The OT Magazine - September / October 2018 by 2A Publishing

magazine

THE

ISSUE 24 SEP / OCT 18

Improving Independence

High

times This month we explore how OTs can compliment cannabis-derived treatment

Rare Diseases Hear from an OT who has experienced both sides of treatment

Scroll Free September Reducing screen time to help younger patients improve their mental health +

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COLUMNS

PRO DUCTS

EVENTS

RECRUITMENT & TRAINING

31/08/2018 10:00

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About us

The Team

Editor: Rosalind Tulloch Staff Writers: Colette Carr and Katie Campbell Designer: Stephen Flanagan Production: Donna Deakin Marketing: Sophie Scott Sales: Robin Wilson & Jacqui Smyth Contributors: Kate Sheehan, Firas Sarhan Jennifer Evans, Yvonne Thomas, Adam Bernstein

Get in touch

2A Publishing Ltd, Caledonia House, Evanton Dr, Thornliebank Industrial Estate, Glasgow, G46 8JT 0141 465 2960 ot-magazine.co.uk The OT Magazine @ot_magazine

Disclaimer

The OT Magazine is published by 2A Publishing Limited. The views expressed in The OT Magazine are not necessarily the views of the editor or the publisher. Reproduction in part or in whole is strictly prohibited without the explicit written consent of the publisher. Copyright 2018 © 2A Publishing Limited. All Rights Reserved. ISSN-2056-7146

This month’s issue...

ith the introduction of legislation allowing specialist doctors to prescribe cannabisderived medicinal products to patients in exceptional circumstances, it provoked an interest into the benefits of these medications and how OTs could compliment this new form of treatment. We explore the ways in which OTs could support clients who have been prescribed cannabis-derived products, focusing on keeping track of usage, ensuring safe use and monitoring how it affects symptoms. Read more on page 42. We celebrate the innovative creations developed by the Remap volunteers who give up their time, skills and expertise to help disabled people. Remap is an incredible organisation that enlists the help of amazing volunteers to create solutions to help disabled people live independent lives. They are always on the lookout for OTs to get involved, turn to page 14 to see how you could help. Assistive technology is starting to play a vital role in the health and social care industry, but there are still challenges to address. Firas Sarhan, director of CETEC, will be regularly bringing you updates on the advances and challenges in the world of assistive technology within the health and social care sector. If, like me, you need time away from your screen why not sign up to Scroll Free September, or at least talk to your younger patients about trying it out? The mental health problems that are arising in the younger generation due to the constant exposure to social media and all its demons is something that must be tackled. Perhaps Scroll Free September is a good place to start? We hope you enjoy this issue, please don’t hesitate to get in touch with any ideas for future features you would like covered by emailing me at ros@2apublishing.co.uk.

The OT Magazine, Editor

SUBSCRIBE TODAY Further your career and enhance your CPD by subscribing to The OT Magazine

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Subscribe for only £9.99 Go to: ot-magazine.co.uk/subscribe

31/08/2018 13:41

What’s inside 7 What’s New? Bringing you up to speed with all the latest news from the healthcare sector

13 Kate Sheehan Our regular columnist discusses legislation and its importance

14 14 Independence

through ingenuity

We celebrate the winners at this year’s Remap Awards

19 Product Focus The latest must-have products on the market

22 A helping hand from

assistive technology

CETEC Director, Firas Sarhan talks us through the application of assistive technology in your OT career

25 Day in the Life Jennifer Evans gives us an insight into a day in her work post in a 16-bedded male acute mental health ward

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27 Celebrating World

OT Day

Gearing up for this year’s event

29 Come dine with Obi Meet Obi, the new feeding device

31 OT in rare

diseases

We speak to Jo Southall about being an OT treating rare diseases

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38 35 Product Focus More latest must-have products on the market

38 The final straw Make sure your client doesn’t draw the short straw in the straw ban

41 Happy Homes Learn about the government’s new accessible housing funding

42 High Times Could OT benefit from medical cannabis?

44 Falls service on

the rise

Product

Focus

Meet Claire Williams, an occupational therapist who works in both A&E and within the Ambulance Service on a Falls and Frailty Response Service

49 The OT Show Adam Ferry writes about the importance of working with manufacturers

52 Laser tag, you’re it How laser tag could be an ideal intervention for your younger clients

55 Reality Check Encourage your younger clients to switch off and take up Scroll Free September

What’s Inside 58 Through the

Google Glass How wearable technology like Google Glass can greatly improve autistic children’s understanding of facial expressions and emotions

61 Paediatrics

Products

The latest products on the market for your younger clients

65 Gympanzees Learn about the new initiative that will get disabled kids active

67 Investing in

your future

Our new resident CPD expert advises you to get back to the books

70 Money for nothing Find out if you’re applicable for an independent OT grant

73 A meeting of minds A review of this year’s PMG Conference

74 Learning Curve Georgia Simmonds shares her experience of her first placement within a physical rehabilitation setting

77 Events Calendar All the important dates for your diary

79 CPD & independent

practice

How to keep on top of your CPD while keeping on top of everything else

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We explore what’s happening in the healthcare sector, from new products and services to inspirational stories

What’s new? Saving lives gets the green light Early intervention programme gets the green light

identified patients. In doing so, support can be offered inside the home eliminating the need to take the patient to hospital. Onward referrals can also be made to NHS Great Yarmouth and Waveney take early action and if Clinical Commissioning a caller has taken a fall, Group will fund the equipment and advice project in partnership may be provided with with the East of England the hope of reducing Ambulance Service pressure on services in NHS Trust, East Coast the future. Community Healthcare Its successful sixJames Paget University month initial trial Hospital and the county proved so successful councils in Norfolk and Its successful it is being rolled out Suffolk. six-month initial to operate during the Funding of £540,000 trial proved so hours of 7am and 7pm, per year over the next successful it is 365 days a year. three years, will see the ew funding will support an early intervention programme that allows people to remain at home following a 999 call.

being rolled out to operate during the hours of 7am and 7pm, 365 days a year.

OT Numbers

ambulance dispatch an emergency medical technician and an OT or physiotherapist from the other health organisations or councils to specifically

999

The programme aims to keep people in their home after a 999 call

When successful, it allows pressures on NHS time and resources to be minimised, in turn allowing more effective use of time.

Bouncing back Rebound therapy gets disabled children bouncing A trampoline park in Aberdeen launched a pilot scheme at Jump in Trampoline Park, Tullos, which allows children of all abilities to take part in trampolining. The idea came from duty manager Daniel Pacitti, who saw that children with disabilities would often not be able to take part and had to sit and watch siblings or friends. Each session will be adjusted to the child’s needs and activities undertaken could involve the child lying on their back while being bounced or having them crawl around. The programme started when Scottish children returned to school in mid-August and can be used as part of PE lessons and also as part of physiotherapy.

540K 365

The cost per year of the service that will be provided

The number of days a year that the service will be available

More articles on next page

-magazine.co.uk

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31/08/2018 10:02

What’s

new?

Ebook to help winter blues With the seasons changing and the darker weather creeping in, mental health OTs are readying themselves for an increase in seasonal affective disorder amongst clients. SAD, affects one in fifteen people between September and April and is particularly prevalent between December and February, with many OTs finding themselves affected too.

NHS CRISIS

continues

One Australian OT has enlisted the support of 28 women to create a new, handy and accessible intervention to battle the “winter blues”.

NHS England staffing crisis deepens as year goes on

fficial figures have shown that NHS England’s staffing woes are worsening across the board, from nurses to allied health professionals. Vacancies for allied health professionals including occupational therapists and physiotherapists rose from 16,159 in 2015-16 to 18,328. NHS Improvement said the

Numbers

18,328 The number of NHS vacancies for Allied Health Professionals

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widespread lack of key staff was not putting patient safety at risk though, as 95% of rota gaps in nursing and the 98% in medicine were filled by temporary workers. However, key NHS staff organisations, including the Royal College of Physicians have warned that shortages will continue to become a greater problem and will continue to hit the quality of care patients receive.

98%

of rota gaps in medicine were filled by temporary workers.

Tessa Lloyd’s ebook, offers not only written advice, experiences and thoughts, but calming illustrations targeting an emotional response from the reader, tapping into art therapy alongside the written content. She said: “I remember the first time I expressed these feelings about winter to those close to me and realised how many people go through exactly the same thing. “I knew then that it was time to start creating a winter wellness ebook on my Art of Insight platform. I wanted to set up a collaborative, financially accessible, and holistic health resource in order to support the people who need it most.” The book is available in a PDF form to allow instant access on your phone. Enter your email into theartofinsightstudio.com and it will instantly be delivered to your inbox.

-magazine.co.uk

31/08/2018 13:48

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31/08/2018 11:18

More than a “single” reason for raising the potential for proficient care! Visit our booth at the OT SHOW on November 21st and 22nd and learn about our ETHOS CPD accredited courses. Stand no. G30

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31/08/2018 11:20

Kate Sheehan Director, The OT Service

The OT Service provides high quality advice, consultancy and training to manufacturers, retailers and service providers. It also provides occupational therapy clinical services in housing and equipment to case managers, solicitors and private individuals via its handpicked network of occupational therapists. For more info email kate@theotservice.co.uk

This issue Kate talks about the importance of legislation

Legislation

Is it important to our practice?

lease bear with me; this subject is very dry but essential reading!

As occupational therapists we are very aware of the regulations we work under, in particular the HCPC Standards of Conduct, Performance and Ethics, Standards of Continuing Professional Development, and Standards of Proficiency. However, when you read the details in the last document, we must remember our duty under section 2 – “be able to practise within the legal and ethical boundaries of their profession”. Delving deeper it goes on to say that a healthcare professional must: 2.5 - know about current legislation applicable to the work of their profession; 2.6 understand the effect of legislation on the delivery of care Therefore, understanding the law around our area of practice is critical to our registration and just as important to our clients as it allows us to advocate for them and seek to provide the most appropriate and client-centred intervention we can. The law can be baffling, it is very much around interpretation and there is limited case law in our area of practice to fall back on as a guide to interpretation of the legislation. There are numerous Acts and they vary from country to country and I could not comment on them all, but wish to raise the Care Act 2014. This Act has made a bold statement by making wellbeing the

Wellbeing Principles

Whilst some people have, and continue to, criticise the Care Act for not providing a definition of wellbeing, it could be argued that the principles are more useful to individuals who will be affected by the legislation and professionals whom implement it. This is because the principles help us to consider nine distinct concepts that directly influence a person’s health, happiness and prosperity. The guidance lists the nine wellbeing principles as: 1. Personal dignity 2. Physical and mental health and emotional wellbeing 3. Protection from abuse 4. Control by the individual over day-to-day life 5. Participation in work, education, training, or recreation 6. Social and economic wellbeing 7. Domestic, family and personal 8. Suitability of living accommodation 9. The individual’s contribution to society

focus of current social care provision. To have wellbeing at the centre of this Act was welcomed indeed, as we all intuitively know why it is important. However, putting into words what

we mean by wellbeing is much more difficult, despite the Oxford English Dictionary defining wellbeing as “the state of being healthy, happy, or prosperous,” the Care Act has failed to provide such a succinct definition in the legislation. Fortunately, the published guidance for the Act is more helpful in this matter and although the guidance does not define wellbeing per se, it does provide us with the wellbeing principles. For those individuals affected by the Care Act legislation, the positive news is that the guidance considers aspects of wellbeing beyond just basic activities of daily living. It recognises that wellbeing includes the person’s need to contribute to society, and their ability to have control over their day-to-day life. For professionals, this guidance gives us the authority to think more holistically about what contributes to wellbeing. Looking at the principles, we can see it does this by including a range of factors from the design of the home to protecting a person from abuse. So are we doing this or are we bound by our employer’s criteria, processes, procedures and budgets, because they should not be affecting our assessment of our clients needs. Remember it is not our employers who are registered with the HCPC but us as individuals, so understand the law, keep up-to-date on case law and challenge the status quo, sometimes it only takes one person to change practice for better outcomes for our clients.

-magazine.co.uk

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31/08/2018 13:49

Industry Awards

Independence through

ingenuity Every year Remap hosts an awards ceremony to recognise the amazing products and devices created by their cohort of volunteers and this year saw some incredible inventions awarded accolades.

SYSTEM 1 VISION Virtual reality headset for visually impaired client Volunteer Rupert Powell brought football matches to life for an avid football fan who is visually impaired and can only see a few inches in front of him. Liverpool supporter Ian attended matches at Anfield and listened to the radio commentary and soaked up the atmosphere from the side lines but has always wanted to see the action. Rupert modified a VR-Headset to incorporate an LCD video display, image processing computer and camera, along with a powerful motorised zoom lens which is mounted on a headset. Wherever the user looks they get a high contrast image on the internal LCD screen. The controls for this are from a wireless Playstation game controller which allows the user to zoom and focus. Ian now also uses the device for everyday activities such as shopping. He can locate shops and no longer has to ask other shoppers where certain products are on the shelf.

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HOST DAVE HENSON The awards were presented by Dave Henson, engineer and Paralympian

ABOUT REMAP Remap is a long-established charity that custom-makes equipment for disabled people, supporting them to live more independent lives. The charity relies on the time, experience and creativity of volunteers who offer up their skills to come up with innovative solutions to problems experienced by disabled children and adults. Operating across England and Wales, they are always looking for volunteers from the healthcare sector and occupational therapists are in particular demand for the specific set of skills they can offer. If you think you could lend your skills and experience as an OT to help create innovative solutions then why not get in touch to find out more about what is involved? Visit remap.org.uk.

