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Benefits of Occupational Therapy in Concussion Treatment for Professional Athletes
Get PDFConcussions are a significant concern in sports, with an estimated 1.6 to 3.8 million cases in the U.S. annually, many of which go unreported. These traumatic brain injuries result from various impacts, causing symptoms like headaches, dizziness, and memory loss, which can disrupt an athlete\u27s daily life. Recovery typically follows a staged protocol, with professional organizations implementing concussion management guidelines. Despite these measures, athletes often hesitate to report symptoms due to concerns about playing time or team expectations. There is a gap in treatment for concussions as activities of daily living and occupations are not addressed. Occupational therapy can help address these needs to help improve recovery.https://soar.usa.edu/otdcapstonesfall2024/1046/thumbnail.jp
Enhancing Dignity Amongst Persons with Dementia Through Occupational Engagement
Get PDFDementia is a cognitive impairment that impacts an individual\u27s memory, judgement, safety awareness, and emotions which can interfere with their activities of daily living. As the condition progresses, the person living with dementia (PLWD) may require a care partner to help them complete their daily tasks. Having a care partner and being a care partner can be challenging for both, the PLWD and their care partner, as there begins to be a shift in their independence. The PLWD must rely on their care partner to help them throughout their day, leading to a decrease in independence and occupational engagement. When taking on the new role, care partners are not provided with enough education on how to include their loved one in decision making and how to facilitate participation. Along with the decrease in independence and lack of care partner education, the dyadic relationship and social participation can also be impacted.
In order to enhance dignity amongst PLWD, a family engagement program was developed to improve care partner education on how to include the PLWD in decision making, increase occupational engagement, rebuild the dyadic relationship, and increase social participation. The family engagements encompass families participating in new activities together in a semi-structured social environment.https://soar.usa.edu/otdcapstonesfall2024/1050/thumbnail.jp
What is Task-Oriented Training? A Scoping Review
Get PDFTask-Oriented Training (TOT) is an proven stroke rehabilitation intervention with significant evidence-based research that supports its effectiveness. The absence of a clear definition has led to variability in research reporting and subsequent confusion with practical implementation. A consistent definition seeks to remedy this ambiguity to facilitate knowledge translation. The objective of this study was to determine a comprehensive definition of TOT that encapsulates previous definitions and descriptions in the literature. In order to derive this definition, a two stage scoping review process was conducted across four databases searching for articles on the use of TOT in adult stroke rehabilitation therapy.
The analysis of this scoping review included 174 articles. Commonly found words used to define TOT included: repetitive, functional, task practice, task specific, task oriented, intensity, and client-centered. Other salient words that aligned with the principles of neuroplasticity and key components of TOT were meaningful, progressive, graded, variable, and feedback. Based on these findings, a comprehensive proposed definition is as follows: Task-oriented training is an effective stroke rehabilitation intervention that focuses on the use of client-centered, repetitive practice of activities that are of high intensity and meaningful to the client. In conclusion, although similar principles were described in the TOT literature, there was no consistent and comprehensive definition of TOT. This scoping review identified key concepts from TOT methodology, and discussion sections in rehabilitation literature to generate a proposed comprehensive definition of TOT to guide research and practice
The Role of Occupational Therapy for Mothers with Children who have had a Neonatal Intensive Care Unit (NICU) Stay
Get PDFThis study examined the occupational needs of mothers with a child who required a NICU stay and illustrates the potential roles of occupational therapy for this population.https://soar.usa.edu/otdcapstonesspring2024/1012/thumbnail.jp
Fine Motor Integration for Children with Special Needs and Low Tone
Get PDFThe topic of focus will be a Fine Motor Integration Program for Children with Special Needs and Low Tone and provide students, parents, teachers, and therapists a resource to aid with the development of these skills. This program hopes to establish the development of the fine motor skills at an early age to reduce the issues that arise later within the school years that stem from lack of fine motor skills within this population.https://soar.usa.edu/otdcapstonesspring2024/1018/thumbnail.jp
Exploring Student Ageism Perceptions Using Life Review: An Educational Intervention
Get PDFExploring Student Ageism Perceptions Using Life Review: An Educational Intervention
Abstract
Background: Addressing student ageism is essential for promoting desires to work with older adults, but little is known about how life review intervention, used as an educational tool in OT programs, can affect ageism. This study aimed to explore the effect of life review on OT students’ ageism perceptions and desires to work with older adults.
