The OT Magazine – Jul / Aug 2021 by 2A Publishing

THE

PAEDIATRIC YOGA Using this ancient Indian art form to equip children with strength, resilience and confidence

MAGAZINE Issue 41 | Jul/Aug 21 | Improving Independence

COLU M N S

PRO DUC T S

CPD

EVENTS

MENTAL HEALTH

The Motability Scheme enables disabled people to lease a new car, scooter or powered wheelchair without the worry of owning and running one. Parents and carers can drive on behalf of the customer. The vehicle should be used by, or for the benefit of, the disabled person.

Making life easier for disabled people

“Learning to drive and having my own car has helped tremendously. I have gained a new independence and the freedom to move around easier.” Allison

Who can join the Motability Scheme? Your patient may be able to join the Scheme if they receive one of the following: • Higher Rate Mobility Component of Disability Living Allowance (DLA). • Enhanced Rate of the Mobility Component of Personal Independence Payment (PIP). • War Pensioners’ Mobility Supplement (WPMS). • Armed Forces Independence Payment (AFIP).

What’s included on the Motability Scheme? Insurance Breakdown assistance Servicing and repairs Tyres and battery replacement

To find out more about the Motability Scheme visit motability.co.uk or call 0800 093 1000 (quote OT Magazine)

How Motability, the Charity can help Motability is a national charity which oversees the Motability Scheme. Motability may be able to provide charitable grants towards vehicle Advance Payments, adaptations or driving lessons to support disabled people who would otherwise be unable to afford them.

Do you have patients that could be eligible to join the Motability Scheme? Visit our website to order your free information pack

motability.org.uk/advisors or call 0800 500 3186 Motability is a Registered Charity in England and Wales (No.299745) and in Scotland (No.SC050642). Motability is authorised and regulated by the Financial Conduct Authority (Reference No.736309). All cars, scooters and powered wheelchairs provided under the Motability Scheme are leased to customers by Motability Operations Ltd, who operate the Scheme on a contract basis for Motability. Motability Operations Ltd is authorised and regulated by the Financial Conduct Authority (Reference No.735390).

About us

The Team

Editor: Rosalind Tulloch Staff Writer: Katie Campbell Designer: Fionnlagh Ballantine Production: Donna Deakin Sales: Danny McGonigle Contributors: Kate Sheehan, Ruvini Silva, Kate Smith, Aimee Crane, Lisa Turner, Kirstie Hughes, Carley Jackson-Dart

This month’s issue...

Get in touch 2A Publishing, 20-23 Woodside Place, Glasgow, G3 7QL

It has never been more important to remain positive and hopeful, something that OTs are well versed in, and this issue is a real celebration of the diverse work that occupational therapists have been doing over the last year.

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 2021 © 2A Publishing Limited. All Rights Reserved. ISSN-2056-7146

uly has arrived with the sunshine in tow and the promise of normality resuming shortly – well, perhaps. We won’t hold our breath on that one.

Turn to page 12 to read about Ruvini Silva’s role as a neuro occupational therapist consultant and how she implemented changes to her practice throughout the pandemic. Discover the value of placing an OT in a strategic leadership role as we hear from Kate Smith, Head of Intermediate Care Services in Somerset on page 22, and hear from an OT working in pain management. There is plenty for paediatric OTs to delve into this issue as we look at the use of yoga to help centre the young bright minds of today, and we explore how OTs can effectively work with young people living with varying forms of arthritis. We are also celebrating the return of events this issue, find out everything you need to know about the long-awaited return of The OT Show in November on page 40, and jump over to page 57 to read all about what Naidex has in store for OTs in September. We look forward to meeting many of you at these events again. We are always encouraging OTs to get in touch to shout about their amazing work, so please don’t hesitate to get in touch by emailing ros@2apublishing.co.uk. The OT Magazine, Editor

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

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

What’s inside 07 What’s New

Bringing you up to speed with all the latest news from the healthcare sector

11 Virtual Assessments Kate Sheehan asks: are virtual assessments the future of OT?

12 Supporting

Brain Injury

Neuro OT Ruvini Silva explains how she supports clients living with brain injuries

12 30 Pain Management 19 Product Focus The latest must-have products on the market

22 Leading the Way Kate Smith explains the value of OT integration in the Discharge to Assess pathway

25 Day in the Life Meet Aimee Crane, head of clinical services at Think Therapy 1st

27 Inclusive

Bathroom Design

Creating bathrooms that can be used by the entire household 4

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Specialist OT Lisa Turner explains how she and her team help patients manage chronic pain

33 OT Receives

Queen’s Honour

Lyndsey Barrett is to be honoured with a prestigious award

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

38 An Island Escape Kirstie Hughes exalts the benefits of Nintendo’s smash-hit game, Animal Crossing: New Horizons

40 The OT Show

is Back

Get ready for the return of the UK’s largest OT event

Product

Focus 35

43 OT in the

Community

OT Carley Jackson-Dart brings us on a journey through the fast-paced life of a community OT

46 Taking the Strain Could OTs help an overwhelmed health service treat patients living with mental illness?

50 Paediatric Yoga How can OTs use yoga to help younger clients thrive?

52 Juvenile Arthritis Using occupational therapy to improve the lives of children living with rheumatoid diseases

54 Paediatric Products Innovative products for your younger clients

57 Naidex Returns

for 2021

The annual show is finally back for this year

58 Those Who

Love, Teach

Why you might want to consider a move to academia

62 The CPD Cycle Don’t let the stress of continuing professional development get on top of you

65 Event Calendar Essential dates for your diary -magazine.co.uk

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

What’s new? BUBBLE WALL HELPS AUTISTIC BOY SPEAK Zac Render, who is autistic and non-verbal, stunned his mum Chrissie after the installation of a bubble wall in their family kitchen prompted him to begin naming the colours he could see on the sensory equipment. Zac, who is five, was diagnosed with autism and global

development delay at the age of three, and was “mesmerised” by a bubble wall at a restaurant the family saw while on holiday a few years ago. With the help of charity Children Today, the Renders were able to have one installed in their house, and it’s had a significant impact on the young boy’s life. Not

Over five million NHS England patients waiting for treatment to begin Figures published by NHS England show that over five million patients are currently waiting to begin treatment due to disruption caused by the COVID-19 pandemic - the highest figure since records began in 2007. 385,490 of those patients have now been waiting for over a year for their treatment to begin; this number has, however, fallen from 436,127 in the previous month’s report, showing a substantial decrease. Senior policy fellow at the Health

Foundation, Tim Gardner, said: “Today’s figures are a stark reminder of the pressure the NHS faces as it works to tackle the enormous backlog in routine hospital care caused by the pandemic. “Nearly 3,000 people have now been waiting more than two years for a procedure which the NHS constitution promises should be performed within 18 weeks, and nearly 400,000 have been waiting over a year. The total number of people waiting for routine hospital

only has he spoken without picture cards, but the bubble wall also calms Zac and helps him to sleep. Chrissie told the BBC that Zac was ecstatic when the bubble wall arrived, and instantly started shouting out the colours he could see once the sensory equipment was plugged in and turned on. Speaking to the BBC, Emma Prescott, director of Children Today, said: “Sensory overload can be really distressing for children with autism and sadly bubble tubes and other sensory equipment that can help are prohibitively expensive for many families. “But, as you can tell from Zac’s story, the effect of such a simple item on both the child and the family as a whole is often profound.”

care – 5.1 million – is now greater than at any time since records began in 2007. “Waits of this magnitude are not acceptable to anyone and we know that the NHS and government are working hard to find a solution. The NHS needs to increase levels of activity but this will be extremely difficult with significant workforce shortages, post-pandemic staff burn-out and ongoing constraints on capacity due to COVID-19, including social distancing. “The NHS urgently needs additional resources but importantly, local services also need the freedom and support to trial and evaluate innovative new approaches to tackling the backlog and share learning across the country. Making incremental improvements to business as usual, while important, will not be enough to address a challenge of this scale. www.

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DONATIONS RAISED FOR STUNT WOMAN ALLOW POST-SURGICAL OT

Dayna Grant, a stunt performer and co-ordinator from New Zealand, has set up a donation page to fund brain surgery and subsequent care after suffering a head injury on the set of the upcoming Amazon Prime series The Lord of the Rings. Xena legend Lucy Lawless, who worked with Dayna as her stunt double on the series, pledged to match whatever fans donated using the hashtag #XenaLove, with the funds going towards paying for the emergency brain surgery and postoperative care, and with fans having raised over $90,000, Dayna will now be able to afford occupational therapy and physiotherapy to aid her return to work. Dayna, who has also worked on movies like Mad Max: Fury Road and Wonder Woman 1984, experienced symptoms of traumatic brain injury on the set of Amazon’s JRR Tolkien adaptation, and was sent for scans, which unfortunately revealed that she had an 8mm aneurysm and upper spinal injuries, which surgeons said required emergency surgery. Thanks to fans, however, she is now scheduled to undergo the surgery next month.

RCOT-led working group raises awareness of OTs helping children The Royal College of Occupational Therapists has been leading a taskforce with a number of other organisations, including the Royal College of Speech and Language, the Chartered Society of Physiotherapists, the British Academy of Childhood Disability, and the Disabled Children’s Partnership, with the aim of bringing greater access to therapy for children and young people. Having gained the support of Vicky Ford MP, the children’s minister, last November, RCOT met with her to highlight concerns that young people were not able to access therapy at the levels they were

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pre-pandemic. Ford promptly set up a working group comprised of NHS England, the Department for Education, the Department for Health and Social Care, and Public Health England, which examined children and young people with SEND’s access to therapies. RCOT said that they “will be pushing for cross-departmental support to ensure all children can access occupational therapy at the right time, and in the right place.” Steve Ford, RCOT chief executive, added: “This is really positive news, demonstrating how lobbying by the RCOT public affairs team gets results for our members and society.”

service to and products for.

CARE & INDEPENDENCE LAUNCH SAFE PATIENT MOVING AND HANDLING SURVEY Care & Independence has launched a new survey which hopes to gather important market research from occupational therapists regarding a variety of topics relating to the healthcare moving and handling market. James Bennett, marketing and sales director, said: “As a company

we have always prided ourselves on being able to improve the lives of thousands of [disabled] users and their care providers. We are constantly striving to improve upon and enhance the offering we provide and the best way to do this is to really understand the lives, needs and wants of all those we provide a

Shropshire hospital gets cutting edge rehabilitation tech

“By hearing direct from occupational therapists and other healthcare providers about their personal experiences and opinions, we can be confident in implementing improvements and investing in the areas most important to our customers.” The Safe Patient Moving and Handling Market Insight survey covers an assortment of topics, including product knowledge and training, and encourages participants to give their pwn input. As further incentive to take part, the first 50 respondents will be offered a complementary power bank; additional, two people who take part in the free prize draw available to all participants could win an Apple Series 6 watch, or a sling from the Care & Independence Glove range up to the value of £300. The survey will be live until 15 July 2021, and can be accessed via the “contact us” page at careandindpendence.com. The Robert Jones and Agnes Hunt Orthopaedic Hospital in Shropshire has become the first hospital in the UK to get access to the Mobile Arm Rehabilitation Kit (MARK), a powered hand and arm orthosis designed to aid the restoration of function to paralysed or weakened upper limbs. The hospital was able to secure the technology thanks to a £50,000 investment from the League of Friends. Used under the care of an occupational therapist, the device can help patients living with physical, sensory or cognitive conditions regain independence. Consultant orthopaedic surgeon Simon Pickard said: “This is a really innovative and progressive piece of equipment that will benefit a large cohort of our patients going forward – especially those with weakened muscles or paralysis that require intensive rehabilitation. “As the first NHS trust to have this system, it means we have the opportunity to be involved in highquality research and will allow us, as a hospital, to provide our patients with world-class care.” -magazine.co.uk