-magazine.co.uk

31/08/2018 13:50

Industry Awards SNOWDON PUSH 2 THE Charity fundraising challenge The Snowdon Push is a fundraising challenge organised by Back Up Trust where teams aim to conquer Mount Snowdon, one member of each team must be a wheelchair user. Cambridge Remap was asked to help the first all-female team to attempt the challenge. Fred Harrison took on the challenge and started by stripping down a BMX bike to use as a cycle frame at the front of participant Rosieâ&#x20AC;&#x2122;s wheelchair. A lifting and pushing frame was connected to the rear to allow teammates to lift the chair on the mountainous terrain. Adjustments were made throughout training and once the challenge was completed the wheelchair was restored to its original state.

PLATFORM 3 STANDING Platform that helps little girl with dwarfism This unit was created for Margaux, a little girl with dwarfism, to allow her to reach the bathroom sink to wash her hands and brush her teeth. The unit could not be fixed in place as they had to consider other members of the family being able to get into the sink. Ralph Anderson produced a custom-sized step that allowed Margaux to reach the sink and taps, the step is wide enough to ensure she is safe and the surface was finished with an eggshell finish with fine grit to ensure it is non-slip. The steps can be folded away close into the sink so they are easy for Margaux to pull out safely when needed.

ROLLATOR 4 ADAPTED Adapted rollator for one-handed man Eilian is an elderly gentleman who requires the use of a three-wheeled rollator. However Eilian is also an amputee and needs to use his rollator with only one hand. This posed a problem to his comfort and safety. Martin Rees took on the project to better suit the rollator to Eilianâ&#x20AC;&#x2122;s needs. He changed the brakes so they could be operated by one hand, he then added a socket holder for Eilian to place his residual limb to allow him to push the rollator with both arms. Plenty of adjustment is available to ensure a comfortable position can be found and the socket was lined with felt for comfort and protection.

MORE AWARDS ON NEXT PAGE

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31/08/2018 10:03

Industry Awards HANDLE 5 HELPING Handle to help get behind the wheel Bob Crump is a wheelchair user who enjoys off-road driving. He drives a hand-controlled Range Rover, however, due to declining upper body strength he was finding it increasingly more difficult to transfer from his chair into the car. Volunteer David Tappin solved the problem by creating a simple, lightweight frame that can be hooked onto the door hinges to allow him to more easily transfer into the vehicle using both hands and arms. Bob thanked Remap: “The handle David Tappin made allowed me to not only continue my off-road driving but also enabled me to get out much more for general day to day activities, which I had started to avoid, therefore improving my quality of life. I can’t put into words how grateful I am to Remap and especially Mr Tappin who generously gave so much of his time and expertise”

HANDRAIL 6 CHURCH Praise the lord for this handrail Remap Coventry received a rather unusual request from the Parochial Church Council of St. Peter’s Church, Wooten Wawen the oldest church in Warwickshire. The request was for a solution to help elderly members of the congregation safely access the church through the large inward-opening oak doors that open straight onto two large steps that are 14 inches high. A ramp was ruled out due to the steep incline and the team quickly turned to looking at a handrail option, but no modifications of any kind could be made to the doors and no holes could be drilled at all. The team came up with a collapsible A-frame that can be attached to the church door securely but without damaging the door and can be easily removed and stored inside the church.

WHEELCHAIR 7 NARROWBOAT Setting sail with the help of this wheelchair Elaine Smith has motor neurone disease (MND) which has resulted in very limited use of her legs and weakness in her hands. Elaine and her husband had agreed that they would spend the time they have left together on their canal narrowboat enjoying cruising the canal system. Due to the confined space on the boat, Elaine required a narrow wheeled chair to allow her to move around more easily on the boat. Mike Banks stepped in to resolve this issue and he modified one of Elaine’s existing narrow chairs. It included attaching a steel frame to its legs. Two carrying wheels were installed along with two castor wheels, allowing the chair to be rotated around its vertical axis hence permitting its use in the very confined space available. All four wheels have locking brakes to secure the chair in any desired position on the sloping deck/passageway.

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31/08/2018 13:51

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31/08/2018 11:20

We’re back with the world’s most innovative stairlift. Experience the Flow2 at Stand G31 The Occupational Therapy Show Access BDD Unit E3 Eagle Court, De Havilland Avenue Preston Farm Business Park Stockton-on-Tees TS18 3TB, United Kingdom wwww.accessbdd.com

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31/08/2018 11:20

Product

Focus

Every issue we bring you the latest products from across the market to help you improve the lives of your clients...

Anna 1 NEW Purewool™

100%

Bootee from Cosyfeet

PURE WOOL UPPER

01458 447275 cosyfeet.com Specifically designed for very wide or swollen feet, these attractive Scandiinspired bootees are both stylish and supportive. They benefit from 100% pure wool upper, luxuriously warm sheepskin lining and rubber soles suitable for indoor and outdoor wear. Available in sizes 4 – 9.

Plate With

2 Sloped Base

0121 717 4724 | ornamin.co.uk This award-winning plate combines three products: plate, plate guard and non-slip mat. The interior base is not flat, but rather slopes towards the edge of the plate. Together with a discreet protruding lip, the food slides towards the fork or spoon as if by magic. A nonslip ring guarantees a firm stand.

MORE PRODUCTS ON NEXT PAGE 

-magazine.co.uk

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31/08/2018 10:04

Product

Focus

3 QuickMove 01384 405792

handicare.co.uk QuickMove supports and actively assists the user when rising up to a standing position, during transfers and when lowering back down. QuickMove has been developed to enable users and their carers to work safely and ‘gradually’ to achieve daily goals and activities.

4 Tablet

Blister Gun

01799 550 979 I pivotell.co.uk The Pivotell Pill Popper pushes tablets easily from a blister pack into the right section of a dossette or automatic pill dispenser. Approved by the Swedish Rheumatism Association, it features an adjustable opening for varying pill sizes and promotes good hygiene as there is no need to handle any tablets.

5 Eclipse Ramps

01782 412 880 | eclipserampsltd.co.uk Eclipse Access Solutions’ 1010 series modular ramp with an adjustable half step and handrails at both sides has been developed to offer a clear ramp width of 1 metre. The system is fully flexible with options of step, platform safety gates and can be tailor made to suit all applications.

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-magazine.co.uk

31/08/2018 13:54

The OT Show Visit us at Stand D52

1/3 of people 65+ fall at least once a year often resulting in broken hips, shock and medical complications.Traditional falls prevention solutions detect presence by using weight sensing mats. These are uncomfortable to sit or sleep on, expensive, prone to giving false alarms and may not be appropriate for frail, elderly people who weigh very little.

Now Possum Paper Thin signiﬁcantly improves falls prevention The innovative Possum Paper Thin falls prevention system utilises body capacitance sensing, rather than weight, to detect presence. It is suitable for all types of users and is more comfortable to sit or sleep on. Moving off the sheet sends an alert via a SensorMATe to the portable Possum Infopager carried by the carer. The Infopager alerts the carer by a loud, clear audio signal and a colour screen.

EASY TO INSTALL Using adhesive tape

FEWER FALSE ALARMS

Movement detection technology

DURABLE

Liquid and tear resistant

LOWER COST

likely to be less expensive than your current solution!

CUT TO FIT

All types of beds, mattresses or chairs, including proﬁling beds

+ Tissue viability approved and permeable versions + Sheets are positioned on top of the mattress or chair + Easy to store, requires little space and no special conditions + Infopager has exceptional battery life and range + Notiﬁcations also sent to any leading care phone

FIND OUT MORE: Call us on 01296 461000 or visit possum.co.uk info@possum.co.uk | Possum Ltd, 8 Farmbrough Close, Stocklake Park Industrial Estate, Aylesbury, Buckinghamshire, HP20 1DQ

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31/08/2018 11:20

TEC HNOLOGY

A helping hand from assistive technology CETEC Director , Firas Sarhan talks us through the application of assistive techonology in your OT career.

Words by Firas Sarhan, Director of CETEC

ealth and social care commissioners face huge challenges in delivering effective and safe care due to current budget constraints and constantly rising costs. However, these challenges are exacerbated further due to the complex needs of our ageing population, many of whom live with multiple medical conditions, which in turn impacts further on service costs. The expectations of what patients and their families can receive from the health and social care services, sharply contrasted with the reduced capacity and availability of acute hospitals and residential care beds, further increases the scale of the challenges facing service providers. Predictions suggest that over the next twenty years the UK will have an increased ‘ageing population’ (people aged between 65-84), with

the number of people who need formal care expected to rise by more that 60% by 2035. This will have a huge impact on care delivery, factors such as the high cost of care, increased number of admissions to hospitals and more of the ‘ageing population’ living alone in their homes. Technology in health and social care is fast becoming an integral part of the future of health care as advances create opportunities to prevent further complications among individuals with long-term conditions. This will help in turn reduce waiting times to see a GP or specialist and the use of assistive technology also allows clients to be more involved in self-managing their condition, which improves their understanding of their condition and allows them to identify any changes at early stage which could lead to early intervention and prevent

Technology in health and social care is fast becoming an integral part of the future of health care as advances create opportunities. 22

unnecessary hospital admission. Allowing individuals to live in their home environment safely for longer through technological advances could, therefore, be a way of saving health and social care services from running into financial difficulties and dysfunctionality. Several home-based technology solutions have been developed to address issues related to long term conditions including diabetes, chronic heart failure and chronic obstructive airway disease. These technologies are able to take control of health-related matters in ways which were previously not possible. From my own experience in evaluating the use of assistive technology, there is strong evidence that these new developments offer independence, empower clients to become involved in managing their medical conditions and help them to live longer at home. However, there are some barriers which need to be understood before we can ensure successful outcomes. 

-magazine.co.uk

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31/08/2018 13:55

Barriers to overcome to ensure successful outcomes

THE USE OF MULTIPLE DEVICES AND DIFFERENT SOFTWARE SYSTEMS

SECURITY OF SHARED DATA AND HACKING OF DEVICES

Multiple platforms are often required to manage devices from different manufacturers. This can lead to issues with interoperability for these devices or systems, which could jeopardise the efficient provision of health and social care services. Additionally, the maintenance of this equipment can be made more difficult when several different systems are used.

There is always a risk of connected devices being hacked, and data being accessed or shared to the detriment of the individuals concerned. Processes and protocols need to be in place to ensure that there is a structured mechanism to prevent and protect such systems so that service providers and users are reassured and protected.

LACK OF EXPERT RESOURCES TO ADDRESS ISSUES The installation of devices and systems requires a well-structured team to undertake maintenance and development to ensure that systems function to the required standard. This team need to be trained, and possess the correct skillsets set to be able to carry out such activities.

VOLUME OF DATA COLLECTED Data is very important in understanding someoneâ&#x20AC;&#x2122;s well-being and medical condition. It is important to outline that this data should be collected in a structured manner, appropriate to the condition being monitored. Data should be analysed to offer a meaningful interpretation that will influence decision-making processes to manage specific medical conditions.

Assistive Tech The implementation of assistive technology, with its potential to support these individuals at home, will allow better allocation of acute hospital resources and reduce bed occupancy through early safe discharges. To ensure successful implementation of assistive technology, key fundamental principles need to be acknowledged before, during and after establishing assistive technology services; and all involved parties should be fully engaged in evaluating their impact. Those setting up these services should: establish clear, accountable, strategic aims and objectives both long - and short term - for starting up assistive technology services, encourage ownership of assistive technology amongst all stakeholders, support and train both health professionals and end users of assistive technology in how to use the equipment, and address all troubleshooting elements. Also consider establishing workforce competencies in assistive technology use. Also ensure health professionals are trained so they can establish an assistive technology assessment process that can inform the selection of appropriate systems and produce impact evaluations for health and social care services as well as end users. When setting up, you should also encourage user engagement through communicating aims, objectives and potential benefits, establish a financial sustainability process to ensure implementation is completed and create a business model to drive the development and expansion of assistive technology into new care areas. Build effective support services that are responsible for installing and maintaining the equipment in individualsâ&#x20AC;&#x2122; homes and health and social care facilities and evaluate the impact of assistive technology on quality of life for end users, and also on health and social care services.

FIND OUT MORE For more details please visit barnetsouthgate.ac.uk/cetec -magazine.co.uk

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31/08/2018 13:56

The TheStabilo StabiloSmart SmartCradle Cradle

ew ew NN cutc!t! u d d PrPoro

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We’ll We’llalso alsobebeshowcasing showcasingour ourfull fullNew NewAspire AspireRange Rangealongside alongsideour ourclassic classic Tilt TiltininSpace Spaceand andStandard StandardShower ShowerChairs. Chairs.

www.theospreygroup.co.uk www.theospreygroup.co.uk 01257 01257425 425623 623 Adverts_OT-Iss24.indd 24

31/08/2018 11:21

A day in the life

fer i n n e or lified f bout J

A day in . f o e f i l the r e f i n n Je Evans

Each month ...

...we talk to a diffe ren occupati onal thera t pist to see w hat a typ ic al day is for them and explain a little more about th eir role.

a en qu rs has be a half yea r e if n d n w a Jen o lasg d two aroun studied at G and has y having n Universit since ia n t role o Caled her curren s a Band a in been orking apist on a w , g in r qualify ational The e mental p ut u 5 Occ ed male ac . d d ward 16-be health

What is your current role? I am a Band 5 occupational therapist on a 16-bedded male acute mental health ward. There is a blanket referral procedure and we use the MOHO priority checklist to identify need for OT input. My responsibilities include providing assessment for ongoing care and housing needs. I provide acute interventions to support improvements in functioning. This is delivered in a combination of 1:1 sessions and through a group timetable which is provided in collaboration with the two other acute wards in the hospital and the wider AHP team which includes AHP assistants and activity coordinators.

