Grabchat #Occhat – 4th June Ban the Gown – The Occupation of Being in Hospital

Here’s the introduction to this chat.

And here’s the record of everyone’s tweets – thanks all. Lots to think about and maybe act on?

Involved …

@kirstyes @BillWongOT @OTalk_Occhat @_beckyOT @BoothRach @GillyGorry @emilara_OT @cumbrianclaire @OTtwehytweets @Symbolic_Life @peapodicus @francescaabrown @OTsinlondon @pd2ot @BAOTCOT @emerging2OT @OTCoachUK @DoBeDoBeDo14 @IamCarrieeeeee @BAOTNYRegion @Ononjamcon @clissa89 @elaineahpmh @LPdee @graemate @Nnikki_Duffy @AllisulliOTProf @jooni1975 @ASD_AOTA @janet_folland @AOTInews @LindaOTUK @sophiewearing @AliciaRidout

Top resources …

http://t.co/Z6DPnnmD36
http://t.co/fO42ztlCsL
http://t.co/ufbfSGwICj
http://t.co/wXXQXr149S
http://t.co/zcUKZnkEPV
http://t.co/YhZ3BXTiNh
http://t.co/w8z4gUI6UM
http://t.co/shLqPamYWz
http://t.co/Oj42mKOTXZ
http://t.co/Se97oiWhbs

