In school for OTA right now. Got a t-shirt that reads:
"Physical therapy helps you walk. Occupational therapy helps you walk with clothes on."
Also, buy a lifting belt. Even the best techniques sometimes aren't enough. The CNAs at my first travel placement always wore them and I thought it was a good idea but kept procrastinating on purchasing one until I hurt myself during a transfer. This is the one I used. I liked the straps because, when I wasn't using it, I could just walk around with it unfastened, and then it was easy to Velcro up when I needed to. Now that I'm not doing rehab anymore, I use it for things like moving and yard work.
If all you are looking for is a holder that shifts with a person's movements there have been similar things on the market for many years. I've had this on my motorcycle before and it works great at keeping a drink steady in two axes of motion:
https://www.amazon.com/RAM-MOUNTS-RAM-B132R-Holder-U-Bolt/dp/B000WJ3I1M
I absolutely love this!
If anyone needed to take this one step further, you can add an "analog phone amplifier" to boost the audio on these phones if your Pt/family member is HOH.
Here is a random example: https://www.amazon.com/Clarity-CLARHA40-Portable-Telephone-Amplifier/dp/B00009WCBR ^I ^have ^no ^experience ^with ^this ^specific ^product!
There are a lot of outpatient full time positions in Arizona if you are willing to leave the state. Also don't believe recruiters when they tell you outpatient clinics don't hire new grads. They just want to place you in a SNF.
I work outpatient and it was my first setting out of school. I used Indeed and the American Society of Hand Therapists job board.
Hello, I'm a bot! The movie you linked is called Doctor Strange, here are some Trailers
Cheat sheet to start you off...feel free to change whatever! You have to download it and open it with Word for the formatting to look right.
https://drive.google.com/file/d/0B0j4YJIXbrGzSlVvX0JsU0F3TUV5dERwMXJRZFN3a2pmYnpj/edit?usp=sharing
https://www.amazon.com/dp/B00NB9ENCI/ref=cm_sw_r_cp_apa_glt_fabc_22K49B84YVCY3SAK3NH3
This seems to be the most accessible one I can find
TBH I didn't buy this online so I don't have an exact link.
Wildly enough a local consignment shop had it new in box for $3! Huge steal.
Don’t know if she’s in peds, but there is this awesome wine glass I’ve been waiting to get someone: Wine Glass Goblet Zones Of Regulations Teacher School Counselor Social Worker Day Care (17 oz Stemless) https://www.amazon.com/dp/B07X4TX9FR/ref=cm_sw_r_cp_api_glc_fabc_PTDPAXGK2E3PM4D21V71?_encoding=UTF8&psc=1
Also Etsy has a great selection of cute things. I like badge reels.
If you want something useful- WhiteCoat Clipboard - Mint - Occupational Therapy Edition https://www.amazon.com/dp/B07RBZCCW7/ref=cm_sw_r_cp_api_glc_fabc_WA98806WWXCRQHYT2VHG If you’re feeling generous, a massage gift card would probably be a home run!
Just get any stainless steel one on Amazon. Don't get one made out of any other material. I've had so many Jade ones shatter on me.
Edit: I can't vouch for this particular brand but this shape, in my opinion, is the most versatile.
A bedrail that slides under the mattress might work! Here's an Amazon link for an example with images! Super easy to install and sturdy as well. Could get one for both sides or just on the side he usually gets out of/has difficulties with. Hope it helps & Goodluck!
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I work in an acute care rehab hospital.
For our non-COVID patients, we wear a regular surgical mask and a face shield. For our COVID patients, we wear an N-95 (the type changes based on what supplies are available), face shield, gown, and gloves. We are allowed to put a surgical mask over our N-95s if we want to. The biggest mistake I see is people putting the N-95 over the surgical mask, but that doesn't allow the N-95 to form a seal around your mouth.
