The OT Magazine May/June 2015

May/June 2015 • Issue 4

Improving Independence

Therapeutic Horticulture

The healing power of gardening

Neuro-OT

Uncovering hidden abilities and disabilities

The New Care Act What you need to know

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Welcome

welcome I

f you are anything like me you will be wondering where on earth the year has gone.

How did we get to May already? Our work and lifestyles keep us so busy nowadays that it is not surprising that the first few months of 2015 have passed in the blink of an eye.

I have been reflecting on quality time recently, as a fairly new mother I am adjusting to the challenges of juggling work and family life, which is something that most people nowadays are doing. I am sure you will agree it is difficult to find a little peace or ‘me time’, but one thing I do love is taking the opportunity to spend time in my garden. It is a peaceful haven that allows me to work out frustration, ponder decisions or simply lose myself in a relaxing task of planting some pretty flowers. This recently got me thinking about gardening being used as a therapy, because it is exactly the way I use it.

Horticulture therapy can have resounding benefits for people of all ages and abilities and is used regularly to help people with sensory problems,

The team Editor: Rosalind Tulloch Staff Writer: Jen McLean Designer: Katie White Sales: Robin Wilson Contributors Kate Sheehan, Dionne Kennedy, Sophie Mead, Jo Throp, Andrew Gubbins, Caroline Molloy, Dawn Fraser, Charlene Hughes, Matthew Box Contact Details 2A Publishing Ltd, Caledonia House, Evanton Drive, Thornliebank Ind. Est., Glasgow, G46 8JT

t m t m t m

dementia or mental health problems, we discover more on page 32.

The new Care Act came into effect on 1 April this year and has brought with it some significant changes. Charlene Hughes of Hyphen Law has produced a concise outline of what you need to know as occupational therapists, see page 15.

Jo Throp from Krysalis Consultancy also has an interesting look at the neuro OTs ability to uncover disabilities and abilities using their unique skills, see page 43.

We have also teamed up with the PMG Conference to offer four lucky readers tickets, three of those tickets are full delegate passes which entitle you to accommodation, full access to conference proceedings and the exhibition and a Gala Dinner ticket. Turn to page 10 to find out how to enter, good luck!

Once again we hope you enjoy reading this issue and if you have any ideas for future articles please don’t hesitate to contact us, we love to hear from you. ■ Ros, Editor

Sign Up For Your Free Subscription TODAY!

T: 0141 270 8085 F: 0141 270 8086 E: enquiries@2apublishing.co.uk

www.ot-magazine.co.uk

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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 2015 © 2A Publishing Limited.All Rights Reserved.

ISSN 2056-7146

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contents May/June 2015

22

07 What’s New

We explore what’s happening in the healthcare sector

10 WIN TICKETS TO THE PMG CONFERENCE!

We have teamed up with the PMG

Conference to offer four lucky readers tickets

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13 CPD - Whose responsibility is it?

Kate Sheehan shares her thoughts

15 the new care act

Charlene Hughes, solicitor at Hyphen Law, sums up the changes to the Care Act

19 Product Focus

We display some of the innovative products available to aid independent living

22 OT APPROVED

Caroline Molloy gives her stamp of approval to products available on the market today

25 A Day In the life

Each issue we talk to an OT from a different field to find out what their job entails

26 Wheels in motion

We look at the evolution of wheelchairs

30 A Global perspective

The WFOT highlights the work they do and

the resources that are on offer

32 Therapeutic Horticulture

37

We discover the benefits of horticulture as therapy

37 Social Media let us know your thoughts on the ot magazine See page 65

4

www.

Inclusion.me share their advice to help independent OTs to market their services

38 Product focus

More products to aid independent living

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r fr

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43 Neuro-ot

Jo Throp discusses the unique skills of OTs working in neuro-OT

61 independent practice

- is it for me?

Harrison Traning outline how career mentoring could help you decide your future

47 autism

The role of an OT in the lives of those

64 events calendar

affected by autism

A list of relevant events for 2015

50 Childrens Products

65 Your Voice Counts

A look at the products available to help children with additional needs

38

We ask for your thoughts on The OT Magazine

57 Student Advice

Dawn Fraser offers advice on maximising feedback

50

59 Travel Transformed

We look at the freedom adapted vehicles can offer those with disabilities

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what’s

new

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

International Win for Acute Neurological Rehab Unit

T

h e Wellington Hospital in London has beaten global competition to be named S p e c i a l i s t I nte r n at i o n a l Patient Centre of the Year.

The hospital’s Acute Neurological Rehabilitation Unit was recognised at an annual awards ceremony by medical publication The International Medical Travel Journal.

Recognising their success in attracting and serving international patients the award was presented to Director of Rehabilitation Lesley Pope, at a high profile ceremony in central London

during the International Medical Travel Exhibition and Conference (IMTEC) in April, which brings together preeminent providers in international care.

The unit itself is the largest private unit of its kind in the UK with 56 dedicated rooms for patients requiring complex inpatient rehabilitation. The Rehabilitation Unit is recognised for its excellence and promotes a true ‘team approach’ to care.

Lesley Pope, Director of Rehabilitation at The Wellington Hospital said: “I am immensely proud to receive such a wonderful accolade on behalf of the Acute Neurological Rehabilitation Unit.

This award is a true testament to the team’s hard work and commitment to each patient’s care, day in and day out as well as all other supporting services at the hospital. We are also delighted to be recognised by the International Medical Tourism Journal.” ■

Dolphin Lifts Presents OT Show prize Following last year’s OT Show, Dolphin Lifts met up with one lucky show visitor who won its iPad competition.

The winner was Liz Rollinson, an occupational therapist with Gloucestershire Care Services NHS Trust. Liz was presented with her prize by Tom Wakefield of Dolphin Lifts Western, the Dolphin franchise responsible for the Gloucester area.

Liz said it was the presence on the stand of the Handi-Move Body Support System, which enables the end user to self hoist with a HandiMove ceiling track hoist that caught her attention - and resulted in her winning the iPad. “I was keen to learn more about self hoisting and the information I received from Dolphin, coupled with winning the prize draw, made

it a very worthwhile day!”

The event was a great success for Dolphin Mobility as Managing Director Craig Dunnage explained: “Exhibiting at The OT Show provided us with a fantastic opportunity to engage with OTs and showcase hoists and stairlifts from some of the UK’s leading manufacturers. We will certainly be exhibiting again”. ■ For more information and to find your nearest Dolphin Mobility branch visit www.dolphinlifts.co.uk or call 0800 9800126.

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Impey Cares keeps family together

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d isabled teenage boy no longer faces the possibility of being separated from his grandfather following a new wetroom provided to the family by the Impey Cares campaign.

OT Hazel Spencer nominated13-year-old client, Ashley Williams, to be the recipient of a free healthcare wetroom through a scheme established by leading level access shower specialists, Impey Showers.

Ashley has quadriplegic cerebral palsy and uses a wheelchair. He spends most of his free time at his best friend and grandfather, Tony’s house.

Tony, 70, recently retired and suffers with lumbar back problems, undergoing spinal surgery last year. Tony previously lifted Ashley in and out of the bath daily and had trouble caring for Ashley in such a physical manner.

Ashley was selected as the winning recipient of an Impey Cares healthcare wetroom. His grandfather’s bathroom was adapted by Impey Showers with a variety of rails, screens and lifts.

Tony said: “The new wetroom has changed our lives.

This facility now enables Ashley, who is entirely wheelchair dependent and doubly incontinent, to stay living with me for much longer.

“Ashley can now be wheeled into the wetroom and lifted easily to the shower seat with little, if any, difficulty meaning Ashley’s basic needs are now catered for.”

Tony continued: “Although we desperately needed the adaptation carried out, my home was not listed as Ashley’s primary residence so this meant that I would have to fund the wetroom myself, something which, 8

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on a pension, I could not afford to do. We are eternally thankful to Impey Cares for stepping in to help.”

Now, thanks to the new bathroom provided through Impey Cares, getting Ashley, who loves the water and his new wetroom, into the shower is a lot easier and safer, something incredibly important to both Ashley and Tony.

Nominations are now open for I mpey Cares adaptations to be carried out in 2015 and they are inviting those with a mobility problem or disability who have no financial means to adapt their own bathrooms, their carers, or their representatives from schools, charities and other not-for-profit organisations to nominate now. ■

Visit www.impeycare.co.uk to make your nomination.

The OT Service appoints new manager The OT Service has announced the appointment of Natalie Hills to the position of Practice Manager.

seeing the difference an OT can make to someone’s everyday life is incredibly rewarding,” commented Natalie.

In her new role Natalie is responsible for the day to day running of the office, from making appointments and researching equipment, through to booking training sessions and updating all relevant records.

“Natalie has already become a vital member of the team. Since we launched The OT Service in 2014 the level of interest has been tremendous and I knew that when appointing a Practice Manager I had to take my time and make the right choice. As soon as I met Natalie I knew she was the person I had been looking for and the feedback from OTs and clients has only

“From my first day working with Kate I have loved every minute of my job. No two days are ever the same and

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OT Bathrooms Officially Opened Solihull MP Lorely Burt was guest of honour at the recent official opening of OT Bathrooms, suppliers of specialist bathroom equipment, in Olton Hollow.

OT Bathrooms is the brainchild of local businessmen Steve Holmes and Richard Da Silva, who first had the idea of launching such a business following the death of his father four years ago. “Dad had a brain tumour, and in his final months became very infirm,” said Richard. “I thought he could have been better provided for, in

terms of the facilities available to him, and also that we as a family could have been better advised.

“Steve worked for housing associations, and he felt the same way as I did – which is why, setting up, we have established a great working relationship with independent OTs, because our two services go hand in hand.”

biggest organisations of its kind in the UK, has been supporting Richard and Steve ahead of their launch, and will be working with them going forward.

“We’re really pleased to be working with OT Bathrooms and are very impressed with Richard and Steve,” said Promoting Independence director Stuart Barrow.

“Our role is to make sure people get the best possible advice should they need a specialist bathroom and then OT Bathrooms will do the rest.” ■ OT Bathrooms, 0121 707 8612

Occupational therapy specialists Promoting Independence, one of the

www.otbathrooms.co.uk www.promoting-independence.co.uk

E

Practice guidelines for splinting gets update xperts from the fields of physiotherapy, occupational therapy, orthotics and biomechanics have produced new practice guidelines on the use of splints and casts in adults who have had a neurological injury resulting in movement problems.

For the first time the Chartered Society of Physiotherapy and College of Occupational Therapists have jointly produced recommendations following a long awaited update to guidance last published by the Association of Charted Physiotherapists in Neurology in 1998.

The document entitled ‘Splinting for the prevention

reaffirmed this,” explained Director Kate Sheehan.

The OT Service was launched

by Kate Sheehan in November 2014. With over 30 year’s clinical and commercial experience, Kate has a wealth of knowledge and contacts having worked with many leading names. As one of the leading housing and equipment occupational

therapists in the UK, Kate has presented her work both nationally and internationally. ■ If you are an OT, case manager, manufacturer,

and correction of contractures in adults with neurological dysfunction’ was developed using a NICE accredited process. Information is analysed, interpreted and drawn together into nineteen evidence-based recommendations to guide clinicians when considering the use of splints or casts analysing and interpreting the information gathered. The new guidelines will help clinicians to think critically about when to undertake splinting as well as when not to do so.