Describe a typical day… I always tell people there is no typical day in mental health, every day is different! However we try to maintain structure as much as we can. I start by reading emails and case notes from the previous day. Then go onto the ward to discuss daily planning with patients

I always tell people there is no typical day in mental health, every day is different! and AHP assistant to plan our day. We then have a report out task meeting, which is an MDT discussion about daily tasks for each patient. I then use my clinical time to provide assessments and interventions. We assess basic ADL skills (cooking and personal care), process skills and road safety for example and provide interventions on routine and structure, coping skills, and social skills. Our group programme includes a brunch cooking session for assessment and intervention purposes, ‘Mental Health Men’s Shed’ for social, peer support. We have complementary therapies

where we provide Indian head massages or arm and hand massage, which is a very popular group, and cognitive based groups called our ‘Lego Therapy and Mind Gym’ where we work on process skills. We review our timetable weekly and adjust this responding to the client group and need.

What’s the best part of your job? The best part of my job is making a difference to someone no matter how small. I love the variety of my role and the privilege of working with people who are going through some of the worst times of their lives.

What’s the hardest part of your job? The hardest part of my job is working with people who are so poorly they can struggle to engage with us. It can be hard trying to find something that can motivate someone and bring them out of their mental health experience even if only for a few moments. -magazine.co.uk

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31/08/2018 10:07

Fit to work

Get drivers back on the road sooner by recommending the osteopath-designed Morfit custom-fitting lumbar support. 25% of all adults suffer from lower back pain*. With over 40 million drivers in the UK**, that means 10 million people â&#x20AC;&#x201C; many of them your clients â&#x20AC;&#x201C; who might be distracted or even prevented from driving. Morfit provides long-term reduction in pain. Using air-set technology, Morfit moulds itself to fit the vehicle seat to the driver, then holds that shape to provide solid, lasting support. Support that makes driver and their vehicle fit for work. For more information visit morfit.co.uk or phone 07757 541144.

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RHMHRA Class 1 Medical Device. The Prevalence of Low Back Pain: A Systematic Review of the Literature from 1996 to 1998. Walker, Bruce F. ** Statistical releases Department of Transport March 2018.

31/08/2018 11:21

World OT Day WORLD OT DAY

Celebrating

World OT Day The global celebration of occupational therapy is right around the corner – how will you be taking part?

n October, occupational therapists around the world will celebrate World OT Day, taking Saturday 27 to spread the positive message of OT around the world. The celebration of occupational therapy was started by the World Federation of Occupational Therapists (WFOT), the international voice of OTs around the globe. It’s comprised of over 100 different national organisations representing OTs from all over the world, including RCOT, and is an ideal opportunity to highlight the work of OTs, not just to those within the profession, but to the unfortunate souls who may not even be aware of what OT is! This year, WFOT will be partnering with Promoting OT and alongside World OT Day, they’ll be celebrating the OT Global Day of Service which everyone can get involved in, from students to full-time practitioners, and the idea behind the day is to provide “service” within your community. Service isn’t always about direct action – no-one’s asking you to run out into the street and find someone to perform an intervention on – but it could be as simple as just providing companionship for someone who may otherwise not receive it. As the WFOT website puts it: “when you engage in an unpaid activity intended to benefit others, that is service.” Promoting OT has some great

This year, WFOT will be partnering with Promoting OT and alongside World OT Day, they’ll be celebrating the OT Global Day of Service which everyone can get involved in... suggestions on their website of how you can get involved with the Global Day of Service as a proud member of the profession. With this year’s theme being “Celebrating Our Global Community,” there’s loads you can do to bring this message to the forefront on World OT Day. If you’re up for volunteering, you could hold a food and clothes drive for your local food bank, or volunteer with your house of worship to help provide spiritual guidance within your community. Maybe you’ve got a pint of blood or some plasma going spare – why not donate it? Maybe some time could be spent

mentoring or helping with academic work? Of course, OTs are busy people, and getting out there and volunteering isn’t always something we can fit around our working hours. If engaging with your global brothers and sisters in the OT community is something you’d really like to do, why not take to Twitter? Share your experiences with the WFOT hashtag, take part in an #OTalk chat, or find some far-flung OTs whose daily experiences may seem very different to your own. Did you know that the Association of Nepal’s Occupational Therapists are really active online? Wouldn’t it be really cool to know more about how occupational therapists operate in Nepal? WFOT will soon be releasing the schedule of celebrations for this year’s World OT Day, so keep an eye out for fun and interesting talks, lectures and networking events that will give you the opportunity to connect with your global OT community and help raise the profile of not only you, but of occupational therapists worldwide. Even in Nepal!

-magazine.co.uk

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31/08/2018 13:57

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03/09/2018 09:38

Feeding Device F EEDING

COME DINE WITH OBI

“teach mode” to select a food delivery location in seconds and boasts minimum jerk motion to avoid spills.

ccupational therapists are becoming increasingly aware of the power of new technology in allowing clients to carry out occupations and daily tasks.

Meals can be easily plated up on the Obi and separated in its four compartments, users can choose their preferred switches to eat. Two switches operate the machinery, with one selecting the food, and the other commanding the robotic arm to lift the food and lead the food to the mouth.

Innovative designs are opening up new possibilities for clients and OTs alike and the Obi is the latest in a long line of assistive tech that supports people with difficulties eating. Winning gold at the 2018 Medical Design Excellence Awards in New York for Rehabilitation and Assistive Technology Products, this robotic feeding device gives users independence and dignity while eating. Supporting those with limited upper body function, the Obi was designed by CEO and co-founder Jon Dekar, whose grandfather lived with a degenerative neuro-muscular disease, and can be implemented in the home, hospital or in a rehabilitation setting. The intuitive and sleek machine allows a user to enjoy a meal independently and is user-focused and easily personalised. Using manipulator technology at a scale, price and level of usability that has never been reached in assistive technology, the Obi features patented technology that captures and repositions food, practices portion control, employs a hand guided

N U MBE RS

3.49kg WEIGHT

16 fl oz MAX FOOD CONTENT

38.1cm DELIVERY HEIGHT (ABOVE MOUNTING SURFACE)

The plate, placemat and spoon are dishwasher safe while the base is easily wiped down to avoid mess and allow minimum cleaning effort. Commenting on their creation, cofounders Jon and Tom Dekar said: “We believe that every individual, regardless of condition, should be able to live a fulfilling and empowering life. We want to create technology that encourages people to live a life without labels or limits and encourages them to invent new possibilities. With our products and brand, we’ll continue to do everything in our power to facilitate that lifestyle.” All foods and liquids are compatible with the Obi ensuring users can enjoy any food they wish without the assistance of a carer and is available in the UK from Cyclone Mobility. meetobi.com

-magazine.co.uk

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31/08/2018 10:08



Adverts_OT-Iss24.indd 30

31/08/2018 14:45

R ARE DISEASE S

OT and Rare Diseases

Interview Jo Southall

f you had to narrow down the list of the UK’s most interesting occupational therapists, Jo Southall would certainly be in the top ten – if not top five. Jo is a nature lover, a photography enthusiast, modern Druid and creative, all on top of being an OT. She also lives with hypermobile Ehlers-Danlos syndrome, and helps a wide range of patients, but her intimate knowledge of the workings and treatments of rare diseases means she finds many clients living with the same or similar impairments coming to her for treatment. Different medical bodies and countries define “rare disease” differently – some even refer to it as an “orphan disease” – but the European Commission on Public Health has defined it as a “life-threatening or chronically debilitating disease which [is] of such low prevalence that special combined efforts are needed to address them,” with low prevalence defined as fewer than one in 2,000 people. With around one in 5,000 people globally living with Ehlers-Danlos syndrome, Jo certainly qualifies as an expert on rare disease. What then made her want to enter the world of occupational therapy?

Jo Southall is an OT who finds herself not only living with several rare diseases but treating them too - often in unconventional ways. 

“It was my experiences as a patient that swung it for me,” Jo told The OT Magazine. “I live with a couple of rare diseases myself! I’ve got hypermobile Ehlers-Danlos syndrome, and postural orthostatic tachycardia syndrome, and I’ve been quite heavily involved with the Hypermobility Syndrome Association. “I was struck by the fact that there must be a better way to do things, particularly with regards to fatigue. For example, a lot of the fatigue management services require people to travel sometimes quite long distances for a whole day of talking and writing notes and things, 

-magazine.co.uk

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31/08/2018 14:35

Rare Diseases and you come out of it completely exhausted, totally unable to remember anything you’ve done over the past day because it’s so exhausting. “I sat down with myself, and it was as a second-year student I first had this idea, kind of tinkered with it, thought about it, dismissed it, and thought about it again. When I qualified I thought, I’m just going to go for it and see how it works out. It was really being a patient in various services that decided me on the fact that I might be a new graduate, but I do know what I’m talking about. I’ve done the referrals, and that combined with the OT training and research, really helps.” Jo went straight from university into independent practice, a decision she spent a long time swithering over. She teaches coping strategies for longterm symptoms over video chat and finds a lot of her patients perhaps don’t fit in with NHS services, have found themselves with the wrong diagnosis, or are just sick of existing in a loop of constant re-referrals. As an independent OT, she finds that there’s significantly more freedom in what she can and can’t do, with more scope for creative freedom and justification of what is and isn’t an intervention. “I try not to blinker myself to opportunities,” Jo said. “I have the opportunity to come up with creative solutions and be properly client-focused in the sense that if I need a session to run over by two hours, it can run over by two hours. It’s really nice to do, I think.” Living with rare diseases is a massive contributing factor in Jo’s work. In her estimates, around 50% of her client base chose her as their OT because she lives with rare diseases, just like they do, and has the ability to intimately understand their conditions, and not come across as patronising when she tells them that she understands – because she truly does. Many of her clients exist within a kind of symptomatic grey area. They may exhibit non-standard symptoms of MS or chronic fatigue syndrome, or perhaps they’ve not responded to traditional treatment. Because of her personal connection, Jo also sees many

31-32_RareDiseases.indd 32

In her estimates, around 50% of her client base chose her as their OT because she lives with rare diseases, just like they do... patients with hypermobility disorders, such as Ehlers-Danlos syndrome and Marfan syndrome. Jo is unconventional in the sense that she provides her services over video call. Clients find her over social media, where she has a tremendous presence, and are referred back to her website. After conversing over email, their appointment will be carried out over Skype, Facebook Messenger or Google Hangouts – whatever the client is more comfortable with. “There’s a lot less anxiety and worry associated with an appointment that’s taking place via Twitter or Skype rather than via an actual clinic that you’ve not been to before, where you’re reliant on someone else for transport,” Jo said. “For a lot of people, particularly for those with severe mobility impairments, they can’t do things like go to hospital on their own, so to access a service with me completely independently is really freeing and a really good confidence boost. “Also, because I might have talked to them on twitter beforehand, there’s already a relationship before they’ve even seen me. They’re in their own environment which boosts confidence and makes them feel ‘at home,’ so to speak. Having spoken to me a few times before, they’ve seen bits of my life online, you kind of feel like you know somebody before you actually have to get to know them.” Social media is a great resource for Jo.

Clients may find her through Facebook or Twitter, where she’s currently keeping her followers updated on the cute little hedgehog she’s rescued. Her presence is social, friendly and conversational, allowing clients a deeper and more personable connection to her. When she’s not tweeting about her spiky friends, she’s running a Facebook group called DisabilOT, for OTs with disabilities to come together to chat and support each other. “There’s a lot of us in there with a whole range of different physical and mental health impairments and overlaps between the two,” said Jo, “long-term and short-term stuff going on, as well as quite a lot of people who just wanted to learn more so they can support their colleagues better, which I think is great.” Conducting interventions over video chat is only slightly limiting: for example, Jo of course can’t do measurements for equipment. On the other hand, it gives her a significantly wider reach. She’s been in situations where she’s been able to give recommendations to OTs who may not know much about a condition they’ve been asked to treat. She laughs when she says that everything she does is “all proper OT, traditional OT stuff, it’s just that I’m not in the same room as the person I’m doing it with!”

FIND OUT MORE Visit jboccupationaltherapy.co.uk to find out more about Jo, or join the DisabilOT Facebook group at facebook.com/groups/DisabilOT

-magazine.co.uk

31/08/2018 10:08

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Why

have a

stairlift have a real lift? when you can

E UNIQU R LOO THRU-F M SYSTE

Leading OTs recognise stairlifts are not suitable for all clients or for all types of homes. Many are now considering Stiltz Homelifts as an alternative. A Stiltz Homelift is available in the wheelchair-accessible 3-person Trio+ model (shown), or the more compact 2-person Duo+ model. The Stiltz OT service level promise means our assessment, customer service and installation teams will work with OTs and healthcare professionals to provide exceptional service and support at all times.

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31/08/2018 11:22

Product

Focus Arabica 1 Lumie SAD Lamp

Every issue we bring you the latest products from across the market to help you improve the lives of your clients...

amazon.co.uk The Lumie SAD lightbox is designed to lift moods and help treat the symptoms of seasonal affective disorder and combat winter blues, when sunshine is less prevalent. The Arabica has two different light outputs, allowing the user to select them dependant on which is the best course of treatment.

The Java 2 Plinth

01257 425623 | ospreyhealthcare.com The Java Plinth has been developed to be used as a support over the Geberit range of wash/dry toilets for users who may otherwise struggle with the stability of standard toilets. The specially designed stainless steel frame gives the plinth the ability to withstand much heavier weights making it highly robust.