I highly recommend a face shield along with a mask. This is the type of shield that was given to me. https://www.amazon.com/All-Round-Protection-Headband-Lightweight-Transparent/dp/B08BX4P6DZ/ref=sr_1_10?dchild=1&keywords=face%2Bshield&qid=1596158832&sr=8-10&th=1
I’d add if she rests her arms on the table top, something to cushion under her arms! Also to prevent neck excessive neck flexion, I use these myself when crafting / recommend for clients https://www.amazon.ca/Glasses-Reading-lgasses-Readers-Shoulder/dp/B07MGNTS4T/ref=asc_df_B07MGNTS4T/?tag=googlemobshop-20&linkCode=df0&hvadid=459276807813&hvpos=&hvnetw=g&hvrand=14515133152435250726&hvpone=&hvptwo=&h...
Smart but Scattered divides up executive functions and offers strategies for compensation for ADHD. Some might be applicable, or at least show you a framework. https://www.amazon.com/Smart-but-Scattered-Guide-Success/dp/1462516963/ref=asc_df_1462516963/?tag=hyprod-20&linkCode=df0&hvadid=312089933244&hvpos=&hvnetw=g&hvrand=11941969642173870547&hvpone=&hvptwo=&hvqmt=&hvd...
I appreciated this resource starting off in neuro rehab: https://www.amazon.com/Stroke-Rehabilitation-Function-Based-Glen-Gillen/dp/0323172814 It's detailed but be sure to supplement your learning with articles to offer up to date interventions and research.
As another poster has mentioned, please focus on protection of LUE - attention to this side, sensory stimulation, incorporating into functional tasks; depending how impacted the L side is, you could consider mCIMT. If it's a lower level, weightbearing activities may be worth. Even something like sitting edge of bed, maintaining midline with good thoracic extension is very therapeutic.
As an OT who also had a family member who suffered a R CVA and was in a SNF for a while, I can't begin to reinforce how important caregiver education will be. Home health is often very limited unfortunately, don't trust that the next level of care will take care of this training.
Learned helplessness and neglect of the affected extremity sets in really really quickly. You will be instrumental to doing the following: establishing activity plan following discharge to stay engaged with ADLs and preferred activities (laying around in bed all day is the alternative), transfer training and problem solving for their most important ADL/IADL preferences (in my family member's case, toileting was very important. But not one ever asked her about her therapy goals so this was forgotten until I brought it up), and a HEP program. If they are appropriate for something like mirror therapy and their caregiver wants to help this can be a good intervention to set that family up with.
Your patient is lucky to have a therapist like you, actively expanding your learning to provide quality care. I know SNFs are tough. You can do it!
Here's a great resource with over 300 standardized tools
Here's a great app for learning medical Spanish which is free. It has all the medical terms as well as a Dialogue section that covers a full H&P.
iOS: https://apps.apple.com/app/apple-store/id1574202729?pt=123220161&ct=email&mt=8
Outside of chopsticks modifications that effectively turns them into a pair of tongs like these, work on their grasp, and make sure their thumb ip is flexed and not hyper extended. That helps a lot.
Oh and encourage them to get thicker chopsticks. I don't know if they use Korean chopsticks (Flat metal sticks) or chinese chopsticks (long with rounded ends) or Japanese chopsticks (short with pointed ends), but I would recommend shorter chopsticks, probably like a Japanese style.
I used something like this in school. They make another one for physiology, which I also had to take with the PT, PA and respiratory students.
I've used these gloves with success as it prevents the user from being able to grasp with their hands. Depending on the patient's ability, you may be able to get away with just using regular winter mittens or gloves.
I'm not certain if this will help you, but in school we had to purchase this book:
https://www.amazon.com/Sex-Intimacy-Wounded-Veterans-Embracing/dp/0986267961
The authors are OTs, maybe you can reach out to them?
Here’s a peds treatment ideas textbook my peds professor recommended. I don’t work in peds now but I agree. A lot of studies and books are general or say addressed this by using this intervention. But not alot of detail on exactly step by step how the intervention was done or details. I understand treatments and plan of care are really individual/patient dependent on a case by case basis.. however it would be nice for more details. I guess it would be like case studies?
Here’s a peds treatment ideas textbook my peds professor recommended. I don’t work in peds now but I agree. A lot of studies and books are general or say addressed this by using this intervention. But not alot of detail on exactly step by step how the intervention was done or details.
