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Predictors of Occupational Competence in People Hospitalized with Chronic Conditions
Background: Chronic diseases limit participation in meaningful daily activities, roles, and routines, which can negatively impact occupational competence, a sense of self, and life satisfaction, especially when hospitalization is required to manage disease symptoms. Standardized measures of occupational competence and related functional, cognitive, and environmental factors may enhance occupational therapists’ ability to identify potential barriers to and make targeted recommendations for self- and health management in the community.
Method: This cross-sectional study investigated occupational competence in patients hospitalized with chronic conditions. The participants completed measures of occupational competence, values, self-care function, environmental impact, and functional cognition while hospitalized.
Results: The participants (n = 51) reported moderate to high levels of occupational competence. The overall regression model was significant. Values, self-care function, and environmental impact were significant predictors of occupational competence.
Conclusion: Values, self-care function, and environmental impact predict occupational competence in people hospitalized with chronic conditions. Occupational therapists should incorporate standardized measures of occupational competence, values, self-care function, and environmental impact into current evaluation practices to support recommendations for follow-up care and community supports. Future research should include a larger sample that is more representative of an occupational therapy caseload and incorporate alternative measures of functional cognition to better measure this construct
Developing a Holistic Outlook through Art
Dr. Guy McCormack, PhD., OTR/L, FAOTA, an occupational therapist and retired academic program director based in Seaside, California, provided the cover art for the Summer 2023 edition of The Open Journal of Occupational Therapy (OJOT). “Tree of Life” is a 20” x 24” painting made from acrylic on panel. McCormack has served as an occupational therapist and educator for nearly 50 years. His career includes many notable clinical and academic achievements. Today, he finds joy in painting landscapes, animals, and abstract compositions. Since his retirement, art has helped McCormack develop a more holistic outlook on life
2023-03-16_MichiganOverview_MISC
The MIS-C Data page was obtained from Michigan\u27s COVID-19 data page: https://www.michigan.gov/coronavirus/stats/mis-c-reporting.
This report is created by the Michigan Department of Health & Human Services from data self-reported by health care providers and local health departments. Data is updated on the first and third Thursdays of the month.
Multisystem Inflammatory Syndrome in Children (MIS-C) is a condition in children and adolescents under 21 years of age where multiple organ systems become inflamed or dysfunctional which occurs in association with illness. Children with MIS-C may have a fever and various symptoms, including abdominal (gut) pain, vomiting, diarrhea, neck pain, rash, bloodshot eyes, or feeling extra tired. We do not yet know what causes MIS-C. However, many children with MIS-C were infected with the virus that causes COVID-19, or had been around someone with COVID-19. Health care providers and local health departments are asked to maintain a high degree of suspicion for MIS-C in pediatric and adolescent patients presenting with symptoms similar to Kawasaki Disease or ill individuals who have been previously exposed to COVID-19 with signs and symptoms. Patients have presented with persistent fever*, hypotension, multiorgan (cardiac, gastrointestinal, renal, hematologic, dermatologic, and neurologic) involvement, and elevated inflammatory markers. Respiratory symptoms have been present in some, but are not a common finding.
Contains the tables Multisystem Inflammatory Syndrome in Children (MIS-C) Michigan Data Summary and Demographic Information, and the graph Confirmed Cases of MIS-C by Week of Onset in Michigan
Editor’s Note to Volume 7 of the Journal of Communication Pedagogy: Sharing Is Caring
This is the editor’s Note to Volume 7 of the Journal of Communication Pedagogy
2023-02-21_MichiganOverview_COVIDstats
The COVID Overview page was obtained from Michigan\u27s main COVID-19 page: https://www.michigan.gov/coronavirus/stats.
The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled. COVID case and testing data will be posted once a week on Tuesdays.
This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of care (POC) tests, look for current infection. Serology (antibody) tests are used to look for the possibility of previous infection.
Source: Michigan Disease Surveillance System (MDSS) and Vital Records
The website contained the tables Cases by Hispanic/Latino Ethnicity and Cases by Arab Ethnicity.The dashboard contained the tabs Current Status (subtabs View Cases, View Deaths, View Table), Daily Cases (subtabs Confirmed Cases, Deaths, View Table), Cumulative Trends (subtabs Cases, Deaths, View Table), Demographics (subtabs Confirmed Cases, Probable Cases, Confirmed Deaths, Probable Deaths), Total Testing (subtabs View Table, View Chart), Confirmatory Testing (subtabs View Table, View Chart), and Learn More.The public use datasets contained the following downloadable Excel spreadsheets (.xlsx): COVID-19 Confirmed Variant of Concern Cases by Jurisdiction, Cases and the Deaths by County, Cases by County by Date, Cases by Demographics Statewide, COVID-19 Tests by County, Diagnostic Tests by Result and County
2023-02-28_MichiganDaily_COVIDmap
The WHERE WE STAND WITH COVID-19 map was obtained from Michigan\u27s main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated once a week on Wednesdays.
The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.
The image contained a map, indicating total cases by county provided by the CDC. It also contains a second map of Michigan COVID-19 Community Levels by County, not captured in this screenshot. The figure also provides statistics on Total COVID-19 Confirmed and Probable Cases, Total COVID-19 Deaths in Confirmed and Probable Cases, Weekly COVID-19 Confirmed and Probable Cases, Average Daily COVID-19 Confirmed and Probable Cases, and Weekly COVID-19 Deaths in Confirmed and Probable Cases. There is also a notes section that contains pertinent information and when the figure was last updated
Service Gap in Kalamazoo County: Establishing a Reimbursable, Child-Led Multidisciplinary Feeding Tube-Weaning Protocol
I partnered with the feeding team at Bronson Methodist Hospital (BMH) including outpatient pediatric occupational therapy, gastroenterologists, and dietitians to implement an evidence-based tube-weaning guideline for tube-dependent infant and pediatric patients. There is limited research in the area of tube-weaning and therefore limited national standards and guidelines to support clinicians and families going through this process. Current options for feeding tube-weaning services for Kalamazoo residents include traveling to Helen DeVos’s Intensive Feeding Program in Grand Rapids which places a heavy emphasis on behavioral intervention. This does not support the autonomy of the child or support the holistic occupation of feeding. Net coaching programs are effective and evidence-based, but are not covered by insurance and may cost thousands of dollars out-of-pocket. My goal was to implement a feeding tube weaning guideline for Bronson’s feeding team, create clinician and family resources, and educate other disciplines about this evidence-based, multidisciplinary program with a focus on cue-based feeding and hunger induction. I created educational handouts for clinicians and families, advocated for the inclusion of occupational therapy in the tube weaning process and established which assessments and parameters would be used for future research to support clinical practice and patient care
2023-04-26_MichiganOverview_COVIDbedPPE
Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census
2023-04-17_MichiganOverview_COVIDbedPPE
Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census
MichiganCOVID19HospitalCollection
This is a zipped file of all the pdfs uploaded to this collection, spanning from 2020-04-02 through 2023-04-28.
It also includes a comma separated file that lists the metadata for each file, including the file name within the Michigan COVID-19 Hospital Data ScholarWorks Collection (ScholarWorksFileTitle), the archived URL (InternetArchiveLink), the description of the file within the Michigan COVID-19 Hospital Data ScholarWorks Collection (ScholarWorksAbstract), and any additional comments about the file within the Michigan COVID-19 Hospital Data ScholarWorks Collection (ScholarWorksComments)