Heading the project, senior lecturer in physiotherapy and department director for research at Brunel University London, Dr Cherry Kilbride, said: “Evidence based practice is the cornerstone of rehabilitation and clinical care but implementation into practice remains a challenge.

retailer or service provider interested in learning more about The OT Service you can

“We hope that through the strong engagement of therapists and service users within the development process clinicians will find them useful when thinking critically about whether to use splinting as part of their practice.” ■

contact Kate Sheehan on 01628 670888 / 07973 250783, email

You can view the updated guidelines at www.brunel.

katesheehanot@gmail.com or

ac.uk/news-and-events/news/news-items/ne_415249

follow @katesheehanot.

Brunel’s Professor Lorraine De Souza and Dr Amir Mohagheghi co-authored these guidelines.

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competition

P

osture & Mobility Group (PMG) is happy to announce that we are working in collaboration with The OT Magazine to offer four free places at the PMG Conference 2015 to their readers!

If you have not heard of PMG before, we are a membership organisation and charity with the aim of sharing knowledge and promoting best practice in the field of posture and wheeled mobility. We therefore attract a multidisciplinary membership of professionals working in rehabilitation, predominantly focusing on the provision of wheelchairs and special seating.

The PMG Conference provides an educational programme, industry exhibition and networking events for delegates. The majority of our delegates are occupational therapists, physiotherapists, rehabilitation engineers, clinical scientists and rehabilitation technicians working within the NHS wheelchair services or for manufacturers and distributors of posture and mobility products; with a smaller but significant number working in the charitable sector or independently.

Our conference generally focuses on the posture and mobility needs of wheelchair users and is therefore beneficial for any professionals working in this field. Much of the content provided is also transferrable to other complex seating needs and therefore we always welcome professionals working within community equipment provision, or other areas of rehabilitation, whose focus is not exclusively wheelchairs.

This year’s PMG Conference will take place at the University of Leeds from Monday 13th July to Wednesday 15th July 2015. Prices range from £35.00 + VAT for an Exhibition Pass, to £400.00 +

WIN tickets to the

PMG Conference!

VAT, for a full delegate package.

Our 2015 programme includes presentations from NHS England regarding wheelchair service developments; the latest research in pressure ulcer risk factors; and a key note address from Dave Calver, Vancouver with his lecture “My OT journey: from client to provider”. Further information, including the full programme and list of companies exhibiting this year, is available via our website: www.pmguk.co.uk We are providing The OT Magazine with three full price places (which include accomodation and a Gala Dinner ticket as well as full access to conference proceedings) worth £400.00 + VAT, plus

one Day Delegate place for the winner’s day of choice, for the four lucky winners!

In return for the free places, the winners will need to provide The OT Magazine with a review of their conference experience, which will be published in a future edition of the magazine!

To be in with a chance of winning one of these tickets please email ros@2apublishing.co.uk with your name, address, telephone number and state ‘Full Delegate’ or ‘Day Delegate’ ticket, using ‘PMG Competition’ in the subject line.

Alternatively you can visit www.ot-magazine.co.uk to enter online. Good luck!

PMG membership is free of charge; to join please visit our website: www.pmguk.co.uk. Members will receive a £15.00 book voucher to spend at the PMG Conference 2015 bookstall!

Terms and Conditions Three winners will be picked to win a Full Delegate pass each. This includes bed and breakfast on Monday 13th July and Tuesday 14th July in the University's halls of residence; full access to conference proceedings and exhibition with buffet lunch and refreshments on Tuesday and Wednesday, plus a Gala Dinner ticket for Tuesday evening. One winner will be picked to win a Day Delegate pass which Includes full access to conference proceedings and exhibition, with buffet lunch and refreshments on their chosen day. The winners must supply The OT Magazine with a review of their time at the PMG Conference to be published in a future issue of The OT Magazine and on www.ot-magazine.co.uk. PMG will also have the rght to use these reviews for marketing purposes. The prize is not transferable and no cash alternatives can be offered. The closing date for entries is 15th June 2015. Only one entry allowed per person. The winners must be working in a relevant field of occupation to attend the PMG Conference.

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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.

CPD - Whose responsibility is it?

W

e all have a duty of care to our patients or clients to maintain our professional development. It is a requirement for our continued registration with the Health and Care Professions Council (HCPC) and is enshrined in our Code of Ethics published by the College of Occupational Therapists.

The HCPC1 states that each occupational therapist should, maintain a continuous, up-to-date and accurate record of their CPD activities and demonstrate that their CPD activities are a mixture of learning activities relevant to current or future practice. The more critical aspect of our registration is that our learning has a benefit to our client group and us.

The College of Occupational Therapists Code of Ethics clearly states, ‘you are personally responsible for actively maintaining and continuing your professional development and competence, and for participating in learning opportunities over and above those which are legally required for your work.’2 So the evidence is clear. It is our duty to maintain our learning throughout our career and accessing that knowledge can be achieved in a variety of ways according to the HCPC:

Work based learning For example shadowing another member of staff and reflecting on the experience in your portfolio clearly defining what you have learnt or take on a piece of project work to develop your service.

Professional activity For example, becoming an active member of a Specialist Section of the College of Occupational Therapists or offer to lecture to the undergraduates at your local university.

Formal education This could be starting your MSc, attending one of the seminars at The OT Show or going on a manufacturer’s awareness day e.g. Careflex run by Gail Russell.

Self directed learning This could include reading an article like this and reflecting on what you have learnt and what you can do differently or read Caroline Molloy’s equipment reviews and learn more about products on page 22.

Other For example sitting on a Housing Association board or assisting at a Headway Centre.

CPD is fun, it allows us to engage with our profession, our colleagues and a wider audience and enables us ultimately to provide a better service to our clients.

It is OUR responsibility. ■ 1. Continued Professional Developments and your Registration - HCPC 2. Code of Ethics and Professional Conduct - College of Occupational Therapists 2010

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Please scan for more information

2015 Launch Events This year on the 18th May Quantum will be launching the new Quantum Q6 Edge 2.0. During this time Quantum have planned to release the new i-Level technology, along with the Q6 Edge 2.0 across six individual areas of the U.K 1st Event: 18th May 2015 BUCKERALL LODGE HOTEL Exeter EX2 4SQ 2nd Event: 20th May 2015 WINCHESTER HOTEL Winchester, Worthy Lane SO23 7AB 3rd Event: 22nd May 2015 THE CAMBRIDGE BELFRY, Cambourne, Cambridge, CB23 6BW 4th Event: 27th May 2015 WEETWOOD HALL, Otley Road, Leeds, LS16 5PS 5th Event: 29th May 2015 LEYLAND HOTEL, Leyland Way, Leyland, Preston PR25 4JX 6th Event: 2nd June 2015 CROWNE PLAZA Birmingham NEC, Pendigo Way, National Exhibition Centre Birmingham, B40 1PS

A chance to Win!!

‘ONE FREE Delegate’s 3-Day Pass with accommodation’ to PMG 2015. Per Launch Event

Follow @QuantumRehabUK For More Information

Tel: 01869 324600 Email: sales@quantumrehab.co.uk Web: www.quantumrehab.co.uk

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#ileveluk

‘?!’

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Care Act

The new Care Act at a glance

O

By Charlene Hughes, solicitor at Hyphen Law n 1 April, the Care Act came into effect representing the biggest overhaul of the social care system in nearly 70 years.

It has made significant changes to the adult social care system in England and is set to have a huge impact on individuals, carers, local authorities and health and social care providers. In particular, its impact will be felt by more than 2,500 occupational therapists working in social care provision in England.

But what specific changes does the Care Act bring to the social care system and what does it all mean for occupational therapists? Here Charlene Hughes, solicitor at specialist deputyship services law firm, Hyphen Law, outlines the main changes and what they mean for the OT sector.

Introducing the wellbeing principle The driving force behind the Care Act is the new wellbeing principle which puts the wishes and goals of individuals and their carers at the heart of social

care provision. Wellbeing has a broad definition and includes: personal dignity, physical and mental health, protection from abuse and neglect and control over day-to-day life and participation in work, education or training. It marks an important step towards more bespoke, personalised care, where care and support services are tailored to individuals’ own needs.

Of course, occupational therapy has always taken a people-centric approach. The philosophy of occupational therapy is founded on the concept that occupation (be it work, play, learning or interacting with others) is essential for human health and wellbeing.

The Care Act necessitates a further shift towards empowering people to make their own choices and OTs will play a significant role working collaboratively with other social care and health practitioners to co-design and co-develop tailored care and support packages.

Access to advice and information Local authorities now have a duty to provide an › www.

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Care Act

› information and advice service to everyone in their area (not just those entitled to funding and support) about the types of care and support available. This should ensure that individuals and their carers have access to the tools and information they need to make their own decisions and be a part of the process.

OTs can help facilitate this by helping individuals focus on their goals, empowering them to concentrate on what they can do, instead of what they can’t do and helping them make the most of their strengths and abilities.

The right to assessment Carers now have a legal right to be assessed for local authority support. This assessment must be provided to everyone who appears to need care and support regardless of their finances or whether the local authority thinks their needs will be eligible. Carers’ assessments will be a useful way to gain a detailed picture of the carer’s role, how it affects their life and determining the level of support they need. It is hoped that this support will mean carers can maintain their caring role for longer.

care on preventing and delaying needs rather than only intervening when situations reach crisis point.

Local authorities have a duty to provide or arrange for services, facilities or resources which will prevent or delay a person’s care needs from deteriorating further.

This will empower individuals and carers to make informed and considered decisions about care and support before things get worse.

This move towards more prevention will enable individuals to live as independently as possible for as long as they can. This is welcome news for OTs as prevention is, and always has been, an intrinsic part of the occupational therapy toolkit. All health and social care providers need to have preventative care at the heart of everything they do before the situation worsens to become crisis care. This means OTs working closely with all care providers in the community to ensure preventative strategies are in place. It is also worth bearing in mind that access to the right equipment or an adaptation can make a huge difference to the lives of individuals even with relatively modest requirements.

As experts in the assessment of individuals’ needs on a day-to-day basis, OTs will have a fundamental part to play in Care Act assessments. This may include advising on specialist equipment or structural adaptation requirements. New opportunities may also exist for OTs to help facilitate the transition of young carers to adult services.

Working towards collaborative care and support

Personal care plans

The legislation, which has the need for access to good, effective occupational therapy at its heart, is a huge opportunity for everyone involved in all aspects of care and support in the social and healthcare sectors to work together for the benefit of people in a more ‘joined up’, collaborative way.

Local authorities have a legal duty to provide a personalised care and support plan for individuals or carers to meet their needs. Individuals should be involved in developing their plan with help from family or an advocate, if required. And for the first time, the Care Act provides people with a legal entitlement to a personal budget which breaks down the cost of care and support – even if care is not being provided by the local authority – and this must be included in every plan.

Again the emphasis of the new legislation is giving individuals and their carers more choice and more control over their life and empowering them to make decisions for themselves. OTs’ expertise in enabling and facilitating the activities and actions that can greatly enhance an individual’s quality of life and innate sense of wellbeing is a vital cog in the Care Act wheel.

The Care Act is a giant leap forward in meeting the increasingly complex demands of our growing and ageing population. Significantly for carers, for the first time ever, they will be able to step out of the shadows and have the same rights to assessment and support as the people they care for on a regular basis.

To take advantage of the new opportunities and challenges it represents, it is vital that OTs fully understand the implications of the new regulations to ensure that access to occupational therapies continues to help transform individuals’ and carers’ lives for the better in the new legislative framework. Then and only then, can the occupational therapy sector meet the new demands placed on it in this brave new world of a combined, collaborative care and support framework fit for the 21st century and beyond. ■ If you need more information on any aspect of the Care

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Focus on prevention

Act, the specialist team at Hyphen Law can help. Contact

The new legislation rebalances the focus of social

them on 0845 160 1111 or email info@hyphenlaw.co.uk

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Otolift, a serious partner in stairlifts.