MORE PRODUCTS ON NEXT PAGE ď ľ

-magazine.co.uk

35-37_ProductFocus-2.indd 35

31/08/2018 10:09

Product

Focus

Potti 3 Porta Qube 165

0345 121 8111 | nrshealthcare.co.uk Providing a portable solution to toilet availability, the Qube 165 offers a dignified and effective toileting solution, which can be easily flushed. A chair frame is sold separately, providing additional safety and security to the user. A durable plastic case covers the storage tank, which is easily and hygienically emptied.

Svan Balance 4 Toilet Frame 03330 160 000 completecareshop.co.uk Complete with footrest and secure arm rest, the Svan Balance toilet frame is high quality, and provides children and adults help with getting on and off the toilet, while improving safety and confidence. Multiple form options are available to provide the user with the most comfortable and stable toileting experience.

Gripmaster 0161 938 0150 | fruugo.co.uk

The Gripmaster encourages the health and conditioning of the hand and dextral strength. The Gripmaster allows the patient to work each fingerâ&#x20AC;&#x2122;s group of muscles and tendons separately, promoting hand, wrist and forearm strength. Small enough to fit in a bag, it can be used anywhere and at any time.

35-37_ProductFocus-2.indd 36

-magazine.co.uk

31/08/2018 14:00

Product

Focus 6 Nippi 01283 520 620 | nippi.co.uk

An accessible solution for those who miss the freedom of riding motorbikes or scooters, the Nippi is a petroldriven trike which allows the user to drive from the comfort of their wheelchair. Extremely customisable and roadworthy, the Nippi is designed to resemble classic Piaggio scooters, making for a fun and stylish ride.

Body Fat

7 Scale amazon.co.uk

These smart scales pair with an app on your phone and provide a total body composition analysis, including weight, BMI, body fat, water percentage, skeletal muscle rate, muscle mass, bone mass, protein, BMR and metabolic age. The app can be synced with Apple Health, Google Fit and Fitbit, to keep track of exercise, weight loss and overall health.

8 Bendable Cutlery

01772 459944 | betterlifehealthcare.com

With soft cushioning grip for comfort, these spoons and forks also have a flexible section that allows the end to be angled for the best position to allow the user to feed themselves independently with minimal spillage.

-magazine.co.uk

35-37_ProductFocus-2.indd 37

31/08/2018 11:32

Drinking straws

DRIN KIN G A IDS

Drawing the short straw As the war on plastic pollution gains momentum and single-use plastic straws are in the proverbial international firing line, the fight disabled people face to ensure they arenâ&#x20AC;&#x2122;t forgotten is becoming harder and harder.

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-magazine.co.uk

31/08/2018 10:10

Drinking straws come with a slight bend in them to support users, however, if a client relies on the flexibility of a straw or struggles to independently hold a cup, another option may be more suitable.

POLLUTION: Plastic straws are amongst some of the pollution littered in our oceans

avid Attenborough’s sensational Blue Planet 2 opened the nations’ eyes to the horrifying consequences of our wasteful and needless plastic usage. Harrowing scenes left viewers heartbroken and angry and the biggest fallout from it is the single use straw ban drive. With companies pledging to reduce their usage with straws at the top of the agenda, paper straws were introduced nationwide with little regard for its consequences for certain customers. For some disabled people, plastic-free just doesn’t work. There’s no one-size fits all solution. Alternatives are vast and varied but some disabled people will need to fight for single-use straws. But there are some suitable substitutes available you may recommend that make life easier and ensure they don’t draw the short straw. The paper straw has since garnered public support in our pubs and eateries, and for some disabled people, these cheap and low-risk makeshift straws are, despite not bending, fine to use. However, for those who take longer to drink or suck, paper straws quickly become soggy and pose a choking hazard. They are also not safe for use with high temperature drinks or foods. Metal straws could also be the

Some people with immune compromising conditions simply cannot use reusable straws though, so it’s important to then help ensure they can access singleuse straws. solution but be aware that they also come with concerns. If your client has a neurological condition, such as Parkinson’s, the risk of injury that comes with metal straws is an immediate red flag. If there is the risk that their motor skills can result in sudden heavy and involuntary movements, metal straws will pose a real risk of damage. Metal straws also can cause injury through their very nature. Many disabled people use straws to drink hot drinks and eat hot soups. Metal straws absorb more heat than plastic straws and may lead to burns, particularly if a user has limited movements or delayed responses. Similarly, liquids with cold temperatures can cause injury or pain when consumed through a metal straw. Most are completely straight, but some metal straws

Silicone straws are a cheap and easy option that are easily cleaned and transported. They pose no injury threat and are high temperature safe. Their malleable form can be easily transported and stored, however, they do not bend and so are not positionable. Silicone straws are by and large not a choking hazard, but for some, they are too soft, so make sure your client can sufficiently grip and suck through one. Bamboo alternatives to plastic items are considered one of the most environmentally friendly options. From toothbrushes to cutlery, bamboo is gaining traction. As for the bamboo straw, if your client can support the cup or bowl, this high temperature safe straw can be used. While there is no choking hazard, it may be an injury risk though, and it’s non-positionable and costly aspects means it likely will not support your client. Some people with immune compromising conditions simply cannot use reusable straws though, so it’s important to then help ensure they can access single-use straws. As OTs, finding reasonable adjustments is first port of call, but if there simply is no way around it, even something as small as the single use straw, fight for your clients’ rights. Some people can’t leave the house without a list of things as long as their arm so giving them something else to remember, never mind something as simple as a tiny straw is not fair. Getting out and about can be arduous enough without worrying about every small eventuality. Encourage places you know they frequent to ensure their already small world isn’t shrunk further. If our accessible society is so fragile it can be brought down by a piece of plastic, use your position to push for common sense. -magazine.co.uk

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31/08/2018 10:11

Introducing the all new MemRabel 2i is a simple tool to help people stay connected and a brilliant aid for people living with Alzheimer’s disease. A short video, photo or voice memo from a family member or friend can make a world of difference. Now it’s real simple using MemRabel 2i. For people unable to use a Smartphone either from age, disability or medical condition, the idea of viewing phone messages or video calls is a non-reality. MemRabel 2i will automatically play your personalised message on the 6¾” x 4¾” video screen. ● Record and send video reminders to MemRabel 2i ● Record and send voice memos to MemRabel 2i ● Take photos, add text and send to MemRabel 2i With MemRabel 2i you can create and send reminder memory prompting alarms, send greetings, videos, photos and calendar appointments over the internet using the MemRabel 2i Smartphone APP.

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Visit us at The OT Show: Stand P42 or online at eclipserampsltd.co.uk

31/08/2018 11:22

Housing Funding

H o y m p e p s a H A lofty £76 million of government money a year is to be invested into adapted houses in England over the next three years to support elderly people, people with disabilities, and those with mobility issues.

potential so more homes can be created, more quickly, ensuring that thousands of people are supported to live independently in their own homes, benefitting both them and their carers,” she added.

The homes, which will have individual front doors and communal areas will also support people with mental health issues.

With funding being released on a year by year basis, the scheme is expected to be easier to access, with local authorities and housing developers applying on a rolling basis until the yearly funding has run out.

he Department for Health and Social Care’s plan for thousands of accessible houses that will enable people to live independently will include a raft of equipment and assistive technologies and will provide varying levels of personal care and support, including access to GPs or other health services.

The funding will be run in partnership with Homes England for schemes outside London, and the Mayor of London for London based schemes. Providers will bid for money through the Homes England project and the Mayor of London’s office to build these specially designed new homes. Minister for Care Caroline Dineage commented: “No one should have to go into a residential home or get stuck in hospital because of a lack of specialised housing adapted to suit their needs. This programme provides a vital life line for some of the most vulnerable people in society to live their own lives in a home that works for them. “We want the fund to be used to its maximum

“So far we have allocated over £150 million to specialist housing providers to support new development for disabled and older people,” began Homes England Executive Director, Gordon More. “Bidding for this important fund remains open with a further £125 million available through Homes England over the next three years. We urge all specialist housing providers to consider how they can access this funding to provide new homes for vulnerable people,” he added. Are you a housing occupational therapist that will be involved in any developments funded by the scheme? Email colette@2apublishing.co.uk to let us know how it will support your clients.

-magazine.co.uk

41_AdaptedHomes.indd 41

31/08/2018 14:00

Heading here CANNA BI S

High

times Cannabis-derived medicinal products can now be prescribed by specialist doctors in the UK. How can OTs compliment this new form of treatment? 

arlier this year, the Home Secretary announced that as of August, specialist doctors are now legally allowed to prescribe cannabisderived medicinal products. The prescription will require a number of safety and quality standards be met, and only given out to those with an “exceptional clinical need,” said Sajid Javid. The change to legislation was pushed by the parents of Billy Caldwell and Alfie Dingley, two children who each have rare forms of epilepsy, and the seizures they have can be treated with THC oil.

The case has also inspired high street health stores to begin stocking cannabinoid oils – but they are extremely different. CBD oil – cannabidiol oil – is made of one of cannabis’ four active ingredients, along with cannabinol, tetrahydrocannabinol (THC), and tetrahydrocannabivarin. CBD is not a psychoactive substance, and is available in the UK as a dietary supplement and on prescription. It’s thought by some to be an effective treatment for anxiety, and is prescribed to treat both epilepsy and multiple sclerosis in the form of Nabiximols. THC, on the other hand, is the main psychotropic chemical found within cannabis – meaning it’s the one that gets you high. A number of studies and trials have found it effective in the treatment of chronic pain, spasticity associated with multiple sclerosis, and seizures. While its counterpart CBD is available to purchase on the high street, THC is a tightly controlled substance – and it’s this that will be prescribed to patients like Billy and Alfie to treat their epilepsy. With this change in legislature and new form of treatment available, where does the role of the OT fit in? The UK is dragging its feet when it comes to the legalisation of cannabis as both a recreational and medicinal substance. Canada

42-43_Cannabis.indd 42

-magazine.co.uk

31/08/2018 11:33

Cannabis treatment

Several reviews have assessed the efficacy of various cannabinoid preparations for the management of chronic pain. regulated the use of medicinal cannabis in 2001, and it will become legal as a recreational drug on 18 October – making them the third country in the world behind Uruguay and Georgia to do so. It’s one of 29 countries in the world to legalise cannabis or cannabis derivatives for medical use, with the UK to soon become the 30th. In these countries, OTs sometimes work alongside people to ensure they are using cannabis effectively to treat their ailment. Their understanding is that if people are turning to cannabis to play a medicinal role in their care, healthcare professionals – including OTs – should be able to effectively support their decision. In a recent article in the British Medical Journal, Professor Mike Barnes explored the usefulness of the drug in treating a wide number of conditions, from chronic pain to vomiting during chemotherapy: “The recent case of Alfie Dingley and other children,” he wrote, “whose epilepsy responded to full extract cannabis oils containing CBD and THC, shows that the matter is complex and that some children seem to respond maximally to a combination of low dose THC and higher dose CBD.” “A recent Cochrane systematic

review of 23 randomised controlled trials confirmed the anti-emetic properties of “cannabinoids”. Patients were five times more likely to report complete absence of vomiting against placebo. “Several reviews have assessed the efficacy of various cannabinoid preparations for the management of chronic pain. One review found eight studies and concluded there was “moderate quality” evidence of efficacy against placebo to support the use of cannabinoids.” Focusing on the safe use of cannabis-derived products is a role the OT can play in the drug’s use. They can work alongside the care of a physician to ensure that clients are using cannabis effectively and within the boundaries of their prescription. While OTs wouldn’t be involved with the act of prescription, amount to be taken and so on, they can support their client by helping them to keep track of how the medication affects their symptoms and examine the sideeffects which come from cannabis use, and how these can affect the patient. Side effects of THC can include increased anxiety, paranoia and depression in some, as well as headaches, light-headedness and dizziness. With an OTs assistance, tracking these can allow patients

to share questions and concerns with their GP. Where cannabis-derived products have been prescribed for the alleviation of chronic pain, OTs can assist by reviewing pain management strategies to compliment the prescription. Cannabis products have been shown in studies to act as a safe and effective long-term treatment of chronic pain in patients with few to no side effects. They can be used as an alternative to standard NSAIDs without the concern of kidney damage or ulcers, and in place of opioids which promote addiction. Cannabis-derived pain management can compliment a number of other therapies, which can be tailored to the needs of the patient. In the interim, the government are developing a “clearer definition” of what constitutes a cannabisderived medicinal product. They hastened to add that this will “help patients with an exceptional clinical need but is in no way a first step to the legislation of cannabis for recreational use.” This does mean however, that Sativex and Epidiolex, both of which are manufactured in the UK, could soon be prescribed to patients. -magazine.co.uk

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Interview Claire Williams Tell us about the service… Our service came about back in 2015. One of our specialist paramedics Spencer Winch, as part of his advanced care practitioner training set up a joint initiative between the Royal Berkshire NHS Foundation Trust and South Central Ambulance Service. This joint initiative was to try to keep older people, where they don’t need to come into hospital, safe and supported at home. It initially ran for a year and just one day a week on a Saturday and they saw 220 patients over about 50 service days. It was a specialist paramedic and one of our Band 7 advanced specialist occupational therapists. They did all sorts of things; looked at what equipment they could put in place, did referrals to rapid response for urgent care in the community, occasionally we would get a couple of patients up to our reablement beds. It was really successful, out of the 220 patients that they saw, 68% - so almost seven out of ten patients - were able to stay at home safely supported. So only three in ten were brought into hospital. It finished in 2016 and the we were funded by the Better Care Fund to run a second pilot in October. We were funded for three service days but our original model was with the specialist paramedic and South Central Ambulance Service actually only had one specialist paramedic that they could release per week for the project. So that started on a Monday and in January we had two

FALL PR E V E N TION

Falls Service on the Rise We spoke to Claire Williams, an occupational therapist who works in both A&E and within the Ambulance Service on a Falls and Frailty Response Service. We find out more about the responsive service that is reducing hospital stays for older people in the Berkshire West and South Oxfordshire area.

other very experienced paramedics interested in the service so in January that’s when we started doing the Saturday, Sunday and Monday service. We run three days a week from 7am to 7pm and we respond to people who have fallen, concerns for welfare and we are really trying to drive our crew referrals at the moment, so if our crews go out to see our older vulnerable patients they give us a quick ring and have a chat with us and then we can go out to see them.