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VIRTUAL ASSESSMENTS –

ARE THEY THE FUTURE? F or the last few months, I have been reflecting on my practice and what it will look like in the future. During the first lockdown, we all scrambled to find different ways to meet our client’s needs in any way possible without increasing the risk of transmission of COVID-19. As a result, we have all become proficient in the use of virtual tools: Teams, Zoom, WhatsApp, FaceTime, and using alternative ways to collect data via questionnaires and pictures. These virtual tools have been vital in enabling us to continue to practice and have, in most circumstances, been a real benefit. In my practice, I have seen the significant benefit of these virtual tools, as seen in these three personal experiences: I was involved in a virtual planning meeting held with a local authority (LA), which required three representatives from the LA: a community occupational therapist, an independent therapist and a case manager. It was completed from the comfort of our own home working spaces. It reduced travel time by ten hours for all the participants; there were no mileage or travel costs, and it worked extremely efficiently as the issues were resolved in 45 minutes. The time saved is phenomenal and the client stated afterwards that it felt far less intimidating and scary. In multidisciplinary team settings where we can catch up on the client’s goals, discuss future actions, and share essential information. Again, this saves a huge amount of

travel time and mileage - for a private client paying costs this has a massive financial benefit. I have, however, learned that for a successful meeting, you need an excellent chair, a comprehensive agenda and time limits to keep everyone on track. Adaptation costings meeting completed with a builder online. Using WhatsApp for a small bathroom adaptation, I moved around the bathroom showing the essential items they needed to see. I was even able to show everything outside, lifting drain covers to show the fall and depth of the drains, crawling through bushes to show the effluent pipe and climbing up a ladder to show the fuse board. It reduced the contact for the client and made it more time-efficient for the builder.

There are also other benefits of virtual tools. I have found most companies have embraced the changes, offering online assessments, support, and training, which has enhanced my practice hugely. The latter specifically has allowed me to keep up to date on products, clinical information and changing government policies. I can specifically recommend Foundations (foundations.uk.com), Abacus Academy (abacushealthcare. co.uk/abacus-academy) and the seating series by Accora (accora. care). Is virtual the way forward? Although I can see a lot of benefits, I still feel

that face-to-face work in some circumstances is necessary: I can complete an initial assessment for a client online, but I do need to meet them in their own home as this allows me to make comprehensive recommendations on modifications. However, other things are more important. When you see a client face-to-face you can ask questions, listen to their answers, observe their non-verbal communication, and it is much easier to go off on tangents to discuss topics that have more meaning to them and are more of a priority to them than the essentials of accessing the toilet or shower. There is also that key element of an assessment where you may wish to speak to a client alone; those conversations with them in the bathroom with the door closed. These moments allow you to give a client time to speak openly, with confidence in a confidential space, and this is something that cannot be done virtually.

I believe we will return to a new normal with a hybrid approach to practice, still doing face-to-face assessments with our client’s but using the virtual tools available to us to complete follow up discussions, conduct meetings with professionals or liaise with companies. In my opinion, this will be one positive outcome from the pandemic as it promotes better use of time and, more importantly, has a massive impact on the environment as it cuts down on travel.

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SUPPORTING BRAIN INJURY Neuro occupational therapy consultant Ruvini Silva works with brain-injured clients to support them to maximise their independence and achieve their personal goals. Ruvini shares the work she does in this role and discusses the changes she had to implement throughout the pandemic

rom a young age, I believe my initial interest and exposure were gained by observing my father carrying out his consultations as a physician. This is where I mastered and emulated the fundamentals of building patient rapport, bedside mannerisms, communication and listening skills. Professionally though, my journey as an occupational therapist started in 1996 in Perth, Australia where I worked for the Blind Association as a new graduate. The role involved assessing and treating patients with various visual impairments as well as neurological or longer-term conditions. I then returned to the UK in the late 1990s where the clinical and management experience I gained in some of the most prestigious hospitals in London has framed my current practices as a consultant neuro occupational therapist. I worked as a neuro OT in the Midlands and then Southend-on-Sea which exposed me to various neuropathologies from MS to Guillain Barre to myasthenia gravis. From here I went on to St Mary’s Hospital in Paddington, London to work in acute and rehabilitation with some excellent clinicians including allied health professionals and medics who were experts in their respective fields. This is where I learned and assimilated my clinical assessment skills and also gained exposure to evidence-based practice and research. In 2005, I then moved to Surrey with my young family and worked for Hampshire County Council as their county consultant until 2017. Now I work as an independent clinician and was instrumental in setting up a virtual service for brain-injured clients for a charity in Hampshire during the pandemic in early 2020. Brain injured clients in general are a more disadvantaged 12

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The most rewarding part of my job is experiencing progress whether that be physically, mentally or socially

group in comparison to those living with other longterm conditions. The soft symptoms of poor memory, ability to plan, poor organisational skills, impulsivity, behavioural problems, increased levels of anxiety, and depression are not always visible to others. As a result, this leads to problems of fully understanding the brain-injured client as a person with an impairment or disability. Clients with a brain injury are more susceptible to experiencing mental health problems during some period of their lives. Some of the short- and long-term effects of brain injury are related to mental health and can include increased levels of anxiety, depression, aggression, and impulsivity. The consequences of brain injury are influenced by a multitude of factors, from the premorbid state of social function, financial and environmental state, life experiences in childhood, to young adult life. From my experience of working in brain injury, this client group are also pressured with loss of their previous status, social isolation, changes to family dynamics and roles. Additionally, the lack of coordinated care in the community with no routine services that are easily accessible, leaves a client with further issues to address. Some clients may seek the comfort of alcohol, recreational drugs, gambling and even turn to various unhealthy social relationships by joining gangs and other groups where they may feel a sense of belonging. For the purpose of discussion, I would like to give you an overview of my role as a part time independent OT consultant where the day begins with planning and a team meeting with rehabilitation assistants who are extremely dedicated to the service. As the clinician, I assess new clients and offer them appropriate sessions of remedial activities, therapeutic groups or one-to-one sessions, as deemed suitable for a client.

The model of practice is an eclectic one. Tailoring to the individual needs of the client as well as matching them with peers who are at similar levels in function and interests. It is worthwhile noting that the majority of the clients may not have had access to rehabilitation post-injury. The clients on a stroke pathway may have had some input with an early supported discharge team for four to six weeks only. This was a similar state of service provision pre-pandemic. The service was previously providing day centre activities, but in 2020 with the start of the pandemic, the innovation of service delivery took place within weeks. I was instrumental in implementing these changes and working closely with rehabilitation assistants. First with the introduction of basic telephone calls with remote monitoring which were diarised weekly. I then developed a booklet for the rehabilitation assistants to follow to help maintain therapeutic conversations. The contact with the clients was extremely useful in maintaining some degree of structure to their day. Although a few clients found talking over the telephone difficult in the absence of the face-toface contact. But with persistency and ongoing input clients reported more confidence. Within weeks the new virtual platform of Zoom was experimented and again not without technical problems. With the successful sessions of zoom being embraced by most clients we were able to offer them face-to-face virtual meetings and a hybrid model of service. The main focus during the pandemic was maintaining the client’s psycho-social needs and preventing deterioration. As clinical lead/OT consultant in a part time role I am able to assess and tailor make their treatment to their needs, offering appropriate interventions, whether it be working on improving their memory or working with a programme on fatigue management.

The main focus during the pandemic was maintaining client’s psycho-social needs and preventing deterioration

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I strive to facilitate a personcentred approach. There is ample time for a client, without any immediacy for discharge I would like to stress that during this one-to-one consultation I always allow five to ten minutes to talk to my client on examining their sleep patterns, nutritional intake, general wellbeing check or even how they have been spending the last 48 hours. This provides a clear picture of their health and wellbeing as well as possible ongoing issues to address. This may also include identifying the need to signpost a client to another service. The need to signpost clients to relevant services is a tricky one. As limitations remain in speech and language therapy, neuropsychological services and social work. As a result, some clients may seek private help or no service at all. My role also involves discussion with GPs or other health professionals who can assist the client with any additional needs, such as monitoring their diabetes, consulting neurologists, psychiatrists, or referral to a falls clinic. As for satisfaction from this role, the ability to work with a group of clients who may not have routine access to statutory brain-injured services locally, I am able to provide and develop the service to meet the client’s needs. As we know 14

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the landscape of services nationally for brain-injured clients is still limited. My perspective is providing the client with opportunity to better understand how the brain injury has affected them and helping the client adjust and find solutions to their new way of life. This may be at times going back to basics of occupational therapy and occupational science. The ability to view every client as an ‘occupational being’ is vital as every one of us needs to be able to pursue and orchestrate occupations, whether it be an activity of daily living, unpaid or paid work, or leisure activities. I strive to facilitate a person-centred approach. There is ample time for a client, without any immediacy for discharge. Self-exploration and working to a client’s own pace are encouraged. The most rewarding part of my job is experiencing progress whether that be physically, mentally or socially. Examples where a client may wish to then consider working, or a further studying option, or simply saying “I can express myself here” showing improved confidence and independence. I am always striving for clients to feel at ease and to provide the opportunity to explore new occupations and give them a purpose in life. This is the purpose of occupational therapy in its true sense, and I am proud to fly the flag for this profession.

Advertising Feature

Unmissable CPD courses for OTs Two fascinating new online courses written by OTs for OTs have launched this year, by world-class training provider Sensory Integration Education (SIE). Here’s an overview of both courses. Feeding is one of the most complex things we require our bodies to do because it involves every sensory system integrating information about our body and the world around us. Would you know how to recognise when sensory-based issues are impacting on your client’s feeding difficulties and which strategies to advise and which to avoid?

Supporting Individuals With Feeding Difficulties: Sensory Integration in Practice - A Multidisciplinary Perspective is a 10-hour online course comprising videos, presentations, interactive quizzes, worksheets and clinical discussions between your highly experienced and engaging trainers Laura and Louisa. Laura Osman is a Highly Specialist Speech and Language Therapist, Advanced Sensory Integration Therapist, Feeding Therapist and Teacher. Louisa Hargett is a Highly Specialist Occupational Therapist, Advanced Sensory

Integration Therapist, Feeding Therapist and Teacher. This course will provide you with a multidisciplinary perspective to understanding the complexity of feeding and will provide strategies that will inform therapeutic and educational planning to support children with feeding difficulties to improve their relationship with food. It is great value at £65 , is CPD Accredited and includes free Affiliate Membership to SIE. Search: bit.ly/FeedingCourse Have you ever dreamed of designing your own Ayres’ Sensory Integration (ASI) space? Ever wondered how you could make a rented room work for your SI therapy? What equipment would you need if you decided to offer mobile SI-informed therapy in schools, homes and workplaces? This new course from SIE has all the answers for you. Designing Your Own ASI Space is an online course, packed with helpful and practice advice from Moyna Talcer - a Consultant Occupational Therapist with 20 years’ clinical experience, both in NHS and private practice, and an Advanced Practitioner in Ayres' Sensory Integration. This course is a must-see if you are thinking of adding SI-informed therapy to your practice. It comprises 5 hours of content using slides with voice-over, captioned videos, worksheets, downloadable handouts and recommendations for further reading. All advice is linked back to the evidence base for ASI and maintaining fidelity for ASI interventions.