Otolift are a stairlift manufacturer based in The Otolift manufacturer who Netherlands.

Theybased launched their products through a Otolift is area aDutch stairlift manufacturer based in launched The its products throughcompany a UK based daughter company UK based daughter - Otolift Stairlifts Ltd at–a Netherlands.

They launched their products through Otolift Stairlifts Ltd, at Naidex National 2012.

Naidex National in May 2012. - Otolift Stairlifts Ltd at UK based daughter company Naidex National in May 2012.

Otolift is the only manufacturer thatin produces both Whilst Otolift are still relatively new the UK, they a single (Otolift One) & twin (Otolift Two) tube railed have manufacturing stairlifts Europe Whilstbeen Otolift are still relatively newininmainland the UK, they stairlift. since 1968,manufacturing and now have many satisfied customers in have been stairlifts in mainland Europe moreproduct than 25 countries worldwide. since 1968, and nowgives have manythe satisfied customers This range them diversity requiredin more than 25 countries worldwide. to supply lifts for a huge majority of different Otolift manufacture bothand a single (Otolift One) and staircase configurations individual disabilities. twin (Otolift Two) railand Otolift manufacture both astairlift. single (Otolift One) and These include verytube steep / or tight staircases.

twin (Otolift Two) tube rail stairlift.

This product gives the diversity required Both lifts are range designed to them be aesthetically pleasing yet to supply lifts for a huge majority of different staircase remain reliable and gives practical forthe use.

This product range them diversity required

configurations and individual disabilities.

These include to supply lifts for a huge majority of different staircase Our business model in the UK is only to supply very steep and/or staircases. configurations andtight individual disabilities.

These include through a network of carefully selected high quality very steep and/or tight staircases. dealers. database will be kept to a Both liftsThe are dealer designed to be aesthetically pleasing yet minimum to allow high levels of support, but still allow remain reliable and practical for use.

Both lifts are designed to be aesthetically pleasing yet Otolift to be your national stairlift supplier with local remain reliable and practical for use. service.

Our business model in the UK is to supply only through

a network of carefully selected high quality dealers. The

Our will business theatUK is to supply only through We be onmodel Standin B70 Naidex National 2013 dealer database will be kept to a minimum to allow a network of carefully dealers. from 30 April – 2 May.selected Please high comequality to meet the The high levels of support, but still allow Otolift to be your dealerand database willproducts. be kept to a minimum allow team view our national stairlift supplier with service. high levels of support, but stilllocal allow Otolift to be your national stairlift supplier with local service.

Contact us for more information on product demonstrations, open days, to see what Otolift can do for you or to find your local distributor:

Tel: 01207 581636 info@otolift.co.uk ad_pages_ot_may_jun_15.indd 6

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working with

LTD

Helping you maximise safety and independence regardless of injury, illness or disability.

built-in independence PROMOTING INDEPENDENCE BESPOKE SERVICE INCLUDES: Personalised Assessment Assessment Get a full Occupational FREE assessment for clients, visiting them at only £90 their withaccess this advert. forand home discussing requirements.

Just quote OA913 when calling for an appointment.

Design and Proposal In partnership with Contour Showers a team of We are also proud to supply: specialist Occupational Therapists and t Grab Rails Housing t Shoe Horns t Riser Recliner Designers your t Long Handled who would t Sock work Aids using either Chairs NHS, Social Services or Housing Association Sponges t Leg Lifters t Bath Boards reports to createt aStairlifts FREE design of t the new t Reachers Bath Lifts shower facility.

Supply08000 Tel:

282 532

Providing accessible bathrooms that enable clients to live in their homes independently.

Installation & Project Management Specifying Contour Showers bathroom products and liasing with your Occupational Therapist, we arrange the installation of the adaptations from start to finish ensuring that all products have been installed correctly.

“I got referred to Stuart when my mother started having difficulty bathing and he arranged to have a wet room fitted.

Not stopping there he also assessed her mobility and obtained a perching stool and a ramp is also being constructed at the front of the property. I’ve got to say everything he has done to help my mother has enriched her life”.

Mr A Hayward May 24 2014

WHAT OUR CUSTOMERS SAY ad_pages_ot_may_jun_15.indd 7

Stressed with obtaining quotes?

High workload & adaptations to arrange?

Unsure how to proceed with an adaptation?

Worried a wet room cannot be achieved?

Large waiting list despite having a budget for the assessment & works... WE CAN HELP! Who Are Promoting Independence?

We are a team of expert Housing Occupational Therapists who design, recommend and install accessible bathrooms and wet rooms across the UK. We can supply and install equipment to make life easier through to working on a new build facility with designers and architects.

• We can do as much or as little as you require to enable your

clients to receive a quote and installation service within days of a request.

• Our Occupational Therapists have a minimum of 5 years experience

in their specialist field, and as experts in housing adaptations they will be on hand from start to finish.

• Supply and install from initial request to completion a low entry shower, level access shower or wet room within 2 weeks, all managed by a team of experts.

• We only work with trusted manufacturers like Contour Showers meaning the equipment supplied and installed is of the highest standard.

FOR FURTHER INFORMATION ON PROMOTING INDEPENDENCE VISIT

www.promoting-independence.co.uk

FOR EQUIPMENT ADVICE OR VISIT REQUESTS EMAIL

info@promoting-independence.co.uk or call 02921 900403

23/04/2015 22:28

Product focus The independent living sector is filled with amazing innovations to help people live more independently. Every issue we will 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.

Easi-Change Did you know that here at G & S Smirthwaite we also manufacture practical and economical solutions for changing and showering from residential homes to public facilities? When children or adults are unable to change or wash independently more supportive equipment is often required. Designed to be comfortable and hygienic for the user and easy to use for the carer, you will find an Easi-Change wall mounted or mobile, showering or

changing solution to meet your needs. As strong supporters of the Changing Places initiative, our range of products can be used within any public facility that requires a changing or showering solution.

Easi-Change is a division of G & S Smirthwaite Ltd, manufacturing equipment for the disability and special needs market for over 25 years. ■

Mobi Changers From £1777, Easi-Lift Shower Stretchers From £2267. Quote ‘The OT Magazine’ when enquiring.

G & S Smirthwaite, 01626 835552 info@smirthwaite.co.uk • www.smirthwaite.co.uk

www.

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23/04/2015 21:53

product focus Mawson Mobile Leg Lifter A unique mobile leg lifter Transferring of legs into bed can be a problem that is hard to resolve. The Mawson is a mobile leg lifter that easily wheels from bed to bed allowing for multi use. If using with a hospital bed the Mawson will wheel under the bed frame allowing the legs to be flush to the side of the bed for effortless transfer.

Bariatric size available.

The Mawson combined with the Nile operates using a rechargeable power pack with no trailing wires. Braked wheels and a movable hoop to hold onto for added reassurance whilst transferring, the Mawson mobile leg lifter is ideal for Nursing Home use, reducing the risk for staff and carers. ■ Prices available on request Centrobed, 01233 635 353 sales@centrobed.com www.centrobed.com

Flexyfoot Flexyfoot is a new type of rubber ferrule (the plastic tip of a walking stick) that fits onto the tip of your walking stick or crutches. The Flexyfoot is easy to fit, provides better grip on all surfaces and its advanced shock absorption helps reduce pain and discomfort. The clever design takes the impact out of walking. ■ Prices start at £10.99 for a standard ferrule

Two Key Turner

Prices from £4.28

This simple product has a curved built-up handle for 2 yale or mortice type door keys providing an easy grip or good leverage for turning.

It has a locked lever attached to brass fittings, to enable both keys to be positioned separately or locked back into the body of the handle. ■

Essential Aids 01273 719 889 www.essentialaids.com

Flexyfoot, 0800 0285 888, www.flexyfoot.com 20 www.

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24/04/2015 13:53

Cosyfeet Cosyfeet was the first British company to make footwear for people with swollen feet. Thirty years on we still offer the biggest range of extra roomy shoes and slippers on the market with a EEEEE+ for women and HH+ for men. Woody (pictured) is one of our newer styles and with the use of hidden depth technology and adjustable touch fastening it is suitable for swollen or wide feet as well as, problem toes, bunions, bandaging, mis-shapen feet, splints and orthotics while maintaining high aesthetic standards.

Soft luxurious leather which molds to the foot and a lightweight shock absorbing sole allows for all-day comfort. You can find the female counterpart (Sandy) to this stylish boat shoe along with the rest of our range on the Cosyfeet website, in our mail order catalogue, at the Cosyfeet shop in Somerset or one of a number of mobility shops who stock Cosyfeet products. ■ Prices available on request Cosyfeet, 01458 447275 comfort@cosyfeet.com • www.cosyfeet.com

Mangar Bathing Cushion The bathing cushion is ideal for someone who has difficulty getting in and out of the bath. It lowers the user into the bath and raises them back out when required, all at the touch of a button.

A waterproof handset, with suction pads, sticks to the bath so the user is in control throughout. Whilst at the bottom of the bath the user can choose whether to keep some air in the cushion to provide a supportive backrest, or release it all to lie right back for a completely natural bath.

Prices available on request Mangar, 0800 2800 485 sales@mangar.co.uk www.mangar.co.uk

• Enables the user to lie right down at the bottom of the bath • Portable, lightweight and very stable • Fitted or removed in seconds • Will only lower you into the bath when there is sufficient battery power to raise you back up again • Lifts up to 150kg (24 stone) • Powered by low air pressure using the Airflo Mk3 power source

www.

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24/04/2015 13:53

Product focus Caroline Molloy is an independent OT, a business consultant, social entrepreneur and founder of occupational therapy professional services company, OT Consultant. With 30 years experience, Caroline offers

professional support to individuals or organisations who need to purchase daily living aids and equipment to support rehabilitation, care needs or independence in the home.

into the functionality, appearance, durability and affordability of each product and offers a personal view to why she would recommend it. ■ You can contact Caroline at

Here Caroline shares her recommendations for products that aid independent living, giving an insight

I

t’s probably true that you look for what’s on your mind, so when I arrived at Kidz in the Middle recently I was drawn to a couple of products that immediately met my interest. It had been a long, tiring drive and my back was feeling tender and so was my mood, but I found these Stickman Communications wristbands that put a smile on my face.

I met Hannah Ensor, who is the creative talent behind Stickman Communications. Her company aims to take the world of disability away from hospitals and political correctness into real life, opening lines of communication with products that use humour, insight and stickmen figures. Amongst other products on her table, I completely loved the “Today is...” wristbands that she designed. The wristbands get the message across clearly, with humour about the realities of pain, fatigue and sensory overload and all the other quirks and differences that can occur with some medical conditions. These bands give such a clear starting point for communication and there are days when all of us are a bit lost for words and haven’t got the energy to explain ourselves. Hannah’s wristbands are labelled “Today is fabulous! It’s a maximum ability day (Green), “Today isn’t amazing, but it’s not too bad either” (Orange) and “Today is tough, tomorrow should be better”.

caroline@otconsultant.co.uk or visit otconsultant.co.uk for more information.

on it and talking about it. Here’s some things you might find interesting. The Bambach is designed to keep the spine in its natural “S” shape, rather than the “C” shape of most flat based chairs. This helps to provide relief from, and prevention of, postural stress and spinal deformity.