Is it 999 calls you respond to? Yes, or 111 calls – we don’t very often get 111 calls – we actually sit in the ambulance station in Reading and we have our own little van with blue lights and ‘ambulance’

This joint initiative was to try to keep older people, where they don’t need to come into hospital, safe and supported at home. 44

44-46_Falls.indd 44

written on it. We are really responsive, the minute the call comes in and it’s coded as something like ‘fall, non-injury’ – then we mobilise and off we go.

Is it quite rewarding? It definitely is. You hear all the stories of patients being on their floor for four days, but actually seeing it is very, very different. But it is so good that we can get in there when the patients are at home, and even if they have to go into hospital what we have done now is, we will make a copy of our assessment form so the ambulance crew will take that into the actual hand over when they hand over in A&E. So you have already started the discharge plan before they even come into hospital. We have also got OTs that work in A&E so we are able to say to them ‘this is what I’ve seen and what I think the patient needs, can you help facilitate that?’

-magazine.co.uk

31/08/2018 10:12

FALL STATS

Heading here

30%

of people aged 65 and over will fall at least once a year

50%

of people aged 80 and over will fall at least once a year

255k

falls-related emergency hospital admissions every year

It has been so good at just reducing bed days and just turning around patients that little bit quicker.

How many calls would you respond to over the three days? I think on average we get between two to five calls a day.

Can you describe a typical call out… I saw a lovely lady on Monday, this came from a crew referral. The lady had started to go up the stairs and she had missed the step and fell backwards and hit her head. The crew came out to see her, got her up, got her mobilised and said actually it’s a small cut but you are ok. But on the Monday I actually had a specialist paramedic working with me so we went out and he was able to actually sort the wound out on her head and I was able to have a chat with her and have a chat with her husband. They were pretty independent, didn’t have

any care, but she has Parkinson’s disease. They had never had any input from social services, no care, no equipment, nothing like that. So I was able to spend time with them, explain my role and do things there and then. I was able to put chair raisers on her favourite chair so she was finding it easier to get out of the chair independently. I put a couple of different styles of toilet frames on her upstairs and downstairs toilets and I referred her to National Rehab Supplies (NRS) who have Trusted Assessors. She is struggling to get in and out of her bath and we don’t carry a lot of kit so I referred to NRS to actually come out and try different aids with her. By doing that we have put things in place ready for her, so even though this wasn’t a crisis, it could have been and we have started to make her life a bit easier. We also put a second handrail on her stairs because she has really steep stairs.  -magazine.co.uk

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31/08/2018 10:12

Falls Prevention

assessing the patient and it’s little things and phrases that we pick up and start using as well, so it’s such a good skill mix.

Considering the increased pressures on the NHS at the moment do you think we would benefit from services like this being rolled out across the country? Well that would be the dream! We send out feedback forms to the majority of the patients that we see and all the feedback forms say that this needs to be a seven day service, they say that actually sometimes people would be embarrassed calling for an ambulance but knowing that our service is here makes them feel so much more comfortable in calling for us. It’s the little things like that.

Do you think it will be extended more than three days?

There are other patients that we see and we have good links with our rapid access clinics for older people which we have here in Reading. They are consultant-led clinics for patients that don’t need immediate attention in A&E but could do with being reviewed for whatever reason. We refer a lot to falls clinics and community physio and rapid response teams, community mental health teams as well. It’s just kind of being there and doing what you can

for the patient in that moment, it’s very rewarding.

How have you found working and collaborating with paramedics? Have you learned a lot from each other? Absolutely. It’s really lovely to talk to the paramedics now and they will actually mention some equipment or ask questions that before they possibly wouldn’t have just because they haven’t had that exposure to what we do as OTs. And it’s the same thing, we are listening to the paramedics talking and

It’s really lovely to talk to the paramedics now and they will actually mention some equipment or ask questions.

44-46_Falls.indd 46

I would love to put a lot more money on that but I think it is financial. As long as we are doing what we are doing and showing that we are making a difference. This is only our third year, so we are just growing as a service and we actually had BBC South Today spend a day with us and there was a piece featured on the news about us so it’s just building up that exposure.

What do you enjoy most about it? I absolutely love what I do and I love working in hospitals, but hospitals in terms of our assessments are very artificial environments. Seeing people in their own home is always so much better for them, it just means that you can problem solve with them there and then and work with them to really support them, rather than in hospital where you are trying to think of things and plan. It’s much more in the moment.

-magazine.co.uk

31/08/2018 10:13

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31/08/2018 11:22

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03/09/2018 09:55

THE OT SHOW

Adam at The OT Show The experience of attending The OT Show as a public or private sector can be very different, especially speaking to exhibitors, Adam Ferry explains. Words by Adam Ferry

he experience of equipment exhibitions for many occupational therapists working within the public sector is likely to have been similar to my own. That was my experience some years ago until I dipped my toe into the private sector. From that point, exhibitions became a lot more interesting as I understood that my awareness and understanding of the market played a critical role in ensuring recommendations were current, accurate and exhaustive. Working in both statutory and private services concurrently has afforded me the opportunity to both expand my product knowledge and influence decision makers within the former. At The OT Show 2017, I was shown a moving and handling product - a non-mechanised standing aid very similar to a popular but more expensive model often used by my occupational therapy team. The product we had been requisitioning in increasingly high numbers needed to be approved by a weekly clinical panel based on clinical reasoning and availability of reconditioned alternatives but was significantly reducing the need for mechanical standing hoists which were a standard stock item. On discussion with the exhibitor some recommendations were made for minor alterations that would make it more flexible within the homes we work in. We discussed costs per unit and availability of

EXHIBITION: The OT Show is a great place to see and try new products

My personal experience demonstrates how occupational therapists’ use of an exhibition is not dependent on which sector you work in but more about mindset. stock. Based on the reduction of mechanical stand-aid provision and the lower cost of this new product I felt able to build a case that suggested its inclusion as a standard stock item, off-set by making the mechanical device a ‘special’, requiring panel approval. My personal experience demonstrates how occupational therapists’ use of an exhibition is not dependent on which sector you

work in but more about mindset. Wherever we work we are the experts of our clients and their needs. Equipment providers need us to tell them what we need, so be brave and take control. Exhibitors also need to take ownership and engage with occupational therapists from every sector. I may have ordered up to 12 of these products a year in my private sector role but have just influenced the order of more than 30. Let’s start a revolution and have the equipment our clients need on the approved list, not what is cheapest or what a non-clinical manager tells us we need.

FREE TICKETS The OT Show is returning to the NEC Birmingham on 21 and 22 November. To register for free, visit theotshow.com/heroes. -magazine.co.uk

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31/08/2018 10:13

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31/08/2018 11:23

All the latest from the world of paediatrics

n o i t c e S Look to the future

p52

p55 55

croll Free September is upon us and it could be something that could help your younger patients take a break from their screens and the sometimes harmful habits they can fall into. Letâ&#x20AC;&#x2122;s be honest we can all fall into those social media blurs and a Scroll Free September could do us all some good. Turn to page 55 to find out more.

p58

Ever considered laser tag as an intervention for kids? Take a look at page 52 to discover the benefits that this game of teamwork, communication and stealth could offer your patients. Google Glass has been used in an autism trial in the States and has shown really positive results in helping children living with autism recognise the facial expressions of others and improving their eye contact with others. Find out more on page 58. We have also included our usual array of useful kidâ&#x20AC;&#x2122;s products on page 61 and we take a look at a new inclusive activity centre specifically designed for disabled children that is set to open in Bristol in 2021. Gympanzees will be a first of its kind for the UK and during the long wait until it is open, the organisation has been raising funds to support pop up activity centres to offer disabled children the opportunity to get involved in activities, make friends and have fun in a fantastic environment. ď ľ

p61

p65

Read on to find out more... -magazine.co.uk

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31/08/2018 14:03

T I E R ’ U

ent xcitem e , n io s he ten people young g l il r h t bouncin and n e h w nce and experie spaces e g r la oth the e dark about b crannies in th at and ts a gre y, s e u nooks q g laser ta upation of pla makes cc o uch or the ve as m d r e s outlet f y ll a n an actu ically active a but it c s y h han a p . more t g game in t la u stim

DISCIPLINE In laser tag, if you are shot, you are rendered unarmed for a period of time, when you can’t be shot and cannot shoot others. If a child has problems with patience or discipline, laser tag may force them into learning how to deal with waiting or not having something their way, as they have no choice but to wait until the blackout time has elapsed, and they can re-join the game. It may benefit children with behavioural issues as they learn to deal with the consequences of being shot. The stealth aspect of the chase can also employ discipline as they hide from opponents and strike at the right moment.

52-53_LaserTag.indd 52

COMMUNICATION With the darkened rooms in a laser quest, children’s vision is limited in terms of reading facial expressions. To communicate with their teammates, they must speak to each other. If a client has problems verbally communicating with someone, the circumstances may be the gentle nudge a child needs to speak with their peers and develop their communication and social skills. Clear communication can be established in a game, as laser tag takes strategic planning and collaboration between team players. Some laser zones will have loud music or someone speaking over the tannoy. With numerous distractions, it will call on a player to focus their attentions and improve their concentration when someone is speaking to them.

-magazine.co.uk

31/08/2018 10:14

Section

COORDINATION AND PLANNING Another advantage of recommending laser tag to a client is the improvement of their coordination. With the weighted target vests and darkened space, children will fast have to regain their balance and bearing before they set off around the arena. With their lessened sense of sight, children must begin to understand their surroundings by other means, including centring their weight or using their sense of touch on the walls or the floor. Players must also call on methodical and logical thinking and plan ahead. They must consider every move they make and plan ahead to deal with any obstacles and consider opponents and teammates around them.

PLAY IS ONE OF THE MOST IMPORTANT CHILDHOOD OCCUPATIONS, ALLOWING CHILDREN TO LEARN HOW TO COPE WITH SITUATIONS, PROBLEM SOLVE AND LEARN WHAT THEY LIKE.

PLAY AND TEAMWORK Play is one of the most important childhood occupations, allowing children to learn how to cope with situations, problem solve and learn what they like. Enjoying a round of laser tag calls on both physical and mental involvement. It also opens up opportunities for children to interact with others, socialise and learn the importance of teamwork. If your younger client has troubles mixing with other children, teamwork situations may allow them to develop their social skills and make friends. The teamwork element may help them learn how to work with others if they are quite independent or have tendencies to take charge.

SPATIAL AWARENESS AND SENSORY PROCESSING Some children may have issues understanding their body in space. Like the coordination element, children’s body and spatial awareness will be developed and adapted to cope in the environment. The sizing of spaces in arena can be vastly different. While there are wide open spaces, there are also narrow tunnels, small passages and lowered ceilings. There are often stairs, ladders, slides and softer floorings so children can explore their body in unfamiliar places and settings and understand their movements as they adapt. As they tackle obstacles they will quickly begin to understand how to move their body in specific ways. Shooting targets on people’s vests from a distance will help children improve their aim and how they perceive distance.

DIY LASER TAG For children who maybe cannot cope with the sensory overload of a laser tag arena, there are DIY ways to allow them to both develop the motor skills and enjoy the fun without the stress. Children’s Therapy Works in the States have developed their own version of the popular pastime made just with tape, furry pom poms and tweezers. In a narrow hallway, stick many pieces of tape from wall to wall in all different directions leaving different sized spaces in between. The idea is to make it resemble an obstacle course or laser beams crossing from wall to wall. Take different coloured and different sized pom poms balls and place some on the tape and across the floor throughout the course. Then, with plastic tweezers, instruct the children to collect a certain type of pom pom without touching the ‘lasers’. The game will help to improve their visual skills as they scan the course for the particular colour or size of that round as well as developing their recognition skills. The tweezer will improve their fine motor skills, hand strength and dexterity as they collect the balls, while their motor planning, spatial and body awareness will be called upon as they manoeuvre their way through the tape. Children may jump, stretch, kneel or squat to avoid touching the tape, allowing them to become aware of their body in space. Planning and coordinating will be called into action as they navigate the course in front of them.

