MAY/JUNE 2016 • ISSUE 10
IMPROVING INDEPENDENCE
SPECIAL YOGA
For children with additional needs
THE PERFECT SEAT Choosing the right seating solution
THE SILVER REVOLUTION Fighting the stigma of ageing
FIGHTING TO PLAY
Access to play opportunities 01 Cover_KW.indd 1
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WELCOME
WELCOME Y
OGA IS NOT SOMETHING I HAVE DONE for several years, but the few classes I did attend when I was a fairly care-free, 20-something definitely helped me to de-stress (she says laughing at the thought of being stressed before having a two-year-old, an energetic dog and a mortgage!)
We fully recognise the benefits of the practice of yoga, which is why when we discovered the Special Yoga Foundation, a charity that is using therapeutic yoga to help children with disabilities, we were excited to find out more. You can read all about it on page 15. This issue includes a seating focus. We look at the importance of the correct seating and the detrimental effects that an incorrect solution can have. We spoke with two of the UK’s leading seating manufacturers to find out what advice they could offer to OTs when choosing the perfect seat for a client.
the accessible formats available and we also have information from the Blind Veterans UK charity on the support they can offer ex-Servicemen and women who have lost their sight. The importance of play opportunities for all children is of vital importance to their development and learning. However, a recent inquiry by children’s charity, Sense, has revealed that there are not enough accessible opportunities for children with additional needs. You will find an in-depth look at the results of the inquiry on page 50. We also tackle the stigma of ageing, as we launch a silver revolution on page 61, celebrating those who are ageing like a fine wine and doing it in style! The underlying message in this piece is calling for more desirable products to be created in the independent living sector. Bring on the stylish grab rails that will blend in seamlessly with someone’s bathroom and not stick out like an eye sore. We hope those of you who have downloaded the app have been enjoying reading the magazine on the go and if you haven’t downloaded it already, what are you waiting for? ■
If you are an OT who works with those who have visual impairments, you will be interested in our article on reading for people with sight loss. This explores
THE TEAM Editor: Staff Writer: Staff Writer: Designer: Marketing: Sales:
Rosalind Tulloch Lisa Mitchell Dionne Kennedy Katie White Sophie Scott Robin Wilson
CONTRIBUTORS Kate Sheehan Adam Ferry Dawn Fraser Jenny Leow
t m t m t m
SIGN UP FOR YOUR FREE SUBSCRIPTION TODAY! Member of PPA Scotland
CONTACT DETAILS 2A Publishing Ltd, Caledonia House, Evanton Drive, Thornliebank Ind. Est., Glasgow, G46 8JT T: 0141 270 8085 F: 0141 270 8086 E: enquiries@2apublishing.co.uk
www.ot-magazine.co.uk Like us on Facebook Search for ‘The OT Magazine’ Follow us on Twitter @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 2016 © 2A Publishing Limited.All Rights Reserved. ISSN 2056-7146
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CONTENTS May/June 2016
57 07 WHAT’S NEW We explore what’s happening in the healthcare sector
13 JARGON, JARGON, JARGON… AND EQUIPMENT! Kate Sheehan shares a recent personal
experience with the discharge process
61
15 SPECIAL YOGA We talk to founder of Special Yoga, an organisation
bringing the therapuetic benefits of yoga to children
19 PRODUCT FOCUS A selection of innovative products 22 OT APPROVED Adam Ferry shares his expert recommendations 25 A DAY IN THE LIFE OF AN OT Each issue we speak to a different OT about what
their job entails
27
ARE YOU SITTING COMFORTABLY?
What to look for when choosing a seating solution
33 SHAPING THE FUTURE Jacquel Runnalls, recent winner of The OT
68
Show Senior OT Award, shares her OT experiences in housing and accessibility
37 PRODUCT FOCUS We highlight more innovative products to
aid independent living
41 READING BETWEEN THE LINES We explore the options open to people with
a visual impairment for reading
44 BLIND VETERANS UK Find out more about the charity supporting DOWNLOAD THE OT MAGAZINE APP FREE TODAY! P30
47 THE CARE ACT – ONE YEAR ON Kate Sheehan reflects positively on the
4
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visually impaired ex-Servicemen and women
changes implemented by the new Care Act
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50
SUBS82 C TODARIBE Y 25
FOR FREE !
37
50 FIGHTING TO PLAY Children’s charity, Sense, have launched an
inquiry into the lack of access to play opportunities for children with disabilities
55 CHILDREN’S PRODUCTS The best children’s products on the market 61 THE SILVER REVOLUTION We explore the stigma behind ageing 65 BURSARY OR BUST What the bursary implications will mean for
the future of OT
68 HEAL THE WORLD Ever considered taking your OT skills around
the world?
71 STUDENT ADVICE Dawn Fraser speaks to a student with
cerebral palsy studying OT
72 WFOT We hear about the recent Council Meetings
that took place across the globe
76 RECRUITMENT AND TRAINING The latest employment and training
opportunities available
80 EVENT CALENDAR Relevant events for you to attend this year www.
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WHAT’S
NEW
We explore what’s happening in the healthcare sector, from new products and services to inspirational stories
Brainwave Heads to London
I
N MAY, J U N E, N O V E M B E R A N D December this year, London families of children with disabilities and additional needs will for the first time be able to access the support of Brainwave Children’s Charity as it opens its doors to four weeks of satellite clinics in the heart of London. Phil Edge, CEO of Brainwave said: “Having the disciplines of physiotherapy, occupational therapy and speech and language therapy all under one roof allows us to meet the specific needs of each disabled child we see. Using this multidisciplinary team approach has led to many children achieving developmental milestones that not even their parents had dared hope for.” Until now, London families wanting to access the support of Brainwave have had to travel to one of Brainwave’s three permanent therapy centres, the most local being in Witham, Essex.
But thanks to a generous donation from Otkritie Capital International, Brainwave has been able to book bright, spacious facilities at the Lumen Centre in Tavistock Place, just a ten minute walk from King’s Cross station where it will run four full weeks of satellite clinics in May, June, November and December. Here, children can have their initial assessments closer to home before being offered the opportunity to continue on the Brainwave programme at the therapy centre in Witham Essex. Jeanette Bell, mum to Honor who attends the Brainwave Therapy Centre in Witham, Essex, explains Brainwave’s approach to her daughter’s development: “Each time we attend, Honor is seen by a physiotherapist and an occupational therapist. First, we catch up and update the team on any changes since our last visit and we then agree what we would like to focus on that session. After that, Honor’s progress is assessed and we
then go through a number of exercises designed to challenge her further. Much of the session is filmed so that when we go home we have a video to refer to as well as a laminated sheet with the new exercises on it. We also receive lots of help and advice about equipment and activities we can do at home, which is always really inspiring.” Brainwave’s vision for the future, along with continuing to enhance the lives of children and their families throughout the UK and Ireland, is to continue to run the London satellite clinics into 2017 and beyond, so many more London families can access the unique support that Brainwave offers. ■ Brainwave is now welcoming enquiries from families interested in attending this year’s London satellite clinics. To find out more, go to www.brainwave.org.uk, contact Brainwave on 01376 505290 or email enquiriesse@brainwave.org.uk.
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WHAT’S NEW
Innovative solution helps family
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-YEAR-OLD DENNIS FROM CAMBRIDGE IS one of the first children in the UK to benefit from the Handi-Move shower bath trolley available from Dolphin Mobility, one of the UK’s leading suppliers of independent living solutions. Dennis has severe cerebral palsy and until recently used a shower chair, however as he grew he became too heavy for his parents or carers to carry him upstairs to the bathroom so the family along with their occupational therapists started to look for alternative bathing solutions that could be installed downstairs. After some research, Dennis’s OT recommended the Handi-Move shower bath trolley and contacted Dolphin Mobility. “The trolley has made such a difference for Dennis as it allows him to either have a quick shower or a nice long soak in a safe and relaxed atmosphere and the all-round padding ensures he is also very comfortable. As part of his condition, Dennis has a tendency to extend his arms and the padded sides ensure there is no danger of them getting trapped. The ability to raise or lower the trolley is another great feature as it means Dennis’s brother and sister can also help with bathing him which they all love,” commented Dennis’s mother, Josie. Rachel, one of Dennis’s carers has also been very impressed with the trolley as she explained: “I had never seen one before and it is great from my perspective. It is extremely easy to use; I can fill the trolley using the shower head in a matter of minutes and with a maximum depth of up to 7.75” it provides Dennis with the feeling and associated benefits of a real bath and this is especially important in the winter as Dennis can get quite cold. The design of the trolley also ensures there is
excellent levels of infection control as the water quickly drains away through the built-in piping system and the trolley can be easily cleaned”. ■ For more information and to find your nearest Dolphin Mobility branch visit www.dolphinlifts.co.uk or call 0800 9800126.
Save the NHS Bursary UNISON has reported that healthcare students may be saddled with £50,000 of debt after the government announced the possibiliy of bursaries beng replaced with fees and loans. This drastic increase in the cost to study a caring profession is thought to have serious implications on the number of people considering careers as occupational therapists, nurses, midwives etc. The reality of the students
8
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that do take on this massive debt is that they are unlikely to ever earn enough to pay it all back. UNISON head of health, Christina McAnea, said: “This consultation is meaningless. It’s clear that the government has already made up its mind to replace bursaries with loans and fees. “Replacing the bursary system with loans will put off many potential students, not encourage more people
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Clinical Research Results Spearhead Thinking On ‘Comfort’ The importance of correct specialist seating is becoming recognised by healthcare professionals as an essential part of the 24-hour posture and pressure management programme, however there is limited robust research data. CareFlex have over 20 years’ experience developing high quality seating and can be relied upon for expert, impartial and ethical advice. They wanted to know more about what the user needs from their chair and what their priorities are, so they approached The University of Salford to carry out a study to look at the benefits of using CareFlex Specialist Seating and the effectiveness of WaterCell Technology®. This also looked at how people report their comfort in the chairs.
majority of issues with seating are caused by the discomfort generated by bad posture or fatigue.
knitting, etc. • Very low average pressure readings were recorded.
The clinical research results support this belief.
Results also point to the fact that comfort and the aesthetics of a chair are so important to users that, regardless of the clinical benefits, i.e. posture management and pressure relief, the chair may well not be used if the user is not comfortable and does not like the colour and fabric.
• 92% of participants reported the chairs as being comfortable. • 80% reported being able to do more than they would usually do in terms of activities and leisure pursuits, i.e. watching TV, reading,
This is extremely important to help stop the high levels of ‘equipment abandonment’ witnessed by many healthcare professionals throughout the country. Just a few of the many affirming comments, some of which touched the researchers deeply. “I’d forgotten what it felt like to sit somewhere comfortable… for the past three years I’ve literally either been in bed or in a wheelchair.”
In an ‘Evaluation of Pressure and Comfort’, researchers at The University of Salford explored the use of WaterCell Technology® in the redistribution of pressure. They wanted to find out how comfortable/ uncomfortable users found the chairs and why. Also, whether there was a correlation between self-reported comfort (feeling comfortable) and pressure redistribution.
“…I didn’t expect to dose in it … I was quite surprised when I woke up. I might have missed a goal as well!” ■ A full report is available on The University of Salford USIR. Call CareFlex on 0800 018 6440 for more information
CareFlex understand that the success of any chair is proven by the physical comfort it offers and know that the
into our caring professions. “Many will be saddled with huge debts for the rest of their lives. With nurses, midwives and occupational therapists starting out on salaries typically £7,000 less than other graduates, students are unlikely to ever earn enough to pay off their loans. “The UK already has to import staff from overseas just to keep the NHS going, and nothing in this consultation will
enquiries@careflex.co.uk.
change that. Worryingly, it looks like ministers don’t plan to stop at health professionals. The consultation suggests that bursaries for social workers could be next in line. “The government has published a woefully inadequate equalities impact assessment on the move to student loans. This is a complete reversal from five years ago, when ministers said that a move to a loan-based system would hit women hard, especially those from
diverse backgrounds.” As part of its response to the government’s proposals to axe NHS bursaries, UNISON, the NUS and other organisations are organising a joint lobby of Parliament on 25 May. The OT Magazine has looked into this further, turn to page 65 to read more. ■ www.unison.org.uk
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New Event Rises For Disability Resourcing and Identifying Suitable Equipment Made2Aid are proud to announce the launch of their new event RISE 4 Disability. Made2Aid decided to deliver an exhibition and conference designed for occupational therapists in the south east area of the UK, after receiving feedback that many events are based around the midlands to which some were unable to attend.
Each seminar will hold 150 delegates and all attendees will receive certification which can go towards their CPD. A free lunch will also be provided to all that register. Don’t delay, book your space today at www.made2aid.co.uk/RISE or for enquires call 01268 814810.
RISE 4 Disability will feature a conference with seven seminars based around equipment provision and services as well as an exhibition with over 40 exhibitors, showcasing a range of products and services including: mobility products, sensory, seating, bathing and toileting, paediatrics, assistive technologies, telecare, powerchairs and much more. It will also feature a mobility zone, a wheelchair test drive area, on stand CPD training, a market place to purchase DLA’s along with a virtual dementia tour bus.
Conference Room Time Table:
Registration is now open for The OT Show!
• • • •
Taking place on 23-24 November this year at the NEC, Birmingham, The Occupational Therapy Show is an event you will want to schedule into your diary early.
9:00-9:45 How to Source for Suitable Products 10:00-10:40 Living With Dementia 10:50-11:20 Increasing Independence In Toileting 11:30-12:30 Seating and Positioning Considerations for Rehab Shower Commode Chairs • 13:30-14:30 Telecare, Suitable Applications • 14:45-15:30 How Together We Can Help Injured People Gain Access To Early Intervention, Treatment, Aids & Equipment and Support. • 15:45-16:30 The Key fundamentals Of The Disabled Facility’s Grant
10 www.
Free registration is now open to all those interested in attending, simply visit www.theotshow.com/ otmag to fill in your details and you will be kept up-to-date with
all the latest news and plans for the event. There will be over 100 hours of lectures and seminars, over 60 hours of CPD accredited education, as well as hundreds of stands showcasing innovative products and services, from daily living aids to mobility scooters. ■ We look forward to seeing you there!