The course also includes a bonus video of an interview with Mike Brooke of Southpaw UK, who discusses the precise requirements of the different kinds of suspension equipment that are suitable for owned or hired spaces and for mobile therapists. If you want to be guided through the decision making process about designing an ASI space or a mobile ASI therapy service, then this is the course for you. Priced at only £45, it is CPD Accredited and also includes free Affiliate Membership to SIE. Search: bit.ly/ASIspace For more information on these courses, as well as SIE’s universityaccredited postgraduate SI Practitioner training, and live webinars on CPD topics, see: www.sensoryintegration.org.uk

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Wiltshire Farm Foods Turns 30 with Softer Foods Offer This summer, Wiltshire Farm Foods is celebrating. It’s been 30 years since the company created its first ready meal and, all these years later, it’s celebrating with a Softer Foods offer for those with swallowing difficulties.

lso known as dysphagia, swallowing difficulties are brought about by a variety of medical issues and can be hugely problematic for those who cannot access appropriately textured meals. As a thank you to OTs and their patients who have supported Wiltshire Farm Foods over the years, the company has developed an exclusive Summer Menu Pack, which includes seven mains and five desserts – two of which are brand new to their renowned Level 4 Purée Petite range. This range has been created specifically for those with dysphagia, as dishes with this texture are puréed and

smooth with a consistent texture, each one meeting with IDDSI Level 4 requirements. One of the new dishes is a delicious Puréed Honey Glaze Pork with Apple Sauce, which comes served with sage and onion sauté potatoes and green beans. And those of you with a sweet tooth will also enjoy their Puréed Summer Fruit Sponge and Custard; the perfect zesty finale to your meal, with a sweet and fruity tang. Featuring many of their classics from over the years, such as Purée Petite Omelette, Chips, and Beans and tasty Purée Classic Fish in Creamy Sauce, Wiltshire Farm Foods’ menu pack will surprise and delight your tastebuds, whilst complementing the summer sunshine and brightening your mealtimes. Join them in celebrating the best flavours of summer in a texture you can enjoy, for just £41.85. Just quote SF21 to receive your exclusive Summer Menu Pack. Time to get that freezer stocked and enjoy meals which are not only delicious, but also safe to eat. Visit wiltshirefarmfoods.com to find out more.

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

TRACK WHEEL

The Track Wheel is designed to transform an active wheelchair into an agile tricycle to give wheelchair users greater freedom. The Track Wheel is perfect for tackling everything, from everyday shopping trips to forest walks and beach trips. It attaches easily to manual wheelchairs and offers increased comfort and manoeuvrability. rehasense.co.uk | 0333 220 0704 2

FRESHWIPES

FreshWipes are the ideal solution for anyone struggling to shower or bathe. The extra-large, antibacterial and biodegradable body wipes are perfect for cleaning your body and removing dirt and body odour. There is no need to rinse and they will leave you feeling fresh and clean. freshwipes.co.uk

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KNORK FORK

The Knork Fork is a clever combination of a knife and fork and it is designed for one handed use. Suitable for either right or left handed users, it has outer prongs that are broader than the others and which have a specially shaped edge that will cut food without presenting a risk of mouth injury. completecareshop.co.uk 03330 160 000 4

RAINBOW WALKING STICK

This stylish and bright walking stick provides users with a sturdy and comfortable walking aid. The moulded handle is designed to prevent blisters, it comes with a detachable wrist strap and a heightadjustment clip. The non-slip, shock absorbing ferrules ensure minimum impact on the joints too. coolcrutches.com 5

FIDGET WIDGET

The Fidget Widget was designed with a goal to improve the wellbeing of people in the later stages of dementia, by supporting their psychological needs to feel occupied, engaged and included in a meaningful activity. Roll is one of five specially designed widgets, with a smooth satisfying rolling motion that moves a secured marble around the edge of the tool. relish-life.com

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PASHMINA PROTECTOR

This stylish pashmina style clothing protector provides users with an elegant and dignified solution for keeping clothes dry and clean. It combines protection in the form of a waterproof bib with a luxurious silk-like fabric as the top layer. It drapes beautifully, attaches easily at the nape of the neck, is machine washable and can be tumble dried.

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ETAC BACK WASHER

The Beauty back washer has been designed to allow users to easily clean the body without straining or stretching. Its replaceable wash cloths wash effectively without absorbing water. It is ergonomically designed to provide maximum power with minimal effort or strain on hands, arms and shoulders. manageathome.co.uk 8

PORTABLE FAN

This stylish portable fan is the ideal fan for patients to carry with them to keep them cool, whether that be in hospital, on the go, or at home during the hot summer weather. This fan is rechargeable and comes with a lanyard so it can be kept close for ease of use. fanu.co.uk

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LEADING THE WAY

Kate Smith is the Head of Intermediate Care Services in Somerset. She discusses the intermediate care set up, the integration of the Discharge to Assess pathway, and the value that her experience as an OT is bringing to the role

ntermediate Care in Somerset is an integrated collection of key services that support acute discharges and prevent admissions. The services within intermediate care include; rapid response services, all Discharge to Assess (D2A) pathways, community hospital beds, end of life care and the voluntary sector. All demand and capacity is coordinated through an integrated hub. The intermediate care model in Somerset was created following the publication of the Hospital Discharge Service: Policy & Operating Model in 2020. The Head of Intermediate Care post is a joint health and social care funded position. The post was created to lead the operation of the intermediate care model in Somerset, acting as one single point of contact across the integrated health and social care pathways.

WHY WAS AN OT APPOINTED?

We had a Home First service prior to the pandemic but this was criteria-led and it didn’t encompass the full D2A principles: people still needed to be assessed in hospital to identify if they had ‘rehab’ potential in order to access the service. As an occupational therapist I knew the significance that embracing the D2A principles could have on people’s outcomes. I knew from practice that assessing people’s physical and cognitive needs was challenging in a hospital setting and that the ‘home is best’ mantra needed to be embedded across health and social care in order to truly be able to deliver the ambitions set out in the Hospital Discharge Policy Guidance. Any successes I’ve had in my career have always been based on simple solutions – things that we in OT call “common sense”. Embracing the D2A principles in Somerset seemed like common sense and the right thing to do. This led to me applying for the position of Head of Intermediate Care Services in Somerset. 22

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VALUE OF OT IN A STRATEGIC LEADERSHIP ROLE

The role requires me to work on not only the obvious structural changes of setting up a service, but also the behavioural change necessary to shape the mindset of colleagues across a system in order to reshape the support we offer in people’s own homes. The values and principles of occupational therapy have supported me in my role to empower colleagues from across different disciplines to take positive risks in order to support patient choice and get more people back home from hospital. Using the ‘Embracing risk; enabling choice’ (RCOT, 2018) publication to support this cultural and behavioural change has been a good lever. As an occupational therapist, I have first-hand experience of the importance of working as part of a wider multidisciplinary and multi-agency team. Joint working and shared practice with a focus on person-led goals are principles which as an occupational therapist you learn early on in your career. We are trained to consider the person holistically and in conjunction with their support networks and their environment. This ability to holistically look beyond the presenting condition is a unique skill that often gets tainted as an unattractive and ‘generalist’ role. In an influencing strategic role, I have been able to brand these specialist ‘keyworker’ skills as worthy of system wide investment. As a leader who values the importance of multiagency working I have had the opportunity to support collaboration at neighbourhood level; across community nursing, social care, mental health, community and acute health professionals, care providers, primary care networks, community pharmacies and the voluntary

sector. Bringing the voice and intelligence of the community workforce into the decision making within acute discharge hubs has helped to close the long standing gap between community and acute services, where service-users so often fall between.

ACHIEVING GOOD OUTCOMES FOR PEOPLE

Intermediate Care Services in Somerset have seen an increase in the complexity of people’s needs. Despite this increased complexity, the service has supported over 40% more people in 2020 than in 2019 to return directly home from hospital, rather than be transferred to rehab beds. Since February 2021, Somerset has consistently reported 95% of over 65s going straight home from hospital, if you combine those going home on pathway 0 with no support and those going home with Pathway 1 D2A. The county also saw an 86% reduction in care placements from hospital during 2020, with no people being placed into care homes directly from hospital during the month of April 2021. Outcomes from intermediate care pathways are strong, with a large percentage of people remaining at home.

As an occupational therapist I have never lost sight of what makes a good service: this is through the achievement of good outcomes for people. So often in a role such as this, the national expectations and measures of a good service are based on managing hospital flow; saving beds and reducing length of stay. As an occupational therapist, I will continue to have a different story to tell; growing a service that makes a difference to people’s lives.

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What is your current role and how long have you been in it? I work in specialist rehabilitation, for Think Therapy 1st. I receive instructions from case managers, solicitors and insurers, to assess and deliver rehabilitation to clients who have suffered catastrophic and severe injuries. Following thorough assessment, I make recommendations to address physical, cognitive and emotional symptoms to maximise function and independence. I began working with Think Therapy 1st in 2018 as an associate, and I am now employed full-time by Think Therapy 1st.

Describe a typical day... My job is flexible and varied, so no two days are the same! However, most mornings, I am logged onto my laptop ready for a quick video call meeting with the team. We monitor each other’s workloads to ensure our days are manageable. Next up, I will likely have a session

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planned with a client. Our model is activity-orientated, and the content of the sessions depend on the client’s outstanding goals. I could be supporting a client to return to previous leisure roles, finding myself playing golf, fishing, cycling – anything! I may be delivering education around the functional management of fatigue, pain or anxiety, for instance. I could be supporting a client to return to or get into work or education. For example, last week I found myself ankle deep in mud on a building site, whilst observing my client completing his essential work roles after a period of work hardening and conditioning. In light of COVID, we deliver video call sessions wherever appropriate, I have found myself doing online cooking classes with clients and carefully planned cognitive rehabilitation activities. I love hearing about the therapeutic activities that my colleagues have used with their clients - one that sticks out to me is learning to do the Hakka over vide ocall.

What is the hardest thing about your role? The hardest thing about my role is the fact that not everyone who is referred to us, goes on to receive funded therapy, or they may only get funding for some of what they need, but not all of it. In the legal and insurance world, you as the therapist are often in the middle of two parties who have different driving forces. This can, at times, delay the start of therapy, and we as therapists know how important it is to get in there early to optimise our clients’ outcomes.

What’s the best part of your role? The best thing about my job is seeing my clients achieve their goals, and often exceeding the expectations of medics! I’ve been given back the power to deliver “old school OT”, going back to basics and using everything I learnt in my studies. This role allows me to use all of my skills!

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Switch A simple and effective solution for assisted standing Designed to help a person with reduced mobility, stand from a seated position and enable their transfer to another surface. The Switch actively encourages the user to participate in the standing process, engaging core muscle groups while improving strength and function.

Safe working load 180kg / 28st / 397Ibs Compact and easy to manoeuvre Quickly dismantles for easy storage and transportation Simple design for easy on-going maintenance Optional knee pad cushions for extra comfort 5 Year warranty as standard

Contact Joerns Healthcare to find out more:

(T) 0344 811 1158 (E) info@joerns.co.uk

INCLUSIVE BATHROOM DESIGN

Creating accessible bathrooms that can be used by all members of the household

he bathroom is one of the rooms in the house where privacy and dignity is craved more than anywhere else. The ability to independently use the toilet, bathe, shower and take care of any other personal hygiene matters behind closed doors is of vital importance to most people. Ill health and disability can hinder these abilities and the loss of independence in this area specifically, can have a hugely adverse effect on an individual’s mental wellbeing. Losing the ability to independently attend to your personal hygiene needs can drastically reduce a person’s quality of life, it is therefore of peak importance to ensure that a bathroom is designed with every detail thoroughly thought through to provide a comfortable,

safe space that allows as much independence as possible. There are constantly new products and innovative solutions being developed for accessible bathrooms, and OTs need to be knowledgeable and up-to-date in these developments to ensure they can recommend adaptations and products that will suit their patient’s needs. As well as this, an in-depth knowledge of the Disabled Facilities Grant will also help you advocate for your client to ensure they get the equipment and adaptations they need to improve their quality of life. Style and taste should be considered at every step, ensuring your client has a bathroom that doesn’t feel too clinical and still reflects their style choices where possible. We take a look at some of the key considerations for creating inclusive bathrooms that offer safety, promote independence for users and also take the user’s style and taste into consideration.