-magazine.co.uk

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31/08/2018 10:14

Adverts_OT-Iss24.indd 54

31/08/2018 11:23

Section

MENTAL HEALT H

Reality

check

Scroll Free September is encouraging us to log out, switch off, close your Google Chrome window and open a real one. Whether your generation remembers or not, there was a life before Facebook (no, we don’t mean MySpace).

and a major ramp up of services will be needed to deal with the problems as part of the NHS 10-year plan. We need to see concerted action, with everyone taking responsibility, including social media giants, so that the NHS is not left to pick up the pieces of a mental health epidemic in the next generation.”

ou’ve attempted Dry January, toyed with Stoptober and cringed at Movember, but there’s a new campaign on the lips of health advisers. Scroll Free September does what it says on the tin. It challenges people to give up their ‘social social lives’ for a month and reclaim control, recognising we have become slaves to it. Social media should be a temporary escape – a mind-numbing break from reality we aimlessly scroll through with one eye on the telly. Run by the Royal Society for Public Health, the digital detox drive welcomes everyone to take up one of their plans; Cold Turkey, Social Butterfly, Night Owl, Busy Bee and Sleeping Dog. Claire Murdoch, National Director for Mental Health, NHS England, said; “Scroll Free September is right to highlight growing concerns that social media is contributing to increasing mental health issues in young people,

Scroll Free September is right to highlight growing concerns that social media is contributing to increasing mental health issues in young people.

We won’t insult your intelligence by lamenting social media and mental health - we know it’s ‘false realities’. It isn’t news, but its never off the news. But finally, it’s no longer all talk and no action. Telling young people what to do will get you nowhere. Would you have appreciated a grown-up telling you you were spending too much time doing something and it was bad for you? With teenagers, it’s about the ‘how’, not the ‘why’ and OTs know the secret is being client-focused.

Read on for tips on how to plug back into reality -magazine.co.uk

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31/08/2018 10:15

Section

Plug back into reality TIP #1

TIP #2

TIP #3

Do not disturb

Unfriend the app

Break the associations

If a client wants to take baby steps, uninstall apps. If you aren’t battling stubbornness, removing apps from homescreens automatically cuts usage. Doing so means they aren’t met with a host of apps and the need to check all. Even if you break down usage app by app, checking one, then locking their phone is progress. Most social media can still be accessed through their web browser, but once an icon is removed, the constant reminder has been eliminated.

Breaking habits is a key starting point. Things like not unlocking their phone as soon as their friend nips to the loo. On a recent holiday where one megabyte cost a fiver and there was no free Wifi, you wouldn’t believe how quickly I got used to sitting with my thoughts when my pal headed to the bar. We have created an association between being alone or bored and logging on. Try setting boundaries with your client.

With the exception of Messenger and WhatsApp, silencing notifications can be a great snap way of switching off. Realistically, urgent information won’t be relayed to your client through a Tweet or a tagged comment. Without a client’s phone constantly buzzing and nudging them towards apps daily routines or tasks at hand are far less likely to be interrupted. Even if they are making a conscious effort to stay off it, one notification can lead to half an hour of pointless scrolling.

TIP #4

TIP #5

Don’t be a stalker

Unfollow the leader

It can be hard to resist regularly checking a page, even when we know it evokes jealousy, guilt or inadequacy. ‘Internet stalking’ isn’t always sinister for the account owner, rather the searcher. Obsessing over someone else’s life is a toxic behaviour that has no place in fun and safe social media. Teens who constantly check accounts of people with unattainable lifestyles or people they don’t like are damaging not only their current mental state, but their outlook on life in general.

One account that draws negative emotions is one too many, let alone an extensive list. An unfollow spree is akin to an emotional spring clean and if your client doesn’t want to give it up, making it a healthier place becomes priority. Looking at friends lists and identifying ‘problem’ accounts allows them to understand what parts are harmless and what’s unhealthy. If an account brings the slightest bit of anxiety or insecurity, click unfriend.

Scroll Free Plans 1

Cold Turkey Give up all social media accounts for 30 days (excluding work account and messaging apps)

Social Butterfly Take a break from social media at all social events

Night Owl Take a break from social media every evening after 6pm

Busy Bee Take a break from personal accounts at work or school

Sleeping Dog Give up social media in the bedroom and improve your sleep

55-56-scrollFree.indd 56

-magazine.co.uk

31/08/2018 10:15

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Section

lex is a nine year old boy with autism. He took part in a pilot study, conducted by Stanford University, of novel autism treatment, which used Google Glass technology to help children with autism to better understand and recognise facial expressions. After the study, he surprised his mum greatly: “He was engaging with my eyes, flickering his eyes to me,” said Donji Cullenbine. For Alex, that was a massive change: he had always felt anxious looking at people’s faces, and struggled immensely to understand what they were thinking.

Through the Google Glass A new study from Stanford University has shown that wearable technology like Google Glass can greatly improve autistic children’s critical understanding of facial expressions and emotions.

The trial, led by Dennis Wall, involved creating an app that connects to Google Glass, and acts as an emotion translator for children with autism to understand. The team behind the project explained: “The [Google Glass] device, which was linked with a smartphone through a local wireless network, consists of a glasses-like frame equipped with a camera to record the wearer’s field of view, as well as a small screen and a speaker to give the wearer visual and audio information. As the child interacts with others, the app identifies and names their emotions through the Google Glass speaker or screen. After one to three months of regular use, parents reported that children with autism made more eye contact and related better to others. “The treatment could help fill a major gap in autism care: Right now, because of a shortage of trained therapists, children [in the United States] may wait as long as 18 months after an autism diagnosis to begin receiving treatment.” The app has three modes that the user can turn on: Free Play, which names the expression on the face of someone within the wearer’s field of view, and two game modes that provide stimulating and educational fun, rewarding the child when they correctly name the facial expressions on display. The app 58

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-magazine.co.uk

Image © Luc Van Braekel (Creative Commons)

31/08/2018 10:19

Image © Mikepanhu (Wikimedia Commons)

Section

TECH: The wearable tech helps autistic people recognise emotions

itself can recognise eight basic facial expressions. Stanford’s study was conducted over the course of a year: at the end, six of the participants’ scores had changed so significantly that the severity of their autism classification was reduced by a step. 12 of the families who participated happily noted that their child was making significantly more eye contact after the trial. Alex’s mother Donji said: “A few weeks into the trial, Alex began to realise that people’s faces hold clues to their feelings. He told me, ‘Mommy, I can read minds!’ “My heart sang. I’d like other parents to have the same experience.” The project is the brainchild of Catalin Voss, and its technological aspects overseen by Terry Winograd, one of the most influential minds at Stanford, who has spearheaded research in the interaction between humanity and artificial intelligence. Google Glass is the obvious choice for wearable technology to power the project. Developed by Google in their Google X facility alongside driverless cars, they went on sale in 2013 for the first time.

The children’s families showed an overall positive feeling towards the app and Google Glasses in their questionnaire taken after the study. It’s an incredibly complex piece of technology which appears astonishingly and deceptively simple. A frame sits across the face – much like standard glasses – but on the right hand side is the computing aspect of Glass. There’s a small display which reflects into the wearer’s eye, a camera which can record 720p HD video, and a small touchpad for simple movements. The display can also be controlled through the user’s smartphone, as it is in this study. In the study, 14 children with autism aged between three and 17 wore the glasses three times a week, with sessions lasting at least 20 minutes, for an average of ten weeks. They used machine learning to understand eight basic emotions: happiness, sadness, anger, disgust, surprise, fear, neutral and contempt. Receiving cues from the app, the children identified the emotions and can use the games to help solidify their understanding of the emotions

they witness but may not fully comprehend using pre-recorded videos in one of the two games modes on the app. They were also encouraged to elicit different emotional responses from others for the purpose of identifying them through Google Glass and the app. The children’s families showed an overall positive feeling towards the app and Google Glasses in their questionnaire taken after the study, showing that they believed the tech was fun and useful, in addition to the positive outcome of the lowering in severity of their child’s autism diagnosis on the Social Responsiveness Scale. The average measure by which the children decreased was 7.38 points during the treatment. However, the test group is small, and researchers acknowledge this. Alongside this, a control group was not used to compare their findings. However, they do believe that their findings are extremely positive. Dennis Wall said: “We have too few autism practitioners. The only way to break through the problem is to create reliable, home-based treatment systems. It’s a really important unmet need.” The team are currently conducting a larger, randomised trial, in the hopes that this will produce more scientifically accurate and usable data. -magazine.co.uk

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31/08/2018 14:04

MENTION THIS ADVERT AND GET

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• Panoramic Sea Views • Overhead Tracking Hoists • Level Acc • Proﬁling Bedsess Wet Rooms • Interconnecting Suites • Dining with Waitress Service • Live Entertainment Every Night • Day Trips • Door to Door Transport • Personal Care Packages • 24hr Call System • Changing Places Room Book Now: 0333 999 8888 Email: sales@safehandsholidays.co.uk www.safehandsholidays.co.uk

31/08/2018 14:32

Product Focus

As part of our Paediatrics Section, we take a look at the products on the market that can help improve the lives of your younger patients.

Weighted Cap sensorydirect.com | 01905 670500 Suitable for kids five and up, this denim weighted cap is great for sensory input while appearing discreet. Fully adjustable, the cap weighs 270 grams, with the weight placed around the rim. The capâ&#x20AC;&#x2122;s calming influence is hidden and the ordinary appearance of the hat allows children to comfortably wear it outside.

More products on the next page

Boon Naked Bath kidly.co.uk | hello@kidly.co.uk For babies who will need extra support as they grow, the Boon naked bath grows with a child. It has two support positions suitable for newborns and toddlers, is collapsible for ease of portability, cradles newbornsâ&#x20AC;&#x2122; heads above water, has a rotating brace for fast and secure positioning and is suitable from birth.

-magazine.co.uk

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31/08/2018 10:21

Undo Me Mini Cube welcomemobility.co.uk | 0203 195 1278 Children with delayed development in dressing can benefit from this bright colourful toy that can help them develop skills and get used to different fastenings at their own pace. The soft and light cube has different fastenings on each side - laces, buttons, zips, poppers, Velcro, clasps and buckles.

Embrace Smartband empatica.com | 0800 862 0272 A new product from the American market, this smartband for epilepsy management can be used by babies, children or adults. It uses advanced machine learning to identify convulsive seizures and sends alerts to caregivers. It also provides sleep, rest, and physical activity analysis.

Bigjigs Glitter Tube funlearning.co.uk | 0800 862 0272 Fun and simple, this toy provides light entertainment and sensory stimulations. The glitter will sparkle as light hits it and as it moves, while the movement of it from one end of the tube to the other will teach children the importance of patience and gravity.

Blackout Blind nrshealthcare.co.uk | 0345 121 8111 This easy to use blackout paper will help children sleep easier at night eliminating any outdoor lighting entering the bedroom. For children who only associate sleep with total darkness, this may help with association and getting them to sleep. Temporary and reusable, it is ideal for travel.

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-magazine.co.uk

31/08/2018 14:40

Mega 4 in a Line very.co.uk | 0800 092 3355 This larger than life take on the classic board game can be used both outdoors and indoors. The colourful design will stimulate children, and the problem-solving aspect of connecting four in either an upwards, sidewards or diagonal line will help develop other skills.

OombeeCube funlearning.co.uk | 0800 862 0272 This colourful cube is a sensory shape sorter that promotes visual discrimination and tactile exploration. The pieces are attached, making it a great toy for on the move and the safe silicone can be chewed and kneaded. It also develops fine motor skills.

Great for children with sensory disorders and particularly for those with sensitive skin

Skinnies Silk skinniesuk.com | 01562 884 898 Great for children with sensory disorders and particularly for those with sensitive skin, Skinniesâ&#x20AC;&#x2122; silk range offers both comfort, security and calmness. â&#x20AC;&#x153;Better body fit, more comfortable, superbly soft and wearableâ&#x20AC;?, these vests and leggings are made with antimicrobial treated silk, are seamfree and tumble dryer and machine washable.

-magazine.co.uk

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31/08/2018 14:06

Scotia Cot

A conventional cot that will blend into any room, providing a safe environment for your child. The Scotia cot will compliment a traditional nursery environment whilst maintaining the functionality needed for care and a safe area for your child to sleep.

*Birth to 5 stone (32 kilos)

· Hospital Discharge · Don't stoop to pick up the baby, let the Scotia cot lift the baby up to you. For further information or to book a demonstration or presentation call: 01233 635353, email sales@centrobed.com or visit www.centrobed.com

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Visit our stand at The OT Show 2018 - Stand A26 Call 0800 051 1931 or visit www.adaptawear.com

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Get together and catch up on the latest news. Find out how we’re making every day count – book now! www.musculardystrophyuk.org/NatConf18 www.musculardystrophyuk.org/ScotConf18 Registered Charity No. 205395 and Registered Scottish Charity No. SC039445

31/08/2018 11:24

EXERCISE

Gympanzees

Section

Kids E

xercise and activity is of vital importance for the health and wellbeing of adults and children. Yet opportunities for disabled children are often difficult to come by. There are in excess of 1 million disabled children in the UK and 84% of families with a disabled child can’t access regular leisure activities. This is not only detrimental to the child’s physical health but to their mental health and the parent’s mental health as well. Access to suitable play opportunities opens up a world of positivity, from improving movement and flexibility to boosting confidence and building friendships, something that all children should have access to. Gympanzees is an organisation that is working towards the opening of the UK’s first fully inclusive activity centre in Bristol. The centre will cater for disabled children and young people aged 0-25 years old. It will be open seven days a week throughout the year and each day will be split into different sessions. Each session will have a different focus ensuring that each child’s needs are catered for and that all children will find a session that will suit them. It will offer opportunities for siblings to play together and families to get involved and it will also cater for birthday parties too. An onsite café will offer an area for parents to relax with a cup of tea and meet other parents while their children play or take part in activity sessions. It is an ambitious vision and it will take time to achieve this. The aim is to have this centre open by 2021 but in the meantime they have been running a pop up activity centre at Emerson’s Green Primary School in Bristol. Gympanzees managed to raise £60,000 to open this pop up centre over the summer holidays to provide families with disabled children a taste of their vision for the future. The pop up activity centre has been very well received with many parents taking to Facebook to share their happiness at finding an inclusive leisure facility over the summer holidays, especially one where they can take both disabled and non-disabled children. The popularity of the pop up centre this year, will hopefully lead to more of these happening in the Bristol area over school holidays as we eagerly await the opening of the main centre in 2021. To keep up-to-date with the progress you can visit gympanzees.org or you can follow them on Facebook. -magazine.co.uk

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31/08/2018 10:22

the

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26 & 27 September 2018, SEC, Glasgow

Join us at Scotland’s leading event for a specialist AHP Conference led by Scotland’s leading Healthcare Professionals & Thought Leaders Theme: Innovations in Health & Social Care in Scotland: Across the Generations

Keynote Speakers: DAY 1 KEYNOTE: Working in partnership for active and independent living: how AHPs support wellbeing, living well, staying active and good recoveries. Speaker: Susan Kelso, AHP National Lead, Early Intervention, Scottish Government DAY 2 KEYNOTE: Digital solutions in healthcare; NMAHPs as pioneers and innovators. Speaker: Lesley K Holdsworth, PhD Churchill Fellow, Clinical Lead for Digital Health and Care: Scottish Government

See the full programme and register your attendance at independentlivingscotland.org New for 2018 The OTAC Arena – the leading free adaptations and equipment based event for Occupational OC C U PAT ION AL T H E R AP Y Therapists! Showcasing leading exhibitors AD AP TAT I ON C ON FE R E N C E plus topical seminars from Langham, Geberit, Invacare, Closomat and the Disabled Living Foundation. The OTAC Arena is a must attend for Scotland’s Occupational Therapists.

