APOTC – Day one afternoon session

Relationship Between Self-awareness and Employment Outcome in People with Cognitive Dysfunction: By Keisuke Kawahito and Emi Ito.

  • Important factors for employment – interaction between personal factors and self-awareness
  • Self awareness  – as a hierarchy, has evolved.
  • Postulated a like between self-awareness and employment outcome
  • Importance of insight and problem solving in ability of people post injury to return to pre-accident work or locating a new job.
  • OT role proposed to evaluate self-awareness and providing interventions for build self awareness especially in strategy generation – be an external assist to help our patients build self awareness.

Navigating Many Worlds: Occupational therapists providing short term loan equipment:  By Marie Chester and Clare Hocking.

  • Acute hospital loan equipment provision both rental and loan pool sourced.
  • Highlight sources or tension / implications for OT leadership
  • Identified a missing link between CMDHB and MoH strategies / approaches. CMDHB documents seemed to focus on fiscal responsibility and decreasing incidence of key disabilities versus living well with a chronic disability.
  • We also need to balance the increasing expectations of consumers with the limitations of funding and equipment availability.
  • How does an OT on the floor balance strike a between all of those things…
    • Get political – know the DHB policies and get involved in decision making projects and bring OT views to this.
    • Alternative interpretations to health – build OT focus on occupation
    • Build strategic links with others looking to make a change.
    • Become a navigator… Help therapists navigate their way through the equipment quagmire
  • Question why or why not to issue equipment……
  • Be understanding, we cant please everyone all the time 🙂

Turning knowledge into practice: An exploratory study into the use of PRPP in Aotearoa New Zealand practice: By Frank Lu and Linda Robertson.

  • Key question being do therapists use PRPP  after training, and what factors influence the uptake of???
  • influences on OTs using PPRP in practice post training
  • Descriptive / exploratory method via an on-line survey
  • PRPP is predominantly used in community and mental health settings
  • Strengths of the assessment – clear communication, occupational focussed
  • Limitations – report writing seems time consuming, hard to describe to those not trained.
  • Influences on use: Time constraints, opportunities to apply in practice, managerial support, length of time since training.
  • How do we go forward? Suggested speaking to our managers to get time allocated / opportunities for OT’s post-training to consolidate and build confidence and apply to practice after the course.

Occupational Therapy: the promise and paradox.  By Dr Grace O’Sullivan.

  • Cites the guardian article ‘punching above their weight’
  • Medical model has a narrow focus with cause and effect type approach
  • Paradox  presented – we have allowed medical professionals to define what is considered to be good health (Gawande, 2014)
  • People want a life worth living with choices / activities with meaning.
  • For people with Dementia it isn’t the detail of the visit / experience that sticks with them – its about the good feeling that will remain, even if the cause fades or is forgotten…
  • The shifting paradigms of healthcare – call for integrated care and inter-professional care
  • Grace shared a lovely story about a client she worked with too.

Please note the full slides of each presentation will be available after APOTC is over!

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