Related tags …

#otalk #otalk2us #anzotalk #ottalk #inspired

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

Run text analysis on this GrabChat

@GillyGorry @Keeper85 yes #OTALK #OCCHAT team use it regular to collaborate #otalk2us and google hangout(Mon, 03 Jun 2013 00:34:39 +0100)
@OTalk_Occhat Just a quick guide to help out those wedded to PowerPoint at #OTalk2US #AnzOTalk #OTalk #Occhat (and I’m back to bed) http://t.co/wXXQXr149S (Mon, 03 Jun 2013 00:55:06 +0100)
@BillWongOT @TheOTSIProject heard a lot of the #otalk / #occhat crew use that. #otalk2us (Mon, 03 Jun 2013 00:56:04 +0100)
@BillWongOT RT @OTalk_Occhat : Just a quick guide to help out those wedded to PowerPoint at #OTalk2US #AnzOTalk #OTalk #Occhat (and I’m back to bed) http://t.co/wXXQXr149S (Mon, 03 Jun 2013 00:56:16 +0100)
@ASD_AOTA RT @OTalk_Occhat : Just a quick guide to help out those wedded to PowerPoint at #OTalk2US #AnzOTalk #OTalk #Occhat (and I’m back to bed) http://t.co/wXXQXr149S (Mon, 03 Jun 2013 05:12:28 +0100)
@janet_folland RT @OTalk_Occhat : Just a quick guide to help out those wedded to PowerPoint at #OTalk2US #AnzOTalk #OTalk #Occhat (and I’m back to bed) http://t.co/wXXQXr149S (Mon, 03 Jun 2013 06:11:49 +0100)
@OTalk_Occhat #Occhat – 4th June Ban the Gown ? The Occupation of Being in Hospital http://t.co/w8z4gUI6UM (Tue, 04 Jun 2013 08:02:58 +0100)
@OTalk_Occhat #Occhat – 4th June Ban the Gown ? The Occupation of Being in Hospital http://t.co/fO42ztlCsL (Tue, 04 Jun 2013 08:02:58 +0100)
@jooni1975 RT @OTalk_Occhat : #Occhat – 4th June Ban the Gown ? The Occupation of Being in Hospital http://t.co/fO42ztlCsL (Tue, 04 Jun 2013 08:13:29 +0100)
@pd2ot RT @OTalk_Occhat : #Occhat – 4th June Ban the Gown ? The Occupation of Being in Hospital http://t.co/fO42ztlCsL (Tue, 04 Jun 2013 08:21:20 +0100)
@cumbrianclaire RT @OTalk_Occhat : #Occhat – 4th June Ban the Gown ? The Occupation of Being in Hospital http://t.co/w8z4gUI6UM (Tue, 04 Jun 2013 08:28:47 +0100)
@OTalk_Occhat MT @cumbrianclaire was a right pain in the bum during last stay in hospital I was forever puttering around doing things for myself.? #occhat (Tue, 04 Jun 2013 09:57:32 +0100)
@OTalk_Occhat @cumbrianclaire how very dare you! #occhat ;0). Hope to see you at the chat later.(Tue, 04 Jun 2013 09:57:55 +0100)
@OTalk_Occhat MT @ pd2ot a related blog post on occupational deprivation due to hospitilisation in a psychiatric setting http://t.co/jlc01WIiAC #occhat (Tue, 04 Jun 2013 09:59:11 +0100)
@OTalk_Occhat @pd2ot yes I remember this one, really useful. Thanks. #occhat See you later.(Tue, 04 Jun 2013 09:59:42 +0100)
@BAOTCOT #occhat Ban the Gown: The Occupation of Being in Hospital. Follow the hashtag from 8pm tonight. http://t.co/YhZ3BXTiNh (Tue, 04 Jun 2013 13:56:49 +0100)
@Symbolic_Life RT @BAOTCOT : #occhat Ban the Gown: The Occupation of Being in Hospital. Follow the hashtag from 8pm tonight. http://t.co/YhZ3BXTiNh (Tue, 04 Jun 2013 14:21:41 +0100)
@DoBeDoBeDo14 RT @BAOTCOT : #occhat Ban the Gown: The Occupation of Being in Hospital. Follow the hashtag from 8pm tonight. http://t.co/YhZ3BXTiNh (Tue, 04 Jun 2013 14:31:34 +0100)
@BAOTCOT Don’t forget #occhat tonight 8-9pm. http://t.co/ufbfSGwICj (Tue, 04 Jun 2013 16:59:43 +0100)
@AOTInews RT @BAOTCOT : Don’t forget #occhat tonight 8-9pm. http://t.co/ufbfSGwICj (Tue, 04 Jun 2013 17:12:39 +0100)
@Symbolic_Life Won’t be attending #occhat tonight apologies. Sunshine took my day off away.(Tue, 04 Jun 2013 17:33:01 +0100)
@kirstyes RT @OTalk_Occhat : #Occhat – 4th June Ban the Gown ? The Occupation of Being in Hospital http://t.co/fO42ztlCsL (Tue, 04 Jun 2013 17:55:08 +0100)
@OTalk_Occhat A wee bit over two hours until we #occhat – do take care and water and feed yourselves.(Tue, 04 Jun 2013 17:57:15 +0100)
@BAOTNYRegion RT @OTalk_Occhat : A wee bit over two hours until we #occhat – do take care and water and feed yourselves.(Tue, 04 Jun 2013 19:31:57 +0100)
@BoothRach Think i might join in tonight RT @OTalk_Occhat : A wee bit over two hours until we #occhat – do take care and water and feed yourselves.(Tue, 04 Jun 2013 19:32:38 +0100)
@emilara_OT @BoothRach @OTalk_Occhat Yes I’m going to try an join in tonight too 🙂 first timer #occhat (Tue, 04 Jun 2013 19:34:24 +0100)
@_beckyOT RT @BAOTCOT : Don’t forget #occhat tonight 8-9pm. http://t.co/ufbfSGwICj (Tue, 04 Jun 2013 19:53:11 +0100)
@clissa89 RT @BAOTCOT : Don’t forget #occhat tonight 8-9pm. http://t.co/ufbfSGwICj (Tue, 04 Jun 2013 19:55:13 +0100)
@_beckyOT Great speaker @berwickforMA http://t.co/fOV3KZuaTI – I was lucky enough to hear him @IHI Conference last December #occhat (Tue, 04 Jun 2013 20:00:43 +0100)
@kirstyes Evening all at #occhat – sorry I am here – bit of a moving in injury to deal with – had to get the ice out. Who’s here tonight?(Tue, 04 Jun 2013 20:01:21 +0100)
@BillWongOT @_beckyOT @berwickforMA hello! This sounds interesting then. #occhat (Tue, 04 Jun 2013 20:01:56 +0100)
@pd2ot @kirstyes Eek, I hope all is ok? I’m here (though trying to send some emails so may be distracted) #occhat (Tue, 04 Jun 2013 20:02:06 +0100)
@BoothRach I’m here #occhat (Tue, 04 Jun 2013 20:02:29 +0100)
@Symbolic_Life Michelle is here in body dont know about my brain though! #occhat (Tue, 04 Jun 2013 20:02:40 +0100)
@emilara_OT @kirstyes Oh no! Hope you’re ok! I’m here as a first timer 🙂 Will do my best! #occhat (Tue, 04 Jun 2013 20:02:56 +0100)
@OTtwehytweets I’m here 🙂 and looking forward to tonight’s chat #occhat (Tue, 04 Jun 2013 20:03:04 +0100)
@Symbolic_Life @kirstyes I know a physio? can i request advice? #occhat (Tue, 04 Jun 2013 20:03:11 +0100)
@BillWongOT @OTalk_Occhat I do add… in my hand therapy placement… sometimes clients also wear hospital gowns for therapy purposes. #occhat (Tue, 04 Jun 2013 20:03:15 +0100)
@OTalk_Occhat Um.. sorry using the wrong hash tag.. my bad… #otalk #occhat (Tue, 04 Jun 2013 20:03:41 +0100)
@kirstyes @BillWongOT @OTalk_Occhat What therapy would require hospital gowns Bill? #occhat (Tue, 04 Jun 2013 20:03:53 +0100)
@OTalk_Occhat Please can I remind tweeters that you need to abide by your code of ethics and always be respectful of other tweeters #occhat (Tue, 04 Jun 2013 20:04:05 +0100)
@Symbolic_Life @BillWongOT Hey Doc B.. we must catch up soon 🙂 #occhat (Tue, 04 Jun 2013 20:04:06 +0100)
@OTalk_Occhat http://t.co/Z6DPnnmD36 ? #occhat tonight Banning the hospital gown. the occupation of being in hospital(Tue, 04 Jun 2013 20:04:50 +0100)
@kirstyes So did anyone watch the video clip? What did you think? #occhat (Tue, 04 Jun 2013 20:05:33 +0100)
@francescaabrown One of the first pts on my current placement say after coming into rehab from main hosp is “so nice to be back in my own clothes” #occhat (Tue, 04 Jun 2013 20:05:43 +0100)
@BillWongOT @kirstyes @OTalk_Occhat for doing tx’s using PAMs. #occhat (Tue, 04 Jun 2013 20:06:19 +0100)
@clissa89 RT @OTalk_Occhat : http://t.co/Z6DPnnmD36 ? #occhat tonight Banning the hospital gown. the occupation of being in hospital(Tue, 04 Jun 2013 20:06:23 +0100)
@BoothRach Yes I did, powerful imagery used in his speech! #occhat (Tue, 04 Jun 2013 20:06:43 +0100)
@BillWongOT @kirstyes @OTalk_Occhat especially on around shoulder areas- like with ultrasound and laser #occhat (Tue, 04 Jun 2013 20:06:57 +0100)
@Symbolic_Life Slaps wrist.. didnt watch the video #occhat (Tue, 04 Jun 2013 20:07:42 +0100)
@kirstyes @BillWongOT Could that not be done in different clothing – like a vest top and shorts? #occhat (Tue, 04 Jun 2013 20:08:12 +0100)
@GillyGorry @kirstyes just watching now! #occhat (Tue, 04 Jun 2013 20:08:14 +0100)
@_beckyOT @kirstyes Moving clip #occhat (Tue, 04 Jun 2013 20:08:25 +0100)
@kirstyes @_beckyOT @BillWongOT @OTalk_Occhat Is this a team approach Becky? #occhat (Tue, 04 Jun 2013 20:08:51 +0100)
@OTsinlondon here! #Occhat (Tue, 04 Jun 2013 20:08:54 +0100)
@francescaabrown @kirstyes gown they had felt like a hospital number! #occhat (Tue, 04 Jun 2013 20:09:17 +0100)
@kirstyes Anything else on the video strike you about occupation and change in occupational role or identity when in hospital? #occhat (Tue, 04 Jun 2013 20:09:38 +0100)
@BillWongOT @kirstyes could be… but in the setting, some clients prefer hospital gowns. They change back to normal clothes after therapy. #occhat (Tue, 04 Jun 2013 20:10:08 +0100)
@OTalk_Occhat RT @kirstyes : Anything else on the video strike you about occupation and change in occupational role or identity when in hospital? #occhat (Tue, 04 Jun 2013 20:10:23 +0100)
@OTalk_Occhat RT @kirstyes : So did anyone watch the video clip? What did you think? #occhat (Tue, 04 Jun 2013 20:10:39 +0100)
@_beckyOT @kirstyes @BillWongOT @OTalk_Occhat As soon as patients come – yes team approach. Often family’s can be reluctant #occhat (Tue, 04 Jun 2013 20:10:52 +0100)