OT A C Update your skills • network with fellow professionals gain valuable CPD • discover the latest products!

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31/08/2018 11:28

Heading here

INVESTING in your own

FUTURE Words by Yvonne Thomas

eptember is a good time to think about enrolling in further qualifications in the UK. The end of summer and the start of the academic year brings new possibilities and opportunities. Whether you are looking for a new challenge or have finally got a chance to do something for yourself, registering for a higher qualification, such as a masters or doctorate degree is a great option. Enrolment in higher degree qualifications will not only contribute to your CPD but it will also provide professional, personal and career development opportunities for your future. While your entry qualification to the profession, whether a bachelors or a masters, is all you need to register and to work your way into higher paid and more responsible positons in health and social care, a higher qualification could open more interesting

Enrolment in higher degree qualifications will not only contribute to your CPD but it will also provide professional, personal and career development opportunities for your future.

doors. Even now a bachelorâ&#x20AC;&#x2122;s degree is not deemed high enough to work in Canada, and in the US the entry qualification for occupational therapy is soon to become a PhD. While that is unlikely to happen in the UK in the near future, having the academic qualifications to back up your experience will result in both personal and professional gains. Working in universities for more than 20 years has given me the opportunity to see the benefits of completing higher degrees. Whether you enrol in a post grad diploma, a masters, a professional doctorate or a PhD, studying for a formal qualification brings about significant changes in your perceptions about your role and your future. It is an old adage, but nevertheless true, that education is the key to success. It doesnâ&#x20AC;&#x2122;t mean that you cannot achieve success without it, but with a higher ď ľ

-magazine.co.uk

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Post Graduates

educational qualification you may achieve success quicker and importantly you will be more confident in your own success. I have observed many occupational therapists who have taken up post graduate programmes, often part-time while working fulltime, with varying amounts of support from their employers, grow in confidence as professionals and move forward in their careers.

is a focus for many, there are alternative options in leadership, management, business and public health that are relevant to occupational therapy practice. For those who are already in a management role an MBA (masters in business administration) or DBA (doctorate in business administration) might be more relevant to your current and future roles.

Choosing the right qualification can be difficult, because Check out post-graduate courses at your local universities there are so many possible choices. For occupational to see what they offer and talk to the course leaders if you therapists there are many higher degree programmes can. Before enrolling in a programme it is worth talking that could benefit your clinical work, or provide you to current students and graduates of the programme with better leadership and management about their experiences. While everyoneâ&#x20AC;&#x2122;s skills. Some qualifications will allow you to experience will be different, finding out study both clinical and leadership modules Check out post- about the potential challenges and demands together. Completing course work masters graduate courses will help you to prepare and succeed. programmes may require regular attendance at your local I strongly believe you are never too old to at university (a useful motivator for some), universities to see learn (I was 50 when I graduated from my although block teaching and blended learning (a blend on face to face and online what they offer and PhD), and yet delaying for whatever reason learning) offer more flexibility. Professional talk to the course will also delay the benefits. Donâ&#x20AC;&#x2122;t wait until some imaginary future when you think you doctorates combine three or four core leaders if you will have more time, once you make the modules with a large research project, can. commitment to yourself to invest in your which you can undertake in your own future, you will find the time somehow. The practice field, where as a PhD programme sky really is the limit and with student loans usually comprises less formal teaching and now available for masters study in the UK, a larger independent research project. you may find it more accessible than you It is important to consider the direction imagined. If you are considering a research you want to take your career, and which degree, there are also scholarships available opportunities the chosen qualification might from universities and through the NHS. Go lead to. While deepening your knowledge on â&#x20AC;&#x201C; you know you are worth it. and understanding of your clinical area

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-magazine.co.uk

31/08/2018 12:17

e t a m i t l u The e t a m i t n i in s s e n i l n a e l c

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31/08/2018 14:32

Money Matters BY A DAM BER NST EIN

Money nothing

for

Business can seem very hard when you work on your own or are in the early days of setting up a new venture, so wouldn’t it be great if your practice could be given a shot in the arm with some free – or at least low cost – help? Those prepared to search will find that there is plenty of help available.

f course, while there can be such a thing as ‘free money’, it will come with strings and criteria that must be met. But it’s all doable – you just need to put in the effort. As to where the monies come from, much is from the government, but local authorities as well as some private organisations have a role to play. Amounts awarded can range from three figures – say £500, to £500,000 or more. Naturally, the larger the amount, the stricter the eligibility conditions. Further, some awards are matched – that is, those applying for the funding need to meet certain fund-raising targets of their own.

Probing HM Government Helpfully, the gov.uk website has a simple to use online tool, Finance and support for your business, where visitors can search nationally according to keyword (ie. health), type of support (grant, equity, finance, loan, advice), stage of business (not yet trading, start-up, established), industry (again, health), and number of employees.

There are pages of programmes that may be of interest – some are regional, and others UK-wide. For example, there are a number of business start-up grant or support schemes such as that in Mansfield that offers £1000 to spend on equipment, office furniture, fittings and marketing, as well As to where the monies come as an advice service from Tewkesbury from, much is from the Borough Council that government, but local authorities as handholds applicants well as some private organisations as they navigate the maze of grants. have a role to play. Enterprise finance is

available from a number of sources. Take the Department for Business, Energy & Industrial Strategy’s (BEIS) Enterprise Answers programme for the North of England. Available to firms with up to 249 employees it offers “affordable” business loans from £5000 to £100,000 if the business is based in Cumbria, Northumbria, County Durham, or North Lancashire. For those over 18 wanting to start their own business the government offers mentoring and a grant via the New Enterprise Allowance. A business plan needs to be in place before applicants receive an allowance of £1274 spread over 26 weeks; they’re also eligible to apply for a loan to cover start-up costs. For many, being in the digital slow lane is akin to commercial suicide – and the health sector has the same issues as others. If you’re in this situation you may be able to take advantage of the Gigabit Broadband Voucher Scheme from BEIS. This

-magazine.co.uk

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31/08/2018 10:23

Money Matters Look to regional governments As well as looking at the UK government website, OTs looking for assistance should not ignore what is available from the Welsh, Scottish and Northern Irish governments; a good deal from any one of these might be enough to lead to relocation. Wales, for example, has more than 1200 finance programmes on its Business Wales finance locator website (466 specifically aimed at sole trader in health care with less than nine staff) and Northern Ireland lists 162 business schemes on nibusinessinfo. co.uk (136 for health with less than nine staff). Scotland takes a different approach and hot links to gov.uk while also giving links to Better Business Finance and the Scottish EU Funding Portal. Examples from Wales include Blaenau Gwent Kick Start Grant which offers a £1000 grant to individuals or groups in the Blaenau Gwent area that are in the pre-start up stage of starting a viable business. The Caerphilly Business Development Grant is similar and is valued at £2000. And in Northern Ireland, capital grants for non-agricultural micro, small and social enterprises in rural areas of Derry City & Strabane District Council are available via the Rural Business Investment Scheme. This offers 50% funding and grants between £500 and £90,000 (depending on activity and size of business), marketing grants from £500 - £10,000, and capital grants with resource funds for marketing and bespoke training.

HELP: There are many grants and reductions available to businesses

programme provides up to £3000 towards the cost of getting not just superfast broadband, but gigabit broadband which is infinitely faster. If low carbon and energy efficiency is of interest, there are a number of regional programmes such as that offered by Low Carbon Workspaces in Buckinghamshire, Hertfordshire and the Black Country. This particular programme – backed by the European Regional Development Fund – offers between £1000 and £5000 to cover a third of the cost of a project that reduces energy consumption, waste, water and vehicle fuel costs.

Notable others More help can be found by searching generally on the gov.uk site and selecting the relevant organisation. Mobile therapists might find a small van more useful than a car. If so, they can use a government scheme to both go green and save on motoring costs. Set up by the government to push businesses towards electric vehicles used for commercial purposes, the Plug-in Van Grant Scheme offers business owners a 20% saving off the purchase price of a van. For the new-business minded OT, aged 18-30, there is a low interest

loan (and small grants in special circumstances) and mentoring help from the Princes Trust. In a similar vein, the trust’s Prince’s Countryside Fund offers more than £1 million each year in grants of up to £50,000 to projects that seek to benefit individuals and their rural communities. If a practice building can help the community you may be able to get extra help. The funding has closed for 2018 but keep an eye out for the 2019 round from September 2018. If you decide to take on premises and want to improve its outward appearance you may be able to get funding and grants from your local authority. Ulverston, for example, offers up to £400 or up to 40% of the total costs in their conservation area – and the money can be used for painting, repairs and signage. There are plenty more examples of this type of grant throughout the UK.

Finally There are as many sources of grants as there are leaves on a tree and there just simply is not enough space here to note them down. The lesson here is very simple – just search! Remember to broaden your horizons – look beyond government and into the local area and third party private organisations.

-magazine.co.uk

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31/08/2018 10:23

Performance Health

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Standard Adjustable Walking Stick

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100 Series Rollator The 100 Series aluminium frame ensures a combination of lightweight design and robust build quality with a maximum user weight of 165kg (26st). The range is now available in 6 attractive colours.

Developed by healthcare professionals to enable users of wheeled walking frames to safely transport a variety of daily living items.

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Adverts_OT-Iss24.indd 72

31/08/2018 14:32

PMG Event IN DUS T RY E VE NT

A Meeting of

MINDS Claire Spencer, senior physiotherapist at IW Enfield shares her experience of the annual PMG Conference.

was lucky enough to win The OT Magazine’s competition for a free place at the PMG Conference 2018! I have been to PMG conferences over the years, but none in recent times. The event seems to have grown considerably and continues to be well organised. It was good to see some faces from the past and meet many new people! On arrival, there was a speed networking session which involved 20-minutes at each station with discussions around various topics. This was a great way to get minds engaged and gave people the opportunity to meet early on. It facilitated some interesting discussions between people of different professions. I found it reassuring to know that we are not alone in the many challenges faced in the wheelchair world; particularly in relation to crash testing, pressure management and wheelchair training needs. The conference covered many different topics, all of which were well presented and informative. I particularly enjoyed Dr Mark Wilson’s presentation “Becoming differently disabled and listening to the experts”. It had me crying with laughter at Mark’s description of trialling a powered wheelchair for the first time in Tenerife! On a serious note, his experience of changing mobility reminded me that sometimes

NETWORK: Dr Lisbeth Nilsson and Ali Alshaikh - speed networking sessions.

things we assume to be the next logical step in helping somebody maintain independence, may not be the next logical step for them. For me, this also served as a reminder that sometimes we need to offer people time to contemplate our recommendations. Although not directly linked to my clinical practice, I also found Dr Sarah Mason’s session ‘Cell transplantation research into Huntington’s and Parkinson’s diseases’ fascinating. The poster presentations provided a more informal way to disseminate information, with snapshot presentations given on the main stage to encourage people to view them. There were also some useful ideas within the posters to help with daily practice such as the ‘Get Wise’

leaflets from the British Healthcare Trades Association (BHTA) and ‘The right to travel’ from the National Wheelchair Managers Forum (NWMF), which formalises the way that urgent repairs are managed when service users are out of their service’s area on holiday or travelling within the UK. My experience throughout the conference was that most people are highly motivated to improve the experience for their service users by changing the way they practice for the better - we just all need to communicate this, whether by presenting our experiences at conferences like PMG or publishing research. Visit pmguk.co.uk for updates on next year’s conference.