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Patterson Medical is taking You on a Journey! ON THE 1ST JUNE PATTERSON MEDICAL WILL BE CHANGING ITS NAME, but how does it affect you? Simple it won’t! Your service and product selection from us will remain the same, the only thing that will change is our name! Our Sales and Customer Service Teams will be on hand to answer any queries you may have, but we promise to keep in contact with you every step of the way. So for this journey you will need a new catalogue…
Our New Catalogue From the 2nd June customers will start to receive our NEW CATALOGUE! With new products, new images, updated details, easy to read format and with the new company name! eelchairs
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New Purée Petite. 500+ calories and 15g+ protein in one smaller portion. Perfect for reduced appetites. NEW RANGE
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The new Purée Petite range takes a fresh look at Category C meals, for patients with
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COLUMNIST
KATE SHEEHAN
Kate is the Director of The OT Service; the company provides high quality advice, consultancy and training to manufacturers, retailers and service providers. It also provides occupational therapy clinical services in housing and equipment to case managers, solicitors and private individuals via their handpicked network of occupational therapists. For more information email kate@theotservice.co.uk
Jargon, jargon, jargon… and equipment
H
IGH PROFILE CUSHION, INTERMEDIATE care, re-ablement, community link, mayfair commode, waterflow cushion, grade 2 pressure sore, CCL – what does it all mean?
I have been on the other end of experiencing NHS care for a family member recently and I have to say I have been extremely impressed with the care provided. However, four weeks in and discharge planning is in process, I suddenly realised how much jargon is used. Now, I am lucky I know what most of the terms were, but did struggle with the difference between intermediate care and re-ablement.
It wasn’t just the language used, it was also the equipment provision, I have written about this before, so please bear with me. A raft of equipment was delivered to the house and dropped off in the porch. The main carer, aged 80, then had to move everything to get into the house and then try and work out what each product was for. A late night frantic phone call ensued as she could not fit the bathing equipment. ‘Face Time’ came to the rescue and I then realised that she was trying to fit a perching stool in the bath. This may, to you, be rather amusing (I have laughed about it since), however this could have been very dangerous and put the user at significant risk.
The use of jargon can be a very accurate and effective way of communicating with other professionals, when working as part of the multi-disciplinary team, but it can really impact negatively on the patient.
The OT had ordered the equipment for strip washing and this was an appropriate piece of equipment, however, what the carer heard was washing; normal washing to her was bathing and so she presumed that it was for the bath, although not jargon, clarity of communication is essential for a safe outcome.
My family member is 91 years old, a professor and, prior to this admission, still working. He is bright, intelligent and probably has a greater understanding of modern technology than I do! However, he has found the whole discharge process disempowering and frightening, I noticed he became submissive in the process and, for the first time ever, a passive recipient of a service.
So my plea to my fellow OTs is this: • Stop and think about what language you use. • Maybe consider putting something in writing for your clients, so they have time to take on board what was discussed.
It has made me reflect on my practice and review our code of ethics, which states, ‘The College is committed to personcentred practice and the involvement of the service user as a partner in all stages of the therapeutic process.’1 If we use language that is not accessible to our clients we are not achieving a collaborative approach to our therapeutic intervention and are alienating them from the process.
A more critical issue is - are our equipment providers fitting and demonstrating the equipment they deliver as part of their service? We have to remember this is an essential part of the therapeutic process and if there were to be an accident, where would the liability stop? ■ 1. College of Occupational Therapists Code of Ethics 2015
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29/04/2016 00:22 04/06/2015 10:32:55
SPECIAL YOGA
YOGA FOR THE YOUNG
T
HE LOTUS POSITION, THE GARLAND POSE, THE downward-facing dog…
All of these positions will either fill you full of Zen and relaxation or fill you with complete dread if you have never low lunged into the flexible, mat-filled world of yoga before. Many people believe that yoga is reserved for people who are young, beautiful and look great in crop tops or have too much time on their hands. This couldn’t be farther from the truth. The physical and mental health benefits from this ancient form of exercise aren’t just for the rich and unburdened, the advantages can be felt in all walks of life or ability. The whole spiritual essence is to improve a person’s well-being and improve their state of mind.
Bringing therapeutic yoga to children with special needs
or otherwise. If a child could learn this outlet of tension and emotion from a young age, it could lead to less problems as an adult. Jo Manuel is the founder of the charity Special Yoga Foundation. Special Yoga Foundation is a registered charity that was formed to provide yoga as a therapeutic intervention for children with special needs. The charity consider all children special and know that no label can define or limit a child’s potential for positive change. The mission of Special Yoga Foundation is to reach as many children as possible throughout the UK and worldwide with their therapeutic yoga programme. All children ›
It isn’t just for adults, either. When children are involved in the practice of yoga, the advantages can be multiple. When you are a child, you are more easily in touch with what relaxes you, what makes you happy and calm, with less worries, unlike an adult. Not to mention the fact the majority of children are more flexible and agile than their grown counterparts. With all of these factors, it is surprising that more children don’t become involved. Yoga can help work out a lot of issues, be they mental, physical
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SPECIAL YOGA
› can benefit from the therapeutic service they provide.
Jo said: “The trainings and therapies provided are for children with special needs and their families. We also offer yoga for adults with special needs. In line with our mission to reach as many children as possible we offer yoga and mindfulness training courses for yoga teachers, parents, occupational therapists, paediatric professionals, school teachers, orphanage workers, social workers, etc.”
Children with a wide variety of special needs can enjoy Special Yoga classes
Special Yoga can: • Reduce stress and anxiety • Improve resilience • Develop the ability to self-regulate across environments and demands • Develop balance and the ability to relax and release tension, fear and frustration • Improve self-awareness • Improve motor planning and control • Improve immune function • Improve quality and quantity of sleep • Enhance respiratory ability and capacity • Enhance sense of well-being, calm and peace • Create emotional balance
condition for the possibility of positive change.
Special Yoga’s methodology includes the classical yoga practices of movement, breathing, deep relaxation, as well as sound, rhythm, massage and sensory integration techniques. They meet every child, both in their group and in their individual sessions, with a pure intention to create practices that will encourage their fullest potential. The charity celebrate the strength within each individual child and work from there to help them reach their fullest potential. When the child is taken out of stress and into a relaxed state, it creates the optimum
“With a background in sensory integration, I am acutely aware of the potential contribution of enriched proprioceptive and to some extent vestibular sensory experience yoga can offer through the use of asanas (poses). Active contraction and stretching not only increase body awareness but also have an impact on self-regulation and planning. Pranayama (breathing) and Shavasana (meditation) affects the ability to regulate our stress response. The vagus nerve has a reciprocal relationship between the brain, heart and diaphragm and offers a pathway through breathing into self-regulation.
Sue Allen, an occupational therapist, attends a course of Special Yoga. She said: “As occupational therapists, we are concerned with promoting the participation of children and their families in home, school and community life. Many of the children that we meet, face physical, sensory, social or emotional barriers to fully participating in play, work and leisure activity. Yoga promotes both physical and mental health and is accessible to all. It can provide a supportive environment that helps individuals successfully participate within a community whatever their level of performance skills are.
“Jo Manuel and her team embody the concept of making yoga accessible to all. I attended a five-day course with physiotherapists, yoga teachers, parents and school staff. The course covered basic poses, breathing and stretches and application with students with a variety of conditions. I have found particularly the stretches and breathing techniques to be helpful with giving my clients additional strategies for selfregulation. I am now completing yoga alliance teacher training.” ■ You can find more information about the courses at www.specialyoga.org.uk, where you can also find an application form for individual courses. 16 www.
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29/04/2016 16:00 14:59 29/04/2016
20 YEARS OF HAND-BUILT QUALITY • UK manufacturer, established in 1996 • Curve and Horizon Straight stairlifts • Innovative adjustable ERGO chair • Award-winning reconditioned scheme • Space seat for narrow staircases • Fastest lead times in the industry for • a hand-built, custom-fit, curved rail • Outstanding customer service and aftercare
Freephone 08000 355 591 www.platinumstairlifts.com Untitled-1 7
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PRODUCT FOCUS The independent living sector is filled with amazing innovations to help people live more independently. Every issue we bring you a selection of products, from daily living aids to major mobility products, that make life a little easier for those who need it. No Bend Pet Bowl An effective and simple solution to, what can be, an everyday problem for many people across the UK. The double-sided bowl caters for your pets water and food in the same item and the extendable handle simply pulls out of the middle, extending to a comfortable height that allows users to pick up the bowls in one easy movement, negating the need to bend or reach. The handle can be removed for cleaning and the whole product can be placed in the dishwasher. ■ Prices from £14.99 No Bend Pet Bowl info@nobendpetbowl.com www.nobendpetbowl.com
Window Pull The NRS Window Pull has been designed with the user in mind. Many find it difficult to open and close hardto-reach windows and often rely on waiting for others to help them perform this task. Lightweight and easy to use, the NRS Window Pull is designed to fit most types of window handles and features a fold-away lever which makes it perfect for two-handed operation. Its rubber grip handle also
creates a comfortable user experience. The NRS Window Pull promotes independence and can be used on windows that are particularly hard to reach, such as those above kitchen worktops, making it a perfect solution that puts the user’s safety first. Additionally, the NRS Window Pull is suitable for wheelchair users, enabling them to stay seated and avoid having to leave their chair to open or close windows.
The NRS Healthcare Product Development team work continually hard to design original products, and improve existing products, that make daily activities easier. More household accessories, as well as other key products for everyday use, can be found in the new NRS Healthcare Professional Catalogue. ■ To order your catalogue today, contact NRS Healthcare on 0345 121 8111. You can also visit their website, where they have a wide range of products available, at www.nrshealthcare.co.uk Price: £32.34
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Days Trolley Walker
PRODUCT FOCUS
This height-adjustable walking trolley is a sturdy and robust walking aid for use within the home, providing a means of transporting items from one room to another. The Trolley includes clip-on plastic shelves and is easy to clean. There are rails on tray edges to prevent items slipping off and the lockable hand brakes provide additional safety when rising from a seated position. Now available in white. Product code: 091557289. ■ Prices from £59.95 Patterson Medical 03448 730 035 medicalsalesuk@pattersonmedical.com www.pattersonmedical.com
Typeassist and Typeassist+ New iPad app and Windows software from Assistive Control Typeassist’s very simple screen layout suits users with a wide range of disabilities who are looking for an easy-to-use programme for typing and speech support. It is ideal for anyone with limited dexterity, needing to use far fewer keystrokes to get your message across than a keyboard with a traditional layout.
20 www.
Typeassist users can ‘type’ and ‘speak out’ text quickly and in comfort and all the features can be accessed directly from the onscreen keys. It’s really easy to set up and get started, with no lengthy instruction manuals and no need to be computer literate.
including a ‘Beginners’ programme, useful for younger users or those still developing their literacy skills. ■ Typeassist - £19.99 Typeassist+ - £59.99 Assistive Control 01886 884 188
Typeassist+ offers a wider range of editing and customising options,
enquiries@assistivecontrol.com www.assistivecontrol.com
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Versatility
The Swiss Army knife of Riser Recliners This ingenious modular chair is inspired by clinicians and created by Rise and Recline. It guarantees to deliver and meet the increasing demand for product reliability whilst maintaining its cost effectiveness without compromising quality. The Versatility boasts the most adaptable riser and recliner chair on the market today. No matter if you are an OT, PT, Commissioner or a service provider, you can recommend with confidence and without risk. Its dynamic approach to ensure your patient needs are met by taking into consideration tissue viability, infection control and postural management; the Versatility will deliver maximum comfort and safety. ■ If you would like more information or a product evaluation, please contact Rise and Recline Ltd and ask for Darren on 01159 133572, email darren.rose@riseandrecline.co.uk or visit www.riseandrecline.co.uk
Flexx HD
Designed with style and adjustability in mind, the Flexx HD features stylish flip-back, height-adjustable armrests and swing in/out footrest hangers, all of which are exceptionally easy to use and aesthetically pleasing. The Flexx HD can cater for users weighing up to 170kg (26st 7lbs) and is available in 20”, 22” and 24” seat widths. The lightweight aluminium frame allows numerous adjustments to enable the user to configure the wheelchair to meet his or her specific requirements. Further levels of user comfort are provided by backrest height and angle adjustment. Additional features include: multiple rear wheel positions, adjustable castor angle, seat depth adjustment and a double cross brace for increased durability. ■ Prices available on request Karma Mobility 0845 630 3436 www.karmamobility.co.uk
www.
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3rings Plug The 3rings Plug alerts carers/family members when a kettle, TV or appliance of choice is activated, to give peace of mind that a loved one is up and about. Just connect the 3rings Plug to the appliance they use the most and based upon your rules up to 10 family members, carers or friends get peace of mind messages each day or alerts if no activity has been seen. No internet connection is required as built into the 3rings Plug is a mobile
device which manages all the communications. Pricing: Base Price - £79 inc VAT for 3rings Plug then £12 inc VAT per month subscription. 12 Months Package - £183 inc VAT for 3rings Plug and 12 Months subscription - saving £40. 24 Months Package - £288 inc VAT for
3rings Plug and 24 Months subscription - saving £79 ie a free plug. ■ 3rings, 0161 731 0081, info@3rings.co.uk www.3rings.co.uk
Adam Ferry/UK Therapy Services Adam Ferry is an occupational therapist both in the statutory and independent sectors. He is also the co-founder of UK Therapy Services. With combined experience of over 30 years, UK Therapy Services specialises in providing high quality occupational therapy assessment, rehabilitation and consultancy packages for the private, statutory and business sectors.
In this regular article Adam will explore and review products he experiences in practice, giving insight and reflection to those who it may benefit. ■ You can contact Adam on adam.ferry@uktherapyservices.co.uk or visit www.uktherapyservices.co.uk for more information.
Arjo-Huntleigh Sara Stedy Over recent years, I have often struggled to find reasonable standing transfer solutions for clients who have the ability to weight-bear without being able to progress into a full stand. Ward-based standing hoists, in my case often the Arjo Sara Plus, encourage a normal ergonomic stand and in my experience therefore have a high rate of success. However, this equipment is rarely suitable for the home environment s i gn i f i c a nt l y m o re costly than other standing hoist models. We often attempted various other types of non-mechanical standing aid including the original Arjo Stedy which was fluctuating in its success due to inability to widen legs, alongside its clearance height to get under chairs, and the height the client would need to stand to enable a perching seat to be positioned. 22 www.