Silicon universal cuffs! They come in multiple sizes and can be stretched around things as small as a pencil or as big as a bottle/cup. I love them for my SNF setting because they’re dishwasher safe so I just pop them in between uses. We keep a set to trial for fit and practice with, and then order accordingly
EazyHold Silicone Universal Cuff Aid for Limited Hand Grip, Cerebral Palsy, Therapy, Adaptive Eating Tableware Spoon Fork Holder, Disabled Assistive Equipment (Youth to Adult-5 Pack) https://www.amazon.com/dp/B01CTDUT6U/ref=cm_sw_r_cp_api_i_216VQMCAK9DT5EEWYK6S?psc=1
If this is for a stroke patient, then you shouldn't be putting the affected side in a sling at all. They should be supported on a lap table or an arm trough. You can even use kinesiotape to give the shoulder some support. Putting the affected arm in a sling after someone has had a stroke is just increasing the disuse and neglect of that limb.
If it's to prevent subluxation for something else, then I prefer these types of slings: https://www.amazon.com/Sparthos-Shoulder-Brace-Compression-Immobilizer/dp/B07YQV6WR8/ref=mp_s_a_1_5?keywords=rotator+cuff+sling&qid=1652502953&sr=8-5
The other slings are usually too loose, slide around, and do a horrible job of preventing subluxation. This type will at least help keep the arm approximated into the shoulder.
Mindful Crafts as Therapy: Engaging More Than Hands https://www.amazon.com/dp/0803646747/ref=cm_sw_r_awdo_XVRR4T3GZJ0FRBWN4HAP
This was a recommended book in OT school. It’s geared towards adults, but I still use it a lot in OP peds (specifically teens). I think it’s a good place to start!
Soft tape measure! https://www.amazon.com/Measure-Retractable-Measuring-Knitting-Loss-Measurements/dp/B07XNYCYJN/ref=sr_1_6?crid=X4MNB398SPFD&keywords=soft+tape+measure&qid=1650656108&sprefix=soft+tap%2Caps%2C241&sr=8-6 Used this everyday in home health.
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It highly depends on what setting they plan to go into. If they have said they want to do hospital or rehab OT, this is a nifty resource for a new grad
WhiteCoat Clipboard - Silver - Occupational Therapy Edition https://www.amazon.com/dp/B077H5M8Q7/ref=cm_sw_r_cp_api_glt_i_SPFDE2WZ9W0XCFNQ01NG
If they are interested in pediatrics, then something else would be better
Check out Mona's books: https://monadelahooke.com/
And anything by Daniel Siegel.
Make sure you have good resources for developing your own self-regulation skills too!
Good luck on your new adventure!
I used an android app called TripLog. It worked perfect for my needs. The app exported my weekly, or any time frame, events, including starting point time, arrival point time and mileage between. It was basically hands off and turned on and off based on the car's movement. It could also be set to manual start/step. I may be wrong but I think there's a free and paid version. Here's a link
Amazon
SeeBand Safety Glasses Anti Fog Round Clear Safety Goggles Scratch Resistant with Blue Light Blocking Glasses for Women Men https://www.amazon.com/dp/B097XDHJSD/ref=cm_sw_r_cp_api_glt_i_KQY1AVP34H3VCVJ9XVQH?_encoding=UTF8&psc=1
Super cute on and never fogged with a mask
What do you think about this type of bidet:
Many patients did like the idea because of hygiene concerns.
I had a mom that used one of these basins for her kiddo: https://www.amazon.com/Shampoo-Tray-Portable-Disabled-Handicap/dp/B0009STN74/ref=mp_s_a_1_5?crid=2YOQI5ZHPS7TW&keywords=hair+washing+basin&qid=1643920313&sprefix=hair+washing+basin%2Caps%2C121&sr=8-5
She also had him pick out what shampoo he wanted so he had a favorite scent they would use.
Does the patient have a tub? There are some vice grip tub txf bars that I recommend for folks who may not have the resources personal/financial for contractor. https://www.amazon.com/dp/B07XSF5NR3/ref=cm_sw_r_awdo_navT_a_TRNPY9BVE6DWPTWN25DT
Unless you need it for the toilet. Sometimes local nonprofit groups also have remodeling programs for ramp/grab bar installation at
Make It Stick: The Science of Successful Learning https://www.amazon.com/dp/0674729013/ref=cm_sw_r_awdo_navT_a_ZVRSKFZGK9BH8WYYNNG4
Nothing helps as much as frequently practicing and applying in short bursts in multiple setting. This book taught me everything I never learned before grad school.