-magazine.co.uk

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31/08/2018 10:23

Student Placement

GEORGIA SIMMONDS

Learning curve Georgia Simmonds shares her experience of her first placement within a physical rehabilitation setting and explains the invaluable experience she gained there.

uring my first clinical placement I worked interventions needed implementing. in outpatient Physical Rehabilitation for Vocational Rehab ten weeks. The placement was set in A large percentage of my placement was focused a rehabilitation gym which contained on vocational rehabilitation, and in this area of the different types of specialist gym equipment. Intervention service, my responsibilities included offering advice took place within one of the many groups that the regarding return to work/phased return, work activity service ran, where patients would have simulation, operating the BTE machine, their own individualised programme signposting other services available to tailored towards their short term and the patient and, if required, providing long term goals. I conducted initial employers with letters explaining the

patientâ&#x20AC;&#x2122;s progress. assessments with I had various responsibilities while After each interaction with a patient, on placement. I conducted initial patients who had I had to update their notes. I was assessments with patients who had been referred to the also required to keep on track of my been referred to the service as a result service as a result client workload by managing my own of musculoskeletal injuries, surgery of musculoskeletal diary. I was supported by the team of or a neurological condition. If the injuries, surgery or a occupational therapists and if I was patient was deemed appropriate for unsure about something I could always occupational therapy, it was my job to neurological condition. ask them for help or advice. allocate them into the most appropriate During this placement, I learned how group, dependent on their needs and to apply theory into practice; I was goals, so the intervention could take place. given opportunities to use task analysis and activity I would also work with the patient to create intervention analysis with patients. I acquired an understanding plans in the form of treatment programmes, and this about how the occupational therapy process worked helped to ensure that their goals were at the forefront within outpatient physical rehabilitation and about the of intervention. I conducted reviews with patients to types of intervention that can be implemented within monitor their progress and consider how well the the setting. I also learned how to structure my notes in intervention was working for the patient. Reviews a SOAP note format to ensure I included all the relevant were also used as a means to consider whether new information. ď ľ 74

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-magazine.co.uk

31/08/2018 14:08

Student Placement

As the service is particularly focused on vocational rehabilitation, I gained a lot of understanding and knowledge about how occupational therapy can help patients return to work, either on full duties or a phased return. I learned that it is important to ask as many different questions about a person’s work as possible to help consider a variety of interventions. It was invaluable to see the difference occupational therapy can make to a patient who is facing difficulties in their working life.

The OT Process I learned about how different conditions can impact a person’s function and can have a major influence on a person’s occupational balance and identity; however being on placement really taught me the importance of listening to each patient’s occupational narrative and how vital it is to focus on their individual strengths and areas of difficulties, rather than to focus on just the patient’s condition.

Another favourite part of placement was learning and applying task analysis to patients with work issues, it I learned how to advise patients about pacing and provided me with a concrete foundation to break down self-management, gained skills in desensitisation and work based activities into tasks. Using task analysis with scar management and learned about patients enabled me to consider both different exercises that patients can do the intricate details and overarching to improve range of movement and themes such as occupational I learned about how performance and imbalance. strength in the affected limb after an injury or surgery. different conditions A particular case study that springs The biggest thing I learned on this can impact a person’s to mind is a patient who had an ORIF; placement was about myself as a function and can have he was heavily reliant on a crutch to therapist; I now recognise how I work a major influence on a mobilise. He had a physical job that best, I am aware of my strengths and person’s occupational involved lots of walking, climbing and areas for development, and I have standing. As part of the intervention, balance and identity I conducted a task analysis with the discovered a learning style that suits me. Discussions with my educator and patient where we broke down the writing reflective pieces really helped activities he did at work and together me to gather an understanding of we were able to consider areas where he was struggling. these areas and supported me to formulate a plan for Completing the task analysis with the patient enabled development. me to think of interventions that could help him One of the best parts of placement was learning how and how to grade them to make steady progress. to operate the BTE machine and seeing the progress Intervention included gait re-education, addressing that patients made when they used it. Gaining the skills environmental factors with the help of the PEOP needed to operate the BTE machine enabled me to model, and simulation of work activities. As a result of understand the success of an intervention and aided the interventions put into place, the patient made great me in my clinical reasoning as to how to move forward progress and by the time I left placement he was able and plan further interventions. Simulating ADLs or to mobilise unaided and was on a phased return with work activities was imperative for many of the patient’s amended duties at work. progress, and having the tools on the BTE to facilitate this was a priceless experience. It was a vital resource to support my learning, especially for me as a first year, as it gave me confidence to support patients.

Being on a placement was a great experience and enriched me both as a student occupational therapist and as a person and I would advise first year students to grab every opportunity given to them with both hands. -magazine.co.uk

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31/08/2018 14:08

I need a new job!!!!

Looking for a new OT job? Then look no further...

ot-magazine.co.uk/jobs

Adverts_OT-Iss24.indd 76

31/08/2018 14:33

Yourevents If you have, or know of, an event please email it into enquiries@2apublishing.co.uk

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Kent Event Centre

Centenary Pavillion, Leeds

Rise events combine more Organised by the William than 100 exhibitors showcasing Merritt Centre, the free a wide range of innovative exhibition offers the disability products, services, opportunity for OTs to see activities and advice with the new and updated assistive RISE Ability Theatre delivering technology and equipment and key topics from a ‘Get Going Live’ covering leading speakers. all aspects of driving. rise4disability.com wmdlc.org/ EVERY accessability-exhibition ISSUE 26-27 SEPTEMBER

Independent Living Scotland

we bring you the latest events taking place in the OT calendar.

SEC, Glasgow This free event offers the opportunity to discover products and services available to the Scottish market. A two day conference programme will offer OTs a chance to gain valuable CPD. independentlivingscotland.org 17-18 OCTOBER

Care Show NEC, Birmingham Bringing you new products, services, inspiration and innovation to improve the lives in your care and assist you in running your business, bringing together leaders and suppliers for a comprehensive programme of free content. careshow.co.uk

7 NOVEMBER

Jacqueline Webb Training Centre Leeds Venue Learn about expert work to decide whether it’s right for you at a Jacqueline Webb Training’s Inside the Expert Witness World seminar. The seminars last 75 minutes and are followed by refreshments. jwebb.co.uk/booking 8 NOVEMBER

Kidz to Adultz North EventCity, Manchester A free event supporting children and young adults up to 25 years with disabilities and additional needs, their families, carers and all professionals. Boost your CPD by attending one of the 10 free seminars. kidzexhibitions.co.uk

21-22 NOVEMBER

The OT Show NEC, Birmingham Join the UK’s largest, free-to-attend, dedicated event with a total of 80 hours of professional development and access over 100 OT focused and interactive lectures, seminars and practical workshops. theotshow.com

OT-magazine.co.uk

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31/08/2018 14:09

“Eliot’s client Jamie demonstrating his cookery skills”

A great career! I’m Eliot Lamb and I have been a member of the ILS Rehabilitation Solutions team since 2006. Working as a Case Manager and Neurological Occupational Therapist with adults with complex needs as a result of sustaining a traumatic brain injury, I assist them to maximize their own potential in self-care, leisure, and vocational activities. It’s challenging work but I absolutely love my job. Joining ILS gave me the unique opportunity to combine my extensive experience in Occupational Therapy with the freedom to work using the person-centred approach that I have always advocated. This way of working is part of the DNA of the company and as individuals within the therapy team we are actively encouraged to use our own professional judgement to assess and recommend solutions from the full range of therapy, equipment and adaptations that the client and their family need to bring about the best possible outcomes. With fewer restrictions on my professional working practices than in many other establishments, I have the freedom to innovate and put into practice anything that I believe is the perfect match for my client’s needs. Many of the families I work with have been involved in a litigation process as a result of the health difficulties they are facing. We are there to actively deliver the solutions that help them in the next phase of their lives and that’s very rewarding. With a 26-year heritage behind it and with a CEO who started out in OT, ILS is still the UK’s leading family-friendly independent case management company and the career benefits of joining them have been considerable. These include an in-house Payroll service, access to a fantastic mentoring programme and a whole suite of in-service training opportunities. Together with an excellent Client HR recruitment service for engaging care teams to work alongside me, this all leaves me free to focus on individual and family needs.

I’m Karenmarie, I’m an OT and have worked for ILS for 20 years. Case management has enabled us to work holistically with each client and their carers to make a real difference to their lives. I’m very proud of what ILS has achieved over the last 26 years!

We currently have vacancies in the following job areas: Neurological OT working with adults Vocational Rehabilitation Paediatric OT

Posture Management Moving and Handling

For an informal chat about the role please contact Catherine Williams, Clinical Lead or the ILS HR Team on 01722 742442. Alternatively you can view our vacancies under the ‘Work for Rehabilitation Solutions’ section at:

www.indliv.co.uk/about-us/careers

T: 01722 742 442 • www.indliv.co.uk Adverts_OT-Iss24.indd 78

31/08/2018 11:28

Training & Recruitment

CPD T RAINING

CPD and Independent Practice Once you go it alone, you’re responsible for everything, from insurance to overheards and even your CPD.

or some occupational therapists, taking the plunge into the world of independent practice can be exciting, challenging and fulfilling. The nature of the beast may give you the sense of control you have been yearning for in practice, but while you can choose your hours, caseload and budgets, it also means you are responsible for paperwork, legal cover, and your training and CPD. While CPD is mandatory for all OTs, many workplaces support their staff in their learning by offering training events, linking up with suppliers, putting you through a course or simply covering costs. But in the independent arena, you will find yourself having to deal with concerns which were outside your remit previously. Going it alone is a juggling act, but there are ways to make life easier, especially when keeping on top of your CPD. Networking at CPD accredited events is essential for independent OTs. Not only do you gain invaluable experience to record in your portfolio by attending the event but meeting other occupational therapists will encourage you to challenge your understandings

and create conversations. Working in a small circle reduces your opportunities to converse with your colleagues and share ideas. Learning from others is all part of CPD and taking on networking events can keep you in the loop while maintaining your own independence in practice.

Learning from others is all part of CPD and taking on networking events can keep you in the loop while maintaining your own independence in practice It may also be worth enrolling on a mentor service. While you retain ownership over your business, having someone to turn to for guidance or advice can be invaluable. The top businesses don’t do it all themselves, they have teams of advisors to support them and this is no different. Companies such as inclusion.me.uk can help independent OTs with their mentors

and supervisors. Inclusion.me can provide: “Clinical/professional supervision to help with CPD and professional practice, mentoring from our award-winning OT team, designed to help develop your work streams, reputation and business acumen, and a report check service – vital for OTs starting out in private practice or wanting to work in new areas to ensure their reports are up to scratch.” Investing in those who will invest in you can ensure you keep on top of your CPD and develop and build your business skills and reputation. Joining the RCOT Specialist Section Independent Practice may also be of interest to you. Registering as an independent OT with RCOT allows a range of benefits including CPD accredited events, training courses and information on their members only website. At the heart of it though, much of CPD is independent regardless of where you work, and by making time to ensure you are reading literature, attending events and connecting online as you previously had been, keeping on top of your CPD as in independent OT shouldn’t become too taxing. -magazine.co.uk

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31/08/2018 10:25

Training & Recruitment n ei ad M

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We are the largest provider of HP expert witnesses in the UK, renowned and respected in the field

We offer

Occupational Therapists have what it takes! Do you… • Work in a Community, Social Service or Independent setting or as a Case Manager? • Recommend or review care packages? • Have 6 or more years postgraduate experience?

Then you could be a Jacqueline Webb Care Expert! What does a Jacqueline Webb Care Expert do? A Care Expert completes a functional assessment following a clinical negligence or personal injury claim and then produces a cost report covering the lifelong needs of a claimant.This report includes care, equipment and housing and will help the court decide on the amount of compensation to be paid to the claimant. Why would you want to be a Jacqueline Webb Care Expert? • Part time work that sits alongside your current clinical role • Initial 1-2-1 mentoring and comprehensive training • Continuous ongoing development and networking opportunities • Flexibility as the majority of the work is done at home • Freedom to recommend what is truly required for an individual • Be ﬁnancially rewarded for your expertise Visit www.jwebb.co.uk/apply to register to speak to our recruitment team

Adverts_OT-Iss24.indd 80

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Occupational therapists play a key role acting as expert witnesses in clinical negligence and personal injury litigation We require experienced occupational therapists to undertake case work, who are confident, have excellent communication skills (verbal & written), enjoy a challenge, are intrigued by the forensic nature of this work, and above all are keen to learn new skills.

Join our expanding team of experienced Occupational Therapists

Regular work on a case by case basis to fit in with other work commitments Excellent remuneration Full & on-going training, supervision on every case & support You will work on a self employed, flexible basis, alongside your “day job” You will be working at a senior level with a minimum of 8 years post qualification experience as an OT or/and case manager

Request an information pack at admin@somek.com

31/08/2018 14:33

EDGE services

Adverts_OT-Iss24.indd 81 2 Edge PEOPLE 2018 Ad.indd

31/08/2018 05/02/2018 11:28 17:41

Heading here

Your Voice Counts We want your help to shape The OT Magazine. We are constantly striving to ensure we get the content right to provide you with an enjoyable and informative magazine. We would really appreciate if you could take the time to share your thoughts and ideas with us.

Your details Name: ................................................................................................. Address: .............................................................................................. ............................................................................................................... ...............................................................................................................

Your voice What would you like to see more of in the magazine:  Products  Emerging roles  Columns from OTs  Creative methods implemented by OTs  Services available for patients/clients  Information on accessible holidays or respite

Postcode: ...........................................................................................

 Information on CPD and events

Tel: ........................................................................................................

Other (please specify)........................................................ ..................................................................................................

Email: ...................................................................................................

Your comments...

You are:

.................................................................................................. An occupational therapist ......................................................... An independent occupational therapist ............................... A student of occupational therapy ......................................... What band of OT are you?

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............................................................................................................... What area of OT do you work in?

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Please post your form back to The OT Magazine, Caledonia House, Evanton Drive, Thornliebank Ind Est, Glasgow, G46 8JT

-magazine.co.uk

31/08/2018 10:25

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31/08/2018 11:29

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