@kirstyes . @pd2ot ‘s excellent blog on occupational deprivation by hospitalisation – http://t.co/zcUKZnkEPV #occhat (Tue, 04 Jun 2013 20:11:19 +0100)
@GillyGorry @kirstyes lack of choice in all areas.. was what stuck out for me #occhat (Tue, 04 Jun 2013 20:11:29 +0100)
@kirstyes @francescaabrown Yes – not a name or not their preferred name anyway #occhat (Tue, 04 Jun 2013 20:11:59 +0100)
@DoBeDoBeDo14 @kirstyes #occhat his lack of control as a patient and being put in such a passive position really stood out(Tue, 04 Jun 2013 20:12:04 +0100)
@OTsinlondon @_beckyOT @kirstyes @BillWongOT @OTalk_Occhat really needs to be team approach, families are key but also nursing and support staff #Occhat (Tue, 04 Jun 2013 20:12:19 +0100)
@BoothRach RT @BoothRach : I work in a MH hospital @ times see people in there nightwear, but are encouraged by the ward staff to get up #occhat (Tue, 04 Jun 2013 20:13:03 +0100)
@kirstyes @BillWongOT Is this a preference they verbalise? This sounds like a therapy ‘session’ so maybe different focus 2 everyday ward life. #occhat (Tue, 04 Jun 2013 20:13:10 +0100)
@BillWongOT @kirstyes from my own experience, the occupation of eating seems overlooked. #occhat (Tue, 04 Jun 2013 20:13:17 +0100)
@kirstyes @GillyGorry definitely #occhat (Tue, 04 Jun 2013 20:13:34 +0100)
@GillyGorry what strike me is the roles and occupations that people are forced/lead to engage in when then are in hospital. #occhat (Tue, 04 Jun 2013 20:13:40 +0100)
@BillWongOT @kirstyes because typically the perception of hospital food is not that great from what I heard. #occhat (Tue, 04 Jun 2013 20:13:41 +0100)
@BoothRach @kirstyes yes When my gran is in hospital her routine changes dramatically , did not get dressed, feel like she could walk around. #occhat (Tue, 04 Jun 2013 20:13:49 +0100)
@BillWongOT RT @_beckyOT : @kirstyes @BillWongOT @OTalk_Occhat As soon as patients come – yes team approach. Often family’s can be reluctant #occhat (Tue, 04 Jun 2013 20:13:53 +0100)
@kirstyes @_beckyOT @BillWongOT @OTalk_Occhat reluctant, to bring in the clothes? #occhat (Tue, 04 Jun 2013 20:14:12 +0100)
@_beckyOT @kirstyes @francescaabrown lack of Don’s input on decision making – “We think” – decision sounds like its already been made #occhat (Tue, 04 Jun 2013 20:14:31 +0100)
@BillWongOT @kirstyes I think so, since they prob. had that rapport established before I came in. #occhat (Tue, 04 Jun 2013 20:14:32 +0100)
@kirstyes RT @BillWongOT : @kirstyes from my own experience, the occupation of eating seems overlooked. #occhat (Tue, 04 Jun 2013 20:14:34 +0100)
@GillyGorry the hospital system encourages the sick role, increases occ deprivation and encourages participation in meaningless activity #occhat (Tue, 04 Jun 2013 20:15:08 +0100)
@kirstyes . @BillWongOT food not that great and perhaps main meal pushed at a different time to when they’d normally eat? #occhat (Tue, 04 Jun 2013 20:15:10 +0100)
@kirstyes RT @GillyGorry : what strike me is the roles and occupations that people are forced/lead to engage in when then are in hospital. #occhat (Tue, 04 Jun 2013 20:15:15 +0100)
@BoothRach @BillWongOT @kirstyes very true, you eat when your told and what your told little choice over when, what and WHERE, #occhat (Tue, 04 Jun 2013 20:15:26 +0100)
@kirstyes @BoothRach Fear of being ‘caught’ wondering?? Maybe a role for OT to explore people’s usual routines on admission and how this #occhat 1/2(Tue, 04 Jun 2013 20:16:08 +0100)
@BillWongOT @BoothRach @kirstyes yes… that’s why I know in HK… some patients might ask their families to buy food from outside. #occhat (Tue, 04 Jun 2013 20:16:14 +0100)
@pd2ot Emails sent, now to catch up with 15mins of #occhat (Tue, 04 Jun 2013 20:16:26 +0100)
@kirstyes @BoothRach can be supported as much as possible during admission? #occhat (Tue, 04 Jun 2013 20:16:28 +0100)
@BillWongOT @BoothRach @kirstyes that said, I did experience VERY GOOD hospital food when I was in Hong Kong. #occhat (Tue, 04 Jun 2013 20:16:38 +0100)
@kirstyes One of my questions on the blog was When do ward rounds take place nowadays, still early in the morning? #occhat (Tue, 04 Jun 2013 20:17:05 +0100)
@OTsinlondon @BoothRach @BillWongOT @kirstyes soggy toast and cold tea is one common complaint! #Occhat (Tue, 04 Jun 2013 20:17:06 +0100)
@_beckyOT @kirstyes @BillWongOT @OTalk_Occhat I get the impression some feel they need to wear hospital clothes as they are in hospital #occhat (Tue, 04 Jun 2013 20:17:24 +0100)
@BillWongOT @kirstyes in my acute care mental health placement, I know this is def. the case, though clients don’t wear gowns. #occhat (Tue, 04 Jun 2013 20:17:27 +0100)
@GillyGorry @kirstyes @BillWongOT pts have2 fit hospital routine. can lead to false results. lose temporal context of skill performance #occhat (Tue, 04 Jun 2013 20:17:31 +0100)
@OTalk_Occhat RT @BillWongOT : @kirstyes because typically the perception of hospital food is not that great from what I heard. #occhat (Tue, 04 Jun 2013 20:17:57 +0100)
@OTalk_Occhat RT @GillyGorry : what strike me is the roles and occupations that people are forced/lead to engage in when then are in hospital. #occhat (Tue, 04 Jun 2013 20:18:01 +0100)
@kirstyes . @_beckyOT @francescaabrown Yes I’d be interested to think back to if I’ve used any similar language in the past #occhat (Tue, 04 Jun 2013 20:18:19 +0100)
@BillWongOT @OTsinlondon @BoothRach @kirstyes in the hospital near where I used to live in HK, they offer hotpot rice. #occhat (Tue, 04 Jun 2013 20:18:32 +0100)
@OTalk_Occhat RT @DoBeDoBeDo14 : @kirstyes #occhat his lack of control as a patient and being put in such a passive position really stood out(Tue, 04 Jun 2013 20:18:38 +0100)
@BoothRach @kirstyes she 93 year old I travelled 250miles to be told I could only see Her at visiting times – I soon changed that, #occhat (Tue, 04 Jun 2013 20:18:42 +0100)
@kirstyes RT @BoothRach : @BillWongOT @kirstyes very true, you eat when your told and what your told little choice over when, what and WHERE, #occhat (Tue, 04 Jun 2013 20:18:42 +0100)
@OTalk_Occhat RT @kirstyes : @francescaabrown Yes – not a name or not their preferred name anyway #occhat (Tue, 04 Jun 2013 20:18:48 +0100)
@francescaabrown #occhat In my current rehab placement, ward round takes place in the afternoons #occhat (Tue, 04 Jun 2013 20:18:56 +0100)
@OTalk_Occhat RT @kirstyes : . @pd2ot ‘s excellent blog on occupational deprivation by hospitalisation – http://t.co/zcUKZnkEPV #occhat (Tue, 04 Jun 2013 20:18:58 +0100)
@BillWongOT @GillyGorry @kirstyes yes… especially if they suffer serious injury, esp. in coma. #occhat (Tue, 04 Jun 2013 20:19:20 +0100)
@kirstyes @OTsinlondon @BoothRach @BillWongOT bleurgh soggy toast #occhat (Tue, 04 Jun 2013 20:19:21 +0100)
@Symbolic_Life Many of my pts on the rehab ward were rather institutionalised. Occupational Deprivation as @GillyGorry was very much present. #occhat (Tue, 04 Jun 2013 20:19:45 +0100)
@cumbrianclaire @OTalk_Occhat I felt restricted & made to feel “poorly” because I couldn’t have a hot drink when I wanted one. #occhat (Tue, 04 Jun 2013 20:19:48 +0100)
@_beckyOT @kirstyes @francescaabrown It’s often difficult not to do – have to check myself often! #occhat (Tue, 04 Jun 2013 20:19:55 +0100)
@kirstyes @BillWongOT the gown title was symbolic but think what some of the occupational deprivation/choice restrictions are in this setting #occhat (Tue, 04 Jun 2013 20:20:29 +0100)
@peapodicus @GillyGorry always an element of that in institutions but offering choice and control where possible can offer a bit of empowerment? #occhat (Tue, 04 Jun 2013 20:20:34 +0100)
@BoothRach @kirstyes I found I became the career for all four lady’s in her bay, going to shops, taking to the toilet, #occhat (Tue, 04 Jun 2013 20:20:35 +0100)
@BillWongOT @kirstyes @OTsinlondon @BoothRach this hospital should be on your bucket list to visit then- http://t.co/shLqPamYWz #occhat (Tue, 04 Jun 2013 20:20:42 +0100)
@OTtwehytweets @kirstyes on my current student placement ward rounds are scheduled in the afternoon #occhat (Tue, 04 Jun 2013 20:21:04 +0100)
@cumbrianclaire @OTalk_Occhat Being alone in a hospital room was very isolating & definitely impacted negatively on my early days of motherhood #occhat (Tue, 04 Jun 2013 20:21:16 +0100)
@kirstyes . @GillyGorry by false results do you mean assessments not being as valid because not done at the same time as usually performed? #occhat (Tue, 04 Jun 2013 20:21:35 +0100)
@kirstyes @_beckyOT @BillWongOT @OTalk_Occhat I’m trying to think back to when I was in hosp – think I asked for my PJs. #occhat (Tue, 04 Jun 2013 20:22:12 +0100)
