using a sensory approach. So far we have utilised tools such Adult/Adolescent Sensory History, as well as; sensory choices checklist, sensory spiders and sensory ladders, which we have learnt during additional training (ASI Wise Mental Health and Wellbeing).

We are keen to facilitate an OTalk chat to find out about how others are using sensory strategies to support individuals they are working with in similar environments, or across various services.

What is Sensory Integration?

“The neurological process that organises sensation from one’s own body and from the environment and makes it possible to use the body effectively with the environment” (Ayres, 1979)

The prison environment or similar restricted environments e.g. PICU and segregation, can be difficult spaces for individuals to live in and has been evidenced to have a significant impact on sensory processing. By example, individuals spend large amounts of time in their cells with minimal possessions, you have a metal bed frame, thin mattress, small sink and toilet, the room has a window but has a limited amount of light and little/no fresh air.  How would this affect your sensory processing?

Questions

1. What is your understanding of sensory assessment and interventions for those who have mental health needs, through the lifespan?

2. What could the impact be of a restrictive environment (e.g. PICU, seclusion, prison) on sensory processing and occupational participation?

3. For those with mental health needs residing in a restrictive environment, what benefit could sensory assessment and interventions have as part of occupational therapy provision?

4. There are physical and cultural environmental limitations within a restrictive environment, how could these be overcome to deliver occupational therapy using a sensory approach?

5. Currently, research into sensory approaches for those with mental health needs in prison is evolving. How could we ensure our practice is consistent with current evidence and streamlined across varying geographical areas and services?


References
Ayres, J (1979) Sensory Integration and the Child. Western Psychological Services.

Useful websites
Sensory Integration Network https://www.sensoryintegration.org.uk/What-is-SI


ASI Wise – https://sensoryproject.org/


Useful links
OT & Chill Podcast with Gisele Craswell – Prison and Sensory Approaches

https://podcasts.apple.com/gb/podcast/episode-40-prison-sensory-approaches/id1482376094?i=1000518894002

Post Chat

The Numbers

1.256M Impressions
272 Tweets
44 Participants
7 Avg Tweets/Hour
6 Avg Tweets/Participant

OTalk

#OTalk – 8th June 2021 – Occupational Identity

This week’s chat will be hosted by Sarah Fletcher-Shaw @SarahjoOT and Vikki Barry @VikkiBarryOT. Vikki and Sarah both work as Occupational Therapy Lecturers at The University of Huddersfield and have a special interest in occupational identity. Vikki is currently completing her PhD around the occupational identities of people seeking asylum and Sarah is completing her PhD around the occupational identity transitions of new mothers. 

Why should we discuss identity and occupational identity? Identity is seen as a dynamic, developmental process, which shapes and is shaped by community participation and membership (Turner and Tobbell, 2017). Are we, as Occupational Therapists, central to our own exposition, understanding and ultimate knowledge about occupational identity? As occupational therapists we believe that every occupation has physical, psychological, emotional and spiritual dimensions whereby individuals enact occupation within their culture and lifestyle which helps sustain a meaningful occupational identity (Hasselkus, 2011). Despite identity being central and a core belief of our profession it remains an evolving construct within occupational therapy literature and practice. So, what makes occupational identity not just identity? A variety of theoretical perspectives about identity exist and these influence individual perspectives, however Cunningham (2017) argues that taking solely individualistic view of identity is limiting, discussing how inclusively drawing on various identity theory work is important, particularly as occupation is connected to locations, history, culture, communities and economics.

Questions:

  1. What does occupational identity mean to you?
  2. What has occupational identity meant to individuals/groups you have worked with?
  3. How does occupational identity impact upon the work you do as an Occupational therapist?
  4. What key differences do you feel there are between the terms identity and occupational identity?
  5. How might we develop our understanding of occupational identity further?

References:

Cunningham, M., (2017) Broadening understandings of occupational identity: Illustrations from a research study on homeless adults. In Sakellariou, D and Pollard, N (Eds) Occupational Therapies without Borders: Integrating justice with practice. Elsevier: Edinburgh. pp.118-125.  

Hasselkus, B.R., (2011). The meaning of everyday occupation. 2nd Ed. New Jersey: SLACK. 

Turner, L., & Tobbell, J., (2017). Learner identity and transition; an ethnographic exploration of undergraduate trajectories. Journal of Further and Higher Education, doi:10.1080/0309877X.2017.1311993 

POST CHAT

The Numbers

2.062M Impressions
617 Tweets
75 Participants
13 Avg Tweets/Hour
8 Avg Tweets/Participant

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