Also the saddle seat was originally designed by an Australian OT called Mary Gale. Following years of using horse riding as a therapy, she was often amazed at the profound effect simply sitting on horseback had upon the sitting posture and trunk control of individuals with neurological symptoms. The benefits of horse riding as a therapy are now of course well documented, however, she identified the need for a seat which could replicate the saddle sitting position, therefore allowing individuals to enjoy improved posture in an easily accessible and cost effective manner. There is also a 30 day free trial ava i l a b l e, s o ‘ t ro t o n’ to www.bambach.co.uk and read the full story. ■

Have a closer look at www.stickmancommunications.co.uk

We all probably sit for far too long, whether it’s in a car, at a desk or at school or university (my back was still feeling tender at this point). So sitting on a seat that maintains a correct postural position is essential for occupation and health. The Bambach Saddle Seat caught my attention and I spent time sitting 22 www.

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24/04/2015 13:55

StairSteady® A Step Towards Independence

What is StairSteady?

This is the ideal solution if your patients have some difficulty getting up and down the stairs but do not require a stairlift. The device is made up of a handrail attached to the wall and a handle that provides support whilst going up and down the stairs.

Who is it for?

Stairsteady key features

• Users of rollators or walkers • Users of grab rails • Users of bath boards and raised toilet seats • People who want to remain active and independent in their own home

• Keeping People Active • Discrete • Enables people to remain active and independent, utilising the whole of their home • Alternative to Parallel Bars

2014 National Institute for Health and Care Excellence - NICE • 1 in 3 people aged 65+ (over 3 million) fall every year

• Falls account for over half of hospital admissions for accidental injury

• Falls result in loss of confidence, independence, quality of life and mortality

• Falls and fractures cost the NHS more than £2.3 billion every year

• Previous fallers have over 50% risk of experiencing a fall in the subsequent year

• Falls prevention exercise programmes can reduce injuries by 37%

Did you know... 60% of fatal accidents among the elderly are the result of falls from the stairs. (RoSPA) For further details contact Paul Smith, National Account Manager for Community Equipment on:

Tel: 07970 512 986 Email: paul.d.smith@pattersonmedical.com ad_pages_ot_may_jun_15.indd 8

23/04/2015 22:28

Louise’s story – ‘The joy of being able to eat my lunch myself’

is a brand trusted by Occupational Therapists nationwide, it has been developing, client centered products for over 20 years: it prides itself on providing the highest quality solutions with cutting edge innovation.

Finding the solution The Occupational Therapists tried several products with Louise at school and although they all enabled her to eat independently, the fundamental problems were around simplicity, portability and design.

Louise Louise has just turned 16, she is studying at Uplands school in Swindon. She enjoys her school life and loves her fellow students and the team that support her. She is a determined young lady and approaches challenges in her life with a positive attitude.

In September 2014 Louise was provided with a Meal-MateTM from RBF Healthcare via the local Social Services Department.

Louise has Cerebral Palsy (CP), which is a general term for a number of neurological conditions that affect movement, balance and posture. The condition can occur if the brain develops abnormally or is damaged at, during or shortly after birth.

Louise has quadriplegic Athetosis CP, which results in her having uncontrolled involuntary movements. This produces fluctuating muscle tone which is due to the basal ganglia and extra-pyramidal tracts of her brain being damaged.

Louise has very pronounced startle reflexes and uncontrolled movements, however she has learnt to harness her movements and is able to control her wheelchair independently. She also uses eye gaze technology in the classroom to enable her to study.

Due to her uncontrolled movements, Louise has had to rely on her family and carers to assist her during meal times.

When she started at Uplands school she was keen to be able to eat with her friends with limited or no support.

Louise started at Uplands school 18 months ago and the teaching team noticed that she was the only pupil being fed during the lunch break and they were concerned that this made her look different. Louise had the ability to choose what she wanted to eat and control her movements to use equipment that could enable her to eat independently, therefore, a referral was made to the Social Service OT team.

The key features of the Meal-MateTM that meet Louise’s requirements are:  Portability – it is possible to disassemble the equipment so it can be carried in a small carry bag and stored away in Louise’s classroom when not in use.  Simplicity – the controls are via a small button positioned on the inside of Louise’s wheelchair, a simple push is required to initiate the movement cycle followed by a second touch to stop the cycle at any point. She is able to accomplish this with her Athetoid movements and likes to be able to pause the cycle to ensure that her food is cool enough to eat or to stop it if she is communicating with her friends.  Light weight – weighing just 2.5kg it can be carried easily.  Battery operated – there are no trailing wires or electric sockets required. Louise is also extremely happy that the battery lasts a considerable amount of time and does not require charging frequently.  Sleek design – it is not obtrusive or clinical looking.  Efficient – simple to set up which enables Louise to have more time with her friends during her lunch break.  Easy to clean – for all of Louise’s support staff at school and at home.

The Meal-MateTM has met both the Occupational Therapists and Louise’s goals. The simplicity of the product has enabled it to be used daily without causing any anxiety and disruption to other students.

Louise’s goals  To eat independently and choose what I want to eat when I want to eat it.  Find a product that looked “nice”.  To be able to have a device that is lightweight and portable for use during and outside of school.

Louise states her school life has been transformed; being able to eat independently has impacted her hugely. She states that “It makes me so happy as it makes me independent” Further information can be found at www.rbfhealthcare.co.uk or call us on 01702 527401

Therapist’s goals  To enable Louise to eat with her fellow students and enjoy the banter of the dining hall without assistance.  To enhance Louise’s occupational performance, enable her to eat independently for as long as possible and psychologically accept the equipment provided.

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23/04/2015 23:47

a day in the life

A day in the life of...

Harriet Heaton-Pike

H

Band 5 Occupational Therapist, Bowman Low Secure Unit with Cornwall Foundation NHS Trust

a r r iet g r ad u ated f r om Y o r k St John University in 2013 and now works at Bowman Low Secure Unit. This establishment provides treatment and care for up to 12 men aged 18 and over for up to two years with a focus on rehabilitation and recovery. The men who receive treatment at Bowman Unit have severe and enduring mental health problems and often have a history of psychiatric care and include both forensic (involved with the criminal justice system) and nonforensic patients.

Bowman provides a homely environment for patients and the staff, made up of nurses, health care assistants, a social worker, a clinical psychologist, an OT and a social inclusion worker and provides treatment, therapy and life skills to help prepare the men to return to life in the community.

What made you want to become an OT? When I was younger I always knew I wanted to work with people in a caring profession. I was aware of the profession from a young age due to my mum being an occupational therapist and she would often talk about the diversity and enjoyment of the job. Researching occupational therapy made me aware of the variety of settings, conditions, both physical and mental health, and age range which occupational therapists could work with. This was a really appealing factor to me as well as being attracted to the promotion of independence to enable people to engage in meaningful occupations.

What drew you to your area of work?

I have always found mental health interesting and it was an area of practice I wished to work within. During my second year at university I had a seven week professional practice placement within the field of forensic psychiatry

community re-integration. I worked with service users in a step-down community house who had been inpatients on a secure unit and found this placement a fantastic learning experience as well as interesting and enjoyable.

Therefore, after qualifying and gaining my HCPC registration, when this job appeared on NHS jobs I knew it would be a job I would enjoy.

Describe a typical day...

Every day is different! After the morning MDT hand over, I attend a Patients Meeting where patients can plan their day. We discuss the activities on offer for the day including ward-based groups (eg art/craft), college groups like photography and local conservation work.

The rest of my day is filled with carrying out 1-to-1 work, running groups, facilitating the twice weekly shared meal cooked by patients and conducting cognitive and functional assessments. These assessments assist to guide the type of accommodation for the patient before discharge into the community (eg. independent home, supported house, etc). I was lucky enough to train as an AMPS (Assessment of Motor and Process Skills) assessor when I started my job and this has proved to be a really useful observational assessment to evaluate the quality of a person’s performance of activities of daily living (ADL).

What’s your favourite part of your job?

Definitely working with the patients- after all that’s what I go to work for! The 1-to-1 time is invaluable with getting to know and understand a patient and it really assists with building a therapeutic relationship.

Also when a patient is discharged from hospital to the community that always feels like a real success! I also enjoy the continuous learning from the ever evolving profession and as I am chair for the East Cornwall BAOT meetings, that makes me keep really up to date with current issues both locally and nationally. ■ www.

25 Day in Life_rt_kw.indd 25

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24/04/2015 13:56

Wheelchair evolution

W

By Andrew Gubbins

ith 11.9 million disabled people in the UK (roughly 19% of the population), developing wheelchairs to meet the needs of the physically challenged and facilitate their lives has been keeping engineers busy for decades. Centuries, in fact.

More than half have an impairment relating to mobility so there is plenty of incentive to get the design right.

According to the World Health Organisation, a wheelchair should meet the user’s needs and environmental conditions; provide proper fit and postural support; be safe and durable; be available in the country; and be obtained, maintained and services sustained in the country at an affordable cost.

Vintage Wheelchair

Wheels in motion

While it may have taken thousands of years to perfect the design of a functional wheelchair, today’s models are light, fast and easy to use. Thanks to huge developments in technology, wheelchairs have evolved from basic four-wheel, self-propelled models to powerful super-lightweight versions that are easily portable. Users can now expect a raft of safety and comfort features, improved support and anti-tipping devices to make their experience safer and more stable.

Beverley Kelly, director of RKS Occupational Therapy Services (a Karma Mobility retailer), has been an OT for 26 years and is very experienced in advising patients about wheelchairs.

“Luckily, there is plenty of choice these days. We take into account people’s budgets and find the best solution for them depending on their needs and priorities. Once we have identified what somebody wants from their chair, we can assess them fully, find a chair that meets their needs and set it up to ensure it is both comfortable and working to its optimum. The ability to improve a person’s mobility has a dramatic effect on their quality of life and functional ability. Our role in this process is extremely rewarding.”

E c h o i n g g u i d e l i n e s f ro m t h e Wo r l d He a l t h Organisation, Beverley warns against the risk of buying a wheelchair online: “It may seem cheap but there’s no assessment or personalisation or after sales service. At RKS we have many suppliers such as Karma Mobility so we are able to offer a fully independent service and 26 www.

can be objective with our advice. Wheelchairs tend to last around three to five years depending on the level of use, so it is important to make sure that people’s needs are reviewed on a regular basis. To ensure a wheelchair user gets the maximum life span out of their chair it is important to keep it maintained and serviced which is something most responsible retailers and manufacturers are happy to assist with as part of its after sales service - and this is often missing if a purchase is made online.”

And what a choice users have. Manufacturers are constantly looking at ways to reduce weight, increase comfort and boost specification. Karma Mobility is one of the leading suppliers of lightweight aluminium framed wheelchairs in the UK and has won awards for its products.

One of their customers, Anne Crofts, was particularly impressed with the wheelchair that she took on holiday with her recently: “It is exceptionally comfortable and I never have back problems, or other aches and pains when using it. I am very impressed with its flexibility, which means it moves with whatever surface it is going over, including forest paths. For this reason, we will be taking it on our next month-long trip to the States in the winter too!”

Anne’s chair is the Ergo Lite Transit wheelchair - a new breed of wheelchair weighing an incredible 8.3kg (18lbs) and one of the company’s lightest wheelchairs. Featuring an ergonomically designed seat, it helps to redistribute pressure and prevent the user sliding down the seat.

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24/04/2015 14:05

Wheelchair evolution

Karma Leon

Karma Flexx HD

Carbon Black

Evolution of the wheelchair Beverley agrees that technology is at the heart of the next generation of wheelchairs.

As the Industrial Revolution approached, progress in the development of wheelchairs increased.