@BoothRach @kirstyes doing newspaper crossword, finding which way Mecca was, just engaging in conversation – something I didn’t c from staff. #occhat (Tue, 04 Jun 2013 20:22:31 +0100)
@GillyGorry @kirstyes yes.. some clients can perform in context to time, routine, environment. this can impact assessment and interpretation #occhat (Tue, 04 Jun 2013 20:22:44 +0100)
@kirstyes @_beckyOT However I was grateful for the support with personal care but this was very acute, longer term I would have wanted indep #occhat (Tue, 04 Jun 2013 20:23:05 +0100)
@emilara_OT @kirstyes seeing pts within older adult MH who experience occ deprivation as a result of unfamiliar environment – increased anxiety #occhat (Tue, 04 Jun 2013 20:23:18 +0100)
@BillWongOT @BoothRach @kirstyes I think nowadays some hospital rooms have internet (e.g. wifi), so at least it’s better to fit today’s times. #occhat (Tue, 04 Jun 2013 20:24:18 +0100)
@kirstyes . @BoothRach Visiting times – ah yes that fun challenge we face. or no visiting at all with noro virus #occhat (Tue, 04 Jun 2013 20:24:19 +0100)
@pd2ot @GillyGorry @kirstyes contextual changes in hosp are v difficult. Eating dis. recovery in a setting that has tea at 4.30pm is hard #occhat (Tue, 04 Jun 2013 20:24:55 +0100)
@kirstyes @francescaabrown That’s better so most people up and dressed. #occhat Is there much privacy though?(Tue, 04 Jun 2013 20:25:10 +0100)
@BoothRach @GillyGorry @kirstyes I agree, also having to do it a bay with only a curtain to protect your dignity! #occhat (Tue, 04 Jun 2013 20:25:18 +0100)
@emilara_OT @kirstyes older pts also being told what to do and when after a whole life of independence or being under obs #occhat (Tue, 04 Jun 2013 20:25:21 +0100)
@kirstyes RT @cumbrianclaire : @OTalk_Occhat I felt restricted & made to feel “poorly” because I couldn’t have a hot drink when I wanted one. #occhat (Tue, 04 Jun 2013 20:25:27 +0100)
@francescaabrown It’s hard, but even in rehab where there are more opportunities to be client-centred, a lack of resources leads to occ. deprivation #occhat (Tue, 04 Jun 2013 20:25:43 +0100)
@kirstyes . @cumbrianclaire This down to facilities? staffing? monitoring fluids? reason given? #occhat (Tue, 04 Jun 2013 20:26:10 +0100)
@pd2ot What about psych ward rounds where you are ‘brought in’ to the room after the MDT has ‘discussed ‘ you. Very disempowering #occhat (Tue, 04 Jun 2013 20:26:19 +0100)
@BoothRach @BillWongOT @kirstyes yes but in the uk, most hospitals will charge to use the Internet or watch t.v for there hospital bed! #occhat (Tue, 04 Jun 2013 20:26:45 +0100)
@BillWongOT @francescaabrown in some cases, don’t forget sometimes the clients’ performance skills might not be where they used to be. #occhat (Tue, 04 Jun 2013 20:26:55 +0100)
@OTalk_Occhat @peapodicus @kirstyes why do you think that could be? #occhat (Tue, 04 Jun 2013 20:27:28 +0100)
@kirstyes @peapodicus @GillyGorry can you give an example of how you’ve been able to offer choice in a tricky situation? #occhat (Tue, 04 Jun 2013 20:27:36 +0100)
@_beckyOT @BillWongOT @BoothRach @kirstyes UK hospitals often have bays of 4 – 6, not a single room. Noted in the US – lots of single rooms. #occhat (Tue, 04 Jun 2013 20:27:44 +0100)
@cumbrianclaire @kirstyes The drinks trolley rounds!! My partner couldn’t have a drink either. #occhat (Tue, 04 Jun 2013 20:28:13 +0100)
@kirstyes Carry on talking about issues but the next tweet is going to look at future ctions we could take (halfway through the chat #occhat (Tue, 04 Jun 2013 20:28:36 +0100)
@cumbrianclaire @kirstyes I’d have been stuck in my bed if it wasn’t for my manual handling knowledge of moving from lying down to sitting #occhat (Tue, 04 Jun 2013 20:29:00 +0100)
@kirstyes What about transition between hospital & home? What occupations useful for people to reclaim independence with before discharge? #occhat (Tue, 04 Jun 2013 20:29:09 +0100)
@BoothRach @kirstyes I agree that there is a need for visiting/protected therapy time, but maybe to consider how career and visitors can help? #occhat (Tue, 04 Jun 2013 20:29:18 +0100)
@francescaabrown @BillWongOT Oh yes of course, but this isn’t the same for everyone & sometimes those that are more independent need more stimulation #occhat (Tue, 04 Jun 2013 20:29:23 +0100)
@BillWongOT @kirstyes what do you mean by ctions? You mean directions? #occhat (Tue, 04 Jun 2013 20:29:35 +0100)
@cumbrianclaire @kirstyes I changed the sheets on my sons crib, went to get him from the office in the middle of the night 1/2 #occhat (Tue, 04 Jun 2013 20:30:00 +0100)
@kirstyes . @BoothRach staffing I think is a huge issue and barrier to supporting beneficial routines in hospital #occhat (Tue, 04 Jun 2013 20:30:11 +0100)
@BillWongOT @kirstyes I think doing a good occupational history is key- in understanding the clients’ occupational roles before admission 1/2 #occhat (Tue, 04 Jun 2013 20:30:21 +0100)
@BillWongOT @kirstyes as well as what occupational roles they can take on after admission. #occhat (Tue, 04 Jun 2013 20:30:40 +0100)
@emilara_OT @kirstyes client centredness important – what is important to the pt #occhat (Tue, 04 Jun 2013 20:31:01 +0100)
@OTsinlondon @BoothRach @kirstyes we’ve had visiting times, rest times, mealtimes and ward rounds which gave about 90 minutes for therapy! #Occhat (Tue, 04 Jun 2013 20:31:18 +0100)
@_beckyOT @BoothRach @kirstyes Yes – by thinking about how can we involve family / friends in ongoing rehab #occhat (Tue, 04 Jun 2013 20:31:25 +0100)
@AllisulliOTProf RT @kirstyes : . @pd2ot ‘s excellent blog on occupational deprivation by hospitalisation – http://t.co/zcUKZnkEPV #occhat (Tue, 04 Jun 2013 20:31:27 +0100)
@kirstyes . @OTtwehytweets good to see things have changed. #occhat (Tue, 04 Jun 2013 20:31:48 +0100)
@BillWongOT @francescaabrown yes… I think we know the information through where they are at baseline and their traits, right? #occhat (Tue, 04 Jun 2013 20:31:50 +0100)
@peapodicus @kirstyes @GillyGorry being driver for change to alter unit policy allowing access to rooms rather than ‘force’ into communal area #occhat (Tue, 04 Jun 2013 20:32:02 +0100)
@cumbrianclaire @kirstyes just so i could show i could “do it” so i’d be d/ch.The things I needed help with: feeding, emotions there was nothing #occhat 2/2(Tue, 04 Jun 2013 20:32:03 +0100)
@BillWongOT @kirstyes @OTsinlondon @BoothRach no… that hospital is the one I referred to having quality hospital food IMHO. #occhat (Tue, 04 Jun 2013 20:32:20 +0100)
@Symbolic_Life Sorry #occhat my brain is broken. Im not very engaging today. Il post within 24 Hours(Tue, 04 Jun 2013 20:32:26 +0100)
@peapodicus @kirstyes @GillyGorry looking at what is possible rather than what is not #occhat (Tue, 04 Jun 2013 20:32:33 +0100)
@BillWongOT @kirstyes @OTsinlondon @BoothRach the cafeteria is actually open to the public, so non-patients can also come in and eat. #occhat (Tue, 04 Jun 2013 20:32:49 +0100)
@kirstyes . @cumbrianclaire A lot of this brings to mind a term heard from Clare Hocking. #occhat Occupationscape. Designing enviorons with occ in mind(Tue, 04 Jun 2013 20:32:55 +0100)
@BillWongOT RT @emilara_OT : @kirstyes client centredness important – what is important to the pt #occhat (Tue, 04 Jun 2013 20:33:39 +0100)
@GillyGorry @peapodicus yes it does. we need creativity in interventions that are free to be used more. #occhat #thinkoutsidethehopitalbox (Tue, 04 Jun 2013 20:34:04 +0100)
@_beckyOT Looking at what works well and how we can learn from in @peapodicus @kirstyes @GillyGorry #occhat (Tue, 04 Jun 2013 20:34:17 +0100)
@OTalk_Occhat RT @kirstyes : @_beckyOT @BillWongOT @OTalk_Occhat I’m trying to think back to when I was in hosp – think I asked for my PJs. #occhat (Tue, 04 Jun 2013 20:34:18 +0100)
@BillWongOT RT @kirstyes : . @cumbrianclaire A lot of this brings to mind a term heard from Clare Hocking. #occhat Occupationscape. Designing enviorons with occ in mind(Tue, 04 Jun 2013 20:34:28 +0100)
@kirstyes . @emilara_OT How is this managed? Do patients get an orientation to environment, roles and routines? #occhat Is this possible?(Tue, 04 Jun 2013 20:34:46 +0100)
@emilara_OT @kirstyes in older adult MH found tasks such as shopping and cooking need relearning due to becoming deskilled on acute ward #occhat (Tue, 04 Jun 2013 20:35:00 +0100)
@cumbrianclaire @kirstyes I was sat thinking where’s the kitchen? Where’s the space I could talk to other new mammy’s? Not everyone is out in 4hrs! #occhat (Tue, 04 Jun 2013 20:35:03 +0100)
@BoothRach RT @GillyGorry : @peapodicus yes it does. we need creativity in interventions that are free to be used more. #occhat #thinkoutsidethehopitalbox (Tue, 04 Jun 2013 20:35:05 +0100)
@BillWongOT @kirstyes @cumbrianclaire that’s why maybe OT’s may want to be in charge of hospital management/leadership. #occhat (Tue, 04 Jun 2013 20:35:05 +0100)