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Stress balls. Also it is messier but super cool stuff for when you are supervising, kinetic sand.
I don't think that's something you will be asked. I don't want to tell you yes because there may actually be some edge cases where they aren't and I don't have the experience to be confident in any answer. Those 2 are. But also splints like this exist where you can actually change the intensity, making it static progressive:
(https://www.amazon.com/Comfy-Adjustable-Cone-Hand/dp/B00BPJKNOI)
Keep in mind, they're not going to be asking you about weird edge cases like this on the test (this isn't what they mean by a cone hand splint). For the purposes of the NBCOT, avoid splitting hairs as much as possible. So I would imagine they're not going to ask you something like that. Usually they stick to stuff like wrist cock-up, thumb spica, resting hand...basically, don't overthink lol. Even my therapyed book doesn't get into stuff at that level, just go over the list of common splints for common diagnoses.
Some simple bump dots like these would help for now
But she has an ipad or tablet you can download an app to use a remote and buttons are a little larger
I know you said caddy but I thought of this, this is providing she can hold things Tefal L9933015 Ingenio Removable Black Handle with Red or Black Button https://www.amazon.co.uk/dp/B008P6YX4K/ref=cm_sw_r_apan_glt_fabc_M00AXJ0T7D7BMS1KRW4Y?_encoding=UTF8&psc=1
Spasticity results from disordered motor control - meaning it is a CNS problem. I think of treating Stroke as working from the inside out, to encourage neural plasticity. (As opposed to thinking the UE is the problem, I mean)
Here are some treatment ideas: 1.You could try Constraint-induced forced use. 2.Guide her in extensive mental rehearsal of valued activities. 3.Try mirror box activities. 4.Give her an HEP to do an UE extension movement X 100 reps daily.
Stronger After Stroke is a great resource.
Agreed on every point! I had a patient in the home health setting who used hose connected to her bathroom sink because a bidet was out of her price range. Not really the most hygienic but better than skin break down. shampoo hose
You can use any pair of walkie talkies, a touch sensor, and a relay switch
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Super cheap to make
JotForm currently has a Corona Virus Responder program. They giveaway their HIPAA compliant plans for free to people helping out. It might help you with the evaluations.
Some things do exist for finding a cursor, though usually geared toward helping give presentations or finding the cursor on one of multiple monitors. For example: http://www.ghacks.net/2012/08/07/highlight-the-mouse-cursor-to-locate-it-on-the-screen/
Finding tabs seems trickier, would making the tabs larger help?
I'm in the same boat. It sucks. I know that some grad schools are waiving mandatory volunteering/shadowing hours for this admission cycle (UW in Seattle being one of them).
You might consider tutoring online? Or teaching a short class with an online summer camp? There are a few of those popping up. Also there is this app - I don't know much about it but it could be cool https://www.bemyeyes.com/about Another idea that I've had is maybe reaching out to smaller youtubers to help close caption their content? LOL time to get creative, right?
If you're up by Dallas, there should be a wholeeeee lot of home health agencies that can send an OT out to you to work with E on adaptive strategies, energy conservation, and adaptive equipment.
Also, depending on what task E is holding your baby for, I would recommend https://www.mybrestfriend.com/ for bottle feeding, or some sort of wrap/ front sling to help carry the baby https://www.amazon.com/Acrabros-Carrier-Lightweight-Breathable-Softness/dp/B08GS1PBKY/ref=zg_bs_166833011_2?_encoding=UTF8&psc=1&refRID=MCY94V5QST934Z7P1ERZ
They make clips to keep fitted sheets on the mattress but these can be applied BEFORE you put the fitted sheet down to make it easier to get them locked into place : https://www.amazon.com/dp/B0881CM58M/ref=cm_sw_r_apan_glt_fabc_P14M4PZWDS477GN787YM?_encoding=UTF8&psc=1
You can also find sheet that have elastic sewn in for the same use. This this a mattress pad, not sheet, but it shows what I'm referring to https://www.amazon.com/dp/B0843FJD6J/ref=cm_sw_r_apan_glt_fabc_QDEK27V3Y8VTCG6QNQSC?_encoding=UTF8&psc=1
We have a sleep number bed and the fitted sheets from sleep number come with elastic corners to the fitted sheet. Meaning, the fitted sheet corners are extra elastic so getting them around the corners is super easy. I can do it while sitting on the mattress, no lifting required.