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TOILETS

Depending on the user’s needs there are a wide range of toilets on the market; raised toilet seats, wash and dry toilets, and the particularly innovative Washseat that we featured last issue. The Washseat is an affordable and portable raised seat that incorporates a bidet, it offers independence and dignity in the home and when travelling. Folding toilet frames allow other members of the household to more easily access the toilet. A contrasting colour on the toilet seat can also be effective in helping patients living with dementia recognise the toilet more easily.

SHOWER

A level access shower allows access for everyone living in the home and it can look modern and stylish without appearing clinical. There are some amazing showers on offer that prioritise safety through thermostatic controls to avoid any risk of scalding. Contrast buttons and easyto-use levers are available too, as are showers with an auto-stop which turn the shower off after 30 minutes in case of flooding if the user has a fall. Plastic shower screens are a safer option than glass in case of a fall too.

SINK

Space under the sink is vital for wheelchair users, and the range of floating sinks or rise and fall sinks available nowadays is quite extraordinary. You can even purchase a sink with a vanity unit that opens up and doubles for storage and space for a wheelchair. The space around the sink area should be considered too as it can be useful for toothbrushes and amenities to be kept at a convenient distance. Some sinks have incorporated hand towel holders at the front to prevent reaching and straining. Easy turn taps with obvious colour markers for hot and cold will help patients living with dementia or visual impairment.

FLOORING Anti-slip flooring or matting should naturally be considered in the bathroom, and not just in the confines of the shower area as the rest of the floor can get wet too. For patients living with dementia it is recommended to stick to light coloured flooring without any patterns or flecks as these can be seen as dirt or something that needs to be picked up, this can lead to falls or distress. It is also recommended to keep the same colour flowing into the shower area and also at the door exiting out, as contrasting colours can be mistaken for steps and cause trips or falls.

GRAB RAILS These do not have to be clinical looking or obtrusive, even in smaller spaces. Grab rails can be permanently installed or you can acquire ones with strong suction cups that hold firmly onto bathroom walls and tiles. Luckily a few companies have recognised that grab rails are something that most people need in later life and have decided to expand the selection by offering

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modern, sleek grab rails that incorporate towel rails or mirrors, they look just like stylish bathroom furnishings but they have a practical nature too.

FALL PROTECTION Preventing falls is a major priority and the bathroom layout and décor should reflect this. Consider reducing the number of furniture items or drawers, especially low level pieces, that are in the bathroom to avoid the potential of any trip or bump hazards. Radiators can be another concern for a person falling as they can cause substantial injury. If the option for underfloor heating is available this could be another safety precaution covered. Ensure you avoid any sharp corners or cover them appropriately to avoid injury, and limit the number of decorative items placed around the bathroom to avoid breakages or the risk of any confusion.

STORAGE Look at using open shelves for storage, rather than cupboards, this will minimise confusion and naturally assist the user to see anything they require out in the open. Towels, shampoo, soap, toilet roll and other amenities can be displayed clearly for use and should be within easy reach for the user to help promote their independence and avoid any accidents reaching for something or distress in looking for something.

LIGHTING

Lighting should be plentiful, but not harsh or clinical. Look at spotlighting task areas to ensure there is enough light at the sink, in the shower and at the toilet. Ensure the light switch is placed at an appropriate height and is clear and obvious to all users.

For patients living with dementia it is recommended to stick to light coloured flooring without any patterns or flecks as these can be seen as dirt or something that needs to be picked up, this can lead to falls or distress

Accessible bathroom design by Roman Bathrooms

...showers with an auto-stop which turn the shower off after 30 minutes in case of flooding if the user has a fall

Keuco Plan grab bar with integrated soap holder

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PAIN MANAGEMENT Lisa Turner is a specialist OT working in a community pain management service. She explains her role within the multi-disciplinary team and the interventions used to help patients manage their chronic pain

Chronic or persistent pain has been estimated to affect around 43% of the UK population

am an occupational therapist, working within a community pain management service for the NHS in Staffordshire. I have worked in this interesting and challenging role for over ten years. Not all pain management services have occupational therapists and I personally feel that we add an enormous amount of value to this area of practice. Chronic or persistent pain has been estimated to affect around 43% of the UK population. Along with the impact this has on the individual, it also places a huge burden on health services and more widely on society. Persistent pain is complex - affecting the physical, social, vocational, cognitive, and psychological elements of a person’s life. In my role I focus on the impact of pain on a patient’s ability to function, activities that are meaningful to them and their quality of life. Activity performance is central to an individual’s identity and restrictions on these can have a huge impact on an individual’s psychological health and wellbeing. Due to the multi-factorial nature of chronic pain, I work in a multidisciplinary team with physiotherapists, psychologists and a pharmacist. We all look at pain from different perspectives and use the biopsychosocial model of practice to assess and treat the impact that pain has on an individual. The aim of pain management is not to get rid of the pain but to improve a person’s ability to live well with it, moving towards more acceptance of their condition. Our team goal is to empower patients to take control of their own pain, to take responsibility for their own health and build confidence to self manage. I carry out joint assessments with my physiotherapy colleagues. Each patient is encouraged to share their pain narrative, which is often therapeutic in itself. We use a collaborative approach to negotiate a treatment plan. Our group work focuses on interactive pain education and teaching patients a range of self-management strategies. Group work is particularly important in pain management as sharing experiences normalises

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mental health sets us in good stead to help patients improve their quality of life. I feel that occupational therapy - founded on the relationship between occupation, health and wellbeing - is of particular value in pain management. Patients often come to our service after living with chronic pain for many years and it is sometimes a real revelation for them to learn new strategies for improving their life with pain. I get a lot of job satisfaction when I see our patients make positive changes to their lives.

sharing experiences normalises the impact of chronic pain the impact of chronic pain. This can help patients to move forward accepting their pain condition and understanding how to go about improving meaningful activities. We also offer patients individual support with strategies, as well as small relaxation or mindfulness groups. As an occupational therapist, I provide practical support to facilitate recovery. I help patients overcome barriers and find ways of participating in activities that matter to them. The self-management strategies that I focus on are activity management (pacing), goal setting, sleep, stress management, relaxation and mindfulness.

As an occupational therapist in this role, there is always something new and interesting to learn. My knowledge and understanding of pain has been enhanced with training courses in cognitive behavioural therapy, acceptance and commitment therapy, compassion focused therapy and mindfulness. There has been an explosion in research and training also available in pain science and education which is fascinating. As a result, I am constantly updating treatment material in line with new evidence which motivates me to continue and develop in this role. I would recommend more pain management teams to consider opening up opportunities for occupational therapists.

There has been an explosion in research and training

In pain management there is an interesting relationship between physical health, the ability to carry out activities and mood. Pain education is crucial within my role. Often just explaining the complex interplay of how chronic pain impacts mood, function and physical ability is key to helping patients improve their quality of life. During my work with patients, I have noted many times how their understanding shifts and they learn to deal with some of their fears. My experience shows that giving patient’s time to discuss their pain experience, and listening, is key in helping with positive change. The pandemic has, of course, impacted our service; limiting the number of face-to-face contacts and group work that we are able to offer. It has, however, given our team an opportunity to adapt and I am actively involved in service developments. We have moved mostly to telephone assessments and reviews and have developed an online version of our pain management programme. We have used the ‘flipped learning’ model of giving patients education information, and then arranging virtual sessions for small groups of patients to discuss and individualise the self-management strategies they have learnt remotely. In the long term this has made the service more accessible to patients, and has opened up new opportunities for our team. Occupational therapists add a lot of value to any pain management service. Our dual training in physical and

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The Eagle has landed! We are excited to announce the launch of the Eagle, part of the Mangar lifting cushion range • A small footprint which allows it to be used in tight spaces, including bathrooms • Easy to fold and position under someone who has fallen • Will lift at least 30 stone • Very little training required to use it • A slimline version of the Camel, the Eagle has an in-built backrest to give extra support • Portable – able to use inside or outdoors • Protects carers from injury when lifting

For more information or to book a demonstration please email sales@mangarhealth.com or call 0800 2800 485.

Helping teenagers talk about their lives Stho reck DS ss S

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C A R D S

A vital resource for supporting teenagers through meaningful conversations

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OT RECEIVES

QUEEN’S HONOUR Sport for Confidence co-founder Lyndsey Barrett is to be honoured for her incredible contribution to the lives of disabled and disadvantaged people by helping them access sporting opportunities

yndsey Barrett, co-founder of Sport for Confidence, has been awarded a British Empire Medal (BEM) in the 2021 Queen’s Birthday Honours. Recognised for her work supporting disabled people to be more active, Lyndsey will receive her British Empire Medal from the Lord-Lieutenant at a Royal Garden Party. An event that will be arranged once social distancing restrictions allow. Lyndsey worked as an occupational therapist for 20 years with extensive experience working with people living with learning disabilities and within community mental health. In 2015 Lyndsey left the profession and began Sport for Confidence in a bid to transform the lives of disabled people by improving access to inclusive sport opportunities in the community.

a monthly basis. Sport for Confidence now operates at multiple leisure centres across Essex and London, bringing occupational therapists together with sports coaches to deliver goal-oriented, person-centred sporting experiences that deliver positive outcomes that extend way beyond the field of play. “Today, I am incredibly proud to receive this award. I never set out to gain personal accolades but I have to admit this one is very special. I get my motivation and drive from the positive impact Sport for Confidence delivers on a daily basis and I intend to continue to work hard to stamp out inequalities that exist in sport and to strengthen collaboration between physical activity and health professionals. “Sport delivers so many health and social benefits, it should be the undisputed right of everybody to be able to access opportunities and get involved. I will continue to push for this through the work of Sport for Confidence and our partner network.” To find out more about the incredible work Lyndsey and the team are delivering, visit sportforconfidence.com.