@OTtwehytweets Providing a familiar environment in hospital for the patient provides hope & courage for safe transition between hospital and home #occhat (Tue, 04 Jun 2013 20:35:13 +0100)
@kirstyes . @pd2ot @GillyGorry Yes not many people ever have tea at 4.30. Is there valid reasoning for this? #occhat (Tue, 04 Jun 2013 20:35:42 +0100)
@peapodicus @cumbrianclaire @kirstyes people can feel they need to jump thro hoops to progress & lose sight of their values & chosen occupations #occhat (Tue, 04 Jun 2013 20:35:51 +0100)
@BillWongOT @kirstyes a good ex. is Shawn Phipps, he’s Chief Quality Officer & Associate Hospital Admin of Rancho Los Amigos Rehab #occhat (Tue, 04 Jun 2013 20:36:24 +0100)
@emilara_OT @kirstyes I am due to spend time on ward this week so will let you know! Currently in community MH #occhat (Tue, 04 Jun 2013 20:36:25 +0100)
@kirstyes Still catching up with everyone’s responses. One bugbear was trying to give pts more responsibility for their own drug management #occhat (Tue, 04 Jun 2013 20:36:30 +0100)
@BillWongOT @kirstyes yes… this is tricky… but generally is good to facilitate clients’ ability to be independent. #occhat (Tue, 04 Jun 2013 20:37:26 +0100)
@kirstyes . @BoothRach @GillyGorry or on Holby city no curtain and 3 extra people watching an MMSE!! #occhat ;o) Bee in my bonnet(Tue, 04 Jun 2013 20:37:33 +0100)
@emilara_OT @kirstyes also in dementia not sure is poss – they’ve lived in their house for years – would ward orientation be very useful? #occhat (Tue, 04 Jun 2013 20:37:43 +0100)
@GillyGorry I recall going 2 hospital as a day patient & being told to put pjs on. I just did . #occhat didn’t feel like I had a choice… before OT lol(Tue, 04 Jun 2013 20:37:52 +0100)
@_beckyOT @kirstyes @pd2ot @GillyGorry Breakfast 8:30 – Lunch 12:00 – Tea 5:00 – not much flexibility in this schedule #occhat (Tue, 04 Jun 2013 20:38:03 +0100)
@kirstyes . @peapodicus I wonder if we’ll all be believed as ex or current OTs!!! #occhat (Tue, 04 Jun 2013 20:38:27 +0100)
@pd2ot . @kirstyes @GillyGorry I suspect it’s driven entirely by working hours/economics of kitchen staff #occhat (Tue, 04 Jun 2013 20:38:58 +0100)
@BillWongOT @_beckyOT @kirstyes @pd2ot @GillyGorry similar when I was doing my acute mental health placement. #occhat (Tue, 04 Jun 2013 20:39:02 +0100)
@kirstyes . @francescaabrown resources or lack of certainly don’t help but what steps can we take to improve occupational engagement? #occhat (Tue, 04 Jun 2013 20:39:16 +0100)
@peapodicus @kirstyes I suspect that may make us ‘difficult to manage’!! #occhat (Tue, 04 Jun 2013 20:39:45 +0100)
@OTalk_Occhat RT @kirstyes : . @peapodicus I wonder if we’ll all be believed as ex or current OTs!!! #occhat (Tue, 04 Jun 2013 20:39:50 +0100)
@cumbrianclaire @BillWongOT @kirstyes I find it very frustrating that I had to leave the nhs to manage a service not just an OT team #occhat (Tue, 04 Jun 2013 20:40:00 +0100)
@pd2ot @_beckyOT @kirstyes @GillyGorry Exactly, makes ‘intuitive eating’ impossible. Definitely hindered my recovery and deskilled me #occhat (Tue, 04 Jun 2013 20:40:00 +0100)
@_beckyOT @kirstyes @BoothRach @GillyGorry That made me so mad! 1st we are Occ Health then really bad assessment with no privacy #occhat (Tue, 04 Jun 2013 20:40:11 +0100)
@kirstyes . @pd2ot I think this happens in physical and MH alike – more collaboration from start would be great. #occhat Given role of health manager(Tue, 04 Jun 2013 20:40:27 +0100)
@BillWongOT @pd2ot @kirstyes @GillyGorry and also what clients are willing to pay. The hospital I shared- it’s an expensive priv. hospital. #occhat (Tue, 04 Jun 2013 20:40:27 +0100)
@peapodicus @GillyGorry it’s amazing power to have over people isn’t it!? #occhat (Tue, 04 Jun 2013 20:41:14 +0100)
@BillWongOT @cumbrianclaire @kirstyes unfortunately, sometimes is the case the higher up you go- more admin work, less practice. #occhat (Tue, 04 Jun 2013 20:41:31 +0100)
@OTalk_Occhat RT @BillWongOT : @kirstyes @cumbrianclaire that’s why maybe OT’s may want to be in charge of hospital management/leadership. #occhat (Tue, 04 Jun 2013 20:41:33 +0100)
@kirstyes . @cumbrianclaire oooh I am really starting to see much more of a role than discharge planning for OTs #occhat Anyone else?(Tue, 04 Jun 2013 20:41:43 +0100)
@kirstyes @BoothRach great idea – use our wider support networks – many will be willing to help. #occhat (Tue, 04 Jun 2013 20:42:40 +0100)
@GillyGorry @peapodicus it is and quite scary.. hospital force people in the sick role.. then throw them out on discharge.. #occhat (Tue, 04 Jun 2013 20:42:48 +0100)
@BillWongOT RT @kirstyes : @BoothRach great idea – use our wider support networks – many will be willing to help. #occhat (Tue, 04 Jun 2013 20:43:16 +0100)
@kirstyes @BillWongOT Yes – autocorrect obviously – oops #occhat (Tue, 04 Jun 2013 20:43:21 +0100)
@kirstyes RT @BillWongOT : @kirstyes as well as what occupational roles they can take on after admission. #occhat (Tue, 04 Jun 2013 20:43:43 +0100)
@cumbrianclaire @peapodicus @kirstyes I regularly say I’d be labelled a “difficult patient” because I have views and opinions of my own #occhat (Tue, 04 Jun 2013 20:43:46 +0100)
@OTalk_Occhat RT @kirstyes : @BoothRach great idea – use our wider support networks – many will be willing to help. #occhat (Tue, 04 Jun 2013 20:44:23 +0100)
@OTalk_Occhat RT @kirstyes : . @cumbrianclaire oooh I am really starting to see much more of a role than discharge planning for OTs #occhat Anyone else?(Tue, 04 Jun 2013 20:44:30 +0100)
@kirstyes @BillWongOT Great #occhat Anyone else ever been directed to keep initial assessments brief? How long does it take to get good occ history?(Tue, 04 Jun 2013 20:44:34 +0100)
@kirstyes RT @emilara_OT : @kirstyes client centredness important – what is important to the pt #occhat (Tue, 04 Jun 2013 20:44:44 +0100)
@BoothRach @_beckyOT @kirstyes @BillWongOT @GillyGorry really which Holby city! #occhat (Tue, 04 Jun 2013 20:44:54 +0100)
@OTsinlondon @GillyGorry @peapodicus well, if the physio says they can walk… #Occhat (Tue, 04 Jun 2013 20:45:24 +0100)
@IamCarrieeeeee @kirstyes @AllisulliOTProf @pd2ot #occhat Great blog. Had to giggle though – I became very adept at circumventing high level obs :)(Tue, 04 Jun 2013 20:45:34 +0100)
@BillWongOT @kirstyes I like how some OTD residents in US do in the US- they not only learn adv. clinical skills, but also leadership. #occhat (Tue, 04 Jun 2013 20:45:43 +0100)
@kirstyes . @peapodicus @GillyGorry Wow that’s great – would be fab if you could post on blog how you managed that!! #occhat (Tue, 04 Jun 2013 20:45:47 +0100)
@_beckyOT @GillyGorry @peapodicus Ye things are done for you and to you – need rehab/re-ablement from all members of MDT so prepared for home #occhat (Tue, 04 Jun 2013 20:45:50 +0100)
@peapodicus @GillyGorry OT great for discharge prep, reversing the hosp power imbalance more tricky, we have collective advocacy to help empower #occhat (Tue, 04 Jun 2013 20:46:50 +0100)
@GillyGorry @kirstyes @cumbrianclaire if OTs were allowed 2 promote natural routine 4 pts in hospital.might make discharge a transition home #occhat (Tue, 04 Jun 2013 20:46:58 +0100)
@cumbrianclaire @kirstyes Absolutely! Focus should be about recovery wherever possible. The environment plays a part in that #occhat (Tue, 04 Jun 2013 20:47:04 +0100)
@francescaabrown @kirstyes *Group work really seems to help pts too. #occhat (Tue, 04 Jun 2013 20:47:25 +0100)
@GillyGorry RT @OTsinlondon : @GillyGorry @peapodicus well, if the physio says they can walk… #Occhat (Tue, 04 Jun 2013 20:47:27 +0100)
@kirstyes @cumbrianclaire #occhat Interesting so decisions about what needed based on assumptions and before assessment #occhat (Tue, 04 Jun 2013 20:47:33 +0100)
@kirstyes . @Symbolic_Life I’m behind again. #occhat Brain feel better(Tue, 04 Jun 2013 20:48:00 +0100)
@OTtwehytweets @kirstyes @BillWongOT my experience with initial interviews is with non standardised dept assessments that last 10 minutes maximum #occhat (Tue, 04 Jun 2013 20:48:06 +0100)
@kirstyes RT @peapodicus : @kirstyes @GillyGorry looking at what is possible rather than what is not #occhat (Tue, 04 Jun 2013 20:48:07 +0100)
@kirstyes RT @GillyGorry : @peapodicus yes it does. we need creativity in interventions that are free to be used more. #occhat #thinkoutsidethehopitalbox (Tue, 04 Jun 2013 20:48:22 +0100)
@OTalk_Occhat RT @francescaabrown : @kirstyes *Group work really seems to help pts too. #occhat (Tue, 04 Jun 2013 20:48:35 +0100)
@OTalk_Occhat RT @cumbrianclaire : @kirstyes Absolutely! Focus should be about recovery wherever possible. The environment plays a part in that #occhat (Tue, 04 Jun 2013 20:48:42 +0100)
@_beckyOT @BoothRach @kirstyes @BillWongOT @GillyGorry

