Thoughts from todays lectures and reading

Apologies for the dullness of this entry for anyone reading this blog, but if I don’t write this down I’ll forget my ideas/thoughts.

Timing When is the best time to do functional assessments? Today’s lecturer expressed her opinion that if you are assessing or intervening on a selfcare issue then this should be done at a time when it is appropriate for the patient and not for the OT staff. I.e. 7 o’clock when the rest of the ward is getting up and not, 9.30 after the OT has arrived in the office at 9 and then checked her e-mail had a morning coffee etc.

Language Todays lecturer definately didn’t like the term, ‘dressing practice’ or ‘kitchen practice’ she thought this language down played the importance of these tasks and the complicated nature of the work of the OT. The OT is doing more that letting them practice. She also thought practice was a slightly patronising term, a grown adult with a stroke has had plenty of practice dressing, to call the session a practice session is to treat them as a child.

Difference between assessment and practice seems to be the amount of aid the patient is given to complete the task. For example in a dressing assessment you want to see how much of this the patient could do there selves without prompting or help from the OT. However in practice, you want to give suggestions and assistance to the patient to relearn or develop new techniques for adapting the task.

Assessment and team organisations Already mentioned this below, but if you share patients between a team, so the patient sees every member of staff and number of times, does this affect the type of assessment you choose and the outcomes of these assessments.

Choice of assessment, specialised medical or general OT? Why are my placement assessments more focused on the cognitive perceptual and not the OT foundations (i.e. a person’s engagement in work, leisure and self care)? Is this ward pressure?

Is an assessment that analyses a persons general occupation participations irrespective of symptoms/illness useful? The MOHOST manual this that it is, is this valid or useful for practice?

Repetition of assessment? Are different departments in my placement hospital duplicating assessments? Why? Is there a good reason? My placement educator argues that our department repeats assessments, because we are using our ‘stroke’ knowledge to better understand the patients needs. Is this a good reason, why?

Outcome Measures? Can the assessment used on placement be used as an outcome measure?

MOHOST or OCAIRS for stroke? Which is better? MOHOST manual says OT’s should use ocairs wherever possible, however I think MOHOST might be more flexible and useful for the way the stroke team work.

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