Both of these issues have been resolved with the Sara Stedy. Firstly, the newly designed APPROVE D BY ADAM innovative pivoting seat, which folds behind FERRY the user meaning a significantly reduced required standing height, makes it easier for the client to get into the lift. Secondly, the pedal-operated chassis legs can be easily adjusted to support optimum transfer positions and comfortably goes around standard armchairs/toilets, etc. Although empirically I do not yet have data to confirm this, rhetorically my therapists feel that this new design has reduced the number of mechanical standing aids they are ordering, maximising occupational engagement and supporting on-going rehabilitation due to its facilitation of a normal ergonomic stand. ■ For more information about the product visit www.arjohuntleigh.co.uk/products/ patient-transfer-solutions/ standing-raising-aids/ sara-stedy
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Quantum Star: Sophie Buckley @lifeonilevel
A Seat lift with a difference... • 10” of elevation in 24 seconds while at walking speed up to 3.5mph • Advanced functionality and stability strengthens daily independence and quality of life. • Improves health, social interaction and independence • Operate the seat lift whilst driving the power chair.
#ileveluk #socialmobility Tel: 01869 324600 Email: sales@quantumrehab.co.uk Web: www.quantumrehab.co.uk
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QuantumRehabUK
29/04/2016 16:02 15:06 29/04/2016
A DAY IN THE LIFE
A DAY IN THE LIFE OF...
Dave De’ath is a semi-retired OT who volunteers for a community interest company called Nurture Dogs. This is a brand new initiative that is a project set up to provide a combination of OT and animal assisted therapy to all client groups. Clients that they work with, both one-to-one and in groups, include, learning disabilities (community and hospital or residential homes), dual diagnosis (LD and MH), drug and alcohol service, adolescent mental health, dementia care, schools (mainstream and special schools), forensic and secure mental health. What is your current role? My current job role is volunteer senior OT with Nurture Dogs. I am the secretary and treasurer of the organisation that was pioneered by my wife Gill and myself, based out of Dedham Community Farm. This is a very popular venue for OT student placements and I supervise students as part of my job role. I started Nurture Dogs about seven years ago when I was considering retirement. I wanted to do a job that enabled me to pick and choose how many hours I would work and where.
Who are your therapy dogs? As to who the dogs are, well they are the real therapists along with the other animals in our team. There is the crossbreed pointer, Mila, Duster the golden doodle, brothers Bumble and Badger who are lhasa apso and yorkshire terrier crosses, Tom the English pointer, Tes the border collie, Blue the sprocker, Basil the lurcher, Milly the cocker spaniel and Scout the cockapoo. They all have different strengths and personalities and can be useful in varying situations. All the dogs have been purchased/selected for their temperament and character. One gets a ‘feeling’ when a dog is right for the therapy work.
on what is happening at the farm. The animals and the tasks that caring for them involves is shared between our volunteers including myself and our two members of staff, Gill and Katie our therapy assistant/farm manager. Since the dogs live with us, the first task each day is to let them out in the morning for exercise and to feed them. Following this we go to the farm seven miles away where our office is situated. We have a large number of poultry, two goats, twenty-odd sheep, two ponies, four pigs, guinea pigs and a rabbit. Feeding these takes about an hour if all goes well. We are then free to go out to our community work in schools and other places. We do group work that is a mixture of animal facilitated therapy (AFT) and OT. The course runs one hour a week for six consecutive weeks.
What is your favourite part of the job?
Describe a typical day…
My favourite part of the job is really helping people, whoever they are, especially the OT students who are such an encouragement to us. The job pulls together all of my past love for animals and looking after them and of course using the OT skills. I have discovered that one is born an OT and it is just a matter of discovering this, it is the profession that I am in love with. ■
The work that I do at Nurture Dogs is very varied. A typical day can start as early as 6am. This depends
www.nurture-dogs.co.uk
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OTOLIFT STAIRLIFTS
ONE
TWO
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Twin Rail
Otolift Stairlifts offer a broad range of features throughout our product range.
backwards travel
drop nose down to 175mm
Each stairlift user’s condition & staircase layout is unique; however, with the combination of single tubed and twin tubed stairlifts in our portfolio, we have solutions for the majority of staircases and individual needs. At Otolift we only sell through our nationwide network of approved stairlift dealers giving customers the benefit of a local service from a reliable and reputable company.
90° swivel seat
lifting footrest option
Contact us to find out what we can do for you, or to find out who your nearest distributor is.
compact folded seat
Info@otolift.co.uk tel: 01207 581 636
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hinge options
Stairlift Solutions for any type of stairs
www.otoliftstairlifts.co.uk
29/04/2016 00:31
SEATING
Are You Sitting Comfortably?
A
WILDLY UNDERESTIMATED AREA OF an occupational therapists’ role is finding the right seating solution for your client.
The vast implications of improper seating can lead to many devastating conclusions and not only prolong the rehabilitative process but damage the overall health of a patient. Two giants in the bespoke seating market, Seating Matters and Repose both have a wide array of theories and resolutions to help even the most inexperienced of OTs combat the threat of improper posture and other, even fatal, concerns that clients can face. Martina Tierney, occupational therapist and Clinical Director of Seating Matters, has spent over 30 years as a therapist, travelling the world to find seating solutions to help her patients. She took matters into her own hands when she found that there was precious little out there and, alongside her family and expert clinical team, created an easy to use, multiadjustable chair, which was fully adaptable and customisable to suit individual patient’s needs. Repose is also one of the UK’s leading manufacturers and suppliers of bespoke adjustable furniture
and works closely with Kate Sheehan from The OT Service, one of the UK’s leading independent OTs, when developing new products as Managing Director Lisa Wardley explained: “Here at Repose we pride ourselves on listening to and acting upon comments and suggestions from our end users, retailers and healthcare professionals, after all they are the ones at the sharp end so to speak. Kate has been working with us for over a year and her insight into what OTs look for has been invaluable to us as a company”. What should OTs look for in a seat? Due to the in-depth clinical research at Seating Matters, Martina urges OTs to look out for these things when choosing a seat for a client: BACK ANGLE RECLINE It is a crucial element of seating for the support and positioning of those with certain abnormal postures, preventing the patient sliding from the chair. It accommodates users with limited hip flexion and facilitates a change in position of the client’s hip angle, achieving a more comfortable position. SEAT DEPTH ADJUSTMENT Adjusting the seat depth facilitates maximum surface area contact so the individual’s weight is properly loaded in the chair and pressure redistribution is optimised. The ability to adjust seat depth in a chair is a great function for a multi-user environment allowing one chair to suit many different client needs. For example, patients with long legs require the ability to adjust the seat depth to properly load the femurs into the chair. A FOOTPLATE A height-adjustable footplate allows for the client’s feet to be loaded. It should never be › www.
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SEATING
› an accessory or an option, it should be compulsory. 19% of a person’s body weight goes through the feet while seated and fully loaded, resulting in less pressure exerted through the ITs and other high risk areas.
REMOVABLE CUSHION It offers flexibility to add an alternative pressure management cushion best suited to the patient’s needs without compromising the chair’s dimensions. A cushion needs to be reviewed at least every 18 months to ensure it continues to provide pressure redistribution. TILT IN SPACE Tilt in Space will improve posture, including head and trunk control and assists positive or corrective positioning for those with a kyphotic posture. Preferably 45 degree angle tilt is recommended as this has been proven to reduce pressure as it is the optimum angle for an effective weight shift. Repose’s Lisa detailed just what damage poor seating can do to someone: • Muscle shortening - this can happen when muscles are held in one position for long periods of time, leading to loss of permanent muscle length resulting in contractures. • Tissue damage - weight or pressure concentrated in one area of the body for prolonged periods can cause skin integrity issues and ultimately skin breakdown. • Pain - caused by tension in the joints, muscles and ligaments, this often occurs if a client cannot move themselves into different positions on a regular basis. • Increased ataxia - if a client does not feel supported in a comfortable position, the anxiety of maintaining a good seating position can lead to increased involuntary movements. • Swallowing difficulties – if the chin is too low and shoulders slumped your ability to swallow is compromised. • Communication difficulties – articulation of the jaw due to the chin being lowered into the chest can cause pressure of the windpipe which can inhibit speech. • Breathing difficulties - if the chest is slumped, a client is unable to expand their lungs fully, resulting in shorter, less productive breathing. • Loss of balance – if the chair is 28 www.
•
not supportive this can lead to poor balance, which will impact all activities a client chooses to carry out whilst in the chair. Reduced activity performance - if a chair does not allow a client to carry on their day-to-day activities, for example, reading, drinking or playing cards, this can impact someone’s mental well-being.
How important is an OTs knowledge of seating? Seating Matters have been at the forefront of revolutionary clinical research developed in partnership with leaders in health science research, Ulster University. The clinical trial explored the effectiveness of specialist seating provision within care environments and how it could have a positive impact on the health and well-being of the chair users and their caregivers. The findings from the trial were staggering. They revealed that following assessment and individualised seating provision, Seating Matters chairs can reduce pressure ulcer incidence by 88.3%. In addition, correct seating and positioning contributes not only to the prevention but also assists in the treatment of pressure ulcers. Other health benefits were notable, including: • Increase in oxygen saturation levels by 95% • Increased functional ability • Improved posture and a reduction in the development of postural deformities or sliding/ falling from the chair • Improvement in respiration, elimination, digestion and other psychological functions • Improved quality of life and psychological well-being • Improved communication and interaction • Improved comfort and reduction in pain levels A significant reduction in • expenditure on staff labour and treatment of pressure ulcers Educating clinicians through increasing their knowledge of the subject is vital. The Clinician’s Seating Handbook is one way of doing that. It is the only handbook on clinical seating provision in the world published and it takes you through the basics of posture, p re s s u re m a n a g e m e nt a n d the correc t assessment and provision of seating. There is also a YouTube channel with educational and practical video blogs hosted by
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Seating Matters clinicians, covering a range of topics from ‘How to Reduce Preventable Falls from Chairs’, to ‘Seating Bariatric Patients’ and other useful resources. They also have seating specialists available in every area across the country that can provide a free Lunch and Learn training session for your team or individual assessment for a patient. How can the correct seat help a client? The correct chair not only has a direct impact on a person’s comfort and mobility, it can effect wider measures such as quality of life, psychological wellbeing, functional independence, physiological functioning and general health. Patients who are unable to mobilise or reposition themselves independently will spend long periods of time in a seated position. If this position is uncomfortable or the individual’s posture limits function and communication, the individual may sit for long periods of time unable to communicate their discomfort or pain or unable to seek assistance. It is well documented that prolonged discomfort and pain as well as reduced functional independence can lead to depression, lethargy, learned helplessness and poor motivation which will impact the patient’s recovery and rehabilitative progress. Poorly fitting or inadequately adjusted seating will encourage the development of harmful postures which may impede function, communication, respiration and digestion as well as increasing the risk of unnecessarily developing a pressure ulcer. Don’t underestimate the importance of your role in doing a clinical assessment. You should identify the needs of that person and help inform their decision on the type of chair they require to meet their needs both now and in the future.
Repose outlined a definitive guide to what to think about before settling on a seating solution for a client: PERSON Assessment of individual needs, including, but not limited to: • Width • Depth • Height • Arm height • Pressure requirements • Condition
ENVIRONMENT Assessment of the environment including, but not limited to: • Does the chair need to be moved? • Can it be easily maintained? • Manoeuvrability of chair on the flooring in the environment it will be used • Does it match existing furniture? • Can carers/family use it with ease? TASK • Does the chair allow for engagement in activities that need to be completed and more importantly those the client wishes to engage in? PRODUCT • Fit for purpose • Does it meet weight limit requirements? • What maintenance agreements are there? • How much will it cost initially and for on-going servicing? • Where is it made? If you would like more information or advice on choosing the appropriate seat for a client you can contact Repose and Seating Matters on the details below: Repose, 0844 7766 001 www.reposefurniture.co.uk Seating Matters, 020 7559 3555 www.seatingmatters.com
www.
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THE
APP
THE
APP
The OT Magazine is now available as an app
E
XCITING NEW development from The OT Magazine, you can now read and enjoy the UK’s leading publication, dedicated solely to occupational therapists straight from your mobile phone or tablet. Available now from the Apple App Store and Google Play Store. Download it today! At The OT Magazine we are always looking for new ways to develop your favourite occupational therapy magazine. Out every two months featuring the latest products, in-depth features, industry news, personal profiles and up-to-date information on events and exhibitions relevant to the field. • • • • •
Download for free Read anytime, anywhere Available on iOS and Android devices Slide easily through features Link to product sites directly
The app is available free of charge and can be downloaded now and read at your leisure. The OT Magazine app launched in March and all following issues will now be available in the app. We hope this comes as a welcome development from The OT Magazine.
t m
www.ot-magazine.co.uk
30 www.
t m ‘The OT Magazine’
t m @ot_magazine
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Revitalising respite holidays for disabled people and carers Regular respite is an integral part of any occupational therapy package. With our unique blend of attentive care and the support of volunteers on top of an exciting range of activities, excursions and entertainments, Revitalise gives your clients a break that feels like a real holiday.
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SHAPING THE FUTURE www.
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J
acquel Runnalls is a Senior Housing OT at the London Borough of Waltham Forest, her successful career has seen her awarded with accolades including the first COTSS-H Elma Shearer Award for Excellence in Housing OT and most recently the The Occupational Therpay Show’s Senior OT Award 2015. Jacquel has helped to influence change and shape the future of accessible housing and inclusive design through her involvement with various projects, including the Access Working Group that oversaw the English Government’s Technical Housing Standards Review. What initially drew you to the OT profession? I wasn’t sure what I wanted to do so attended a careers talk about occupational therapy at school. I was intrigued by the fact that it covered such a wide range of interesting subjects, was practical and very personcentred. However, I’m not sure I’d be clever enough to get into OT now! What sparked your interest in Accessibility and Housing? One of my most engaging student placements was with Community Social Work in a deprived area of Glasgow and ultimately led to my first job with them. They had strong links with the Housing Department and assessing disabled peoples’ housing needs, which I found really interesting. One of my reasons for moving to London was to work in Housing and I subsequently attend a variety of training in the field of access and the built environment, becoming a member of various organisations including COTSS-Housing and the Access Association along the way. Through my specialist Housing roles in London I became involved with the GLA/Mayor of London on a variety of steering groups including overseeing planning guidance on Inclusive Environments and Wheelchair Housing Design, in addition to the development of an Accessible Housing Register and Categories. I became increasingly involved with COTSS-Housing, becoming a Regional Rep and now their co-opted lead in Accessibility and Inclusive Design. Can you tell us about your current role? I work for the London Borough of Waltham Forest as a senior occupational therapist in Housing. I am now based within the Strategic Housing and Investment
I feel really lucky to have had the opportunity to work in such a specialist field 34 www.