“From an OT perspective, as technology evolves wheelchairs will continue to develop, providing people and therapists with more options and choice, enabling us to tailor the product more effectively to the user. It’s really important to fit the chair to the person, not the person to the chair.”

In 1655, a 22-year-old paraplegic watchmaker called Stephen Farfler built a three wheeled self-propelled vehicle, essentially a wooden box on wheels with a hand crank on the front wheel. His model was a breakthrough in the evolution of wheelchairs, no longer having to rely on a third party for forward movement and steering.

So how did these life-changing products come about?

It’s not entirely clear who invented the first wheelchair or indeed where. History tells us that it was a global affair with contributions from several countries.

English inventor John Dawson was the first to create a commercially viable version of a wheelchair in 1783, which became very popular throughout the Victorian era. It was known as the Bath chair and was named after the city where it was invented to transport invalids to the spa waters.

The concept of wheelchairs may well have originated in China, where an engraving of a man sitting in a chair with three wheels, was found on a tomb in the sixth century. Historians agree that one of the first manual wheelchairs was built in 1595 especially for King Philip II of Spain. It featured foot rests to give him respite allegedly from gout!

Anne Crofts

Beverley Kelly RKS Occupational Therapy Services

Across the ocean in America, the first wheelchair patent was issued in 1869, for a wicker-backed chair sporting large back wheels and two smaller front castors. This was to be the blueprint for all future models - which would go on to incorporate metal, then rubber wheels with push rims to give people better control and manoeuvrability.

In 1932, Harold Jennings, a mechanical engineer from Los Angeles invented the first folding wheelchair, following a request from his friend Herbert Everest who had broken his back in a mining accident and wanted to be able to take his wheelchair in his car. Together they refined the design, patented it in 1937 and from a friendship grew a business. Their company Everest and Jennings (E&J) monopolised the wheelchair market for › more than three decades. www.

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24/04/2015 14:05

Wheelchair evolution

› Back in the UK, the first motorised wheelchair was

developed in London in 1916, albeit with modest power. It wasn’t until 1956 that E&J began mass producing their own version. Again their model was basic – rudimentary steering, no circuit board and just two speeds to choose from, high and low – but it was the start of the future.

Canadian inventor George Klein is credited with improving the lives and mobility of disabled World War 2 veterans. He worked on his own control system in 1950 for the E&J model. Klein’s chair boasted a powerful motor and incorporated a joystick for control yet it was never manufactured in Canada. Klein decided to give the design away to Americans E&J and the resulting design revolutionised subsequent electric wheelchairs, which now include powered adjustments for seats, back pads, head rests and foot rests.

Changing Lives Wheelchairs have been life-changing for many people, providing them access to places and experiences as well as helping people without permanent disabilities in the short-term - especially patients convalescing after an operation, injury or accident, ME sufferers and the elderly or infirm who need extra help at airports, museums and shopping centres.

As for the future, it won’t be a case of reinventing the wheel. For example, the latest model from Karma Mobility is the Flexx HD which has been designed with adjustability in mind and can cater for users up to 170kg (26st 7lbs) and is available in 20”, 22” and 24” seat widths. In addition to the flip back height adjustable arm rests and swing in/out foot rest hangers, the Flexx HD also features multiple rear wheel positions, adjustable castor angles, seat depth adjustment and a double cross brace for extra durability. As with all Karma Mobility wheelchairs, the Flexx HD has a lightweight aluminium frame.

Powerchairs are already available that can raise users up, while balancing on two wheels, climb up and down stairs and navigate different terrains. Soon they could be controlled directly by neurological impulses from the brain.

Scientist John Donoghue is working with BrainGate on technology called BCI (Brain Computer Interface) to help people with very limited mobility control a wheelchair – it sounds futuristic, but the reality is that a device can now be implanted into the patient’s brain and hooked to a computer to which the patient can 28 www.

David Weir winning a gold medal at the 2012 London Paralympic Games

send mental commands that result in the wheelchair doing what they want it to.

Wheelchair users continue to make history and break records. Paralympian David Weir owns a custombuilt chair which cost £5,000. In an interview with the Daily Telegraph after winning four gold medals in the Paralympic Games in 2012, he said: “Our chairs are like Formula One cars; they’re the absolute cutting edge of technology, and everything has to be just perfect.”

He wasn’t kidding. Wheelchairs used in the Paralympics were blasted with air in wind tunnels built by defence firm BAE Systems. Their manoeuvrability was measured using tracking technology developed by Formula 1 team McLaren, while the seats were created by car firm BMW. In fact, many wheelchair athletes have been instrumental in pushing for more refinements which have benefitted the wider population of wheelchair users, for example, the lighter, more agile, carbon fibre wheelchairs developed by sports engineers for Paralympians are finding their way onto the consumer market. And the story doesn’t end there. If your pet is having mobility issues, there are now wheelchairs on the market to help them maintain an active life. But that’s a whole new article. ■ Karma Mobility has been providing the industry with lightweight wheelchairs since 1987. It took over exclusive distribution rights in the UK and Ireland in 1999, and since then, has gone from strength to strength. Supplying the NHS and numerous mobility retailers throughout the UK with its high-quality wheelchairs, Karma ensures that the outstanding design of every product is extensively tested and evaluated before being placed on the market. This results in products that stand the test of time and prove to be good long-term investments.

For more information on the full range of lightweight wheelchairs available from Karma Mobility visit www.karmamobility.co.uk or call 0845 630 3436.

Chester based RKS Occupational Therapy Services can be contacted on 0151 356 7007 or visit www.rksot.co.uk

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24/04/2015 14:05

Coming Soon to Quantum

A new and exciting addition to the Quantum Range...

The Q6 Edge 2.0 Mid-Wheel Drive power chair from Quantum, offers a great range of enhanced features and benefits. With new innovative drive controls and exceptional powered options available.

UK b a h Re n o i m t u a t an or m f u n I Q e k r @ u o l w e M o l v l r e Fo Fo #il

‘?!’ Tel: 01869 324600 Email: sales@quantumrehab.co.uk Web: www.quantumrehab.co.uk

Posability ad.indd 1 ad_pages_ot_may_jun_15.indd 10

19/03/2015 22:29 16:37 23/04/2015

wfot

T

he World Federation of Occupational Therapists provides significant resources to members and to the wider community.

In addition to social media and related communications, other recent developments provide resources for professional development and communication. We showcase some of these resources here.

Bulletin The WFOT Bulletin will be published online from April 2015 and available via a direct link from the Members Only section of the WFOT website at www.wfot.org.

Marilyn Pattison, President WFOT, Samantha Shann Vice President Finance, and Kit Sinclair Bulletin Editor, will launch this historic achievement at the Maney Publishing booth at the American Occupational Therapy Association (AOTA) 95th Annual Conference and Expo in Nashville, Tennessee in April.

• Global perspective with contributions from Australia, USA, Canada, Bangladesh, Argentina, United Kingdom and Hong Kong

EXCLUSIVE: Commemorative edition and limited number of copies!

WFOT has commissioned a limited edition issue of this publication that features its unique branding to endorse and support the importance of occupational therapy and disaster preparedness. This publication will become essential reading for occupational therapy students, practitioners, researchers and academics in the practice. Take the opportunity to own this valuable resource and support the work of WFOT in the process by registering your interest to purchase this book at www.wfot.org

COMING SOON – WFOT is developing an online educational module on Disaster Preparedness and Response. Information will be available on the website at www.wfot.org.

Disaster and Development publication ‘Disaster and Development: an Occupational Pe r s p e c t i v e’, e d i t e d b y occupational therapists Nancy Rushford and Kerry Thomas, was recently published by Elsevier.

“Disaster and Development” is a ground breaking new book that draws on the experiences of survivors, practitioners, personnel from local and international organisations, researchers and academics to give an occupational perspective on real life experiences of disasters to educate the reader in survivor-led recovery and resilience and illuminate implications for policy and practice.

Other important information that is highly valued by members around the world is the regular “News from WFOT Member Organisations.” In the past, this information has been published in the WFOT Bulletin, however WFOT is now promoting the News in the regular e-newsletter circulation, and making the full reports available on the WFOT website at www.wfot.org > About Us > International Updates and News. The most recent publications (Jan – March 2015) include news from the WFOT Member Organisations in Belgium, Canada, Hong Kong, Italy, Kenya, The Netherlands and the USA. Common themes and issues which arise for many countries include: • Websites and newsletters – communication with members in country • The national occupational therapy association – membership; organisational structure and governance • Professional insurance/indemnity • Occupational therapy educational programmes

Features:

• National legislation for professions including

• Case studies based on field experiences include

occupational therapy

responses to droughts, earthquakes and wildfires,

• Standards of practice

survivor stories of trauma and healing, landmine action

• National conferences

and advocacy, accessibility and CBR in disaster recovery

• Professional development resources

and empowerment approaches with vulnerable groups

• This information provides a fantastic opportunity to

• Practical considerations in promoting policy, practice

keep up to date with developments across the globe

and education

from national occupational therapy associations.

• Covers current and emerging disaster risks and local- global reduction strategies, including climate change • Highlights process, pitfalls and tips when entering the field 30 www.

There are many other ways that the WFOT and colleagues support the spreading of information about occupational therapy.

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a global perspective Contribution to national and international organisations spreads the word about occupational therapy Professor Nathan Vytialingam, Dean, School of Occupational Therapy, Perdana University, Malaysia, was recently appointed to the New York based ‘Advisory Council on the Global Coalition on Aging’.

Through research, public policy analysis, advocacy and communication, the Coalition advances innovative solutions and works to ensure that global aging is a path for fiscally sustainable economic growth, social value creation and wealth enhancement.

The Global Coalition on Aging (GCOA) aims to reshape how global leaders approach and prepare for the profound shift in population aging in the 21st century.

Nathan is a former Vice President of the WFOT (1994-1998) and is a leader in occupational therapy in Malaysia and related regions. He graduated from the London School of Occupational Therapy (1973 – 1976). He initiated the 1st Asia Pacific Occupational Therapy congress at Kuala Lumpur in 1995. He has convened several regional conferences on healthy aging. In 2012, he was instrumental in organising the 1st World Congress on Healthy Ageing. The second world congress is to be held in Johannesburg, South Africa in July 2015 and he is one of the advisors. Nathan’s input to these leading organisations and professional events is an exemplar of how occupational therapists can contribute in so many ways towards promotion of the profession.

Prof. Nathan is contactable via e-mail at nathanv@perdanauniversity.edu.my WFOT continues long term collaboration with the World Health Organisation (WHO) WFOT has been in official relations with WHO since 1959, undertaking a collaborative work program with the aim of improving world health.

This official relationship enables the voice of the peak body representing occupational therapy to make contributions to the global health agenda at the highest international level. WFOT attends WHO Executive Board meetings to make official statements and promote occupational therapy through participation in working groups and liaise with key stakeholders with WHO and other international Non Governmental Organisations (NGOs).

A list of WFOT official statements and activities with WHO, other NGOs, and Member Organisations is available at www.wfot.org > About Us > International Updates and News.

WFOT continues to promote the profession of occupational therapy and provide per tinent information to members through a range of activities.

Check out the WFOT website at www.wfot.org to see for yourself a wide range of information and resources on occupational therapy internationally. ■

www.