Zip sheets may be easier.
They also make sheet tuckers which are these plastic things that mean you don’t have to lift the mattress.
The Bed Sheet Tucker (Single) https://www.amazon.com/dp/B01AVUMAR4/ref=cm_sw_r_cp_api_glt_fabc_53YTDTTXQ8PEGNM9GKKC
I bought my wife a half sized skeleton that she found useful: https://www.amazon.com/gp/product/B08P4QM1Y4/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1
Seems like strait memorization was the best approach. I built flash cards in an app while she wrote her own. Just do whatever you can to get it into your head.
This harness needs minimal initial setup, otherwise no buckle, plus no need to buckle in a leash. Also consider poop clean up options! Good luck! :)
At my school the scrubs were included in our lab fees and they all had to be the exact same one with the schools name on it. We had to purchase goniometers and the soft 3 foot measuring tape (like the kind for sewing).
I will link the gonis we needed below. They make different kits and brands you can buy, I just chose this first one because it has the ones that we needed to have. I bought the one in the second link below because it had the measuring tape, but we didn't need the other gonis that it has.
https://www.amazon.com/Elite-Medical-Instruments-EMI-2204/dp/B075B145C9
https://www.amazon.com/dp/B00ELUZWYO/ref=cm_sw_r_cp_awdb_imm_BEGRA47NQTWPG2Y14EK1
How about this? padded wheelchair footrest cover
Looks like it can be wiped down too. I didn’t know something like this existed
This product seems similar, though the adjuster looks a bit more difficult to manipulate than the loops in the hair tie you posted. The tie looks large enough to be able to put it on like you would a headband and then adjust upwards to tighten.
https://www.amazon.com/Conair-Thermal-Paraffin-Moisturizing-System/dp/B079Y5XDG1
You could also try getting her one of these, it can help With pain relief from using her hands and the RA. If you can, wrap a towel around a heating pad and put her waxed hands in the towel. This is similar to the treatment she would get in hand therapy. Also, hand massages do wonders.
I am not a OT but assisted hand therapists for years.
This thing was worth the high price when I was on FW: https://www.amazon.com/Physical-Therapy-Occupational-Reference-Clipboard/dp/B009B1YO1A/ref=sr_1_10?dchild=1&keywords=occupational+therapy+clipboard&qid=1615929740&sr=8-10
It sticks to the inside of the case and comes out by the charging port but doesn’t affect charging. You can wear the phone around your wrist or neck. My mom is obsessed with them and tells everyone.
Would something like this work?
I was gifted the OT reference guide pocket book and it’s wonderful to have for future fieldwork as well as a general study tool
That book can be found on Amazon for $20 to rent: https://www.amazon.com/Conditions-Occupational-Therapy-Effect-Performance/dp/1496332210/ref=mp_s_a_1_3?dchild=1&keywords=conditions+in+occupational+therapy+5th+edition&qid=1606516683&sprefix=conditions+in&sr=8-3
Or pre-owned on ebay for $40. There is also the 4th edition selling for $5 on ebay.
I've talked with some people about this. They all swear by this book on Amazon: The Small Patient Practice
I may not be the best example for this, but I barely studied for the test and ending up getting a 520 on it, although I took the COTA version. It really doesn't test your knowledge, you just have to know how they want you to answer. You went through years of school and passed fieldwork, so you know the material, you really do. Your specific study style depends on what works best for you. I'm lucky and things tend to come naturally for me, so I'll answer your questions based on what I did.
I can't say what's on the OTR test, but for the COTA test it was a few straight knowledge questions, and they rest was what is the best course of action questions. If you think you're going to be overwhelmed by the amount of material, I would advise you to stay away from flashcards. I would personally prefer to read a book rather than go through hundreds of flashcards, but it really depends on your personal study habits. How do you normally prepare for tests?