Team who value this specialist role and its evidenced benefits to this area, including providing a link across council departments. Very briefly, my work is mainly split into two roles – one within Housing, the other with Planning and Building Control. Working with Housing colleagues includes assessing disabled peoples’ housing needs and making recommendations as to their access/ property requirements. This also involves assessing the accessibility of empty and new build properties, including ‘matching’ prospective tenants to properties which have been adapted to ensure best value. In terms of Planning, this involves liaising across a wide
range of stakeholders such as planners, developers, designers and contractors to provide advice on the design of wheelchair accessible housing from the preplanning stage through to on-site completion and post occupancy evaluation with users. This includes advising on the marketing and design of private/for sale and shared ownership wheelchair housing. In addition to wheelchair housing, I advise on the design of other specific housing types, for example, sheltered, extra care, housing for residents with a learning disability etc. What have been the highlights of your career? Sounds a bit cheesy but there have been so many and I feel so lucky to have been given the opportunity.
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OT AWARD WINNER
They would definitely include being awarded the first COTSS-H Elma Shearer Award for Excellence in Housing OT, passing my Masters in Accessibility and Inclusive Design with Distinction (whilst working full time) and being a long serving member of COTSS-H – previously as a regional rep then as their Co-Opted Lead on Access and Inclusive Design. The latter has led to my involvement on some really interesting projects including being a member of the Access Working Group overseeing the English Government’s Technical Housing Standards Review and subsequent commissioned research into the evidence base for accessible housing, in addition to being invited to sit on a British Standards Institute steering group updating guidance on accessible building design. More recently
I was honoured to be asked to talk in Hong Kong about the development of UK Housing Standards for an Ageing Population and received The OT Show’s Outstanding Senior OT Award. What do you enjoy most about your job? No day is the same and my job is very varied and interesting (in my view!) I really enjoy working with different professions across the Built Environment field, not to mention the great feeling of getting site managers ‘on side’, particularly when they realise OTs can actually be very reasonable, pragmatic and cost
effective! I like trying to find solutions to problems that frequently arise when visiting sites or assessing planning drawings, whilst trying to ensure all parties feel included and satisfied with the outcome. I feel really lucky to have had the opportunity to work in such a specialist field and get involved in so many different regional and national advisory groups. How important do you feel the role of OT is when designing homes? Absolutely key – getting involved in regional and national steering groups made me realise how wellplaced OTs are in terms of truly understanding the housing and access needs of disabled people and relaying these in a practical, down-to-earth way. I would like to hope I have changed some peoples’ views along the way and have learnt the importance of postoccupancy evaluation, involving users, and continually striving to obtain a robust evidence base. I am also a passionate believer that OTs can be key in promoting attractive, inclusively designed environments that are cost-effective and pragmatic in meeting a range of stakeholder and user requirements, whilst also realising that we don’t always get it right, nor can we always meet everyone’s needs. OTs in this field really underestimate the fantastic work they do and I am really hoping that COTSS-H’s genHOME project will highlight this, whilst also identifying the gaps in evidence base we need to address going forward. What do you believe can be done by OTs and planners/developers/housing associations etc, to improve the accessibility of homes? A vast amount! Basically we are all key in influencing the design and provision of accessible housing. However, there is still a large gap in knowledge and real understanding as to why this should be a basic requirement from the outset, not an ‘additional requirement’. There is a DWP project which is trying to educate those undertaking further education in the Built Environment, including architecture and surveying, as to the importance of embedding inclusive design principles, so hopefully in future there will be a better understanding. However, in my view, the onus is on large builders and developers who do not necessarily want to engage due to misunderstandings and the need for more space and increased costs. Sadly, this is not helped by the recent Building Regulations in England which do not insist on basic adaptability standards for all housing. I think we also need to ask whether all UK OT courses cover the importance of the home, providing an inclusively designed built environment and the key role that OT can play. ■ www.
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PRODUCT FOCUS The independent living sector is filled with amazing innovations to help people live more independently. Every issue we bring you a selection of products, from daily living aids to major mobility products, that make life a little easier for those who need it. Genie V2 Standing Wheelchair Providing independence and comfort through standing, the Genie V2 can revolutionise the user’s day-to-day life and well-being. Each Genie is produced bespoke to the individual’s needs and requirements. From madeto-measure upholstery to a wide range of posture supports, comfort aids and optional accessories. The new independent leg raiser feature enables an individual to alter the position of the legs easily and in comfort. Providing many comfort benefits and aiding with circulation
and stretching the muscles. The Genie can revolutionise day-to-day life for many, from performing tasks in and around the home, talking to friends at eye-level and even returning to the workplace as many of the Genie users have. Providing independence and a better quality of life. ■ Prices available on request Easyrise, 01952 610300 www.geniestandingwheelchair.co.uk
Secure Turn Patient Turner The Secure Turn Patient Turner is an economical, secure and easy-to-use solution for transferring individuals where mobility is restricted between beds, chairs and wheelchairs. A hand operated locking device enables the carer to rotate the Secure Turn to any of five positions whilst controlling the turning speed. The non-slip turn disk glides easily in both directions and counter balance points provide stability throughout the transfer. The Secure Turn Patient Turner is fitted with housekeeping wheels so it is easily moved, minus the client, where required. This makes it ideal when transfers are required in a number of areas. Stable and easily manoeuvred, the high tensile steel unit is fitted with two 4-inch rubber castors for easy portability. The curved support frame helps to reduce the risk of falling and ensures a safe, comfortable transfer. Quick Order Code: CCS1678 ■ £429.95 with VAT Relief Complete Care Shop, 01772 675040 www.completecareshop.co.uk
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Defiant Beauty Skincare Range
British beauty brand, Defiant Beauty by Jennifer Young, was created in order to meet the needs of cancer patients. Women don’t stop being women when they get cancer, but they do fear what ordinary beauty brands do to their skin because of the ingredients they contain. Jennifer Young understands that women can become sensitive to their usual brands and with this in mind, created Defiant Beauty. The range is specifically formulated using minimal ingredients, which are oil based and offer skin-healing properties. Vitamin E helps stabilise the product, Shea butter and mango butter softens skin whilst calendula oil soothes. Other skin-nourishing oils include macadamia, jojoba and rosehip oil. Jennifer combines her knowledge from all areas of science and applies them to skin. The Defiant Beauty range uses minimal ingredients, is oil-based, fragrance-free, and also free from preservatives. ■Prices from £4 Beauty Despite Cancer, 0800 999 8518 info@jenniferyoung.co.uk www.beautydespitecancer.co.uk
38 www.
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PRODUCT FOCUS
ARIA
The ARIA wheelchair from Italy is the first ever magnesium frame wheelchair with carbon fibre chassis, and backrest. Made in Italy, the home of Ferrari, ARIA offers style, innovation and unmatched quality. The ARIA’s unique design gives you the look of a bespoke tailor-made product but with incredible adjustability so a first time user can consider it, as well as elite athletes.
s
ll o TR
Alex Toon, T10/11, who recently received his Aria had the following to say: “I like the style of the chair with the carbon parts and the different frame colour choices. I chose to have mine in matte white which I think looks the nicest. The adjustability of the chair is great too and is surprisingly really lightweight and lighter than some fixed frame chairs with no adjustment. It makes me feel confident wherever I go as it’s not your average looking chair.” ■
T-rolls from C&S Seating are used primarily but not exclusively, to control posture and position of the body in supine lying. Choosing the correct size of roll is important and a full guide to sizing is available on the C&S website. The rolls come in a variety of covering materials and colours to choose from. ■
Prices available on request Cyclone Mobility, 0800 180 48 50 www.cyclonemobility.com
Prices available on request C&S Seating, 01424 853 331 www.cands-seating.co.uk
Nimbus Nimbus is a unique, fullyadjustable and attractive seat that provides optimal posture control for patients with neuro-muscular conditions who are unable to sit upright on their own. Designed to control and correct only where it is needed, Nimbus supports the body and prevents postural deformities while remaining comfortable. The innovative modular seat can be configured quickly and easily to exacting specifications. A lightweight, streamlined chassis covers all three seat sizes to fully adapt as the user grows or their postural needs change, offering a longer seat lifespan and value for money.
Nimbus is suitable for age four to adult. The fully configurable options include fabric colours, headrests, pelvic cradles, knee adductors, thoracic supports, harnesses and many more. The high level of customisation enables the seat to be tailor made for the user, and thanks to its modular design, can be supplied at Blatchford’s ‘seat in a day’ clinics. Nimbus is easily interchangeable with a wide selection of indoor and outdoor bases, such as the Streetwise buggy or Neo wheel base. ■ Prices on application Blatchford, 0114 263 7900 seatingsales@blatchford.co.uk
Rated for users up to 100kg,
www.blatchford.co.uk
www.
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Easylink UK manufacture affordable high quality care products. Over 100 own brand products for Epilepsy care, Sensory Loss, Daily Living, Dementia Care, Special Needs. Please visit our websites for further details.
www.easylinkuk.co.uk www.medpage-ltd.com Medpage Limited T/A Easylink UK 3 Melbourne House, Corby Gate Business Park, Corby, Northants. NN17 5JG
T: 01536 264 869
Seating that is ‘Fit for Purpose’ Clinical Trials Feedback
“I’d forgotten what it felt like to sit somewhere comfortable...for the past three years I’ve literally either been in bed or in a wheelchair.” “ I very, very rarely sit anywhere else because it’s not comfortable. I have sat in this chair...and done things that I wouldn’t normally do... for longer periods of time than I would anywhere else.” “It’s novel being able to wear jeans with pockets on them again! On the settee I end up with pocket marks on my bum!” “I just find the chair so relaxing. I don’t need my ‘hotty’ any more.” “It’s got to be down to the chair... It’s a strange feeling ...because I’ve not experienced that in such a long time. (8-9 years)” Participant quotes from The University of Salford Clinical Research Study 2015
An Evaluation of Pressure and Comfort - contact us for further information
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In recent clinical trials, researchers at The University of Salford found CareFlex WaterCell Technolgy ® to be effective and that CareFlex chairs are comfortable and aid occupation. Very low average pressures were recorded. Results pointed to the fact that it is very important that anyone involved in assessing and prescribing seating should consider how people feel about their own comfort and posture and how they view the aesthetics of the equipment because very often these factors will affect whether the device is used. Bearing in mind the costs involved, it is vital to help stop the high levels of equipment abandonment seen by healthcare professionals on a daily basis.
Choose CareFlex Specialist Seating You can rely on us for holistic, expert and impartial advice. One of our expert assessors is always willing to come with the HCP team to offer guidance and give a free, no obligation quotation and funding rationale.
0800 018 6440
enquiries@careflex.co.uk
www.careflex.co.uk
29/04/2016 00:35
Reading between the lines
B
We talk to RNIB, the charity for visually impaired and blind people, about the importance of accessing reading opportunities
EFORE YOU READ ANY FURTHER, READ THE rest of this feature with your eyes closed… I’ll assume by now you have realised that it is just not going to work, providing you are like the majority of the world that uses your sight as your primary sense to explore and experience the things around you.
inability to experience that could be devastating to a person’s life socially, mentally, psychologically or even physically.
People who are living with blindness or a visual impairment have to experience their lives in a completely different way. They can’t see a city’s sights, they can’t drive or watch a film the way you would traditionally. Another thing they can’t do the same way as the rest of us with clear vision can, is read the written word.
For most people, the mention of a book, a magazine, a newspaper, a page on the internet, or even, a sign, is the basis of their day. All of which are read.
If you are blind or have a visual impairment the thought of curling up with a good book could be as foreign to you as being able to breathe underwater. Reading is an integral part of normal life and the
The benefits of reading, either professionally, recreationally or just in daily life are magnified by just how taken for granted the act itself is.
As an OT for a blind or visually impaired person, it is of extreme importance to their mental and psychological health and well-being to introduce them to an avenue of gaining information through words that works for them. Reading with a visual impairment can be accessed through: • Large Print Books – these mean that words are › www.
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SIGHT LOSS
more easily seen and clearer to the reader without the use of equipment • Magnification Tools – these can come in a wide variety of shapes and sizes, with a varying degree of magnification that mean you would be able to read unaltered books that were perhaps owned pre sight loss. If your client has an advanced visual impairment or is completely blind, reading can be accessed through: • Braille – this is the most popular method of reading for people who have been blind since birth. • Audio Books – these can be purchased on digital devices or other audio medium, eg, CDs, DVDs. • Reading Apps – apps such as Voice Dream Reader or iBlink Radio are specifically designed for blind or visually impaired people to read and can be purchased on the App Store for Apple devices and Google Play on Android devices. • Someone Reading Aloud – this is the simplest way to
› 100,000 Audio/Talking Books every month and people can have six books at a time and choose their own, or the library choose for them if they would rather.
Linda Cruickshank, a fully qualified and HPC registered OT is a Vision Support Officer within the RNIB. She shared what the charity has to offer would-be readers: “We have RNIB Newsagent which is free to children under 16 years of age. This provides the latest news, hot gossip and stories in CD, USB, email and Braille formats. “We have an RNIB - Read for RNIB Day every year in October to highlight the importance of access to the written word. “We have an Online Today project which is lottery funded and it is to help people with sight loss to access information via technology e.g., ipads, android devices, smart phones. The technology officers can go out and show people how to use the enhanced
After losing my own sight at a young age, I personally know how important the connection to the written word is access reading if you have sight trouble, this could also help the client feel a bond with the reader and build a social and psychological affirmation with reading. Emily Peachey, a spokeswoman for RNIB, one of the biggest charities in the UK for blind and visually impaired people, said: “At RNIB we feel passionately that reading can change the lives of blind and partially sighted people. After losing my own sight at a young age, I personally know how important the connection to the written word is, both for education and leisure. “The RNIB Library is the largest of its kind in Europe and is completely free. There are over 60,000 audio, braille, giant print and music items in the collection.” With over 35,000 customers, the RNIB Library has around: • 25,000 Talking Books available • 21,000 Braille Books (Grade 1, Grade 2, Learners) • 6,000 Giant Print (24pt BOLD) • 12,000 Music Titles (Braille/Giant Print manuscript; Learn to Play CDs)
accessible aspects of these devices to help with reading e.g., colour of font, background, font style, size of font, brightness settings etc., which can make a huge impact. I went along for an afternoon session in a library in Blairgowrie in Perthshire where the technology officer was assisting older people with sight loss to get the best out of their digital devices. I also learned a lot from this session and this enables me to provide advice when I am supporting people. “Reading can be a social activity as well as a lone activity. There is an organisation called Book Bug Trust in Scotland. It has a website and its aim is to inspire readers and writers because they believe that books and reading have the power to change lives. They provide free books to children and families and they work closely with teachers. My colleagues within this part of the service in RNIB assist with book bug sessions for children who have complex needs and sight loss. These are interactive sessions where sensory toys and puppets are used along with the books to enhance the whole experience.” ■ For more information email helpline@rnib.org.uk or visit
It also sends out about 10,000 Print Books and over 42 www.
www.rniblibrary.com.
