I believe that this situation arose because of a lack of communication, as well as struggles for control. The understanding of where one person’s profession and responsibility lies compared to other professions sounds to be a common situation that arises in the realms of therapy. However, I think that this situation is not only applicable to other environments of occupational therapy, but all professions in general. I believe that this situation was a prime example of Schell’s Ecological Model of Professional Reasoning. Both my FWE and the head of RT were looking at the situation through their personal and professional lenses, combined with the situational context, which caused a conflict to arise. Although I was not directly involved in
The Occupational Therapy Practice Framework defines an occupational profile as “the initial step in the evaluation process that provides an understanding of the client’s occupational history and experience, patterns of daily living, interests, values, and needs (2014).” During this process the client’s problems and concerns about daily occupations are identified then the client’s main concerns are determined (American Occupational Therapy Association, 2014). Occupational Therapists strive to be holistic and client-centered, and the occupational profile is one method to ensure treatment takes on these characteristics. During the occupational profile the clients share their priorities based on what is important to them, and the therapist
Though occupation usually refers to a job, a person’s occupation is initially determined by what their everyday life consists of. When a person becomes incapable of performing the tasks that they are expected to do in their everyday life due to developmental delays, physical injury, or psychological problems they are often referred to an occupational therapist. Occupational therapists, or OTs, usually have occupational therapy assistants, often called OTAs. The OT gives the OTA a set of objectives to help the patient achieve. Since people go through numerous occupations during the course of their lives, OT’s and OTA’s prov...
This case study is an interpretation of a problem or situation that has occurred within a LPC’s (License Professional Counselor) care. As information is gathered, the depiction to this specific problem in this case study may also include additional information that may deem so to be necessary, in order to place possible solutions or actions that could have or will arise from the situation. This document will consist of a step by step analysis of the factors which impact the case, mostly in the order of what appears to be the most ethically sound decision. This document involves Stephanie’s (therapist) treatment of Martha Rose (client). The therapist, Stephanie, has been given a case through referral from an unknown source; Stephanie is working with this new case in SC (South Carolina).
Evaluating Process: First, it is important to review R’s occupational profile for progress from the start of occupational therapy. This is done to determine which assessment fits the needs of R and to ensure that the services rendered fits the client's purpose and goal. Some of the information gathered will include: client's occupational history, ADL patterns, needs and goals, environmental issues, and what the client’s limitations. It is important to evaluate the client’s progress to help facilitate the services that the new occupational therapist will continue. In addition, the client's concerns and interests are assessed in a welcome and open interview to attain additional information that R's family may
At the end of the previous school year, Carol, and her daughter’s teachers noticed that Carol’s daughter was not progressing in her studies, and an evaluation conducted by the child study team revealed that she had a specific learning disability. An IEP meeting was scheduled, and conducted. The determination was made to place Carol’s daughter in the same resource room as Carol’s client Jody, for half of the day. Carol instantly realized that this decision put her in a predicament where a dual relationship would be created. She would then cross a clear boundary, and become a parent of a classmate, as well as the professional she has already established herself as to Jody and her parents. This would undoubtedly lead to instances in which both her client, and the client’s family would be interacting with her at both school functions and on class trips. She knew that allowing this to happen was against the BACB Guidelines for Responsible Conduct for Behavior Analysts. Carol voiced her opposition and explained the ethical quandary to those attending the IEP meeting, and what would occur if her daughter was placed in the same room with her client. Carol stated that she would speak with her supervisor, but it was probable that he would determine that she would not be able to continue working with Jody. Carol felt that having to become accustomed to another behavior analyst
In this article, the American Physical Therapy Association (2005) discusses the ethical conduct standards that a physical therapist assistant should follow. Within the preamble it states, “All physical therapist assistants are responsible for maintaining high standards of conduct while assisting physical therapists. The physical therapist assistant shall act in the best interest of the patient/client.” These standards of conduct must be followed by all physical therapist assistants. (American Physical Therapy Association, 2005)
Occupational therapy was based off of psychology; we evolved from treating mentally ill patients with isolation as an efficient treatment plan. We must never forget we are known to be “the art and science of helping people do the day-to-day activities that are important and meaningful to their health and well being through engagement in valued occupations” (Crepeau, Cohn, & Schell, 2008). To other professional disciplines this article explains the difference between each of us, yet can also express our relation to one another. The basic goal of all therapeutic disciplines is to better our clients life, through physical, speech or occupational therapy. Every discipline targets different goals, may it be body mechanics, reducing a stutter or buttoning a shirt, at the end of the day our clients well being may it be through science, art or both is all that matters. To the occupational therapy field this article means progress for what we do. Reading this article today in the year 2015 did not seem like old information to me, it is still relevant, I am proud that our field is not only evolving with contemporary time but it is also maintaining its
Every Wednesday I was assigned a patient to attend to by a specific nurse who was also my supervisor in a hospital setting. My instructor ensured that this nurse followed my progress in respect to the way I was to handle the patient through written report. While taking care of the patient, I recorded various changes, he/she indicates towards recovery. I reported these changes to the nurse. While participating in this activity, I was expected to follow the strict guidelines by the instructor and nurse; as required by the rules and regulations, and code of conduct in nursing.