Sport for Confidence is an innovative service that drives the provision of inclusive sporting opportunities in mainstream leisure centres. By placing occupational therapists and specialist coaches into leisure centres they have opened up sports and activities to a wide range of individuals who ordinarily would face barriers to accessing sport. The service is improving user’s confidence, independence, mental wellbeing and physical health and they even succeeded in supporting users throughout the pandemic through online activities and phone support. Lyndsey was delighted at the news of the accolade: “To receive this recognition and to be able to celebrate with my family, the team and all our participants is truly amazing. “When I left my role as senior occupational therapist at the NHS back in 2015 and began to deliver occupational therapy services to one person at Basildon Sporting Village, I had no idea that Sport for Confidence would grow into an established brand, creating opportunities for more than 2,500 individuals who face barriers to participation to enjoy the many benefits of sport on

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Automatic Pill Dispensers and Medication Reminders Our products are widely used by Health and Social Care professionals for vulnerable older people and those with learning difficulties who need to be reminded of essential daily tasks such as taking their medication. Find out more today:

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

POWER ASSISTED WHEELCHAIR SYSTEM

The Power Assisted Wheelchair System (PAWS) from Rehasense adds power to manual wheelchairs. There are three models available, the Cruiser, City and Tourer. City has a 12” or 14” wheel perfect for use around town, the Cruiser has a larger 16” wheel for rougher terrain. The off-road Tourer has a 20” wheel and 4” fat tyre for increased clearance and manoeuvrability. PAWS requires no frame alteration or additional add-ons. Visit Rehasesne UK on stand H10 at Naidex on 15-16 September. rehasense.co.uk | 0333 220 0704 2

NON-SLIP BATH MAT

This antibacterial bath and shower mat boasts over 300 suction cups to help hold it securely in place so users can be confident using it. It is large in size to give great coverage over slippy surfaces and it is mildew resistant, BPA free, non-toxic, phthalate-free, latex-free, smell-free and it can be washed in the washing machine. It is an attractive pebble design and available in different colours to suit all bathrooms. stone-stream.com

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UNGRIP

The ungrip is a loop of fabric that attaches to the back of a mobile phone to help the user hold it more securely. As phones get increasingly larger and more expensive, the risk of dropping them also increases, especially for anyone living with limited hand function. The loop attaches to the phone with a strong sticky pad and allows the user to put one or two fingers through to hold it more securely. activehands.com | 01564 702255 4

3-IN-1 SHOPPING TROLLEY

This unique shopping trolley incorporates a seat with back rest and shopping bag. It has a built in walking brake and handbrake, four easy glide swivelling wheels and it folds flat easily in just seconds. It comes in a variety of colours, it is incredibly stable and will be the perfect addition for shopping trips for anyone who may need a rest when out and about. walkandrest.com | 01268 726 661 5

HEIGHT ADJUSTABLE BATH STEP

This discreet and simple bath step is made up of four layers. These layers can be removed as necessary to ensure the user can achieve the correct height for stepping into the bath. The maximum height of the step is 100mm and each layer is 25mm. A great solution to help users get into and out of the bath safely. manageathome.co.uk | 0808 169 9409

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VELVET FOOTSTOOL

This stylish looking footstool is the ideal accent piece for any living room. It offers stylish practicality for those who need to elevate their feet off the ground when sitting on a chair or sofa. The plush velvet offers comfort from its 100% recycled fabric and it is available in a range of colours. dunelm.com 7

LUXURY LAP TRAY

Designed to help users eat and drink in comfort without the worry of spillages, this stable lap tray has a bean bag underside that moulds itself to your lap comfortably and is covered in a stylish fabric. The laminated tray surface is wipeable and easy to clean, making it the ideal companion for eating, drinking, writing or reading, both indoors and out.

careco.co.uk | 0333 015 5000 8

SWIVEL CUSHION

Designed to assist any users who struggle to twist and turn to get in and out of a car or off a dining chair. Made from memory foam and utilising ball bearings to reduce friction when turning, this cushion offers comfort and a smooth swivel on any chair. It allows users to easily move on and off seats without putting too much strain on back, hips or knees, it is also easily transportable.

amazon.co.uk

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An Island Escape

OT Kirstie Hughes explores the benefits of the immersive game Animal Crossing and the positive impact it had on many people throughout the pandemic

ou wake up to sunshine and beautiful green trees. You get up and nosey through your wardrobe for the perfect outfit, potter around the house, check your mailbox and then head out the door to start your day. You chat to your neighbours along the way, do some light gardening and visit the local shops. You might take a visit to the museum and collect some seashells on your way home before spending the evening watching for shooting stars or enjoying some fireworks. Sounds perfect, right? This year is the 25th anniversary of gaming franchise Animal Crossing. March 2020 saw the long-awaited release of Animal Crossing: New Horizons, a version made specifically for the Nintendo Switch console and pitched to be a huge success, reinvigorating the franchise for fans old and new. What game makers had not banked on was the solace their game would bring as parts of the world went into their first lockdown amid the COVID-19 pandemic. 38

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The premise of Animal Crossing: New Horizons has you arrive on a sparse island to be greeted by Resident Services who guide you through the process of expanding your island into a paradise getaway. In real-time, through task and chore driven gameplay, you build your island by crafting items, picking weeds, planting trees and landscaping. You build homes and craft furniture ready to welcome animal friends known as villagers to share the island with you.

CONNECTION AND COMMUNITY At a time where we were not allowed to leave our homes or visit loved ones, Animal Crossing offered us another way to connect online. Others with the game could visit your island, send postcards with messages of support or in-game gifts to help you along your way. A chat feature brought another layer of interactivity to enhance the shared experience. If players did not have others to connect with they could build relationships with their villagers and be rewarded with items and individualised interaction based on daily interactions. Animal Crossing held a June event called “Wedding Season” which offered wedding-themed items and tasks. We celebrated a friend’s postponed wedding in-game by dressing up, decorating the island and taking photos. We celebrated Halloween by using emotive reactions to

scare villagers, we acted out our favourite scary movies and chased each other around the island with axes (like you do). We built Christmas trees, dressed up as Santa to deliver presents, said farewell to 2020 and toasted in 2021 with hope. In February my villagers surprised me with birthday cupcakes and we fundraised to build a new bridge so everyone could get around the island safely. We chatted over hedges about the island weather and local events and got to know our new neighbours. While many took their work, relationships and community online, we simply took ours in-game.

OCCUPATIONAL PARTICIPATION AND ENGAGEMENT

ESCAPISM AND ORIENTATION Bringing meaning and purpose with it, Animal Crossing offered a form of escapism. It conjured an image of the real world but gave a land free from the virus and its accompanying worries (disclaimer; your villagers do occasionally get a cold and need you to craft medicine for them!) It provided a distraction with an immersive and adorable experience giving us a place we could call our own and make decisions, in a time when many of those freedoms and choices were taken away.

A key part of the gameplay is for players to cultivate their islands; there are no blueprints or right or wrong ways to do this. The island comes with basic buildings such as a shop, clothing store and museum but the rest is up to your imagination. I built a gym, a food market and a cinema, all places and occupations I missed most during the pandemic. Others grew beautiful zen gardens with hybrid flowers and some developed their interior design skills by decorating their homes to Scandinavian perfection, there is even a black market for trading turnips (yes that’s a thing) to pay off your mortgage or fund a house extension. On top of this, there are daily chores like watering flowers, digging up fossils, talking to your neighbours and chopping wood. If you complete these you will be rewarded for your hard work and patience with game progression or items. This was a stark contrast to the real world where we were all asked to make sacrifices and persevere for what, at the time, didn’t appear to be paying off. A great feature of Animal Crossing is that it’s up to you how you play and for how long. For those who were on furlough, it kept them busy and engaged in amassing items and exploring endless design options.

As the year progressed so did the seasons. The new year turned trees pink with cherry blossom, spring brought green trees and Easter egg hunts, summer sun and swimming. Autumn saw the island covered in red and yellow falling leaves and bonfires, until the snow landed in December. Days might have rolled into each other in real-time but in Animal Crossing you were always orientated to time by seasonal changes and daily announcements from Resident Services about villagers birthdays and other events.

WHIMSICAL NOSTALGIA… ARE YOU STILL WITH ME? If you’re not yet sold, perhaps the idea of a drunk seagull washing up on your shore will tilt the scales? The game is riddled with the usual Nintendo whimsy and nostalgic nods to other games with crossovers featuring Hello Kitty and Super Mario. Find a sea swimming otter and feed him scallops so he imparts his wisdom, have your fashion sense questioned by a snooty ostrich and dodge getting stung by scorpions. If that doesn’t draw you in perhaps a visit to the butterfly greenhouse, fossil museum or art gallery will, but be sure to watch out for that dodgy pirate fox flogging fake Mona Lisa paintings.

ABOUT THE AUTHOR While others could dip in and out around work and enjoy its calming island vibes. There was even some intergenerational gaming going on with grandchildren inviting their grandparents to play and visit them.

Kirstie Hughes is an occupational therapist based in Warwickshire. Outside of practice you can find her gaming, building Lego or enjoying the outdoors. You can contact Kirstie on Twitter @Kirstie_OT.

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THE OCCUPATIONAL THERAPY SHOW IS BACK The UK’s largest event for the OT community is returning to the NEC, Birmingham on 24-25 November

loserStill Media, organisers of The Occupational Therapy Show, are pleased to announce that the highlight event in the occupational therapy calendar returns to the NEC Birmingham on 24-25 November 2021. The two-day educational programme is specifically designed for occupational therapists of all bands and specialisms working in health organisations, social care services, housing, education, voluntary organisations, or as independent practitioners. The event is focused on making it easier for OTs to find new and updated information and resources in order to provide an enhanced service, helping their clients with independent living. The show as always will offer a multi-stream education conference with sessions carefully curated into eight offerings within physical health, mental health and learning difficulties, children and families, neurology in practice, housing, research, and innovation. The content programme for the 2021 edition of The Occupational Therapy Show includes a combination of clinical reflection and professional challenges, both for the profession itself and individuals. Sessions provided by Dave Thomas of Inclusivity Plus and a representative of the LGBTQIA+ OT UK group will give insight into the obstacles faced by the profession’s inclusivity challenges. Whilst speakers such as Deborah Harrison of A1 Risk Solutions and Maria-Elena Gutierrez-Lopez will deliver examples of innovations during a challenging year.

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For this year there is an additional emphasis on the ever-changing role of OTs and what that means in the post-pandemic world, specifically focusing on rehabilitation, isolation, mental health, and sharing best practice. Reflecting on the past 18 months the show’s programme would not be complete without COVID-19 specific content. There will be sessions looking at the introduction of virtual platforms and how they have been able to support the continuity of service provision in difficult times. These sessions will reflect on their value and what care has been given to ensure that the usual high standard of CPD has been facilitated across all streams, with clinical areas such as neurology, mental health, moving and handling, paediatrics, and housing are all well represented. A peek at the informative sessions awaiting OTs at the 2021 show include: 1 Dave SP Thomas (Inclusivity Plus): Accepting responsibility: Equality, diversity, and inclusivity - the foundation of good 2 Dr Kate Allatt: Sex after stroke - unlocking the taboo 3 Musharrat Ahmed-Landeryou (LSBU): The future’s not white - decolonising occupational therapy 4 Maria-Elena Gutierrez-Lopez (Berkshire NHS Trust): Putting the spotlight on vision following a stroke 5 Julie Walters (Lincoln University): All for one and one for all – a COVID project 6 Charlotte Wise (HPM Stoke Health): Recovery through activity in the prison environment 7 Emma Francis (CTM UHB-Mental Health): The ‘Need to Know’ self-management communication tool

The Occupational Therapy Show attracts thousands of OTs and specialist providers from across the country, making it an important opportunity for networking and raising the profile of your service among allied healthcare professionals. We look forward to welcoming the leading suppliers in the industry and introducing you to the latest innovations on the market. With 270+ suppliers showcasing the highest quality goods you can expect to see a huge range of products from wheelchairs, to stairlifts, to toilet seats - there is something for all your OT needs. Our exhibitors are on hand to offer their expert advice and will tailor this to suit every one of your patients’ requirements. Aiding you to assist them live happier, more enriched lives whilst improving your OT service. Discover practical new equipment, products, and services from: AKW

Abacus healthcare

Apex Medical

Geberit

Arjo

Gel Ovations

Astor-Bannerman

Handicare

Care & Independence

Jiraffe

Centrobed

Osprey healthcare

Chiltern Invadex

Prism

Closomat

Silvalea

Etac R82

Terry Group

Frontier Medical Group

Wessex Lifts

Whilst visiting The Occupational Therapy Show expect to: 1 Update and refresh your learning, choosing from over 100 interactive OT-focused lectures and practical workshops 2 Access up to 80+ hours of valuable CPD accredited education 3 Learn from world-renowned occupational therapy speakers and experts 4 Research and source new products and services through a network of over 270+ suppliers 5 Easy to follow trail maps tailor-made for paediatrics and adaptation OTs, highlighting the must-see exhibitors and seminars. For all of this and more, make sure you and your colleagues register for FREE today so we can keep you updated on all the latest occupational therapy show news. The 2021 show will be bigger and better than ever before making it the must attend show for all OTs this year! The OT Show is your show! Don’t miss your chance to attend the only OT event to support your lifelong learning and drive big impacts for you and your patients. Be quick, spaces are limited! To find out more about this year’s unmissable event and secure your free place, please visit theotshow.com/otmag.