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Horticulture

Therapeutic horticulturE

H

By Sophie Mead

obbies and extracurricular activities are key to the development and wellbeing of individuals with special needs and one particular pastime which stands out for its therapeutic characteristics is gardening. It acts as peaceful distraction from any trauma or stress in people’s lives and has been used as therapy since ancient Egyptian physicians sent poorly courtiers to spend time in palace gardens (Trellis). As humans it is in our nature to cultivate plants and spend time outside so it’s no wonder that it brings so many health benefits. The great outdoors provides a whole manner of sensory and tactile experiences as well as wonderful sights and sounds to stimulate the senses and there are many ways to incorporate gardening into the routine of a patient, no matter what their abilities are.

Therapeutic horticulture is defined as ‘the use of plants by a trained professional as a medium through which certain clinically defined goals may be met’ (Trellis) and is a recognised remedy due to a number of advantages. First and foremost it gets people outside spending time in the fresh air. According to Mencap a quarter of adults living with a learning disability spend less than one hour outside their home each day and the opportunity to be involved in an inclusive and progressive gardening project could be the push many need to get outside and socialise. The cultivation of plants from seed brings people a sense of satisfaction and accomplishment that they may not find in their normal routine. Where certain conditions may limit the academic or physical capacity of individuals, gardening activities can be tailored to the exact needs of a patient to ensure it is fun and conducive to a healthy lifestyle.

(Mencap) Gardening can be made accessible to everyone, of all ages and abilities and the cultivation of plants from seed to flower or fruit can create feelings of goal attainment, boosting selfesteem and confidence levels. Inclusion in group activities can strengthen an individual’s sense of community and social skills as well as providing a supportive environment outside their homes.

32 www.

Perhaps a patient has been a keen gardener or farmer for many years and now finds they are unable to accomplish tasks which were previously straightforward.

Changes can be made in order to facilitate their favourite pastime in a way which works with their current condition; for example wheelchair users can use raised garden beds. Autistic patients can explore sensory stimulations with materials such as soil, flowers and tools which in turn work with their fine motor skills.

In terms of location, the limit is your imagination. Sites can range from window boxes to community land, hospital grounds and garden centres. Unkempt urban areas can be regenerated with simple cultivation projects which give gardeners a sense of fulfilment in the creation and nurture of something beautiful.

Examples of plot sites are: • Nursing homes - help people suffering from dementia enjoy the great outdoors and return to a familiar plot creating a reassuring and peaceful space to tend • Allotments – provide a sense of community and give the opportunity to socialise • Hospital gardens – create an oasis of creative space in an otherwise sterile environment Prime skills that can be developed are initiative, co-operation, patience and concentration, as well as numeracy and literacy skills. Gardens provide restorative environments and getting outside promotes recovery from stress and helps restore the ability to focus attention.

Trellis Trellis, the therapeutic gardening charity in Scotland, provides opportunities for professionals from all sectors involved in therapeutic gardening to share knowledge and good practice through the Trellis email bulletin and social media, regional networking events, annual conference and training as well as their information and fieldwork services. Currently they support a network of over 270 (March 2015) therapeutic gardening projects and over 400 interested professionals and individuals from Shetland to Dumfries. Trellis resources include

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Left and Below: Images from Thrive showing the gardens and gardeners who benefit from them

factsheets on adaptive gardening ie. how to customise gardening activity to suit the needs of the gardeners. They provide informal and formal training sessions in response to network demand.

These can range in topic from basic gardening skills to adapting gardening activities for children with complex needs or those with dementia, to income generation and evaluation.

Therapeutic gardening projects are very varied in size, location and client group. Many OT gardening projects in Scotland are developed with particular client groups in mind, for example, those with a learning disability in danger of offending, neuro OT, or in mental health care. OT therapeutic gardening

is often located in hospitals in particular wards, courtyards or within community gardening areas in hospital grounds. Depending on the needs of the patient group and OT / NHS resources these projects can range in size and scope from the indoor growing of pot plants to window boxes and container › www.

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Supporting Daniel when the pressure’s on Carer Rachel and the SmartSeatPro

™

The new SmartSeatPro from CareFlex has a unique, multi-adjustable back to optimise posture, function and comfort. There is nothing else quite like it. ™

The flexibility offered by the four part back-rest ensures the SmartSeatPro can be easily configured to suit individual needs, aiding pelvic stability as well as trunk and head alignment. The back has three upper components which can be altered in height, depth, angle, offset and can be rotated.

Whether the problem is a neurological condition, such as cerebral palsy, stroke rehabilitation, dementia care, head or spinal cord injuries, or there are complex postural needs, the SmartSeatPro offers all round support… just where Daniel needs it.

Call us now to arrange a free demonstration or specific client assessment: 0808 159 7993 enquiries@careflexseating.co.uk | www.careflex.co.uk

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horticulture

› growing, up to large scale growing on outdoor

plots, orchards and woodland.

Thrive Thrive in England and Wales, is a charity which uses gardening to change the lives of disabled people or those seeking recovery through rehabilitation. Based in the south east of England, they hold a database of 900 garden projects all over the UK and can put you in touch with any in your local area. Most gardeners are referred by social services or their GP but Thrive also welcomes independent membership. To be as inclusive as possible, activities aren’t just limited to garden spaces – the charity will set up activity zones for gardening inside village halls and libraries.

Set up by Chris Underhill in 1978, a young horticulturalist inspired by working with people with learning disabilities, the charity offers a number of training options, educational courses and workshops so that participants can take away recognised qualifications as well as all the personal benefits associated with the pastime. It can also be used as evidence towards your continuing professional development (CPD). Thrive accepts applications for the award in Social and Therapeutic Horticulture (STH) accredited by Coventry University.

Lynne Szerezla, Occupational Therapist Lynne has been an OT for 12 years and received the award for Social and Therapeutic Horticulture in 2014.

She studies at the Royal Horticultural College in London at level 2 (principles of plant growth, propagation and development) and also completed a City and Guilds in practical gardening last year. She says: “The benefits of horticulture therapy are well documented and it is widely used by many professionals now, for example psychotherapists, OTs, teachers.”

Lynne comes from a farming family and has always loved gardens and plants. Her interest really took off when she had her own therapeutic garden designed at the same time as running groups in an acute psychiatric unit. She quickly realised it was impossible to run effectively without further knowledge and having heard positive feedback from colleagues about workshops at Thrive she decided to enrol.

“From what I have seen, STH offers activities that have multiple and wide ranging benefits for (various) physical and mental health conditions. It can offer social and financial opportunities as well as connecting individuals to their communities, so is valuable for people who are socially isolated.”

She also wanted to complement the course with a basic understanding of horticulture so enrolled at Capel Manor College in 2012 which indicates that a basic understanding of plants is necessary before progressing to the STH course.

“I would say it’s essential for OTs to have horticulture knowledge or else they will need to work alongside people who have the qualifications which is not cost effective.”

Armed with new knowledge she said that the classes “were very enjoyable for both staff and patients.”

Lynne is about to start working for Hammersmith Community Gardens Association to help promote their Green Care programme to NHS staff.

Her recent experience of working with dementia clients highlighted the lack of funding for the provision of STH programmes and support for people who struggle to maintain council owned allotments. This affects dementia clients who wish to carry on gardening but can no longer organise or plan their planting schedules.

Expanding on the benefits, she notes “community gardening is a great way for people to make friends and learn about their local area without too many expenses. It is an activity that can be solitary or group based. Resources are easily accessible everywhere, for example, TV, books and magazines.”

For a society which is obsessed with hygiene and spends increasing amounts of time indoors, she says “gardening allows you to get your hands dirty which is good for the immune system. Many of us spend too much of our lives inside, often inhaling processed air so time outdoors is great for your health.”

“In addition gardening offers exposure to vitamin D – the sunshine vitamin which is linked to benefiting those with serious illnesses such as dementia and cancer.”

Lynne has developed a par ticular interest in gardening history which has since opened up opportunities for her. ■ Useful Websites www.thrive.org.uk www.asthp.org.uk www.trellisscotland.org.uk www.thetherapygarden.org

References • www.trellisscotland.org.uk/files/factsheets/what_is_TG_BW.pdf • http://heartofenglandmencap.org.uk/blog/4582852019/ Hear-My-Voice/9390572 • www.trellisscotland.org.uk/therapeutic

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social media

Social Media

as a marketing tool

Matthew Box, founder of Inclusion.Me, shares his advice on using social media to promote your services as an independent OT.

A

s an independent OT, whether we like it or not, marketing and getting ourselves known as well as promoting our unique selling points are essential if we want to keep busy and stand out from the crowd. Last year we asked 50 independent OTs how they market themselves and these were the top five answers: • Word Of Mouth (100%) • Website (80%) • Email marketing (30%)

• Networking (100%) • Linkedin (80%)

Surprisingly, only a quarter of respondent OTs used social media (Twitter and Facebook) with far less using free email marketing tools such as Mailchimp (under 10%). A similarly negligible number have considered joint marketing.

Having an online presence of some kind is essential for anyone who is self-employed or running a business.

Today we’re surrounded by a growing number of social media sites and not only is it difficult to be sure which will suit our business aims, but it also can be a challenge to determine the right tone and content in order to attract the attention we’re looking for. A successful social media marketing campaign requires a shift in mindset from ‘what does my business need?’ to ‘what does my customer need?’. Social media is part of our everyday life and part of the way most of us now regularly interact with the world we live in. If every time you speak to someone they try to sell you something you’re going to stop listening, social media is just the same.

We’ve picked up a few tips from marketing professionals over the past few years and the following three steps should prove invaluable when thinking about using social media to promote your services:

seed, all the while subtly nurturing it so that your followers subconsciously take note of your brand. I personally think, as OTs, we don’t trumpet how good we are enough. Don’t forget to promote the positive feedback you get from client’s.

Trust: Although it can take time to cultivate, it will give you such an enviably strong advantage over your competition.

Another equation to try and use to help with social media is the 80:20 rule. If you’re letting people know about things that are of interest and relevance to them 80% of the time then they’ll be much more attentive and responsive during the remaining 20% of the time when you’re telling them how wonderful you are and what you can do to make their lives better!

Inclusion.Me Tip: Embracing any form of free marketing and advertising is a must for someone working for themselves and OT is no exception. Twitter, Facebook, Instagram, Linkedin and Mailchimp are all free and if used properly can make a huge difference to the way you portray your brand and services. More than half of the population of the UK use one form of social media, if you’re not using them to build stronger relationships with your customers, or to recruit new clients, you’re missing out. It’s FREE marketing and they can also be excellent CPD tools (for example find out about #OTalk or #OTuesday).....invest a bit of time understanding how they could benefit you and get using them! Want to see more tips from OTs in independent practice - why not have a look at our FREE “Starting Out” and social media guides! ■ www.inclusion.me.uk/professionals_portal

Engagement: Always the first rung on the ladder, and very rarely achieved through sustained selfpromotion. Gain the attention of your audience and you are ready to move on to the next step.

Awareness: Building awareness is an essential part of the journey to someone wanting to use your services. Plant the 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 will 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.

Prio This neat and compact comfort wheelchair has been designed with a range of innovative functions and details that improve seating comfort and handling, benefiting both user and care giver.

The dynamic pelvic support adjusts for stable, comfortable support when sitting up and the comfort tilt lock guides to the correct position so the user is not tilted too far forward. â– Prices available on request

The lightweight design makes Prio easy to propel, turn and tilt with minimal effort. Many options and smooth, intuitive adjustments make it easy to adapt the wheelchair to the user’s size and need.

Etac, 0121 561 2222, enquiries@etac.uk.r82.com www.etac.uk.r82.com

For greater seating comfort the Etac Prio has a range of dynamic features including dynamic head support which automatically moves position when being reclined and moved upright.