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BLIND VETERANS UK
C
Specialist services and support for blind and vision impaired ex-Servicemen and women
URRENTLY, THERE ARE AN ESTIMATED 59,000 ex-Servicemen and women in the UK now battling severe sight loss, most of whom are living with it without the specialist services and support from Blind Veterans UK. Severe vision impairment can be devastating, no matter how old you may be, and having to adjust to something so life-changing can be extremely difficult. Being able to access practical and emotional support to help someone come to terms with their sight loss and live a full, independent life is so vital. That’s why Blind Veterans UK is here. Blind Veterans UK is the national charity for blind and vision impaired ex-Servicemen and women, providing support no matter when someone served or how they lost their sight. By providing support and services, such as training, equipment, rehabilitation and emotional support, Blind Veterans UK ensures that each and every veteran can overcome the challenges of blindness. As part of the charity’s No One Alone campaign, Blind Veterans UK is reaching out to the tens of thousands of blind and vision impaired ex-Servicemen and women who could be eligible for support, but don’t know that the support is there for them. The campaign is asking those who work with blind and vision impaired people to make sure they’re asking them if they ever served in the Armed Forces, or did
44 www.
National Service, and if they did, refer them to Blind Veterans UK. All too often, when a veteran comes to Blind Veterans UK for support, they are struggling to adjust to life with sight loss and are feeling alone, isolated and depressed. Blind Veterans UK will work with them to find out what they need to help them get back on their feet and regain the confidence and independence that their sight loss has robbed them of. Support could be anything from equipment such as a liquid level indicator to help them make a cup of tea safely or a CCTV reader to help someone read their post or newspaper again, to training in areas such as IT, kitchen safety or independent living skills, to rehabilitation and emotional support from others in a similar situation and social opportunities in their local area. Help is provided whenever and however a veteran needs it, whether that’s a week of training at one of the three charity’s centres, in the community with regular social events, or at home with visits from one of the welfare officers who are based across the UK. ■ If you work with blind or vision impaired people, ask them if they have a service history. If they do, refer them to Blind Veterans UK by calling 0800 389 7979 or visiting www.noonealone.org.uk
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hardrock A chair for children with complex learning difficulties • Specifically designed for children who are prone to rock repetitively.
• Hardrock uses a anti-thrust system and • • • • • •
anterior pad to provide secure postural support. Thoracic supports and stabilisers are available for children who exhibit sideways motion. Provides modurate levels of postural support. Increased height backrests and other accessories available. Extremely durable and robust. Provides a safe environment that is conducive to learning. Tray as standard, padded options available. Suitable for school or home environment.
Call for a free demonstration or for more information info@smirthwaite.co.uk
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01626 835552
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12/04/2016 14:58
New communication and typing apps now available on the iPad!
Having trouble us a tradit ing ional Qwerty keyboa rd?
Typeassist uses word prediction and just 16 large keys for fast, efficient and comfortable typing, with speech output for all your communication needs. This unique system offers a completely new way to type and communicate and is suitable for users with a wide range of disabilities. Also available as a software download for your Windows PC, laptop and tablet.
To find out more about Typeassist please visit www.assistivecontrol.com Assistive Control | Tel: 01886 884188 | Email: enquiries@assistivecontrol.com
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29/04/2016 00:40
Flores Cot Scotia Cot Bespoke cot that can accommodate individual needs. Height - Length - Width - Door configuration Electrical operated bed frame
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29/04/2016 16:08
CARE ACT
Kate Sheehan reflects positively on the work of the Care Act so far
The Care Act - One Year On
A
pril 2016 marked a special date for patients and their carers. It was exactly one year since the Care Act was implemented throughout England. The Care Act was the biggest overhaul of social care legislation for 60 years, its introduction replaced a number of existing healthcare acts, including the National Assistance Act 1948, the Chronically Sick and Disabled Persons Act 1970 (but only for adults) and the NHS and community Care Act 1990.
and support. The principal of well-being has been added as a core element of this legislation and for the first time individuals needing care and their carers have been put at the centre of the process. It seems so obvious when you say that a client and their carer should be at the centre of each and every decision made regarding their care, but unfortunately prior to the introduction of the Care Act, this wasn’t always the case as carers had limited rights and prior legislation was fragmented.
The Care Act set out to re-establish the rights of both those needing care and their carers, but while many are quick to challenge its success, with a number of local authorities recently being reported in the media as failing to comply with the new guidance, few acknowledge the good work achieved by the act in such a relatively short space of time.
For occupational therapists, this means we can now incorporate an individuals’ needs and desires, and how they might be impacting on their well-being, all of which must be detailed within their individual care plan. This is a significant move away from previous, more restrictive care models; instead we can now champion one, which not only promotes the rights of the individual, but also offers longer term benefits to them and their carers. For me, and all occupational therapists, this can only be positive. ›
For me, the biggest change from the Care Act is the shift in the way we work with those needing care
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CARE ACT
› Another huge, and positive step forward, came with the introduction of the nine principles, which are at the very heart of the Care Act, and for the first time, in 2015, we saw personal dignity of the client rightly prioritised. Having worked with a number of elderly clients throughout my career, this, along with the clients right to health and well-being, is for me the biggest success of the act. It allows us to work in a client-centred approach with the goals of the individual being paramount.
But what does this look like in reality? We have to remember that dignity and well-being, is about so much more than providing basic care, such as washing and feeding a person. In order to change the way we deliver care, we must firstly change our own mind-set. The elderly people I work with don’t just stop being engaged in meaningful occupation when they reach 65, 70 or 75 years old and so the care plan we deliver must acknowledge that an individual’s health and well-being is impacted by the potential loss of an ‘occupation’.
my clients to continue supporting the function they choose, is something I have long advocated. To see it also recognised within the Care Act makes it easier for me and other occupational therapists, to clinically reason the needs of our clients. However, more than this, the Care Act, for the first time ever, outlines the rights of the carer, affording them their own individual rights to an assessment, accessing respite in the ways they choose. Those of you who are carers for a loved one will know that caring isn’t, and never will be, a nine to five role, and so to finally have access to respite in the way that they choose, is a huge step forward. Yet, while there is no denying this is a big step forwards, there are still boundaries we need to overcome. In my role, I still regularly meet with carers of patients who are unaware of their new rights. Again, in order to ensure both clients and carers receive the care, support and respite they are entitled to, it is vital that each and every one of us working with an individual who requires care, empower the new guidance of the Care Act.
In order to change the way we deliver care, we must firstly change our own mind-set
For any older person, activities, whether they be work, education, training, volunteering, or recreational, defines them as the person they are. Again, this is where we can really celebrate the Care Act, now those activities that define us are rightly being acknowledged. In my role as an occupational therapist this means that my clients should now have access to the equipment they need to support the occupation they wish to pursue. Whether that be installing an additional bannister rail to support an individual to get upstairs to sleep with their partner of 30 years or providing specialist seating to enable an individual to sit comfortably whilst completing a crossword. The equipment enables the activity which is essential to the health and well-being of that individual client. For a specialist seating company like Repose, it’s about designing seating that helps individuals to retain independence and dignity, working with healthcare professionals, including myself, to enable an individual to keep on doing the things that they enjoy. As an occupational therapist, understanding the impact of specialist equipment, and its wider role in enabling 48 www.
Ageing need not be a negative process, with the right planning, getting older can be a hugely positive experience. We need to move to promote a society, which addresses ageing in a positive way. By working with key players across a wide range of sectors from government, healthcare professionals and charities, right down to specialist manufacturers, we need to work together to continue to champion the Care Act long after its first anniversary. ■
ABOUT KATE SHEEHAN Kate Sheehan is one of the UK’s leading occupational therapists, she also works alongside Repose Furniture Ltd as the company’s expert healthcare advisor. As part of this role, Kate is involved in the company’s ongoing research and development, heading up a number of targeted healthcare campaigns; working in partnership with healthcare professionals to design seating that truly helps people to live the lifestyle they choose.
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Support for Life
We’re looking for 2 new Sales Advisors to join our team!
Bringing you innovative postural support and service products for everyone, whether at home, school, rest or play.
If you’re interested in this exciting opportunity, visit
jiraffe.org.uk/careers or scan the QR code for more information.
Distributors of
How can Jiraffe help you? Call us for a chat on +44 (0) 114 285 3376 or email us at hello@jiraffe.org.uk For all the info visit jiraffe.org.uk
Aurora
/jiraffe.org.uk
Seating
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Introducing the new Aurora standing frame from JCM Aurora is a 1 tool 3 in 1 standing frame, which can accommodate full range from supine, through to upright and prone, with 1 tool for easy conversion and adjustment. Offering a full range of options and accessories to support functionality and contemporary therapy, plus individual standing needs. We can use the Aurora for children from an early age to support early intervention through to adulthood, accommodating a weight of up to 80kg.
With a suite of head, trunk, leg and foot options we can create the perfect postural support for the individual, facilitating true modularity and precision in posture. • The 1 tool 3-in-1 stander • Easy to convert between SupineProne-Upright • Smart ergonomics & small footprint • Cost effective, robust and easy to re-issue • Available in 4 sizes
To book an assessment or demonstration contact us today on: Email: customerservice@jcmseating.co.uk Tel: +44 (0)1733 405830 | www.jcmseating.co.uk
JCM Seating Solutions Ltd, 15-18 Maxwell Road, Woodston Industrial Estate , Peterborough, PE2 7HU. Part of Sunrise Medical Holdings Ltd
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PLAY
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fighting to play
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Ensuring all children have access to play
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HETHER IT ’S OF CLIMBING TREES, hula-hooping in the front room or battering a football off dad’s garden fence, we all have fond memories of play as a child. An inquiry led by charity Sense, late last year however, found that for children with multiple needs, crucial access to play services was few and far between. Chaired by Lord Blunkett, the public inquiry looked into the provision of play opportunities for children aged 0-5 with multiple needs in England and Wales. The inquiry by Sense was established in response to feedback from families who had expressed concern over the few opportunities to access play services.
Benefits of Play To an OT, the benefits of play would already be obvious. We know that play is an important part of every child’s development. For young children with multiple needs, play is arguably even more important to enable them to develop physically, cognitively and emotionally; it is a vital early intervention tool that helps to improve the life chances of disabled children. A lack of play can prevent children with multiple needs from reaching their full potential. Life can sometimes be stressful for children who receive a large number of medical interventions and therapies but play allows disabled children to be happy, thrive and › www.
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PLAY
disabled children also, leaving them socially excluded, or nervous at partaking in new experiences.
› live in the here and now. It is simply about having fun. For children with multiple needs and their families, play contributes to a sense of well-being and normality.
Play helps all children gain social and communication skills, be it through making their first friends, trying out turn-taking or learning social norms. As children with multiple needs often take longer to develop communication, play can act as a critical path to help them develop these skills, as well as identifying ‘hidden’ disabilities, such as autism and social communication disorders. Through play, children can express, explore and manage their fears and emotions in a safe place. It can also help children to learn to make choices, develop an awareness of risk and give them a sense of control and independence – a vital mechanism for children with multiple needs, who often have much in their lives that is beyond their control. Enabling children to have fun together is a natural way to remove stigma and helps to raise awareness about disability; ultimately allowing disabled children and their families to feel part of the community and increasing their sense of inclusion.
Barriers to Play Despite emphasis on the strong value of play, evidence submitted to the Inquiry showed that children with multiple needs are facing significant difficulties in accessing play services. Access to play can be difficult with a single impairment, so when you add multiple needs to this, you add yet more barriers to an already difficult task. Barriers to play are due to a number of different reasons; one of the most common reported by Sense was parent’s fear of negative attitudes of other families or staff in new play settings. Negative attitudes can range anywhere from pity to frustration, rudeness and condescending tones. Many parents who contributed to the study believe these attitudes stem from a lack of understanding and awareness of how different impairments can affect a child. Often those with learning difficulties or with challenging or unusual behaviour are assumed to just be ‘naughty’.
Despite replies to FOI requests to local authorities asserting that all of their mainstream play services are accessible to disabled children, Sense found that these claims seemed to be at odds with the experiences parents contributing to the Inquiry shared. When not intentionally excluded, many felt they had been indirectly excluded due to issues like other’s attitudes. Children with multiple needs often have a complex care routine too, which can mean families often don’t have the time or energy to take part in play, or acute medical needs are prioritised. Play can unfortunately be the first thing to go when therapy or medical treatments become a daily occurrence. But the benefits of play know no bounds and should not have to be compromised. In the event that a family can luckily find time for play,
The benefits of play know no bounds and should not have to be compromised they might feel unsure how to interact with a child who has multiple needs. Help to bond can be an issue too, especially with other children in the family. Ultimately, most of the issues uncovered by Sense and the families who contributed can be boiled down to a lack of support; in teaching and learning the skills of play, of finding the right places to play, finding the time to play. Access to specialist services is also often limited, and can be a ‘postcode lottery.’ The Inquiry highlighted a number of issues around unsuitable facilities, with physical barriers not just limited to formal settings, but also to friend’s homes and whilst the environment itself may be accessible, changing facilities, feeding spaces and others may not always be available.
How can I help as an OT? The unfortunate result is not only are these children then left out of play with their peers, but is also to the detriment of the other children who do not have the opportunity to experience this important social interaction with someone who may be a little different from them, which can help feed stigma and stereotypes. This can also have a profound impact on families with 52 www.