Divided We Fall
Series 15 Episode 32 of 52
Holby City

#occhat (Tue, 04 Jun 2013 20:48:48 +0100)

@BoothRach RT @OTsinlondon : @GillyGorry @peapodicus well, if the physio says they can walk… #Occhat (Tue, 04 Jun 2013 20:48:55 +0100)
@francescaabrown Nice to join in #occhat tonight. I must now return to working on my presentations for my placement!(Tue, 04 Jun 2013 20:48:56 +0100)
@kirstyes . @emilara_OT oooh – funding request for an onsite shop!! #occhat (Tue, 04 Jun 2013 20:49:08 +0100)
@GillyGorry RT @_beckyOT : @BoothRach @kirstyes @BillWongOT @GillyGorry

Divided We Fall
Series 15 Episode 32 of 52
Holby City

#occhat (Tue, 04 Jun 2013 20:49:16 +0100)

@sophiewearing @GillyGorry Agreed!I found it so hard (but doubley rewarding when I succeeded) trying to change attitude! #occhat (Tue, 04 Jun 2013 20:49:18 +0100)
@kirstyes RT @BillWongOT : @kirstyes @cumbrianclaire that’s why maybe OT’s may want to be in charge of hospital management/leadership. #occhat (Tue, 04 Jun 2013 20:49:39 +0100)
@emilara_OT @GillyGorry @kirstyes @cumbrianclaire important for older adults living alone – can become deskilled and anxious easily in hospital #Occhat (Tue, 04 Jun 2013 20:50:16 +0100)
@kirstyes . @BillWongOT @cumbrianclaire We do need more OTs willing to give up the direct client care to step into such positions though #occhat (Tue, 04 Jun 2013 20:50:24 +0100)
@GillyGorry @emilara_OT @kirstyes @cumbrianclaire absolutely and then need more support at home.. #occhat (Tue, 04 Jun 2013 20:50:48 +0100)
@cumbrianclaire @kirstyes Assumptions only. All babies taken into the office at night so i could sleep – I was wide awake worrying #occhat (Tue, 04 Jun 2013 20:51:05 +0100)
@kirstyes . @OTtwehytweets How can we do this for everyone?? e.g. make as familiar and comfortable while managing H&S, risk etc #occhat (Tue, 04 Jun 2013 20:51:16 +0100)
@BillWongOT @kirstyes @cumbrianclaire yes… I think it could be a good CPD topic. #occhat (Tue, 04 Jun 2013 20:51:25 +0100)
@kirstyes @emilara_OT If they don’t could you suggest or trial it??? #occhat (Tue, 04 Jun 2013 20:52:15 +0100)
@_beckyOT @kirstyes @BillWongOT @cumbrianclaire We need more of a voice in senior leadership in the NHS to promote OT philosophy and OT value #occhat (Tue, 04 Jun 2013 20:52:33 +0100)
@BillWongOT @kirstyes @cumbrianclaire Wonder if that is something that could be introduced into the MSc OT curriculum in the UK? #occhat (Tue, 04 Jun 2013 20:52:41 +0100)
@OTalk_Occhat final few minutes of #occhat it has been an interesting discussion. any final thoughts?(Tue, 04 Jun 2013 20:52:45 +0100)
@BillWongOT @_beckyOT @kirstyes @cumbrianclaire and also at individual hospitals and rehab centers, too. #occhat (Tue, 04 Jun 2013 20:53:36 +0100)
@kirstyes @emilara_OT It might need to be repeated?? Might be worth checking out some of the literature around dementia and environments. #occhat (Tue, 04 Jun 2013 20:53:39 +0100)
@BoothRach How about catering for disability whilst in hospital, seen MH patients with disabilities being bed bound in MH ward-‘don’t physical’ #occhat (Tue, 04 Jun 2013 20:53:46 +0100)
@emilara_OT @kirstyes I will certainly be looking into that yes! Environment obviously a major factor when on acute ward #occhat (Tue, 04 Jun 2013 20:54:19 +0100)
@kirstyes Still 15 minutes behind on comments with 5 minutes to go – any last burning questions/comments. Take home messages/action plans? #occhat (Tue, 04 Jun 2013 20:54:46 +0100)
@BillWongOT @OTalk_Occhat I think all this talk is rubbish if we don’t have OT practitioners step up into leadership roles in hospitals. #occhat (Tue, 04 Jun 2013 20:54:48 +0100)
@emilara_OT @kirstyes after tonight I will certainly be looking into it more, thanks 🙂 #occhat (Tue, 04 Jun 2013 20:55:10 +0100)
@BoothRach @BoothRach MH wards don’t to physical’ #occhat (Tue, 04 Jun 2013 20:55:22 +0100)
@kirstyes Thanks to @GillyGorry for community managing the @OTalk_Occhat account tonight #occhat and thanks all for taking part – especially newcomers(Tue, 04 Jun 2013 20:55:34 +0100)
@peapodicus @kirstyes @OTtwehytweets in forensic people often there for long time, more opp to be homely but some prefer not to identify as home #occhat (Tue, 04 Jun 2013 20:55:44 +0100)
@BillWongOT RT @kirstyes : Thanks to @GillyGorry for community managing the @OTalk_Occhat account tonight #occhat and thanks all for taking part – especially newcomers(Tue, 04 Jun 2013 20:56:25 +0100)
@kirstyes #OTalk next week on carer engagement led by @Helen_otuk #occhat (Tue, 04 Jun 2013 20:56:28 +0100)
@OTalk_Occhat Many thanks to @kirstyes for hosting tonights chat. lots of food for though #occhat (Tue, 04 Jun 2013 20:56:34 +0100)
@kirstyes RT @GillyGorry : I recall going 2 hospital as a day patient & being told to put pjs on. I just did . #occhat didn’t feel like I had a choice… before OT lol(Tue, 04 Jun 2013 20:56:41 +0100)
@BillWongOT RT @kirstyes : #OTalk next week on carer engagement led by @Helen_otuk #occhat (Tue, 04 Jun 2013 20:56:48 +0100)
@OTtwehytweets @kirstyes just from my own experience familiar environments can be as simple as a picture frame/recipe book etc in situ #occhat (Tue, 04 Jun 2013 20:56:56 +0100)
@GillyGorry really enjoyed tonights chat and feels a blog post coming on… #occhat (Tue, 04 Jun 2013 20:57:04 +0100)
@BoothRach Thanks all, had fun – hour goes so fast! #occhat (Tue, 04 Jun 2013 20:57:05 +0100)
@OTsinlondon @OTalk_Occhat way behind on comments but having expectation for patients take on roles, dressing, food prep breakfast groups etc #Occhat (Tue, 04 Jun 2013 20:57:05 +0100)
@_beckyOT @BillWongOT @OTalk_Occhat We have the potential to change hospital culture to encourage all team members to enable independence #occhat (Tue, 04 Jun 2013 20:57:18 +0100)
@kirstyes RT @_beckyOT : @kirstyes @pd2ot @GillyGorry Breakfast 8:30 – Lunch 12:00 – Tea 5:00 – not much flexibility in this schedule #occhat (Tue, 04 Jun 2013 20:57:21 +0100)
@BillWongOT @OTtwehytweets @kirstyes good one! #occhat (Tue, 04 Jun 2013 20:57:35 +0100)
@kirstyes RT @peapodicus : @kirstyes I suspect that may make us ‘difficult to manage’!! #occhat (Tue, 04 Jun 2013 20:57:49 +0100)
@OTtwehytweets @kirstyes I guess we might not be able 2do this for “everyone” but we could include related q’s in our initial assessments2find out #occhat (Tue, 04 Jun 2013 20:58:08 +0100)
@kirstyes . @peapodicus I hope so ;o) #occhat – especially for my OT!!(Tue, 04 Jun 2013 20:58:10 +0100)
@BillWongOT @OTtwehytweets @kirstyes TV and wifi should be complementary services, not as extra costs. #occhat (Tue, 04 Jun 2013 20:58:36 +0100)
@OTalk_Occhat Thanks so much to all participants tonight #occhat (Tue, 04 Jun 2013 20:58:40 +0100)
@kirstyes @_beckyOT @BoothRach @GillyGorry did you see my blog post on it with their response? #occhat (Tue, 04 Jun 2013 20:58:42 +0100)
@GillyGorry RT @kirstyes : @_beckyOT @BoothRach @GillyGorry did you see my blog post on it with their response? #occhat (Tue, 04 Jun 2013 20:59:09 +0100)
@_beckyOT …leading to autonomy and the confidence / feeling of being “allowed” to do things for themselves @BillWongOT @OTalk_Occhat #occhat (Tue, 04 Jun 2013 20:59:15 +0100)
@BillWongOT @OTtwehytweets @kirstyes and for some people around my neck of the woods, providing choices of ethnic TV channels is also good. #occhat (Tue, 04 Jun 2013 20:59:39 +0100)
@kirstyes RT @GillyGorry : @peapodicus it is and quite scary.. hospital force people in the sick role.. then throw them out on discharge.. #occhat (Tue, 04 Jun 2013 20:59:48 +0100)
@peapodicus @kirstyes #occhat thanks for the stimulating chat folks. Tonight I’ve discovered easier to tweet from computer than mobile phone!! #novice (Tue, 04 Jun 2013 20:59:56 +0100)
@emilara_OT Thanks to @OTalk_Occhat and @kirstyes for hosting. My first #occhat has given me an awful lot to think about!(Tue, 04 Jun 2013 20:59:57 +0100)
@_beckyOT @kirstyes @BoothRach @GillyGorry No – would love to see it. Where would I find it? #occhat (Tue, 04 Jun 2013 21:00:03 +0100)
@kirstyes . @GillyGorry @peapodicus I’d like people to be supported in the ‘well-as-possible-in-the-circumstances’ mode #occhat (Tue, 04 Jun 2013 21:00:28 +0100)
@BillWongOT @cumbrianclaire @kirstyes yes… I think a lot of OT practitioners in such positions possible are on the same boat. #occhat (Tue, 04 Jun 2013 21:00:47 +0100)
@kirstyes Goodnight all #occhat – I’ll be here for a bit catching up then off for tea. When I post the grabchat do feel free to add to the blog too(Tue, 04 Jun 2013 21:01:08 +0100)
@kirstyes . @IamCarrieeeeee @AllisulliOTProf @pd2ot What would you like to see changed – top 2 suggestions? #occhat (Tue, 04 Jun 2013 21:02:17 +0100)
@BAOTNYRegion #occhat was very interesting tonight!(Tue, 04 Jun 2013 21:02:59 +0100)
@_beckyOT Thanks @kirstyes & @OTalk_Occhat for another great chat. See you next week #occhat (Tue, 04 Jun 2013 21:03:28 +0100)
@kirstyes . @GillyGorry @cumbrianclaire We have a research study for someone?? #occhat (Tue, 04 Jun 2013 21:03:51 +0100)
@kirstyes RT @francescaabrown : @kirstyes *Group work really seems to help pts too. #occhat (Tue, 04 Jun 2013 21:04:13 +0100)
@BillWongOT @OTtwehytweets ethnic TV channels can make hospital transition easier 4 some clients, esp. 4 clients w/ limited English proficiency. #occhat (Tue, 04 Jun 2013 21:04:20 +0100)