An understanding of occupation and its science dimension enables the therapist to gain knowledge about how patients orchestrate their lives through the doing of occupations in any given context. The occupational therapy proce...
The experience I had interviewing for the first time was extremely daunting but at the same time, eye-opening as it made me realise how essential a skill like this is to have and practice as an occupational therapist. It is a skill that requires time to develop and to craft, but is vital in building a therapeutic alliance between the client and the therapist. I carried out two different interviews, The Occupational Circumstances Assessment Interview Rating Scale (OCAIRS) and Canadian Occupational Performance Model (COPM), as the interviewer and also acted as the interviewee so I could gain insight into what such an experience would be like from the client’s perspective. The aim of both interviews was to assess the client and assessment proves to be a critical part of the OT process.
After this incident I spoke to my team leader and we both agreed I needed to report this situation to higher management. I documented the occurrence under the Incident Report file and filled out an online incident report for the doctor due to his unacceptable behavior, unsafe practices and professional misconduct. Within one week, our department’s management contacted me, the team leader, and the resident doctor that was involved. They spoke to all of us about how to avoid scenarios like this in the future, they recommended that we look at each other’s role on the health care team as equal not above or below one another, and that we share power and control in our patient’s plan of care. They also reiterated that if any order or intervention is unclear that it is better to seek clarification rather than have any errors occur. At the end of this whole experience, we evaluated the scenario as a group and planned to work together as a
Parsons, H. (2014). Occupational therapy’s role in the excellence in mental health. OT practice, 19(19), 6-7. Retrieved from https://ezproxy.southtexascollege.edu/login?url=http://search.proquest.com/docview/1618146077?acountid=7069.
Burke, J. P., & Griffin, L. N. (2012, September/October). How Do We Change Practice When We Have the Evidence. American Journal of Occupational Therapy, 66(5), e85-e88. http://dx.doi.org/10.5014/ajot.2012.004432
Averill, DeWitt, and Zimmer (1978), stated a person is commonly considered less responsible if their actions are interpreted as emotional rather than deliberate. While working for a previous employer as a Case Manager for persons receiving case benefits from social services, a popular and well-liked supervisor failed to provide consistent leadership for those in her unit. Her mood of the day, rather than policy dictated how circumstances were to be handled. Although most situations should be treated on a case-by-case basis, there should and must be a certain set of criteria followed to maintain program integrity. Based on this, as case managers, we assisted our clients based upon past practices; however, we were sometimes called-in to explain our actions. While we were working within the rules, if she felt our actions were not in compliance, we had to defend our decisions. To bolster the direction I took with my own cases, I would often use the supervisors past case actions as a precedent. Without a fair and equitable way to determine who received what, our program tended to rely on subjectivity rather than objectivity. Never quite knowing what was acceptable, even if it was within the rules and regulations, made for a fru...
As a person grows old, it is inevitable to have both physical and cognitive changes happen throughout their lifetime. In an average life span, a person’s physical and cognitive changes will normally vary depending on what age group they are in. For example, it is said that from birth to age five, a child will absorb more information including how to talk, language, form relationships, and fine motor skills than any other age. It is also said that that most rapid decline in physical ability is in older adults ranging from a loss in eyesight to severe dementia.