This one is a round 40" diameter. Amazon has a lot of different sizes
Royal Oak Giant 40" Flying Saucer Tree Swing, Bonus Flags, 700 lb Weight Capacity, Easy Install, Steel Frame https://www.amazon.com/dp/B01LD8NYJ6/ref=cm_sw_r_cp_apa_i_LPHPCbMYTQ11J
I've had patients have luck with using the "leg lifter" style for sitting up. Similar to this: https://www.amazon.com/Apex-Limb-Lifter-Leg/dp/B00DSTZJ24/ref=mp_s_a_1_6?dchild=1&keywords=ladder+leg+lifter&qid=1601939850&sr=8-6
If he consistently used the same toilet, see if you can have a splash guard installed (link to example below). Unfortunately, this would not carry over in public, but hopefully could be a starting place.
https://www.amazon.com/Maddak-Maddaguard-Splash-Guard-Toilet/dp/B003U4TEKU
I dnk what to tell you, because OT is my second career as well, and I am not that young neither:) I would suggest getting this and start extensively studying on your own. From what I have learned, becoming a CHT requires a lot of self-study
What position is she when she wants to use it?
Can it be placed in a stand on the table? Something like this:
Phone Holder Bed Gooseneck Mount - Lamicall Flexible Arm 360 Mount Clip Bracket Clamp Stand for Cell Phone 11 Pro XS Max XR X 8 7 6 Plus 5 4, Samsung S10 S9 S8 S7 S6, Overall Length 33.4In(Black) https://www.amazon.com/dp/B07PLF1KMB/ref=cm_sw_r_cp_api_i_VkiiFbHY51SMA
Or does she want something that would actually go in her hand
Bubble wrap and fidget sticks (Amazon search flippy chain fidget you
I did a nursing home rotation for my level 2 fieldwork and the more simple the toy or activity, the better response it got. Plus with something small like a fidget stick, they can mess with it while doing something else like watching tv and it’s something that can be used no matter the visual skills.
I find this book really useful:
https://www.amazon.co.uk/Tyldesley-Grieves-Muscles-Movement-Occupation/dp/1405189290
It's specifically for OTs. It explains the anatomy but also how certain movements aid occupation/ the impact of damage to certain muscles/ nerves.
Not OT specific, but "Being Mortal" by Atul Gawande, also "When Breath Becomes Air" by Paul Kalanthi are two books I recommend for thinking about patient experience and the nature of our healthcare system, and would be helpful for framing your thought process later on. We discussed culture change in healthcare a LOT in my program, as OT is a holistic practice while many settings are based in the medical model. I agree with the below suggestion to shadow in as many different settings as you can, I learned the most prior to my program this way and it got me really excited about the opportunities we have within this field. You can check out AOTA website and relevant links from there, also, believe it or not, Pinterest has some great OT resources if you want to get an idea of what kind of tools OTs are using in practice (although it will all make much more sense once you have the foundational knowledge). Finally, you will be doing SO much heavy reading once you are in school, make sure you are saving some space for the lighter stuff now! Good luck! :)
As far as pathology books, I've found a lot of useful info in Smiths Recognizable Patterns of Human Malformation.
https://www.amazon.com/Smiths-Recognizable-Patterns-Human-Malformation/dp/1455738115
I know I'm a little late but:
https://store.directsupply.com/Product/freedomwand-toilet-aid-4404296
I got a variation of this (very similar though) for a resident, but goal was for toileting. However, I noticed in the pamphlet that came with it that it could be used for other things, including holding a razor. It really did hold the toilet paper well, so I imagine it would be good for razor or other things as well. Since he may be able to use it for various activities, I would say this might be good?
It doesn't have a price on here, and I'm not quite sure how much it cost, but it wasn't ridiculous.
^^ same company/brand, so maybe it's in that price range.
I really enjoyed My Stroke of Insight by Jill Bolte Taylor. Her TedTalk is worth a watch as well! It was required reading in my program, and I've recommended it to families of stroke survivors for a better insight as to what their loved one is possibly experiencing. Very well written, very good read.
Losing My Mind by Thomas Debaggio was a great read! It got a little dark at times, but it gave great insight into the life of a patient suffering from Alzheimer's.
I keep this app on my phone for quick reviews, too.
It's got a "muscles of the upper limb" section, but also innervations and blood supply.