@kirstyes . @francescaabrown what type of group work? #occhat (Tue, 04 Jun 2013 21:04:31 +0100)
@kirstyes . @OTtwehytweets @BillWongOT 10 minutes!! #occhat (Tue, 04 Jun 2013 21:05:15 +0100)
@kirstyes . @francescaabrown Thanks so much – good luck with the presentation #occhat (Tue, 04 Jun 2013 21:05:38 +0100)
@BillWongOT @kirstyes @GillyGorry @cumbrianclaire I think qualitative is better than quantitative in this case, IMO. #occhat (Tue, 04 Jun 2013 21:06:01 +0100)
@BillWongOT @kirstyes @OTtwehytweets geez! That’s short! Then again, in some settings, taking too long can be scolded for waste of time. #occhat (Tue, 04 Jun 2013 21:06:48 +0100)
@kirstyes . @BoothRach We should always aim to ‘do’ personal not conditional or expectational – good point. #occhat (Tue, 04 Jun 2013 21:07:29 +0100)
@OTtwehytweets @kirstyes @BillWongOT I think it takes longer but this is what time permits within placement settings Ive been on #occhat #timerestrictions (Tue, 04 Jun 2013 21:08:00 +0100)
@kirstyes . @BillWongOT @OTalk_Occhat But we can all be leaders Bill – the chat last week showed me that – little changes #occhat (and evidence)(Tue, 04 Jun 2013 21:08:34 +0100)
@kirstyes . @emilara_OT let us know on the blog what you find out if you feel able. #occhat (Tue, 04 Jun 2013 21:09:02 +0100)
@OTtwehytweets @BillWongOT yes it has been brought up in MDT meetings that initial assessments are taking far too long. 10-15 is “sufficient” #occhat (Tue, 04 Jun 2013 21:09:26 +0100)
@kirstyes @GillyGorry I look forward to reading it – I’ve got lots of ideas buzzing too – but first – food!! #occhat (Tue, 04 Jun 2013 21:10:03 +0100)
@kirstyes . @OTsinlondon @OTalk_Occhat I like the idea of breakfast groups #occhat (Tue, 04 Jun 2013 21:10:34 +0100)
@emilara_OT @kirstyes sounds good 🙂 #occhat (Tue, 04 Jun 2013 21:10:48 +0100)
@BillWongOT @kirstyes @OTalk_Occhat it’s a combination of big and small changes, that’s for sure. #occhat (Tue, 04 Jun 2013 21:11:15 +0100)
@kirstyes . @OTtwehytweets great idea – if you think of any questions do pop them on the blog. same for anyone #occhat (Tue, 04 Jun 2013 21:11:22 +0100)
@BillWongOT RT @kirstyes : . @OTsinlondon @OTalk_Occhat I like the idea of breakfast groups #occhat (Tue, 04 Jun 2013 21:11:27 +0100)
@kirstyes RT @peapodicus : @kirstyes #occhat thanks for the stimulating chat folks. Tonight I’ve discovered easier to tweet from computer than mobile phone!! #novice (Tue, 04 Jun 2013 21:11:43 +0100)
@cumbrianclaire @treeladyaimzy @tileym >>!!!! ? ? @kirstyes : . @OTsinlondon @OTalk_Occhat I like the idea of breakfast groups #occhat ?(Tue, 04 Jun 2013 21:11:52 +0100)
@BillWongOT @kirstyes @OTsinlondon @OTalk_Occhat another good one can be crochet. #occhat (Tue, 04 Jun 2013 21:12:07 +0100)
@kirstyes . @emilara_OT and probably brain ache if my experience is anything to go by ;o) #occhat (Tue, 04 Jun 2013 21:12:13 +0100)
@kirstyes @_beckyOT @BoothRach @GillyGorry Here you go – http://t.co/Se97oiWhbs #occhat (Tue, 04 Jun 2013 21:12:41 +0100)
@OTsinlondon @kirstyes @OTalk_Occhat nothing to stop lunch groups either or other projects #occhat (Tue, 04 Jun 2013 21:13:17 +0100)
@kirstyes . @BAOTNYRegion do feel free to add any thoughts here for next 24 hrs or on the blog post after #occhat (Tue, 04 Jun 2013 21:13:37 +0100)
@kirstyes @BillWongOT @GillyGorry @cumbrianclaire Ooh I’d go mixed methods maybe ;o) #occhat – comparative analysis of two wards.(Tue, 04 Jun 2013 21:14:30 +0100)
@francescaabrown @kirstyes made a noticeable difference to their quality of engagement in other occupations too! Thanks for a gd #occhat !(Tue, 04 Jun 2013 21:14:31 +0100)
@_beckyOT @kirstyes @OTsinlondon @OTalk_Occhat Group work – great (writing abstract on group work in stroke) breakfast & gardening – valuable #occhat (Tue, 04 Jun 2013 21:14:55 +0100)
@BillWongOT @kirstyes @GillyGorry @cumbrianclaire I would ❤ do the quantitative part. Someone just got to do the qualitative. #occhat (Tue, 04 Jun 2013 21:15:40 +0100)
@emilara_OT @kirstyes haha yes some of that too! Good for the soul though, so I’ve been told anyway… #occhat (Tue, 04 Jun 2013 21:16:01 +0100)
@kirstyes . @OTtwehytweets I’ve heard that too. Again more research – give one person 15 mins & another 30 & another 1 hr and see what changes? #occhat (Tue, 04 Jun 2013 21:16:10 +0100)
@OTtwehytweets @kirstyes will do 🙂 thanks for another great thought provoking chat tonight #occhat (Tue, 04 Jun 2013 21:16:25 +0100)
@kirstyes RT @OTsinlondon : @kirstyes @OTalk_Occhat nothing to stop lunch groups either or other projects #occhat (Tue, 04 Jun 2013 21:16:48 +0100)
@kirstyes @OTtwehytweets glad you enjoyed – take care. #occhat (Tue, 04 Jun 2013 21:17:35 +0100)
@OTsinlondon @BillWongOT @kirstyes @OTalk_Occhat once got a lady to make her famous apple crumble as birthday cake for one of the nurses #occhat (Tue, 04 Jun 2013 21:17:53 +0100)
@OTtwehytweets @kirstyes possible idea for my dissertation next year I feel. How long is enough to get a full occupational history of your client? #occhat (Tue, 04 Jun 2013 21:18:32 +0100)
@OTalk_Occhat Typical, just sent to twitter jail on @kirstyes . Will catch up with other tweets later. Thanks all late tea now. #occhat (Tue, 04 Jun 2013 21:19:39 +0100)
@BillWongOT @OTtwehytweets @kirstyes I see another mixed methods study coming. 😉 #occhat (Tue, 04 Jun 2013 21:20:28 +0100)
@LindaOTUK RT @kirstyes : . @OTsinlondon @OTalk_Occhat I like the idea of breakfast groups #occhat (Tue, 04 Jun 2013 21:20:33 +0100)
@OTtwehytweets @BillWongOT @kirstyes its a possibility 🙂 #occhat (Tue, 04 Jun 2013 21:20:59 +0100)
@BillWongOT @OTtwehytweets @kirstyes My idea is to do a paired t-test for the quant. portion (comparing time they have in reality vs. ideally) #occhat (Tue, 04 Jun 2013 21:25:25 +0100)
@BillWongOT @OTtwehytweets @kirstyes and perhaps something like phenomenology for the qualitative portion. #occhat (Tue, 04 Jun 2013 21:26:18 +0100)
@pd2ot @kirstyes @IamCarrieeeeee @AllisulliOTProf Great question. Needs thought… #occhat (Tue, 04 Jun 2013 21:28:29 +0100)
@OTtwehytweets @BillWongOT you will be a good resource to have so. Ill keep that in mind when the time comes #occhat (Tue, 04 Jun 2013 21:28:33 +0100)
@AliciaRidout @OTalk_Occhat Sorry to miss it. Lookg forwd to reading transcript – last one was really excellent. #Occhat (Tue, 04 Jun 2013 22:03:13 +0100)
@emilara_OT I have officially decided that @OTalk_Occhat is awesome. So much to think about from tonights #occhat 😀 #inspired (Tue, 04 Jun 2013 22:18:29 +0100)
@graemate RT @orlalalalala : #occhat http://t.co/Oj42mKOTXZ (Tue, 04 Jun 2013 22:24:37 +0100)
@Ononjamcon RT @kirstyes : #OTalk next week on carer engagement led by @Helen_otuk #occhat (Tue, 04 Jun 2013 22:48:54 +0100)
@Ononjamcon @roseandken1 Hi Rose on a Tues 8-9 pm try #occhat OT debate, subject next week carer engagement(Tue, 04 Jun 2013 22:50:41 +0100)
@elaineahpmh RT @emilara_OT : I have officially decided that @OTalk_Occhat is awesome. So much to think about from tonights #occhat 😀 #inspired (Tue, 04 Jun 2013 23:29:33 +0100)
@kirstyes . @peapodicus @GillyGorry I meant just comment on the OTalkOcchat blog but do consider blogging too. #occhat (Wed, 05 Jun 2013 00:22:59 +0100)
@Nnikki_Duffy RT @OTalk_Occhat : http://t.co/Z6DPnnmD36 ? #occhat tonight Banning the hospital gown. the occupation of being in hospital(Wed, 05 Jun 2013 07:31:34 +0100)
@IamCarrieeeeee @pd2ot @kirstyes @AllisulliOTProf #occhat It does indeed.(Wed, 05 Jun 2013 07:40:03 +0100)
@emerging2OT RT @emilara_OT : I have officially decided that @OTalk_Occhat is awesome. So much to think about from tonights #occhat 😀 #inspired (Wed, 05 Jun 2013 08:00:49 +0100)
@Symbolic_Life RT @OTalk_Occhat : http://t.co/Z6DPnnmD36 ? #occhat tonight Banning the hospital gown. the occupation of being in hospital(Wed, 05 Jun 2013 08:05:26 +0100)
@emerging2OT RT @OTalk_Occhat : http://t.co/Z6DPnnmD36 ? #occhat tonight Banning the hospital gown. the occupation of being in hospital(Wed, 05 Jun 2013 08:09:46 +0100)
@emerging2OT Really happy to see our delegates engaging in #occhat last night. This happens every Tuesday @8pm UK time :). @OTalk_Occhat #engaging (Wed, 05 Jun 2013 08:11:30 +0100)
@Symbolic_Life @pd2ot I can’t find the link for your blog last night for #occhat ! I swear I just had it :((Wed, 05 Jun 2013 08:16:53 +0100)
@BAOTCOT Interesting #occhat last night on the occupational effects of hospitalisation. Check out the hashtag to see what was discussed.(Wed, 05 Jun 2013 12:52:47 +0100)
@BillWongOT @Katewardleeds yes… #OTalk or #occhat is 8-9 GMT on tuesdays(Wed, 05 Jun 2013 21:46:17 +0100)
@OTCoachUK OTs..have you seen the wonderful free courses here https://t.co/8qkv56QQ2s this one is Social Context of MH #occhat #ottalk (Fri, 07 Jun 2013 10:56:52 +0100)
@LPdee RT @OTCoachUK : OTs..have you seen the wonderful free courses here https://t.co/8qkv56QQ2s this one is Social Context of MH #occhat #ottalk (Fri, 07 Jun 2013 11:18:21 +0100)
@OTCoachUK Tackling lots of my own limiting beliefs today as I work on our exciting new book Coaching for OTs…exact title in development!!! #occhat (Fri, 07 Jun 2013 12:13:31 +0100)
@BAOTCOT RT @OTCoachUK : OTs..have you seen the wonderful free courses here https://t.co/8qkv56QQ2s this one is Social Context of MH #occhat #ottalk (Fri, 07 Jun 2013 14:24:18 +0100)