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OT in the community Carley Jackson-Dart has been a community occupational therapist for Sunderland City Council for three and a half years. Here she explains the fast-paced nature of her role and why she loves the variety that comes with being a community occupational therapist

work with children and adults who have physical health problems, learning disabilities and mental health problems, supporting them to achieve safe and independent community living. I spend time in a variety of settings including domestic dwellings, residential and nursing homes, hospitals, short break care placements and day services. I provide a therapeutic response in planned and unplanned situations, often supporting customers who are experiencing a crisis that could result in a hospital admission without my immediate intervention. My role requires me to work closely with other professionals including physiotherapists, social workers, community nurses, GPs, practise nurses, home care providers and care teams in residential and nursing care settings. I have also had to develop my knowledge of complex equipment including specialist seating, beds, bathing and toileting equipment and this has helped me to become skilled in assessing and developing plans to support personal manual handling. When I meet a new customer, I work in partnership with them to establish the problems they feel are impacting their ability to achieve independence and look for solutions that will enable them to achieve the goals they identify for themselves. I also work closely with buildings surveyors in our Home Improvement Agency and develop plans to support the structural alteration of property or provision of fixed mechanical equipment. As a community occupational therapist, I have to have an excellent working knowledge of the Disabled Facilities Grant legislation and how to apply this to facilitate the provision of extensions to property, stairlifts, hoisting equipment etc. This knowledge ensures I can advocate effectively on behalf of my patients.

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Working with the Assistive Technology Team I arranged for sensors to be installed so that at certain times of the day when the sensors were triggered, the landing light would turn on sensors were triggered, the landing light would turn on. He could also control this and his bedroom light from an Amazon Alexa that we set up at the side of the bed. The customer reported feeling safer at home at night as a result of the assistive technology, which was a great outcome. The fast pace and variety associated with my role keeps me interested and focused. I value the opportunity to work with people in their own home environment, where they are more relaxed and engaged in the occupational therapy process. No two days are the same and on any given day I can find myself going from working with a newborn baby to, an older person in their centenary years.

UTILISING ASSISTIVE TECHNOLOGY IN THE COMMUNITY Recently we have begun working with assistive technology, learning how to apply high street technology to promote independence, safety and dignity, reducing the necessity for formal services and reducing the strain on informal carers. My colleagues and I continue to develop our expertise in this area, working closely with our Assistive Technology Team to explore the possibilities. This can see simple changes making a big difference. One customer, who lived alone, was set up with equipment to maintain his independence including a stairlift. However, frequent falls continued. Further assessment uncovered that this was because he was unable to switch on the lights at the top of the stairs, and was trying to mobilise in the dark. Working with the Assistive Technology Team I arranged for sensors to be installed so that at certain times of the day when the 44

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I love working as part of a team; generating ideas together, sharing our knowledge and experiences for the benefit of our patients. I also love the autonomy of my role and the ability to research new solutions and continually pursue innovation in the landscape of equipment and technology with the aim of creating tailored solutions. Our service has created an environment where practitioners are actively encouraged to try new ways of working. The greatest challenge associated with my role is the requirement to be flexible and prepared to reshape my day to cater for the unexpected. I continually develop my prioritisation skills. The challenge that I relish is that of keeping up-to-date with the ever-expanding range of solutions open to me as a community occupational therapist, this requires me to research, read, learn and harness new initiatives to become routine ways of working. Occupational therapists often associate the status of specialist with specific aetiologies, but I consider my specialism to be my ability to apply the core values of my profession in every situation I face in order to make a difference to the lives of my patients. I am proud of the skills, knowledge and confidence I have developed that have enabled me to feel that I can tackle any situation and achieve a positive outcome for my customer. I have never doubted my decision to work in the community and I look forward to the future of community occupational therapy and everything it might bring.

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TAKING THE STRAIN People requiring treatment for their mental health face a difficult wait as the NHS has been overwhelmed by the pandemic. Could occupational therapists help alleviate this?

he global pandemic has taken a toll on the public’s mental health in a way that would have previously been considered unprecedented outwith an event on this scale. Studies undertaken by the Mental Health Foundation throughout the COVID-19 crisis noted that the pandemic has caused a rise in anxiety, depression, loneliness, and stress amongst adults in the UK, which is unsurprising. The world feels like it has been turned upside down: we have been isolated from friends, family, colleagues and more, and for some people, that isolation is still in place because of the sheer danger posed by contracting COVID-19. A study into mental health and wellbeing during the pandemic published in the British Journal of Psychiatry this year, in which a total of 3077 adults took part, concurred with the above study, noting that with the easing and tightening of lockdowns, mental health improved and got worse respectively; the study by O’Connor et al also showed a worrying increase in suicidal ideation, especially amongst women, young people, and people from socially disadvantaged backgrounds. While COVID-19 took its toll on people, it also rocked the National Health Service. The Health Foundation reported in April 2020 that the NHS experienced significant disruption on almost every level due to the reshuffling of resources required to deal with the COVID-19 pandemic. Writing for the same foundation, Anita Charlesworth noted that the pandemic will have a significant effect on restarting routine care, and that an increase in waiting times is an eventuality for both the NHS and the people who require its services. Mental health wait times have always been an issue for the NHS. Before the pandemic, while 75% of patients were seen within their target time of six weeks and 95% were seen within 18 weeks of a referral, some had to wait significantly longer; in 2018, the Independent reported that patients in Leicestershire were having to wait up to two years for treatment. Reports seem to show that the pandemic has exacerbated wait times for people looking to access treatment through the NHS for their mental health: in October 2020, the Guardian reported that one in four people were having to wait at 46

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least three months to get help, and some had been waiting for up to four years to begin treatment. The Royal College of Psychiatrists also reported in the same month that twofifths of patients who were awaiting treatment for their mental health had to contact emergency or crisis services, and a further one in nine sought treatment at A&E. With this significant weight on the shoulders of the NHS, could occupational therapists help shoulder at least part of the load to ensure that patients are getting the help they need in a faster timeframe? Working alongside healthcare professionals who already work in a mental health setting, occupational therapists can undertake a multitude of evidence-based approaches which will benefit the patient or client, giving them the tools they need to resume thriving in their daily lives, as well as a series of powerful tools to help combat the negative aspects of their mental health. This could involve the teaching of cognitive behavioural therapy - CBT - to introduce the development of personal coping strategies that has been used to help individuals struggling with depression, anxiety, and substance misuse disorders. Occupational therapists can also utilise their deep understanding of mindfulness techniques, including meditation and yoga, which are frequently prescribed alongside CBT as self-regulation techniques. These coping strategies can also be extended to other aspects of mental health treatment, such as dealing with issues related to anger, problem solving, and making friends, all of which can contribute negatively to the overall picture of a person’s mental health. Occupational therapists are also excellent at evaluating barriers to participation which may be a primary concern for people who are experiencing anxiety or loneliness; they may also be able to identify any factors which may be barriers to accessing community, or affecting success in school or work lives. Occupational therapy can help clients and patients to establish healthy habits and practices which can benefit them and result in positive change to their mental health. They may also be suited to helping address barriers like stigma and safety, both of which may cause significant concern on a personal or societal level, or cause difficulty in accessing community. OTs can also act with a degree of advocacy, helping to implement support with a patient or client’s employers or within an education system. While the global pandemic persists - even through vaccination - it may be the case that occupational therapists, with their multifaceted list of talents and myriad transferable skills, may be able to help alleviate the strain placed on the NHS’s mental health services.

...with the easing and tightening of lockdowns, mental health improved and got worse respectively

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Paediatrics All the latest from the world of paediatrics

SECTION he classical Indian sage Patanjali - author of the Yoga Sutras - described yoga as “the cessation of the modification of the mind”. For a lot of people, that might be something they need in this anxious world we live in; a method in which we can calm our minds and take control over the thoughts that are inside our heads. That’s no different for children, who watch the adults in their life worry and fret, and experience all of this anxiety themselves. Yoga is more than a way to deal with anxious thoughts, as we discuss on page 50. It’s a great way to improve flexibility, balance, and

just have fun. Much in the same way that anxiety isn’t just an adult problem, we explore how occupational therapy can help younger people who are living with arthritis on page 52. Living with conditions that can affect the joints can impose significant limitations on younger people - children learning to crawl, for example, but with the intervention of an occupational therapist, ADLs can be achieved and quality of life can be improved.

As ever, if there is anything you would love to see featured in our paediatric section, please send us an email at ros@2apublishing.co.uk.

Read on to find out more...

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PaediatricYOGA How can the modern practise of this ancient Indian art form help occupational therapists working with children?

he concept of yoga for children seems a little counterintuitive at first glance: how do you ask a child who enjoys running around and playing to sit with their legs crossed for half an hour and deeply consider their breathing? To be fair, that’s a grossly simplified view of both yoga and the abilities of children. Yoga and children may seem mismatched, but who else takes so enthusiastically to being asked to pretend to be a tree or a frog for minutes at a time? As mindfulness continues to be introduced to classrooms around the country, we are gently introducing young people to the salient concept of taking care of mental health as well as physical health to ensure these bright young minds stay bright. Research shows that not only can yoga help to improve and maintain physical and mental health in young people, it may also help improve focus, memory, self-esteem, academic performance, classroom behaviour, and may also help in the reduction of anxiety and stress. Speaking to Harvard Medical School, Jessica Mei Gershen, who teaches yoga to young children in Brooklyn, New York, uses play and fun to help introduce

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young people to the benefits of the activity without overwhelming them. “Yoga is really effective because it’s so tangible. Learning physical postures builds confidence and strength as well as the mind-body connection,” she said. “Through yoga, kids start to realise that they are strong and then are able to take that strength, confidence, acceptance, and compassion out into the world.” From the perspective of an occupational therapist, yoga carries a host of additional benefits which can be utilised as an intervention for younger clients. Yoga can strengthen muscles without putting too much strain on joints, increase self-awareness, build concentration, and develop motor planning skills.

Through yoga, kids start to realise that they are strong and then are able to take that strength, confidence, acceptance, and compassion out into the world

Here are a few classic yoga poses you can try with young clients:

BUTTERFLY POSE

TREE POSE

A variation of the popular Bound Angle pose that is taught in yoga classes for exercise and mindfulness, the butterfly pose can help to improve sitting balance and posture.

Also called vriksansana, the tree pose is a popular aspect of yoga as exercise as it strengthens the legs and core while improving posture and balance. Steps: 1 Start by standing with feet hip width apart, 2 Stretch out your arms as if they’re large branches, 3 Slowly and carefully move the sole of your foot to the inside of your thigh so you’re balancing on one foot with your other resting on your standing leg, 4 Bring your arms up to the sky like a big tree reaching for the sun and hold the pose for as long as you can.

Steps: 1 Gently plop yourself down on the floor, preferably on a comfy mat or blanket, 2 Slowly and carefully bring the soles of your feet together as close in to your body as you can, 3 Hold on to your ankles and try to sit up as straight as you can manage, 4 Imagine your legs are butterfly wings and hold the pose for as long as you are comfortable.

WARRIOR 1 POSE

SLEEPING POSE

Called virabhadrasana in Sanskrit, this is one of the three variations of the Warrior pose, and has been called one of the most iconic poses in yoga.