T Rolls

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T rolls from C&S Seating are used primarily but not exclusively, to control posture and position of the body in supine lying.

is available on the C&S Seating website. The rolls come in a variety of covering materials and colours to choose from. â–

Choosing the correct size of roll is important and a full guide to sizing

Prices available on request C&S Seating, 01424 853 331 www.cands-seating.co.uk

23/04/2015 21:50

Panova Platform Lift

The Panova Platform Lift is designed to provide access for wheelchair users over short sets of steps. For use on steps that rise up to 1m, the platform lift is discreetly hidden in a pit at the foot of the steps when not in use, so it won’t take up any space or be an obstruction in the stairwell. This is ideal when the usual stairlift won’t fit in the space.

they need. It can also be finished in any colour and with any type of floor covering, from tiles, carpet and linoleum to even flagstones or artificial grass!

Free surveys and quotations are available on request. See our website for more photos and videos. ■ Prices available on request

It can be used in the home or in public spaces, indoors or out. The lift is made to suit the user, in any size

Panova, 01482 480710 mail@panova.biz www.panova.biz

Buckingham Bra Buddy The Buckingham Bra Buddy was the first dressing aid designed by occupational therapist Chris Buckingham, to help assist those with mild to moderate upper limb restrictions or limited hand dexterity to secure a bra, even with just one hand. The Bra-Buddy holds one end of the brassiere securely whilst the other end is brought round the body and attached together.

of mobility in their unaffected arm and shoulder in order to reach for the other end of the bra from around their back and bring the two ends together. It can be used on all different styles and types of bra and all sizes. The design allows for discreet easy storage and requires next to no cleaning. ■ Prices from £8.95 Buckingham Healthcare 023 8168 0170

The user needs to have a large range

www.buckinghamhealthcare.co.uk

www.

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product focus

The SmartSeatPro™ The SmartSeatPro™ from Careflex is a highly adjustable, modular seating system for clients with complex postural and pressure management needs. It has been designed to give healthcare professionals maximum adaptability to optimise posture, function and comfort for their clients.

The level of flexibility offered by the four part back-rest ensures the SmartSeatPro™ can be readily configured to suit individual needs, aiding pelvic stability as well as trunk and head alignment.

The individual back-rest components can be quickly and easily adjusted to ensure that a range of postural asymmetries such as kyphosis, lordosis and scoliosis, can be fully supported, stabilised and where possible, corrected from the sacrum to the cervical spine.

suit the user’s needs. Each of these upper elements include built-in adjustable wings which can be individually positioned to contour the seat back to the user’s shape.

The seat is ideal for clients with complex postural needs, whether semi-ambulant or non-ambulant, also for neurological conditions, dementia care, stroke rehabilitation and head/spinal cord injuries.

Many features are included as standard, such as ‘Back Angle Recline’ to offer a comfortable hip position, ‘Tilt in Space’ to redistribute body weight whilst maintain hip and knee angle, and our patented WaterCell® technology for long term pressure relief. ■ Prices available on request.

The unique multi-adjustable back has three upper back-rest components which can be altered in height, depth, angle, offset and rotated to 40 www.

To find out more or to book a free, no-obligation demonstration call 0800 018 6440, email enquiries@careflex.co.uk or visit www.careflex.co.uk

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Call 01626 835552 www.smirthwaite.co.uk

Sensory development is essential for children’s balance, behaviour and understanding of their senses. Our range of sensory products can be used to encourage children to refine their skills and helps build confidence.

Get your sensory room off to a great start with this complete kit from Smirthwaite.

Sensory Room Kit 1 x C Frame with platform swing (size 1) 1 x Rocking Horse (size 2) 1 x Ramp & Scooter (size 1) 1 x Twist & Loop 1 x Clown 5 x Packs of Balls 1 x Body Roller 1 x Body Bumper 1 x Rocking Ball 1 x Rokka Fishing Boat FREE Fitting & Delivery Offer ends 30th June 2015

All this for £4,999 +vat

Sensory Ad for OT Mag.indd 1

! r cot te i u EW o as bs N tch M we a & r W flex ou to on Ro eos vid

Theraposture – working with OTs to provide independence since 1981.

08/04/2015 14:32

Trusted assistive beds, chairs and care cots

• High quality, yet affordable solutions • Cost effective and long lasting independence at home for your clients • Assessment based provision with our Trusted Assessors • Unique and bespoke designs, both ergonomic and attractive • Over 30 years of understanding clients’ individual needs • Achieving positive outcomes for all

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23/04/2015 22:57

Bedworth Chair Bed 

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FREE Demonstrations

RENTALS: Gantry & Mobile Hoists, Electric Rise & Recline Armchairs & Profiling Beds 01455 212 482 www.nopacltd.co.uk enquiries@nopacmidlands.co.uk www.nopacmobility.co.uk enquiries@nopacmidlands.co.uk 01455 212 482

Reliable Seizure Detection Systems for over 20 Years Medpage Limited, established 1984, is accredited to ISO 13485:2003/7 for the manufacture and distribution of medical products. We supply quality affordable products,which promote independence and aid people care domestically and professionally.

Apnoea monitors Enuresis alarms with radio pager alert Bed and chair rise detection alarms Wander detection door egress alarms Staff call radio paging systems Memory & communication aids

Medpage MP5 ULTRA What Makes The ULTRA Special?

The ULTRA is pre-programmed with selectable seizure detection modes, including complex epilepsy. The ULTRA also incorporates bed occupancy detection and body movement inactivity monitoring. The ULTRA can be used on specialist bed types including airflow mattresses, with an incredibly high level of movement detection sensitivity and control.

Sleep safe knowing you have a Guardian Angel. Visit our websites for full details

www.easylinkuk.co.uk www.medpage-ltd.com T 01536 264 869 Medpage Limited T/A Easylink UK. 3 Melbourne House, Corby Gate Business Park, Corby. NN17 5JG

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neuro-ot

NEURO-OT Uncovering Hidden Abilities and Disabilities Jo Throp from Krysalis Consultancy looks at the neuro rehab OTs’ unique skill of identifying functional ability and disability within the context of the litigation process.

H

ave you stopped to think about what you have done today? Many of us will take for granted the efforts our body and brain go through to make sure we achieve the tasks we set out to do. More often than not a lot of our daily tasks are done automatically without a second thought.

Most probably you have got yourself up, dressed, fed

and travelled to work. You are completing complex tasks in challenging and ever changing environments, whilst at the same time (in general) controlling your moods and emotions.

You can express yourself verbally and clarify your thoughts to others using gestures and body language.

You can seamlessly integrate technology and ›

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neuro-ot

› objects to help you achieve your goal. You can

Hidden disability

control and adjust your actions, movements and behaviour to overcome barriers along the way.

We had been asked to work with a young woman of 37 who had been involved in a road traffic collision in 2011. On the face of it, she was functioning well, sharing a flat with a friend and trying to return to work part time. She reported some frustrations and concerns about managing to live alone independently but had presented well to the experts. It could have been assumed that her disabilities were relatively minor and that, given time, she would have returned to ‘normal’.

What is even more amazing is that all of this happens automatically without apparent thought or effort.

Of course this last statement is slightly untrue; a vast amount of effort is put into helping us function effectively, the key is that we are not aware of it.

Neuro-occupational therapists (OTs) have a unique understanding of the brain and the essential role it plays in helping us function effectively.

Human function within neuro-rehabilitation is a science. The College of Occupational Therapists defines an OT as ‘An expert in the science of doing’. OTs therefore understand the relationship between you

The idea of ‘normal’ is often taken on face value.

Family members of clients with hidden disabilities often report frustration after being greeted by a friend or acquaintance on the street. Statements by well meaning individuals such as ‘amazing recovery’ and they are ‘back to normal’ actually do not reflect reality

The skill of a good neuro OT is knowing what to do with the information and how to take that person forward to achieve their personal goals and aspirations and your environment, and in the case of a disability they understand how and why barriers to achieving their client’s goals do occur.

So why is it important to be able to demonstrate accurately a client’s functional ability within the litigation process?

This question is even more important for clients who have had a traumatic brain injury and the answer may be within the functional observations and assessments of the treating of neuro-OT. These observations are very different to an interview style assessment.

Indeed, a functional assessment is about observing the individual while they undertake a task in order to gauge an objective opinion of their abilities and limitations. While many of these skills or limitations remain ‘hidden’, they can be uncovered while observing someone complete everyday tasks. It is the skill of the neuro OT to determine an accurate picture of a client’s abilities by devising the correct functional assessment.

An example of cases where functional assessments were pivotal in establishing the abilities of clients who had sustained traumatic brain injury are worth considering in that both clients had very different levels of abilities.

44 www.

in terms of functional capabilities. It is only when individuals with hidden disabilities try to ‘get back to normal’, return to work or challenge their executive skills that problems are uncovered. Equally it is true that some young men who have residual subtle difficulties as a result of brain injury can disengage with the rehab process, fail to get out of bed or be resistant to help.

This could be, erroneously, attributed to ‘teenage angst’ and therefore ‘normal’.

Hidden disabilities however are widely acknowledged to be a problem for individuals with executive function problems and have to be teased out through functional assessments.

In fact, for this young woman problems were initially raised by her flatmate who expressed concerns regarding the amount of ad hoc support he was offering. A neuro-occupational therapy assessment was undertaken. On the initial assessment, the young woman reported vague problems with organising and planning her week and an increase in feelings of anxiety.

Subsequently, a functional assessment was undertaken of the client but this time within

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About The Author Jo Throp is a neurological occupational therapist and partner at Krysalis Consultancy - an established nationwide specialist neurological occupational therapy consultancy which provides community based rehabilitation and specialist support services.

Jo is a practicing clinician with a passion for occupational therapy.

Since qualifying in 1997 she has worked within the specialist field of neurology and has extensive experience of setting up both community and inpatient multi disciplinary neurological

her local community. She was asked to lead the neuro OT to her local shopping centre, complete a number of tasks which included asking for advice, locating and purchasing items within a shop and withdrawing money from a cash point. On the face of it, these are activities that we all do with no problem on a daily basis. The functional assessment uncovered problems however with this client’s executive skills including planning, problem solving and decision making, skills that are essential for safe and independent living. It transpired that she was easily disoriented in shops and within her local environment. She had learnt a route on foot to the shops but was unable to deviate from that route. She used public transport, but only one bus route and was not confident using other options, as she was unable to understand the bus timetable. To visit friends she would use a taxi as she was guaranteed that the taxi driver would get her to her destination.

rehabilitation services, within both the NHS and independent sector.

Krysalis Consultancy 01373 837 263 jo@krysalisconsultancy.co.uk www.krysalisconsultancy.co.uk

be the case that individuals with complex and/or behavioural problems are regarded as not being able to engage in any purposeful activity.

Video surveillance taken of this lady appeared to show her living a full and independent life however the detailed functional observations undertaken by the neuro OT provided a clearer picture of her actual disability.

The second case study was a client, 42, who had complex physical and behavioural needs as a result of a road traffic collision where as a pedestrian he had been knocked down by a car. This gentleman sustained catastrophic injuries. He had a 24-hour package of care in place and he lived within a residential home. A programme of community rehabilitation over a period of time uncovered a complex presentation of behavioural, sensory and physical needs. Through functional assessment, the neuro OT was able to begin the process of challenging his abilities from one of passivity to engagement in tasks and integration into his local community. This was dependent on a fine balance of his needs and the structure of his environment. A structured functional assessment identified the level of his ability with appropriate support. For example, over time OT input enabled him to withdraw money from a cash point, browse for items of clothes, order a drink in a coffee shop and purchase a newspaper.