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#Occhat – 4th June Ban the Gown – The Occupation of Being in Hospital

Ban the Gown – The Occupation of Being in Hospital 

Date: 04/06/2013  Host: @Kirstyes

Blog Post  –  Transcript  –   Post Chat Summary


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Occhat 29th November 2011 “The occupied self: the role of occupation in identity”

This evening’s #occhat hosted Dr Jackie Taylor from University Salford who discussed some of her work on identity and occupation. Participants were encouraged to listen to her presentation from World OT day 2010 “Rebuilding damaged identities through occupation” which provided an overview of her work and a visual example of the framework that informs her conception of the
occupied self. In particular it was intended to demonstrate how this work relates to OT clinical practice (scroll down to find presentation 9: Rebuilding damaged identities through occupation).

Thanks once again to all the participants in what turned out to be a very stimulating discussion. This is a brief summary of the discussion, the full transcript is here.

Information about identity

During the discussion the following points were made about identity.

  • There is a fundamental link between occupation, identity and well-being.
  • Identity is formed of personal and social aspects.
  • Language is a fundamental symbolic system enabling people to understand each other, and to construct an image of self.
  • Occupational identity is about building identity over time, through a constellation of occupations.
  • There are specific gender issues which influence occupation and identity.
  • The act of engaging in occupations contributes to our identity, whether we think these occupations are important or not.
  • Morality forms part of our identity as how we act reflects our values.

How can work on identity inform OT practice?

Issue for OTs is whether we pay enough attention to the impact of illness, ageing, and other forms of deprivation on identity and how this restricts occupations. There was a suggestion that OTs should consider whether occupations are identity appropriate as well as age appropriate. To achieve this requires work to define identity with our clients i.e. talking with them about what they value, what is important to them.

To support this examples of OT assessments and measures that look at identity were mentioned including the Canadian Occupational Performance Measure, Occupational Performance History Interview – II (OPHI-II), and aspects of the Occupational Self Assessment (OSA).

Dr Taylor is currently working with people who have survived cancer to develop a ‘workbook’ to help people overcome biographical disruption (Bury, 1982), although it is appropriate to anyone whose identity is damaged. The framework is a tool for systematically helping people to understand the meaning of their occupations. If they can understand this then they may be helped to find new ways forward, to overcome the experience of a disruption to their sense of self. Dr Taylor is using a participatory design as a research method and is involving cancer specialist OTS, and people who
have survived cancer.

Other sources of information (Charmaz, 2002), (Christiansen, 1999), (Laliberte-Rudman, 2002). Dr Taylor also suggested that if you would like references on specific aspects of what was discussed you can contact her at j.taylor@salford.ac.uk.

Dr Taylor is on LinkedIn here

BURY, M. 1982. Chronic illness as biographical disruption. Sociology of health & illness, 4, 167-182.
CHARMAZ, K. 2002. The self as habit: The reconstruction of self in chronic illness. OTJR: Occupation,
Participation and Health, 22, 31.
CHRISTIANSEN, C. H. 1999. Defining Lives: Occupation as Identity: An essay on competence,
coherence and the creation of meaning. AMERICAN JOURNAL OF OCCUPATIONAL THERAPY,
53, 547-558.
LALIBERTE-RUDMAN, D. 2002. Linking Occupation and Identity: Lessons learned through qualitative exploration. Journal of Occupational Science, 9, 12-19.

Post by Chris Genter