Savasana - or the Corpse pose - is usually the last step in any yoga practice. It might look easy (or a little strange, depending on who’s looking), but it’s an integral part of winding down and finding calm after a session.

Steps: 1 Start in the mountain pose: stand upright and tall with your feet a little bit apart,

Steps: 1 Lay something soft and comfy on the floor, like a yoga mat or blanket,

2 Using one foot, take a great big step forward. Keep the knee of your front foot bent a little, and your back leg as straight as you can manage,

2 Lie down on the mat with your hands out to your sides,

3 Turn your back foot so that it points off to the side of your body,

3 Take some time to breathe, relax and clear your head of all your worries or concerns.

4 Hold the pose for a few breaths, then return to the mountain pose, 5 Repeat on the opposite side.

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Juvenile ARTHRITIS

Rheumatoid diseases can affect children, too - how are they best treated using occupational therapy?

hile we may associate arthritis with older people in our lives, around 15,000 children and young people in the UK are currently living with arthritis. This will usually take the form of a diagnosis of JIA - juvenile idiopathic arthritis - which causes pain and inflammation in one or more joints that lasts for at least six weeks.

Per the National Rheumatoid Arthritis Society, there are six different variations of JIA, which in itself is determined by the number of joints that are affected within the first six months of living with the condition, and any subsequent issues that follow, such as pain in the back or feet. These are: oligoarthritis, where fewer than five joints are affected; polyarthritis, where five or more joints are affected; enthesitis related arthritis (ERA), where there is inflammation in the areas in which tendons attach to the bone, resulting in pain around the bottom of the feet, hips, knees or back; psoriatic arthritis, which affects any joint but usually the fingers or toes; systematic onset JIA, where the child has had a rash or fever at the beginning of their illness; and undifferentiated arthritis, where the symptoms do not fit neatly into one of the other categories listed. These categories may also have sub-categories, for example in the case of extended oligoarthritis. There are a number of ways that children can develop arthritis, much in the same way as their adult counterparts. It can develop as the result of an overactive immune system which sees the lining of joints as a foreign and dangerous presence in the body, attacking it and causing inflammation. An infection may also trigger arthritis; there is also debate surrounding whether or not the condition can be inherited, for example, if a parent or grandparent lives with rheumatoid arthritis, can this be passed down and present in children?

...around 15,000 children and young people in the UK are currently living with arthritis

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Intervention by an occupational therapist can help young clients live their lives to the fullest, and reach their maximum potential

Much the same as with adults who live with rheumatic diseases, children may need help with activities of daily living - like writing, eating or play - which is where the help and benefits of occupational therapy can be seen in action. Intervention by an occupational therapist can help young clients live their lives to the fullest, and reach their maximum potential, while also allowing and encouraging full participation in both an activity and community setting; this in itself is, as any occupational therapist knows, crucial to maintaining good levels of both physical fitness and emotional wellbeing. Assessment by an occupational therapist will determine the areas in which a young client’s life can be improved, targeting both the physical and emotional needs which may require addressing. Handwriting assessments may be useful in determining if there is any difficulty involved in the act of writing, which would be a key concern for the parents of a young person. What, then, will an occupational therapist do to aid a young client living with JIA? OTs can help in the management of pain which comes with rheumatoid diseases: they can, per the client’s requirements, encourage the taking of baths, teach distraction techniques, and give the tools to perform mindfulness or relaxation. OTs can also help facilitate lifestyle changes, giving clients the tools they need to reorganise their days and plan for resting, which can be a powerful tool in living with chronic pain.

Strategising is a powerful tool in the management of any chronic illness, and occupational therapists can help to advocate for any young clients in a setting where they may require additional support, such as in school or nursery, where they can help to implement support strategies with teachers and parents to combat chronic pain, fatigue or stiffness that may otherwise prevent the client from achieving goals or ADLs. School-age children are not the only ones affected by JIA; toddlers and babies may also experience a rheumatoid disease, which may impede them in reaching development stages as they find the experience of walking, crawling or even just moving, to be a painful one, which then in turn prevents them from exploring their wider environment. In these instances, occupational therapists can suggest a range of interventions to assist babies and toddlers, including targeted play interventions that are designed to maximise their range of motion, advise on positioning, or even provide products like splints. Occupational therapists can help improve the lives of children living with JIA by ensuring they are able to take part in ADLs and access their communities, be this through their specialist knowledge of fine motor assessment and exercise, the prescription of assistive devices like pencil grips, or in the act of advocating for what is best for their clients.

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

Kids

DAREWAY

This standing ride-on toy allows kids to whizz around on their own accord. The sturdy platform provides a stable base for kids aged six and over and there is a foot pedal accelerator to control their speed and grips on the handles to allow them to turn easily. A great device to help kids learn spatial awareness, develop motor functions and coordination, and have lots of fun at the same time. direct.asda.com/george 2

Get your younger clients involved in some messy play outside in the garden with this gorgeous little mud kitchen. Allow kids to get their hands dirty by making mud pies and baking some delicious worm cakes! This kitchen comes with plenty of pots, pans and utensils to play with, so little ones can engage in imaginative play.

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TILTING DESK

This adjustable desk is designed to be tilted to provide the perfect angle for kids to write, draw and do homework at. It has a simple adjustment technique that allows kids to adjust it themselves to ensure they have the perfect height for homework and other desk activities. It helps promote good posture and can help with handwriting by creating a comfortable space for kids.

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MUD KITCHEN

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SENSORY MOOD WATER TABLE

This captivating water table brings a magical calming atmosphere for children as they dip their hands in to play with the water and the objects in it. It can also be filled with jelly, foam, balls or anything else that your child will have fun with. It boasts a light-changing function so you can choose the colour and it works well in dark rooms when it is lit up.

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COSY CANOE

The cosy canoe is an inflatable that provides a safe, snug space for kids to climb into and feel the deep pressure of the sides comfort them. It is the perfect spot for children to nestle into for reading, listening to music or just relaxing in. Children can move around to sit at different angles to receive a varying amount of pressure depending on their needs. sensorydirect.com | 01905 670 500 6

WALL PANELS

This set of six wall panels each host a different activity to promote eye-hand coordination, fine motor skills and problem-solving skills. The colourful panels can each be mounted on the walls to let kids play and learn from each of the different games and puzzles, allowing them to have fun and develop their skills at the same time. tts-group.co.uk | 0800 138 1370

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15-16 September 2021 | NEC Birmingham |

Learn progressive techniques and expertise through interactive, CPD accredited demonstrations.

Earn CPD points! Don't miss out.

NAIDEX RETURNS FOR 2021 At Naidex, anything is possible

ace-to-face events are back, and the eagerlyanticipated Naidex is first up on the list, providing live learning and networking opportunities for occupational therapists. Running on the 15-16 September at the NEC, Birmingham, our partners over at Naidex have spent the last 18 months fine-tuning and curating their most exciting education programme for OTs yet. Packed with CPD-accredited opportunities for you and your colleagues to enjoy, discover interactive sessions, discussions and demonstrations on the latest practice, research and education in occupational therapy. This year Naidex is focusing on excellent content, interactive features and a sprinkling of fun all round!

MOVING AND HANDLING LAB This year sees the return of the Moving and Handling Lab. One of Naidex’s most established features, this dedicated theatre and demo space provides professionals and carers with interactive, CPDaccredited, training sessions using live equipment.

“The worst thing about disability is that people see it, before they see you.” Paralympic gold medallist and world champion adaptive rower Naomi Riches MBE will share her experiences of growing up registered blind and how her unrelenting desire to show the world she is not defined by her disability, led to one of the most emotional and unforgettable moments in ParalympicsGB history. There are plenty more keynote speakers yet to be announced, but if Julie and Naomi are anything to go by, these sessions really cannot be missed!

WORLD CLASS EXHIBITORS Naidex have curated a list of over 200 specialist manufacturers and suppliers who will be showcasing the latest technology and innovations which have been in development over the past 18 months. Through live interactive product demonstrations, discover how industry leading equipment can transform people’s lives by empowering them to become as independent as possible.

Experts with years of combined knowledge will provide interactive training sessions in fields such as hoisting, manual handling, toileting slings, single-handed care, plus size handling, rehabilitation, postural management, professional integrity and more.

The comprehensive list of exhibitors at Naidex spans a large range of fields and disciplines. From revolutionary mobility aid manufacturers to products aimed to ease the moving and handling of patients, no matter your speciality, you will find equipment that will help overcome challenges you face.

KEYNOTE SPEAKERS

This year, discover everything Naidex has to offer. From CPD-accredited seminars and interactive sessions to demonstrations and incredible networking opportunities, Naidex offers something from everyone.

Why not take a break from the professional content at one point? The Keynote Theatre will play host to some of the most inspiring people and their empowering stories.

In true Naidex fashion, Julie Jaye Charles will host a brave and impassioned session, discussing her multi award-winning work in disability, equality, diversity, and inclusion across the UK and internationally. As Founder of the Equalities National Council, expect a wonderfully insightful seminar from Julie as we look to diversify health and social care and improve access to crucial services for all communities.

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Working as an OT in higher learning can be a rewarding path for those who enjoy the challenge of shaping young minds

t some point, you may decide that your unique skill sets as an OT are better suited to training up a whole new batch of occupational therapists and setting them free on the world. Teaching is a noble path; there are few things more valiant than making the decision to work on getting people into your industry via the medium of education. When you care deeply about both the industry of occupational therapy and being able to introduce people to how brilliant and varied an occupational therapist’s life is, you may find that academia is the best place for you. If you’re thinking of making the jump into academia but you’re not sure if it’s right for you, consider the following:

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TEACHING IS MORE FLEXIBLE In occupational therapy roles, it’s frequently a given that you must be more flexible than the position; in some roles, you’re required to work over seven days, and you may also have to work evenings or backshift. In an academic role, that’s something you’re less likely to be faced with, as many institutions will allow you to work from home with more frequency, allowing you to juggle your commitments with more ease. As you’re no doubt perilously aware from your own time at university, the first port of call for a lecturer or member of staff is their email, so you may find that there is less requirement for you to be constantly at the university, aside from teaching and drop-in periods, where faceto-face teaching or interaction is required. That’s not to say it isn’t hard work and you don’t have to be present, but you may find that it allows you to shape your life in a way that is better suited to your needs.

THERE’S OPPORTUNITY FOR RESEARCH As a member of academia, you’ll be encouraged to be an active researcher as well as a lecturer. That might cause some of you to break out into a cold sweat, but OTs are always looking to make sure there’s evidence to base all of their interventions on, and you could be just the person to bring that evidence to fruition. Working on research is one way to become a noted expert in your field, which is done by publishing credible, quality research that will become the backbone of many a student OT’s term papers. If there’s a topic you feel particularly passionate about, but there isn’t a lot of academic research that backs it up or quantifies it, this might be your time to shine as you go about doing just that.

Working on research is one way to become a noted expert in your field

YOU CAN FOLLOW YOUR INTERESTS As above, if you want to dedicate your time and energy to a specific aspect of research, working in academia gives you the option to do that. You can take advantage of any opportunities for collaboration that you may come across, and can take advantage of travel opportunities - like taking part in conferences, doing fieldwork, or guest lecturing at other institutions. You also get to choose what you’d like to lecture in (within the boundaries of the teaching requirements), but you can choose to teach the material in whatever way you feel is appropriate. Working in academia is an opportunity for you to teach what you love in the way you wish you had been taught it.