When children experience therapy as play, then their play becomes therapeutic. Incorporating play as part of therapy can not only help children experience this essential development, but can be stress relieving for parents and families too, and reassure them that whilst barriers to play may unfortunately still exist, opportunities can still be found. ■
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Stella is able to demonstrate her preferences, choice and independence through play STELLA’S STORY Stella Snow is seven years old and has multiple needs, including cerebral palsy and visual impairments. She is a wheelchair user and requires 24-hour care. She has a five-year-old sister, Lexi, and two-year-old brother, Felix and her parents, Jo and Brad Snow struggle to access play opportunities that the whole family can enjoy. “We really struggle to find places to take Stella, and it’s near impossible to find somewhere suitable for all three of the children. Out of desperation, we often resort to trips to the local shopping centre as Stella enjoys the fountains and glow of the lights,” says Jo. “If we take Stella somewhere not specifically for children with disabilities, we find equipment and toys are often unsuitable. As Stella gets older we are also starting to find the changing and toilet facilities are inadequate. Everything requires meticulous planning ahead; it can sometimes make you think ‘is it worth the effort for what she’s going to get out of it?’” When the family heard a consultation
had launched on proposals for a new play area to be built opposite their home, they got in touch with the council and requested that they include equipment accessible for children with disabilities. However, when the play area was built, no such equipment was included. “We were really upset when the park was built without anything safe or accessible for Stella, having already provided our feedback. We followed up with the council and eventually they added an accessible swing, and it’s great – it means that Stella is no longer excluded. It’s just unfortunate that you have to fight so hard, take up so much time and energy, just to ensure your child is treated equally.” Due to the high expense of toys designed for children with disabilities, Brad and Jo have taken to adapting mainstream toys to ensure Stella can use them and also developing their own. Jo says: “We’re always on the lookout for ideas; we’ve made our own sensory toys
and mobiles using a golf umbrella and cloth. I’ve also taken a class at Stella’s school on adapting switches on toys as Stella has weak muscles so struggles to press buttons on toys.” Stella’s parents believe information, support and advice should be more readily available. Jo says: “There really is a lack of information out there on everything, from where you can go to for support, to playparks that may be suitable. Most of our information comes from conversations with other parents, reading forums and parent Facebook groups; it’s not a comfortable situation to be in. There needs to be more co-ordination.” Jo concludes: “Children like Stella face considerable barriers to play, and she could easily lose her natural playfulness, but with the right encouragement and support Stella is able to demonstrate her preferences, choice and independence through play. ■ Visit www.sense.org.uk for further information on play opportunities.
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Zinger-OT-Magazine.pdf
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The Person into Bed System The Person into Bed System was developed to enable the carer to assist a person with reduced mobility and weaker upper body strength into bed. • Developed with the ‘Single Carer’ agenda in mind. • Can be used with ordinary beds single or double. • Is comfortable for the person being assisted reducing the risk of harmful handling. • Reduces the risk of carer injury.
Take a look at our new YouTube video!
Osprey Sling Company | sales@ospreyslingcompany.com | 01869 252 015 | www.ospreyslingcompany.com
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Large Tactile Balls Set A selection of six soft squeaky balls with different textures and colours designed to stimulate the senses. The colourful balls are just the right size to encourage young children to hold them and play with them and discover their differences, with a satisfying squeak when squeezed, thus improving motor skills and manipulation. The different textures encourage discussion and exploration, this can be extended by rolling them in sand to investigate the different patterns and then using them imaginatively to create sand pictures. This is a plastic toy suitable for use by children aged 12+ months and the balls are each approximately 110mm in diameter. Prices from ÂŁ19.99 +VAT Absorbent Minds Montessori 01666840373 www.absorbentminds.co.uk info@absorbentminds.co.uk
CHILDREN’S
PRODUCT FOCUS We take a look at some of the innovative products available for children with disabilities
Leggero Buggy One of the most adjustable buggies on the market today, the Leggero allows you to adjust seat depth, hip angle and seat to back angle, as well as the height of the arm supports and foot support. This incredible amount of adjustability means that the buggy can be adjusted to fit a child precisely, ensuring they
are safe and comfortable. They boast an easy fold mechanism, are lightweight and easy to transport. The push handle is also easily adjusted to ensure the parent/carer can find their most comfortable position for pushing the buggy. Leggero buggies have comfortable seat and back cushions and are available with head supports to allow children to rest their head when tired and support it when on the move. To protect from the sun and rain these buggies come with a
canopy hood, that is easily detachable when not in use. All Leggero buggies have passed crash tests. The Bus Transit Option includes a wheelchair-anchorable lap belt from Sure-Lok. This belt has been dynamically tested in accordance with the ISO7176-19 standard. For all vehicle sizes, four (2 front, 2 rear) SAE J2249-compliant tie-down straps assemblies are recommended.â– Prices available on request BES Rehab, 01179 666 761 info@besrehab.net, www.besrehab.net
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CHILDREN’S PRODUCTS
Aurora
JCM are very excited about their latest product development and have pleasure in announcing the launch of the Aurora – a one tool, three in one standing frame, to the growing range of JCM therapy products. As part of their on-going commitment to provide postural equipment solutions to the UK paediatric market, they have invested in and developed the contemporary product with their key partners in Scandinavia, bringing the innovative and highly adjustable Aurora standing frame to the UK. The Aurora can accommodate a full range of function from supine, through to upright and prone, with just one tool for easy conversion
and adjustment between modes. The Aurora offers a full range of options and accessories to support functionality plus individual standing needs. The Aurora can be used for children from an early age to support early intervention through to adulthood, accommodating a weight of up to 80kg. It is fitted as standard with a suite of head, trunk, leg and foot options that can create the perfect postural support for the individual, facilitating true modularity and precision in posture. ■
Prices available on request JCM Seating Solutions 01733 405 830 www.jcmseating.co.uk
Floating Bath Thermometer Improve bathroom safety with a water temperature alarm. This smart little device will flash if your bath water is too hot. Sitting neatly in its base this clear clock is fully waterproof and automatically switches to a thermometer when dropped in water. Simply set the floating thermometer to a comfortable water temperature and the flashing alarm will activate if the water temperature exceeds the level
56 www.
you set. Great when running a bath for older people or children and invaluable in preventing scalds to diabetics or sufferers of poor circulation. The clear, large LCD display can show temperature in Fahrenheit or Celsius, and automatically switches back to clock mode when returned to its base. ■ Prices from £15.31 Ability Answers, 01792 412700 info@abilityanswers.com www.abilityanswers.com
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Samba Samba ticks all the boxes when it comes to specialist seating: ease of adjustment, comfort, affordability and adaptability to the child as they grow. It’s a chair for children requiring greater levels of postural control as well as those with less complex needs, suitable for both school and home. Good seating posture is achieved through addressing how the child is positioned at the pelvis, trunk, head, as well as legs and feet. The Samba offers a unique midline support that incorporates a four-point pelvic strap that effectively corrects the position of
the pelvis. Used with our midline soft cross harness accessory improves alignment and helps prevent rotation and backward tilt. Height and angle adjustments can all be made easily and safely whilst seated in the Samba. It is so versatile it can also be used in prone to work core stability.
Prices start from £1,684 (The Samba comes with five piece foam roll kit, four point pelvic strap, tray, sandals, footrest and powered high-low chassis)
Samba enables the child to carry out daily living activities with ease and comfort. ■
Smirthwaite Ltd, 01626 835 552 info@smirthwaite.co.uk www.smirthwaite.co.uk/samba
Rainbow Sound Blocks
These simple Rainbow Sound Blocks have so many features. There are six different coloured blocks, each with something different inside making a different sound. The coloured (safety) glass means your toddler can see what is inside and identify and match the shape, size, colour, and contents of the wooden block. This will help to develop sorting and matching skills of both colours and sounds, as well as associating sounds with size and quantity. Your little one can also look through the blocks - either singly or as combinations, meaning they can see the world in numerous different colours. The blocks can be stacked and balanced too and the wooden framework acts as storage when not in use. These Rainbow Sound Blocks will stimulate curiosity, motor skills and matching skills. There is so much play - and educational value here that they represent great value for money. ■ Prices from £29 (free delivery), Knot Toys, 01279 813275, rachel.alexander@knottoys.com, www.knottoys.com
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CHILDREN’S PRODUCTS
Flores Cot Bed The Flores Cot bed has a high sided wooden surround with an electrically operated profiling bed frame. This specialist piece of equipment has been created to give a child a safe environment. It can be fitted with bumpers all around to minimise the risk of injury or harm to the child. The Flores will also allow the child visual reassurance as macrolon windows have been incorporated replacing the traditional bars. The cot has access for a mobile hoist if required. The Flores can help encourage better sleep patterns and bedtime routines, thus giving peace of mind even with the most challenging child.
Options: padding, various colours, extra height supplement (6ft), infra red remote, doors both sides, lockable castors. ■ Prices available on request Centrobed, 01233 635353 sales@centrobed.com www.centrobed.com
Roma Paediatric Rollator
The Roma Paediatric Rollator offers your child a little extra stability when walking. The unique design makes it the only rollator on the market that is suitable for the younger user. The chromium-plated frame is strong, sturdy and durable, and the height-adjustable handles ensure your child can make use of the rollator even as they grow. The Roma Paediatric Rollator’s handle height can be adjusted from 41cm to 53cm and can support a maximum user weight of up to 11stone (75 kg). The Roma Paediatric Rollator features comfortable ergonomic handles to help your child move themselves, as well as rear rubber ferrules to keep them safe and balanced when not walking. The Rollator itself weighs only 6kg, so it’s easy to carry and transport. CareCo stock an extensive range of mobility products designed for paediatric use, from walking frames to rollators and wheelchairs. ■ Prices available on request Care Co, 0800 111 4774, www.careco.co.uk
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Wheelchair Skills Training | Youth Clubs | Work Placements | Residential Camps
Whizz-Kidz A4 Poster 2.qxp_LJS 18/03/2015 16:42 Page 1
Join us on the journey!
rk o w t e n g in t i c x e t s o m . K d n U a e t h s t e The bigg isabled people in 3350 d 1 5 g 1 n 0 u 0 o call: 08 for y k u . g r o z. uk kid z org. . z i z h d i w k . w z z whi @ Visit: ww s r o d a s bas m a : il a m e or
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New range launched in the U.K. 24-7 Healthcare now provide a new & exclusive range of european made wheelchairs, standers, lifters and walkers for adults and children. All are high quality and complete with a full range of accessories and options. For more details or to organise a demonstration please contact us Iris X1 - Rigid
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Kingkraft Ltd. 26D Orgreave Crescent, Dore House Industrial Estate, Sheffield, S13 9NQ phone 0114 269069/ fax 0114 2695145 email info@kingkraft.co.uk web www.kingkraft.co.uk
29/04/2016 15:49
AGEING
THE SILVER REVOLUTION
It’s not old, it’s vintage!
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AGEING
V
I N TA G E I S B A C K I N S T Y L E . F R O M record players to gin in teacups; from high-waisted jeans to perms, what was once considered old-fashioned is now considered cool. Forget images of frail and weak old women lying at the foot of their stairs after a tumble. Old age does not make you uncool, nor does it make you unable to live your life. It’s time to start The Silver Revolution. If 86-year-old ‘Baddie’ isn’t already on your radar then she might just be your latest insta-crush. With more than 200,000 Twitter followers, she’s proof that whilst the phrase ‘young at heart’ might be thrown around
The stigma attached to items that aid independence comes from the industries dreary and dull design often, the golden years are most definitely the best time to act your shoe size and not your age. Iris Apfel made her name as an interior designer. Working with the wives of nine presidents on the White House might give you a clue as to how long she’s been in the game, yet, at 93 Iris is in high demand, and as a model and movie star, she is certainly proof that old age is never out of style. With the self proclaimed ‘insta-granny’ and ‘geriatric starlet’ keeping their cool, personal style and a sense of whimsy, why do the mobility items, that so many people like them come to rely on, not reflect this? The stigma attached to items that aid independence comes from the industries dreary and dull design. Objects are not desirable, but to many, an admission of their apparent loss of independence. Instead they should be worn as badges of pride, brandished to 62 www.
show, like a cheesy over 50s cruise ad, that you can still live life to the full and shout out the naysayers, that just like a fine wine: ‘It’s not old, it’s vintage!’ As the years go on, we are increasingly seeing older people embracing their personalities and style, and as an OT, the importance therefore lies in not only helping a client with their mobility needs, but doing so in a way which allows them to express their inner selves. This can mean anything from a sparkly walking cane, a stylish, easy-to-read watch, or even researching a beautiful grab rail to match their stunning wetroom. We spoke to Maggie Winchcombe OBE, part of the team behind Years Ahead. Years Ahead is a business-tobusiness consultancy, working with private and public organisations to improve consumer knowledge as well as providing training and service in the independent living sector. Maggie still believes there is a certain stigma attached to using mobility products, especially in old age: “They are perceived as ‘badges of inability’ by many people – broadcasting ‘what you can’t do anymore’ to the world; whereas they could be seen as liberating and enabling you to deal with a new reality brought about by your ageing body. “Many of us recognise our bodies change as we grow older but do not want to acknowledge what it means and we bury our heads in the sand and don’t deal with it until we have major problems. Interestingly, research by Coventry University (COMODAL study www.comodal.co.uk) found that the group of people most sensitive to the stigma associated with these products were the younger relatives looking out for ageing relatives and that once an older person was using an independent living product (and it had really helped them) the aspect of stigma went right out of the window. It didn’t matter so much because they had a solution that enabled them to carry on doing the things they wanted to do – which was liberating.” Maggie recognises that, as we outlined, ageism in society today is still rife, and unfortunately many products are still marketed negatively with outdated language and negativity: “ The COMODAL research
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Style icon: Iris Apfel
identified some really helpful messages for industry to use in reaching out to older consumers and people who are caring for them – getting these products into the mainstream will be very important. There is still a major awareness problem, although there is lots of information available it is not always reaching those who need it. This is partly because of society’s negativity around ageing and growing older and partly because products might be closely associated with disability – and older people might not see themselves as disabled so feel they are not relevant to them. So, there is work to be done by the sector (and all those associated with it – such as health professionals) to collaborate on raising awareness and finding new ways to reach out to consumers – we have shared responsibilities to do this. “It can be done! In the West Midlands 14 local authorities are working together with industry, voluntary organisations and academia on a public awareness campaign to highlight the value of independent living products (www.athome.uk.com). “Consumers themselves need to realise that they are not going to be able to rely on the state to support them as has been the case in recent history with our welfare state – so we all need to be a bit more savvy and pro-active in demanding products we want to use to help us manage our ageing bodies better.”
As the population grows, and becomes an increasingly older one, there can only be positive change in the independent living market. Maggie believes that there will be a positive change brought on by a growing demand from more discerning consumers, she said however that, “…my feeling is that we’re still at an early stage of transition and adaptation to an ageing society and there’s still some way to go. The big question is
My feeling is that we’re still at an early stage of transition and adaptation to an ageing society and there’s still some way to go how do we galvanise older consumers to demand better looking products, when most would probably prefer to spend their money on travelling and enjoying retirement rather than preparing for problems that ‘might never happen to them’ in their old age.” Hopefully, as the world progresses, dowdy compression socks and grey plastic rollators will be a thing of the past, and who knows, maybe even my granny will find a Gucci walking stick to match her handbag. ■ www.