Design: A qualitative focus group research approach was performed.
Method: Thirty entry-level occupational therapy students from a Texas university were used as a convenient sample. After participating in a 4-hour workshop, students conducted a life review with older adult volunteers. Data was collected during a focus group using audio-recording and field notes. A thematic approach to analysis was used including Dedoose web-based software with a code-recode procedure by 2 raters.
Measure: A focus group was conducted 2-weeks after the intervention using a semi-structured interview guide with 4 open-ended and 7 probing questions to elicit in-depth discussion of the life review experience.
Results: Four themes emerged related to the intervention: (1) experience influenced attitude; (2) preconceived ideas changed; (3) finding similarities and commonalities, and (4) reflective insight.
Conclusions: To impact ageism and desires to work with older adults, students should participate in life review experiences during program education.
Keywords: ageism, aged, occupational therapy, students, occupational therapy students, life review, health occupations, student desires to work with older adults
The author declares no competing interests
The Impact of TeleCritical Care on Length of Stay in a Critical Care Setting
Get PDFPractice Problem: At a major metropolitan VA hospital, there was a lack of adherence by the nursing staff to the TeleCritical Care program for adult patients in the critical care setting.
PICOT: The PICOT question guiding this project was: In adult patients admitted to critical care (P), does the implementation of TeleCritical Care (I) compared to standard critical care without telemedicine (C) decrease length of stay (O) within 8 weeks (T)?
Evidence: The literature review identified improved quality of care delivery, decreased length of stay, and reduced mortality rates as key benefits of implementing TeleCritical Care in critical care settings.
Intervention: The intervention involved providing knowledge and training to support nurses in utilizing TeleCritical Care, a system linking bedside nurses to a remote team for consultation, monitoring, and intervention recommendations. Nurses were trained on initiating TeleCritical Care for all new ICU/PCU admissions and using it for procedures like verifying skin breakdown on admission. The ADKAR change model guided awareness building, fostering desire, providing knowledge/training, and ensuring ability through tools like checklists, and reinforcement.
Outcome: The anticipated outcome of decreased length of stay was not statistically significant, although there was a 23% increase in nursing utilization of TeleCritical Care during the 8-week implementation period.
Conclusion: While the project did not demonstrate a decrease in length of stay, the increased utilization of TeleCritical Care by nurses indicates progress toward integrating this evidence-based practice into the critical care setting to improve the quality of patient care
Making an Easy Return to School after an Extended Illness Diagnosis
Get PDFThis poster provides information on the capstone program created at a pediatric site. This program addresses how play-based therapy can help children with an extended illness transition back into the school setting. Both the children and their caregivers need support before, during, and after the return to school. The goals of this program were to educate caregivers on how to advocate for their child for positive outcomes, provide caregivers with resources to promote successful transition to school, provide play-based strategies for children addressing handwriting, social Skills, upper body strength, education, fine Motor Skills, and provide the site and caregivers with a Home Activities Binder.https://soar.usa.edu/otdcapstonesfall2024/1001/thumbnail.jp
Educating Parents to Reduce Negative Screen Time to Promote Children’s Play
Get PDFThis program will consist of educating caregivers and educators on the ever growing topic of screen time and how to handle it in the current digital world. As screen time and device use continues to grow, parents need the help of an occupational therapist to help promote a healthy use of screen time and to incorporate it into play. Providing caregivers and educators with evidence-based information and interventions is imperative to helping parents navigate proper technology use. An occupational therapist will have the unique ability to help promote balanced screen time use and allowing for healthy play.https://soar.usa.edu/otdcapstonesfall2024/1011/thumbnail.jp
Social Participation Approach In Brain Injury Survivors
Get PDFThis program will consist of educating brain injury survivors and their peers on social participation following a brain injury. With the cognitive and physical deficits that come with brain injuries, a decrease in socialization occurs due to those barriers faced. With the lack of resources aimed towards brain injuries and social participation this program is essential to ensuring everyone has access to an education platform. Providing brain injury survivors and their peers with evidence-based information and tips for socializing is vital to helping families, friends, significant others, and peers keep strong relationships and increase their quality of life.https://soar.usa.edu/otdcapstonesfall2024/1023/thumbnail.jp