TEACHING BRINGS VARIETY With teaching, every day is different. You get to interact with students, lecturers and colleagues every day in a way that will rarely match the one that came before it, offering a huge wealth of experience and excitement. No two students will ever write the same term paper (if they do, that’s a case for the plagiarism board), so you’ll constantly find yourself being challenged and encouraged by their ideas and assessments, as well as those of your fellow academics. It’s an intellectual pursuit that brings a lot of joy to people who are engaged with the theoretical side of occupational therapy.

YOU’RE SHAPING YOUNG MINDS It’s the most important and most obvious point: the very best thing about teaching is that you get to be a positive influence on the young minds that will come after you. Academia gives you the opportunity to influence, inform and lecture the occupational therapists of tomorrow, who will be keen to learn everything that they possibly can from you. Through teaching, you’ll help them succeed in both the long- and short-term; you can help them throughout their education, which will benefit them for, quite literally, the rest of their lives.

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The Perfect Quest

Kyrby Brown has recently joined Quest as their adaptive sports business development officer for the South West and South Wales. However, what sets Kyrby apart from her fellow employees is that she is also a loyal Quest customer and the proud owner of a Storm Runner running frame

yrby was born with arthrogryposis multiplex congenita which affects her entire body resulting in a very limited range of movement in all her limbs, which in turn affects her level of mobility. To preserve her joint function, Kyrby uses a wheelchair part time and is supported by a small team of personal assistants. Kyrby has refused to let her condition control her life and she has always been as active as possible. Up until December 2020 Kyrby was a member of the Team GB Para Dressage squad and in 2019 was selected for the team’s Performance Pathway programme. It was when Kyrby joined a Frame Running club in Cardiff in the Autumn of 2019 that she first got to know Rob Henshaw and the team at Quest as she explains: “When I was a child, I used to buy bikes and remove the pedals, pushing them with my legs. It required a fair bit of balance but I could get up some speed and it meant I could join my friends on their bikes, I even used it for

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the path down to my primary school. As soon as I tried this great sport, I fell in love with it and wanted to get my own running frame so the club put me in touch with Rob who was incredibly helpful from day one”. Little did Kyrby know this would be the start of such an exciting new adventure. Kyrby found out about the role at Quest by chance when she saw a Facebook post by Rob. “As I read the job description it sounded perfect so I promptly applied although I did have to warn my support team that life might be about to change!” In her role at Quest, Kyrby covers the South, South West and South Wales carrying out assessments for the range of adaptive sports equipment which includes running frames, trikes and game frames for frame football. Kyrby is also involved in raising the profile and awareness of frame sports and supporting the development of clubs across the country, which includes organising ‘Have a Go’ days so as many people as possible can experience the fun of inclusive sport. “Kyrby has been with us since February and is doing brilliantly. Having Kyrby as part of the team here at Quest is fantastic for us as she can truly empathise with our clients and relate to their needs and frustrations. In addition to the product training we gave to Kyrby, we also gave the same training to her support team as they attend assessments with Kyrby and we felt it was vital they also had a good understanding of the range of adaptive sports equipment we have to offer,” commented Rob Henshaw, managing director, Quest. Kyrby is loving her new role. “It has been brilliant and I am so grateful to Rob for giving me this great opportunity and for the support Quest has given to me and my support team who play a vital role in my day-today life. Don’t get me wrong, adjusting from the life of an athlete to that of a full-time worker hasn’t been a walk in the park, but actually many of the same qualities are needed. My role has so much scope and no two days are the same. I get to enable others to have the same sense of freedom and joy that I felt the first time I sat on a running frame and the role has also given me a greater appreciation of the importance of the right equipment, and made me more determined than ever to open up opportunities to others. Seeing the transformative nature of equipment and its potential to break down barriers for a whole host of conditions has given me a new perspective on disability. I love nothing more than challenging preconceptions about an individual’s ability, I “shouldn’t” be able to ride, run, sail, climb mountains, but I will. Challenges are there to be fought, and sometimes overcome, but without trying you’ll never know, you might even have a bit of fun in the process and that’s often my favourite part”. For more information on the full range of therapy, rehabilitation and adaptive sports and cycling solutions available from Quest, advice on funding or to arrange an assessment please call 01952 463050, email sales@quest88.com or visit quest88.com.

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CPD CYCLE

THE

eeping clear and organised records of your CPD doesn’t sound like a huge task, however, if you are not the most organised person in the world and tend to leave mundane tasks, like filing and admin, to the very last minute then it can feel like an insurmountable chore. If you are selected for an HCPC audit, you don’t want to be caught without enough time to get your portfolio in order, it will cause you undue stress and panic, so the best way to avoid this is to ensure you keep on top of your portfolio all year round. CPD UK recommend adopting the CPD Cycle as a way to clearly set out your CPD plans each year, to help you focus on the areas that will help your professional development and achieve all the learning objectives and outcomes that you set your mind to. It will enable you to manage your CPD portfolio easily and it will also help you to keep up-to-date with industry developments and innovations. 62

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Continuing professional development (CPD) is obviously mandatory, but the stress and anxiety that often surround keeping your portfolio up-to-date is not. Let’s look at the expert advice offered by CPD UK to ensure you keep on top of your professional development throughout the year

If you are selected for an HCPC audit, you don’t want to be caught without enough time to get your portfolio in order

The CPD Cycle can be broken down into stages:

IDENTIFYING YOUR NEEDS

In order to effectively plan your CPD needs, you first must take a step back and assess the areas of your professional role that you would like to improve on or expand. Recognising your areas of strength and weakness will help you to pin down the areas you should focus on to help expand your knowledge and further your career.

PLANNING

Once you have identified the areas you wish to develop, it’s time to start searching for training opportunities, webinars, networking events or projects that would support your learning objectives. Get some dates in your diary for throughout the year and plan your learning outcomes accordingly.

Get some dates in your diary for throughout the year

DOING

Time to attend your chosen seminars, events and training opportunities. Before each event make notes of what you are looking to learn from it and be sure to make the most of every event you attend. Keep in mind the areas that you want to develop and remain focused on improving those, increasing your knowledge and furthering your professional skills. Make sure you retain any CPD certificates on offer through these programmes and events.

REFLECTION

As soon as you have completed any form of CPD activity make sure you reflect on what you have learned. This is best to do shortly after so everything is still fresh in your mind, allowing you to assess what you have taken from it. Consider the following questions: 1 What did I learn? 2 How has my knowledge increased? 3 What skills have I learnt? 4 What can I put into practice? 5 How can I make a positive improvement to my existing work activities?” This will help you concisely extract your observations and learnings and allow you to implement them easily in your practice.

IMPLEMENTATION

The final stage of the CPD Cycle is ultimately using your new-found knowledge and skills in your current practice. Implementing what you have learned in your own practice is the best method of developing your skills and improving your work as an OT. This is the best way to learn and further your practice as an OT, so don’t be afraid to assert your new leanings. Don’t let your CPD portfolio overwhelm you at the last minute, make your life easier by continually recording your learning outcomes and reflections, and keep track of all the certificates you gain from attending seminars and events, both in person and virtually. Try to file them in date order to keep them organised and consider looking at some of the CPD apps out there to help you store everything in one safe place.

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National Helpline 0800 917 7650 www.alcoholics-anonymous.org.uk

Alcoholics Anonymous has over 4,440 groups throughout Great Britain dedicated to helping those with a serious alcohol problem learn how to stay sober. Groups are made up of people from all walks of life and all age groups. Through friendship and mutual support, members assist each other in coping which is made easier by meeting others with the same problem. There are no dues or fees for membership and anonymity is carefully preserved. Anyone who believes they have a drink problem can contact Alcoholics Anonymous by using the helpline number above or email; help@aamail.org Further information may be obtained from the web-site above or from the General Service Office at the address below. For information: P.O. Box 1, 10 Toft Green, York. YO1 7NJ Tel: 01904 644 026

Events2021 Heading here

Events and exhibitions are finally back on our calendar! This year will bring a mix of virtual, physical and hybrid events that will ensure everyone can attend in the capacity they are comfortable with. Check out the line up so far for 2021…

OTAC Events 8 Sept – OTAC Southampton, Hilton at the Ageas Bowl 15 Sept – OTAC Chester, Hallmark Hotel – The Queen 29 Sept – OTAC Reading, Hilton Hotel 6 Oct – OTAC Newcastle, Hilton Hotel 3 Nov – OTAC Kent, Mercure Maidstone 17 Nov – OTAC Midlands, Drayton Manor Theme Park 10 Dec – OTAC Cardiff, Copthorne Hotel The UK’s only free Occupational Therapy Adaptations Conference and Exhibition. At each event you will find expert seminars and exhibitors specialising in home adaptations and equipment, and invaluable CPD opportunities. otac.org.uk 15-16 SEPT

Naidex NEC, Birmingham Naidex returns in September for an independent living revolution. Boasting a dedicated CPD seminar programme, a wide range of innovative exhibitors, interactive demonstrations and expert speakers, this year’s event promises to be unmissable. naidex.co.uk 15-16 SEPT

European Neuro Convention NEC, Birmingham Europe’s only trade event for brain and spine experts. Two days packed with workshops

and expert industry speakers, the chance to gain free CPD, meet with suppliers and network with likeminded people that can share their knowledge and solutions to improve patient outcomes in the neurological sector. neuroconvention.com 15-16 SEPT

Dementia Care and Nursing Home Expo NEC, Birmingham This event showcases the technology, products and content that will not only enable care homes to implement high-quality, person-centred care models, but also inspire business growth as a result. carehomeexpo.co.uk 17 NOV

Kidz to Adultz Exhibition Kidz to Adultz North, ACC Liverpool Free exhibition dedicated to children and young adults with disabilities and additional needs, their families, carers and all the professionals who support them, the events are packed with exhibitors and boast a great CPD seminar programme. kidzexhibitions.co.uk 24-25 NOV

The OT Show NEC, Birmingham The OT Show will return this year with a packed seminar programme, world class speakers from the OT community and an exhibition hall packed with organisations catering for the independent living market. This year will also be a hybrid event as it will give OTs access to the event online, so everyone will be able to attend whether in person or virtually. theotshow.com

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Committed to Quality Keeping you Safe in Practice

The EDGE People or Children Handling and Risk Assessment Key Trainer’s Certificate courses will provide you with the up-to-date skills, knowledge, and resources to teach others in safer people or children handling skills and to conduct moving and handling risk assessments. The experts at EDGE will continue to support you in practice for the duration of your two-year training certificate, offering guidance, advice, and resources to support you in your training role: which has proven particularly invaluable during this difficult time. • Healthcare Professionals All EDGE Services Trainers are nurses, occupational therapists or physiotherapists with at least ten years clinical experience and at least six years training experience. • Professionally and Academically Accredited All our People and Children Handling and Risk Assessment Key Trainer’s Certificate courses are accredited by RoSPA Qualifications to Level 4 or Advanced Level 4. They Public are Royal College of Occupational Courses Therapists (RCOT) Approved Availab Learning Awards, certified by the le Across CPD Certification Service and the aligned to the Skills for Care Core UK Skills Training Framework (CSTF).

• Extensive Training Resources, Exclusive On-line Library and E-Learning Module Our training is supported by a professionally produced and fully illustrated 256-page course textbook, proposed documentation for onward training delivery, four video modules demonstrating over 45 moving and handling practical skills techniques, an extensive and exclusive on-line resources library and a user-friendly e-learning programme designed for front-line staff.

Level 4 Award

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The OT Magazine – Jul / Aug 2021

Articles inside

Those Who Love, Teach

The CPD Cycle

OT in the Community

Naidex Returns for 2021

Paediatric Yoga

An Island Escape

OT Receives Queen’s Honour

Day in the Life

Inclusive Bathroom Design

Supporting Brain Injury

Pain Management

Leading the Way

Product Focus

Virtual Assessments

What’s New