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29/04/2016 01:02
XXXXXX
BURSARY OR BUST? Jenny Leow explores the future of occupational therapy
I
N NOVEMBER’S AUTUMN STATEMENT, GEORGE OSBORNE announced plans to axe the NHS Bursary and replace it with a system of loans. This is bad news for OT as it means that future occupational therapists as well as nurses, midwives and other allied health professionals will have to pay up to and over £50,000 to train.
Scrapping the NHS Bursary will disproportionately affect mature students, women and those from poorer economic backgrounds. Consequently the diversity of our profession will be severely damaged. Many mature OT students already have debts from their first degrees and will be deterred by the prospect of further debt. Deterring mature students also poses › www.
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a significant risk to viability of post-graduate OT courses. Lizzy, an OT student from Brighton, says: “Without the NHS Bursary, I simply would not have been able to re-train as an OT in my 30s. The additional debt would have been a huge psychological barrier.”
Future occupational therapists as well as nurses, midwives and other allied health professionals will have to pay up to and over £50,000 to train
OT students with dependents would also likely be excluded by axing the NHS Busary. Emma, from London, is step-mum to a lively eight-year-old. She says: “The NHS Busrary allows me to be 100% committed to the course. I can’t take on a part-time job because of caring for my step-daughter and because I have to do 1,200 placement hours to pass.” There is currently a recruitment crisis for OTs in London. The government argues that removing the NHS Bursary will encourage more students to train to be OTs. I would argue that £50,000 of debt is not an incentive. Equally, taking on this amount of debt is surely likely to further discourage OTs from working in London due to the costs of living in the capital. When plans to axe the NHS Bursary were announced, healthcare students were horrified and swiftly set up Bursary or Bust, the campaign to defend the NHS Bursary. So far we have called a demonstration of over 9,000 people, walked out of placement twice with the Junior Doctors and staged a ‘Die-In’ at the Department of Health. Support has been widespread and includes Unison and the BAOT.
signatures to a letter asking the COT to defend the NHS Bursary. Jordan, a qualified OT from London, circulated the letter at her workplace and said: “My colleagues were queuing up to sign it. We all knew we couldn’t have trained without the NHS Bursary.” No-one who was asked to sign the letter said ‘no’. The depth of feeling in the profession regarding scrapping the NHS Bursary is high. Georgia, an OT student from London, said: “By scrapping the bursary, the government is saying we’re not worth investing in.” The COT are currently asking their members to contribute to their consultation response. Bursary or Bust encourages everyone to do this as well as submitting individual responses to the government consultation. We also want every OT and OT student to get involved in Bursary or Bust and join us in fighting for the future of our profession. ■ Bursary or Bust, the campaign to save the NHS Bursary: #bursaryorbust @nhsbursarycuts
OT students in the campaign also collected over 150 66 www.
Facebook: nhsbursarycutsforum
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ABROAD
HEAL THE
W RLD
We take a look at the opportunities available to OTs to share their expertise abroad
W
HEN YOU ARE TREATING PEOPLE, helping clients, perusing equipment that you know could alter the smallest annoyance your patient has, you imagine how you and your sometimes unique therapy has an effect on the people you help.
Are they benefiting? Will this sleeping solution stop them from having those sleepless nights? Could this daily living aid be what we need to make them hopeful again after that accident? However, most of the time, you have clients that will also be on the lookout for equipment and therapy, perhaps sometimes self-diagnosed. They do this, not because they don’t trust you or your advice, but because they have the tools at their disposal to do so. They have their education, the internet, friends and families experiences and their own life experiences of being around hospitals and appropriately cared for patients. They have a level of savvy, of common knowledge. They can make educated guesses as to what they need or what will help them. But, what if you were an occupational therapist for someone that had no clue about the human anatomy? What if you were helping people that were using what they thought was magic to cure cerebral palsy or autism? What if your patient hadn’t been able to get out of bed in years? What if you were the only person in thousands of miles that could shed light on a whole village’s problems? This is what it would be like to work as an OT abroad in deprived countries. 68 www.
Many OTs during and after their training take their vast knowledge and apply it somewhere they know it is lacking. There are some countries that don’t even train occupational therapists and there are some countries that don’t even know what an occupational therapist is, or what they do, or how they can help. OTs from developed countries have made some very significant differences to the people out there who are struggling to live a basic day-to-day life. There are organisations all over the world that make travelling to these places possible. Work The World is one of them. They realised that the knowledge and training of certain people could enhance the existence of thousands, spreading their education to locals who could employ it long after they leave. Work The World knew that one degree from an occupational therapist or other healthcare student from a developed country could leave a legacy of health and well-being amongst a whole community who desperately need it. Joe Jamieson, a spokesman for Work The World spoke about what inspired the start of their worldwide project. Joe said: “Back in 2005 we wanted to redefine overseas elective experiences for healthcare students and professionals around the world. No one was supporting the needs and interests of the individual because no one was asking the right questions. It was all about numbers, which didn’t seem right to us. “Trying to develop a one size fits all solution wasn’t going to work. So after building a team of elective experts, we found a way that would let us tailor placements down to the smallest detail. We’ve been crafting clinical experiences for over a decade and have
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People who travel with us witness the true ingenuity of local staff in occupational therapy, physiotherapy and psychiatric units
sent nearly 7000 students overseas since we started. “Our expertise lies in tailoring clinical trips to meet every need and interest, and providing unparalleled levels of support every step of the way. We’ve spent a lot of time working with hospitals to set up incredible supervision programmes, perfecting our pre-departure preparation service, sourcing beautiful private accommodation and building skilled local staff teams.”
but the conflict’s fingerprints still remain. A surprising number of people were forced to have limbs amputated as both a direct and indirect consequence of the war. Those who travel with us are able to work directly with specialists who honed their skills during the conflict. This also makes Sri Lanka one of the best suited destinations for those wishing to assist with occupational therapy cases at their most acute.”
Tanzania The benefits behind these electives are numerous. Not only are students being introduced to other countries and cultures, but they are honing their craft that could help hundreds of people if they chose to return home to work. Joe said: “The benefits to taking an occupational therapy elective overseas are many. You’ll broaden your clinical expertise by working with rare cases you’ll have never seen before. You’ll advance your communication skills in novel clinical settings. You’ll gain unique insight into healthcare practices in the developing world. What’s more, the destinations we work in are lowresource. This means people who travel with us witness the true ingenuity of local staff in occupational therapy, physiotherapy and psychiatric units. Students often see things like chairs and old door-handles re-worked into rehabilitation equipment for local patients.” Joe described the varied occupational therapy electives:
Sri Lanka “The Sri Lankan civil war ended over a decade ago,
“Dar es Salaam in Tanzania is home to our second OT base. It’s a busy metropolis where roads are a tangle of cars, motorbikes, dala-dala buses, cyclists and pedestrians. It should come as little surprise that traffic accidents here are commonplace, and that occupational therapists are very busy indeed. But it’s not just traffic accidents; at our partner hospital, students have the opportunity to work across three areas - the physiotherapy, occupational therapy and psychiatric units.”
Nepal “In Nepal, OTs come face to face with psychological, physical, social and environmental challenges unique to Nepalese people. Giving guidance to family members, helping design and build equipment that removes obstacles for patients and providing adaptive equipment recommendations are all part of the experience. It’s also possible to work with both inpatients and outpatients through in-facility treatment, home care and day rehabilitation programmes.” ■ www.
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29/04/2016 15:20
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STUDENT ADVICE
© Aaron Blenkin
STUDYING WITH CEREBRAL PALSY
What it’s really like and strategies that can help
I
NDIVIDUALS WITH CEREBRAL PALSY CAN BE AFFECTED in different ways and to varying degrees. This issue, Dawn Fraser teams up with Jayde Kirkup, a second year occupational therapy student to explore how the condition affects her engagement with the programme.
About Jayde 20-year-old Jayde, from County Durham, has cerebral palsy, epilepsy and dyslexia. All of which make her quest to become an occupational therapist challenging. Cerebral palsy is a nonprogressive, permanent neurological condition that results in Jayde becoming easily fatigued and lacking in stamina. A typical day for Jayde starts and ends with her medication routine, to ease the pain experienced from the spasms and joint inflammation. Undergoing many operations as a child to correct her gait has resulted in Jayde’s feet being fused. Her mobility is affected and at times she is unsteady, impacting on her confidence, especially in the winter months or in strong winds. Jayde has valuable insight into the power of occupational therapy through her personal journey and this inspired her to become an occupational therapist.
Disclosure Disclosing a disability can feel daunting and like many other students I come across, at first, Jayde didn’t want to say anything due to reservations that she may be treated differently. However, for Jayde, the realisation that staff were there to provide support to enable her to succeed, was the start of a positive higher education learning experience.
Academic Studies Fatigue can be difficult to manage at the best of times, trying to juggle assignments, walking between lessons, writing, carrying books and driving to and from university each day, all takes its toll on Jayde. Focusing on the end goal of becoming an occupational therapist and the positive differences she will be able to make to so many other peoples’ lives keeps her going. Jayde tells me that understanding her own strengths
and weaknesses, enables her to set realistic goals that can be achieved. Practising what she preaches, Jayde takes a graded approach to her own goals resulting in academic success.
Practice Placements Practice placements can be daunting and sometimes the adjustments that may be required aren’t always known in advance. For this reason, Jayde works closely with her placement educators, confidently discussing her needs. Moving and handling is difficult due to her own physical limitations but this doesn’t stop her carrying out many other aspects of the occupational therapy role. Placement educators have been creative in how they design the learning opportunities to ensure Jayde is able to achieve her placement objectives.
On a final note… Jayde’s success is down to her determination, hard work and positive attitude. As with all disabilities or learning needs, disclosure really helps others to understand your individual requirements to ensure a positive experience. If you too are a student affected by a disability, embrace the support available. If you would like to share your experiences of studying with a disability then please get in touch. ■ If you are a student who would like some advice send your questions to theotmagazine@gmail.com
ABOUT THE AUTHOR Dawn Fraser MA, SFHEA, PGCE LTHE, BSc (Hons) Occupational Therapy Dawn is a Senior Lecturer at Teesside University. She also holds external roles as a Specialist Advisor to the CQC and is a Visitor who inspects educational programmes on behalf of the HCPC.
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WFOT
World Federation of Occupational Therapists (WFOT)
MEETINGS IN COLOMBIA
A
P R I L 2016 - T H E W F OT E X E C U T I V E Management Team (EMTM) and Council Meetings were held in Medellin, Colombia, from 29 Feb to 11 Mar. These meetings were hosted by the Colombian College of Occupational Therapy (CCTO), with WFOT Delegate Liliana Alvarez Jaramillo, coordinating the organising team. Executive and Council meetings are always very busy times for all attending.
Executive Management Team Meeting The Executive Management Team (see www.wfot. org >About Us), led by Marilyn Pattison, President, discussed issues of importance, including governance, collaboration activities with the World Health Organisation (WHO) and other international bodies, WFOT projects and plans, and the future direction of the organisation. The Executive Management Team (EMT) also met with the Colombian Ministries for Work; Health and Social Protection; and the National Unit for the Attention and Integral Reparation to Victims. These were very productive meetings, serving to support the CCTO in their efforts to promote and develop occupational therapy in Colombia. There were also meetings with occupational therapy associations who have applied to become members of WFOT, and those establishing new educational programmes.
and exchanging information and ideas, and developing networks to support occupational therapy practice and education in the region.
Council Meeting The WFOT Council Meeting was attended by over 70 people from 36 countries, including the EMT, Delegates and Observers. An extensive agenda was addressed over the five days of this meeting. WFOT strives to achieve environmentally sustainable meetings, therefore the business items were presented electronically, and minimal printed documents were provided. • New Member Organisations Welcomed WFOT now directly links 92 Member Organisations around the world, following the Council acceptance of Ghana, Haiti, Lithuania, Rwanda, Saudi Arabia, Georgia, Zambia, and Trinidad and Tobago as full members; with Costa Rica, Dominican Republic, and Kazakhstan being accepted as associate members. Details of WFOT Member Organisations are available at www.wfot.org >Membership. • Occupational Therapy Educational Programmes Approved Entry-level educational programmes in China, Georgia, Ghana, Haiti, Lithuania, Pakistan, Rwanda, Saudi Arabia,
The EMT also attended the Colombian National Occupational Therapy educator’s summit. This event provided opportunities to learn about and discuss issues in occupational therapy education in Colombia, and to make presentations on the work of WFOT. Information about educational programmes in Colombia can be found at www.wfot.org >Education. The Colombian Congress of Occupational Therapy was held during the last two days of the EMTM, and again the EMT participated in the programme, making presentations and meeting with occupational therapists from many South American countries. The Congress was a resounding success, with approximately 500 occupational therapists attending 72 www.
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WFOT President, Marilyn Pattison meeting with Andrea
WFOT President, Marilyn Pattison meeting with Fernando
Torres from the Ministry of Work
Ruiz from the Ministry of Health and Social Protection
Trinidad & Tobago, and Zambia were approved by Council – information will be available at www.wfot. org >Education. The WFOT Educational Programmes Approval Process is unique in the health professions. No other profession, including medicine, reviews individual programme curricula internationally. Most have only guidelines that assist curriculum constructors in their work in developing entry level educational programmes. The focus of the WFOT approval process is establishing universal and global standards that ensure continuity and consistency in the entry level preparation of occupational therapists internationally. The WFOT Educational Programmes Approval Process has been in place for over 50 years. • Key Educational Standards Approved After a thorough review process of the Minimum Standards for the Education of Occupational Therapists (2002), Council accepted the revised edition Minimum Standards for the Education of Occupational Therapists (revised 2016). The WFOT Minimum Standards allow the educational curricula to be responsive to the needs and demands of each country. • New Position Statements Position statements represent the official stance of
WFOT on substantive issues or subjects. They are developed in response to a particular issue, concern, or need of WFOT and its members and may be written for internal and/or external use. Position statements are adopted by vote through the Council. New Position Statements are continuously being developed by WFOT expert groups. The following Position Statements (go to www. wfot.org >Resource Centre > category ‘Position Statements’) were approved at this Council meeting: • Occupational Therapy in Work-related Practice • Occupational Therapy in Disaster Risk Reduction (DRR) • Occupational Therapy in End of Life Care • Use of Social Media • Occupational Therapy Services in School Based Practice • Ethics, Sustainability and Global Experiences The revised WFOT Code of Ethics was also approved. One of the highlights for Delegates attending Council meetings is the opportunity to learn about occupational therapy in the host country. Delegates had the opportunity to visit several services in Medellin, including acute care for adults; rehabilitation; assistive technology; mental health and addictions; cognitive disabilities; children and youth; landmine survivors; and worker’s health, vocational and work integration programmes. General information from the events in Colombia has been shared via the WFOT March e-newsletter, Twitter and Facebook. The WFOT website www.wfot.org will be updated to provide the relevant information from the Council Meeting 2016. ■
Future WFOT events 2017 - WFOT Executive Management Team Meeting, USA 2018 – WFOT Executive Management Team and Council Meetings, South Africa WFOT Congress ‘Connected in Diversity: Positioned for Impact’, Cape Town South Africa, 21 – 25 May. Go to www.wfot.org >Congress to register your interest.
www.
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29/04/2016 15:57
EXPERT WITNESS
What experience do I need to be an Expert Witness? Simon Dickinson, Expert Recruitment Manager at Jacqueline Webb, explores what it takes for an NHS or Social Care OT to become an Expert Witness
A
T JACQUELINE WEBB & CO WE FEEL WE HAVE A handle on the expertise required to perform as an Expert Witness, but I commonly see confusion when I speak with people about the role. I want to explore the varying experiences that qualify OTs as potential Expert Witnesses. Many people believe that their experience will not match up to the requirements of being an expert in their field. They are put off simply by attaching the word ‘expert’ to their name. It is this misconception we want to reverse. The common misconception regarding Expert Witness work is that you have to fit a condition-specific box in order to fulfil the position effectively, and this is not necessarily the case. This thought leads many to think that Experts only work in paediatrics, spinal cord injury or traumatic brain injury. There is a much broader range of expertise that clinicians can draw on when considering Expert work. The work OTs take on in the NHS and Social Care provides excellent experience from which to draw upon as an Expert. These therapists have a cross section of experience and this is beneficial to them in the litigation field. They are what we call generalists. Generalist Experts cover four main areas: • Lower limb injury or amputation • Upper limb injury or amputation • Mental health associated with physical disability • Palliative care or end of life care
When we assess potential new Experts at Jacqueline Webb these are the areas we observe. However, what stands Experts apart is their ability to think outside the box when considering how they can maximise their client’s potential; individuals who are comfortable with recommending beyond the norm despite the knowledge that implementation is unlikely in their current statutory post. To further help you to determine your level of expertise I want to bring your attention to the ‘Benners Stages of Clinical Competence’, which I feel models the field of Expert Witness work very well. Read more regarding Benner’s scale here - http://goo.gl/wshbsk. The model outlines five stages of progression from ‘Novice’ to ‘The Expert’. It is evident to me that the OT in a community team dealing with a multitude of clients in the areas mentioned is in fact an Expert in their field. It is just a very varied field. I would encourage you to determine your own level of expertise before discounting your ability to perform as an Expert. If you feel you are the senior member of your team, the most respected member on your unit, the ‘go to’ individual in your peer group, then I would highly recommend exploring this work. ■ For more information about the role of an Expert and to find out a little more about Jacqueline Webb visit www.jwebb.
If your experience falls into any of these areas then perhaps you should consider yourself an Expert. These disabilities will most likely be referred to community multi-disciplinary teams for support. Your recommendations as an Expert should not differ substantially from your current role; you will recommend care, equipment, housing adaptation, therapy, transport etc.
co.uk/recruitment, contact Simon Dickinson BSc Assoc CIPD, Expert Recruitment Manager on 01722 342 512 or email recruitment@ jwebb.co.uk.
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29/04/2016 00:02
CARING
The Single Carer Care Package
IS IT WORKABLE?
Kate Lovett of EDGE Services discusses the realities of caring for an ageing population
A
FTER THE SECOND WORLD WAR, WHEN THE welfare state was founded, the health care and social care industry faced very different challenges to those it faces today. People’s lives were considerably shorter. For instance, a boy born in 1948 could expect to live to 66; a boy born in England today, however, can expect to live to the age of 79. Consequently, the care industry and the staff working within it operated on a very different level. There were far fewer care homes and complex care packages were rarely delivered in the person’s own home as is the case today. Conditions such as dementia, now common among older people, were virtually unheard of in 1948. A much higher proportion of disabled children died young in 1948; and individuals involved in serious accidents at work or on the roads were far less likely to survive their injuries. There was also a greater social expectation that women would stay at home and care for the sick and older members of their family than there is in 21st century Britain.
assessment of all the hazards and to make a judgement which may mean a care package, even a complex one requiring hoisting, may well be managed safely and effectively with one skilled carer. The result is likely to be a significant cost saving to the local authority and in the current economic climate this is of great interest. Indeed, over the past five years or so, a number of handling equipment manufacturers and suppliers have improved on existing equipment and developed new products to meet this growing need - items such as in-bed sliding systems, in-situ
Times have changed but the improvements in health care which have taken place over the decades have bequeathed an ageing population. There are certainly concerns within government and across the industry, about how the sector is going to be funded in future years. One area that has been considered is the minimum number of care staff required to deliver safe and effective care in the community with particular emphasis on manual handling tasks, in part, because costs increase proportionately as the number of carers required increases. Statistics indicate there will be a funding gap for care in the home of at least £6billion but possibly as high as £10billion. Over recent decades, a common misconception about moving and handling has developed into an inflexible approach regarding the perceived need for two carers as opposed to one. Anecdotal evidence suggests that it is often seen as a ‘health and safety’ consideration that two carers are essential in situations where hoisting is required as an example. However, legislation has never, and indeed is very unlikely to, stipulate the numbers of staff required to hoist an individual in any care setting including their own home. Legislation and good practice require us to undertake a ‘suitable and sufficient’ 76 www.
hoist slings, flexible application boards for hoist slings as well as electronic patient turning systems and fully profiling beds. Much of this equipment is not particularly well known at the moment but with thorough risk assessing, awareness training sessions and the opportunity to try the equipment out as well as effective workplace supervision programmes many of these products will be invaluable in future care packages relying on one carer. ■
ABOUT THE AUTHOR Kate Lovett is the director of EDGE Services, The Manual Handling Training Company Ltd. For advice on people handling training or consultancy please call 01904 677853 or visit www.edgeservices.co.uk
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EDGE services Time to take a fresh look at essential moving and handling training... People Handling and Risk Assessment Key Trainer’s Certificate available in-house and at 12 public locations across the UK. Children handling training also available. Successful completion of this four day course will provide delegates with the up-to-date skills, knowledge and confidence to train others in safer manual handling. • Up-to-date legislation and professional guidance • Information on spinal function and back care • Ergonomics and risk assessment
• The opportunity to practise with a full range of up-to-date equipment • The opportunity to practise a full range of up-to-date techniques • ….and much more
For further details or to book your place on one of our courses, please call us on 01904 677853 or visit our website www.edgeservices.co.uk
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RECRUITMENT AND TRAINING
Jacqueline Webb Britain’s No.1 Rehab Cost Consultancy
Are you one of the most respected OTs in your team?
UCLH Bank are currently recruiting Occupational Therapists
If so, Expert witness work may be right for you
About You: • You regularly work with Orthopaedic, Brain or Spinal trauma injuries on short-term and long-term goals. • You are confident in giving and standing by your opinion. • You are frustrated that others’ professional standards do not match your own. • You are ready for your next professional challenge, to run alongside your current clinical position.
About Us:
What do you get by registering with the Bank?
• We are the UK’s longest standing Rehabilitation Cost Consultancy.
UCLH Bank offer Occupational Therapists a variety of opportunities across London to gain experience in your specialism while receiving competitive pay rates.
• Medico-Legal work is all we do. All of our resources are focused on being the best in the industry.
Specialisms include: – Neurology and Neuro rehab, – Rheumatology inflammatory, – Oncology and Haematology, – Orthopaedics, – Care of the Elderly, – Acute Medicine, – Paediatrics and many more!
• We are not a typical ‘agency’. We work very closely with our Experts to provide the right level of work. • We provide the best training, both initially and throughout your expert career. • We pride ourselves on the quality of our reports and timely service to our customers, our reputation speaks for itself.
Whether it’s flexible shifts or long term placements you’re looking for we can be sure to find something that suits you. Contact our recruitment team or visit our website to begin working with one of the country’s leading NHS Trusts committed to delivering top-quality patient care.
Still interested? Then please contact Simon Dickinson, Manager of Expert Recruitment for more information t: 01722 342 512 e: recruitment@jwebb.co.uk
0207 959 1136
bankpartners.co.uk/UCLH
Alternatively visit our website for more information and details of our regional open evenings; we hope you can join us at one of these events. www.jwebb.co.uk/recruitment
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Enhance your career prospects
11/02/2016 09:22
MSc Occupational Therapy and MSc Neurological Occupational Therapy If you’re an Occupational Therapist looking to develop your skills and knowledge, then look at MSc programmes at Coventry University. You can study full-time or part-time, with courses starting in September. For an informal discussion or for more information, please contact Anna Clampin, Course Director: Tel: 024 7765 7675 Email: anna.clampin@coventry.ac.uk
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29/04/2016 01:13
RECRUITMENT AND TRAINING Join our expanding team of
Experienced Occupational Therapists
Recruiting Occupational Therapist Case Managers
medico-legal consultancy
➢ Are you a fully qualified OT, with at least 6 years postqualification experience? ➢ Are you looking for a new challenge, flexible hours and generous remuneration package? ➢ Do you have excellent communication and assessment skills? ➢ Can you work creatively to find solutions for your clients?
Occupational therapists play a key role acting as expert witnesses in clinical negligence / personal injury litigation. We require experienced OTs who are confident, have excellent communication skills (verbal & written), enjoy a challenge, are intrigued by the forensic nature of this work, and above all are keen to learn new skills. We offer: Regular work on a case by case basis to fit in with other work commitments Excellent remuneration Full & on-going training, supervision on every case & support You will work on a self employed, flexible basis, alongside your “day job” – want to know more about how this works? Email recruitment@somek.com to request an information pack You will be working at a senior level with a minimum of 8 years post qualification experience as an OT and/or case manager Somek & Associates, run by OTs, is the largest provider of HP expert witnesses in the UK, renowned and respected in the field
recruitment_ad_pages_may_jun_16.indd 3
Unite Professionals Ltd are a national Case Management company dedicated to providing a client-centred, bespoke and flexible service to our clients in all areas of the UK, who have suffered major orthopaedic injury. You will be expected to assess client’s needs, plan their rehabilitation journey, implement and coordinate rehabilitation and services and monitor and evaluate the client’s progress. You will act as the client’s advocate and communicate with all relevant professionals involved in the delivery and observation of rehab goals, to ensure the client receives appropriate treatment, delivered at the intensity and duration required. Unite Professionals Ltd provide regular clinical supervision, CPD opportunities, admin support and a full induction programme. For more information email Katherine Best at katherineb@uniteprofessionals.co.uk , or to apply, mail full CV. Salaried positions or Self Employed Consultant positions available.
29/04/2016 16:06
EVENTS
Mobility Roadshow 26-28 May, Northamptonshire The Mobility Roadshow, organised by charity Mobility Choices, features the widest selection of accessible and adapted vehicles. This year, the three-day Mobility Roadshow takes place at Silverstone Circuit for the first time. The Roadshow allows you to test drive a wide range of adapted or wheelchair accessible vehicles around the circuit. It allows you to try out the latest innovations from across the mobility sector. The event is free, but to book your place visit www.mobilityroadshow.co.uk/page/signup
Kidz to Adultz Events Kidz to Adultz South – 9 June, Reading Kidz to Adultz Wales – 7 July, Cardiff Kidz to Adultz Scotland – 15 September, Edinburgh Kidz to Adultz Up North – 17 November, Manchester
EVENTS CALENDAR 2016
or any neurological rehabilitation professionals, with exhibitors covering anti-gravity treadmills, motion analysis, functional and neuromuscular electrostimulation, robotic rehabilitation and much more.
as, Movement Matters, The Sensory Classroom and The Sensory Room. To find out more, please visit www.autismshow.co.uk
RISE 4 Disability The ‘Kidz’ events from Disabled Living take place across the country, dedicated to children with disabilities and special needs, their parents, carers and professionals who work with them. Over 130 exhibitors offer information on mobility, funding, seating, beds, communication, access, toys, education, transport and much more. A full programme of CPD seminars runs alongside each exhibition. To find out more visit www. disabledliving.co.uk/Kidz/Welcome
Neuro Rehab Expo 15 June, London Neurological Rehabilitation Therapy & Technology 2016 is the UK’s largest show for medical professionals working in the rehabilitation of neurological conditions. It is the event for biomechanists, neurologists, physiotherapists, professionals working in acquired brain injury, rehabilitation medicine specialists 80 www.
For more information, please visit www.neurorehabexpo.co.uk
The Autism Show 17-18 June, London 24-25 June, Birmingham 1-2 July, Manchester The Autism Show is the national event for autism (including Asperger syndrome), dedicated to the people in the UK who live and work with the condition on a daily basis. This year’s Autism Shows in London, Birmingham and Manchester offer more information, advice, products and services than ever before. At the event you can hear from the UK’s leading autism professionals; discover 100s of products and services; learn practical strategies for the home and classroom; access specialist advice from clinicians, therapists and solicitors and interact with, and enjoy, special features such
22 June, Dartford RISE 4 Disability is a new and exciting event coming to the South East for healthcare professionals. Ideal for OTs looking to further their CPD and learn about some of the new and exciting aids that are hitting the market. The conference will be based around suitable equipment applications and will feature presentations on how to source suitable products, telecare, postural management, assistive technology, home adaptations and dementia. The exhibition will host over 40 exhibitors showcasing products and services. Each seminar will hold 150 delegates and all attendees will receive certification which can go towards their CPD. There will be a free lunch and refreshments available for every person that registers to attend via Eventbrite. Visit www.made2aid.co.uk/RISE or call 01268 814 810 for information
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29/04/2016 00:03
FEEDBACK
YOUR VOICE COUNTS
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HANK YOU FOR TAKING THE TIME TO read The OT Magazine, we hope you have enjoyed it. We are striving to produce a magazine that provides OTs with a useful resource filled with relevant information, interesting articles, innovative products and thoughts and opinions from OTs themselves. We would love to hear your thoughts on The OT Magazine to ensure we are producing a publication that you want to read. Your help is much appreciated.
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29/04/2016 13/04/2016 01:16 17:09