To provide a standardised objective measure regarding this lady’s functional abilities an assessment of motor and processing skills (AMPS) was also completed. The AMPS assessment is a measure for evaluating a person’s quality of performance of personal or instrumental activities of daily living (ADL). The results of the assessment for this individual highlighted marked occupational performance difficulties compared to the general population.

To provide further objective information regarding this gentleman’s motor and cognitive skills Interactive Metronome Therapy (IMT) was used. This specialist intervention helped to refine brain timing and when used in conjuction with specialist occupational therapy assisted with improvements in cognitive and motor planning skills within activities of daily living. In addition to this it offered a baseline from which the OT could work from and objectively measure change.

The objective functional observations when combined with the AMPS assessment findings were used to inform decisions about what she would or would not be capable of in the future and also guide her rehab regime.

The definition of the word ‘hidden’ is kept out of sight, concealed, invisible and unseen. Within the realm of neuro rehabilitation it is essential to ‘peel back’ the layers to uncover an individual’s ‘hidden ability’ or their ‘hidden disability’. Once that has been done the skill of a good neuro OT is knowing what to do with the information and how to take that person forward to achieve their personal goals and aspirations. ■

Hidden ability On the flip side, uncovering ‘hidden abilities’ is essential for individuals with profound difficulties. Sadly it can

www.

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24/04/2015 14:21

Support for Life

Dreama

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by Jenx

Dreama is a pressure reducing mattress and postural support system combined, suitable for children and adults.

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Bringing you innovative postural support and service products for everyone, whether at home, school, rest or play.

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• Better quality sleep or rest due to comfortable and supportive full depth, pressure reducing mattress.

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• Allows good ventilation between the body and the mattress, which reduces heat-triggered spasm.

• Quiet with no noise or disturbance when adjusting positions TM because of Glide-lock supports.

Email hello@jiraffe.org.uk today to book your free, no obligation, demonstration. Quote code: DREAMA-OT15

Visit jiraffe.org.uk or scan the QR code for more product details.

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

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23/04/2015 22:57

autism

Autism The role of an OT We look at the role an occupational therapist plays in the lives of those affected by autism and the support and help they can offer to families

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By Dionne Kennedy

ith around 1 in 100 people in the UK with autism, it is no wonder that much of the work occupational therapists do is related to supporting those with Autism Spectrum Disorder (ASD). If you include their families, autism affects more than 2.1 million people every day. (NHS 2015)1 Children with autism spectrum disorders typically display problems with sensory processing as well as in communication and neurological functioning. This results in a variety of functional skill limitations in communication, social interaction, behavioural regulation and play. The reasons and causes of this puzzling disability are unknown, but some ideas include genetics or environmental causes.

Vital Role The importance of occupational therapy services for children with autism has been championed by professionals in medicine, psychology, special education and occupational therapy.

Ultimately the goal of any type of occupational therapy is to help people improve their quality of life. As for children › www.

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AUTISM

› with autism, the OT helps to introduce, maintain and

improve skills which allow them to be as independent as possible. As well as evaluating and recommending the best types of therapy for the individual’s needs.

Occupational therapists play a vital role in diagnosing autism as well as helping parents and teachers to understand and manage the challenges faced by children with ASD. An OT will likely perform an assessment of the child or young person and their family in the everyday environments in which they live their lives, which is then used to inform occupational therapy intervention. Types of care, interventions and therapies vary between people and families involved, some may need more help in specific areas than others. An OT has a duty to recognise the need for different skills and work for different people. Just like other disabilities, problems or disorders there is no “one size fits all” treatment for autism. People are all different and each one individual, and so those with autism have unique abilities and needs.

An OT may help someone with autism in developing these skills and abilities. These could be anything from personal care skills like toilet training and dressing, fine motor skills like holding objects, gross motor skills like walking or riding a bike, as well as visual skills like reading, writing and play, self-help, problem solving and especially communication and social skills. By developing these skills a child with autism can develop peer and adult relationships, express feelings in more appropriate ways and focus on tasks among other things.

For example, some OT ’s create games to help individuals to socialise or use sensory techniques to help process sensory information more effectively.

Or even something as simple as helping someone establish a more effective daily routine.

Interventions Some interventions are designed to address core symptoms of autism (persistent difficulties with social communication and social interaction and restricted, repetitive patterns of behaviour, interests or activities).

Other interventions are designed to address other issues such as anxiety or self-injurious behaviour.

Unfortunately some interventions are expensive and time consuming and so it is worth taking the time to find an appropriate method that works for the individual. Research recently published in the American Journal of Occupational Therapy2 offers strong evidence for occupational therapists to use comprehensive individualised analysis of the child’s 48 www.

performance to develop intervention strategies. The research also strongly supports the use of familycentred interdisciplinary approaches, play or activity based approaches. Those implemented by many OTs have proven to be extremely effective. Using purposeful, fun activities, an occupational therapist can enhance and encourage skill development, using a child’s interests and ensuring challenges are “just right” and not too difficult. When skills cannot be developed or improved, the relevant adaptations to home and lifestyle would be suggested by the OT. Therapies and approaches should be based upon not only the individual’s need but taking external factors into account, the setting of the services, the resources available, family situation or preferences, stage of life and age, as well as the individual OT’s personal expertise and experience.

Autistica Simon Wallace, Research Director at leading UK autism research charity, Autistica believes personalised approaches to support are often the most effective.

“We are learning through research what the best techniques are to enable individuals with autism from across the age and ability range to live more independent and fulfilling lives. Autistica have just launched a project in which we are interested to hear from OTs on their research priorities for the people that they work with on the autism spectrum. This is part of a James Lind Alliance priority setting partnership with National Institute for Health Research to consult with individuals with autism, families and professionals. We hope that this will ultimately lead to research that will directly benefit families and see an overall increase in funding for autism research.”

You can visit Autistica’s survey at autistica.org.uk/ research/top10/survey/ to help contribute to their research and survey.

Working together Evidence shows that by working collaboratively with the

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child and the family to identify and achieve their goals, occupational therapists enable children with ASD to participate more fully in everyday life, reduce parental stress and increase feelings of confident parenting.3 Suzi Sandford is an independent occupational therapist, specialising in working with families affected by autism across the south west of England. Suzi supports families and schools, striving to improve understanding and the everyday participation of children and young people.

She too, believes a family-centred approach is the best way to help those with ASD to live life to the full.

“My family-centred practice includes working with the people around the child just as much as the individual themselves. So my practice working within school environments, especially mainstream settings, draws heavily upon the Social approach.

“OT practiced in a way true to our professional philosophy, values and beliefs is hugely important in the life of a child with autism. We drive energy towards working with them as a whole person and can lead the way in the use of strengths to overcome challenges. OT can also be invaluable to them by supporting them to focus on stuff that truly matters to them, and giving them the space to define the way they want to live their lives.

“In my personal and professional experience the ripple effect of strengthening the support networks around the individual with autism should not be underestimated, nor should the importance of the parent and carer’s well-being upon the child’s outcomes and the importance of recognising and aiming to support any siblings within families. Both areas are generally neglected but hugely important for the child now and for their future.”

Suzi has an adult brother with autism. She has created support services she wishes had existed for her own family. Suzi is also a director of Bristol Autism Support. ■ See autism-ot.com and bristolautismsupport.com for more details. Suzi’s contact details are 07725837455, suzi.sandford@autism-ot.com

“I often use Cognitive Behavioural Therapy, Coaching and Positive Psychology approaches with the child’s parents and carers. When working directly with the child I frequently use Behavioural and Compensatory approaches in order to provide rapid intervention to foster typically low self-esteem and personal causation.

References 1. NHS 2015 http://www.nhs.uk/Livewell/Autism/ Pages/Autismoverview.aspx 2. AJOT 2008 http://ajot.aota.org/ Article.aspx?articleid=1867092 3. AJOT 2008 http://ajot.aota.org/ Article.aspx?articleid=1867092

CENTRE OF EXCELLENCE TO OPEN The Caudwell Children’s Charity has recognised the need for practical support for children with Autism Spectrum Disorder and has released their plans for a purpose built, state-of-the-art, Centre of Excellence to help those who need it. Trudi Beswick, the charity’s chief executive, has been at the forefront of the planned centre, after their success with their Autistic Children’s Therapies.

The programme, Trudi claims, is based as much as possible on current medical research and doesn’t come with any empty promises. As she explained:

“We’re explicit in telling parents that our therapies and interventions are not a panacea. We explain to them that there is little quality research out there that can tell them what does and doesn’t work.

“We want to be actively involved in influencing research through academic partnerships. We want to further develop our holistic approach to our services, and we want to provide families with a sense of belonging in a tranquil environment that will ensure that the maximum benefit is gained from each visit.

“Parents are telling us that the quality of their children’s lives, and indeed theirs, has improved beyond anything that they could imagine thanks to our services,” Trudi excitedly explains. “But one can only begin to imagine the impact that we will make when our Centre of Excellence is open to the public.”

To find out more about the Caudwell Children’s Charity or their work with those with Autistic Spectrum Disorder you can visit www.caudwellchildren.com or call on 0345 300 1348.

www.

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23/04/2015 21:59

Childrens

Product focus

We take a look at some of the innovative products available for children with disabilities

Munster Horse The Munster Horse is an upholstered wooden children’s walking/mobility aid designed to resemble an attractive, friendly play horse. It is adjustable to suit the varying and changing needs of the user and has wooden handholds, an upholstered seat and back support plus an adjustable abductor. Some children with walking difficulties can be encouraged to

start walking and their gait training and posture can be assisted by the use of the Munster Horse. Its toy-like appearance makes it attractive to children thus encouraging them in their efforts, whilst having fun! ■ Prices available on request Joncare, 01235 523353 www.joncare.co.uk

Feeding Tube Covers These sew-it-yourself feeding tube covers can be used to integrate discreet access to a button or stoma when required. Easy to add to any of your favourite t-shirts these feeding tube covers are cute, stylish and discreet. Helping to keep the integrity of the t-shirt intact the cover allows you to create a hole in the t-shirt to be used as an access point for any G-tube, J-tubes or GJ-tubes. ■ Prices from £4.50 CAPR Style, 07804512186 www.capr-style.com

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Sensory on the go bag Packed full of sensory resources covering all the important requirements; tactile, massage, visual, light-up and aroma. The bag itself has four pockets, each with a different style of fastening - zip, poppers, lace, buckle, Velcro and button and will help improve dexterity and develop fine motor skills. Suitable for ages 3+. ■

Animal and Monster beanbags Rucomfy beanbags are made from a soft fabric, which is strong and durable. It can be machine washed at 30 degrees and comes out looking brand new! Providing enormous flexibility for children to make themselves comfortable and loosen up in a method that best suits them. The comfort, enveloping and hugging can help children with sensory difficulties.

The fun animal and monster designs make them brighten up a room! ■

Prices from £42.95 Explore Your Senses, 01535 662812 www.exploreyoursenses.co.uk

Prices from £29.99 Rucomfy, 0800 088 4161 www.rucomfybeanbags.co.uk

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childrens products

Senseez

Senseez Touchables Vibrating Pillows feature a gentle vibrating mechanism inside a lightweight, colourful pillow with a soft fabric cover.

The pillow is activated with pressure, for example by hugging it, sitting on it or leaning against it. The gentle vibration can help children with a variety of needs, such as sensory processing disorder, autism or ADHD. It can also help calm and relax children who need this type of

sensory input, help children to learn to tolerate different sensations if they are hypersensitive and help children focus on the task at hand if they are easily distracted. ■

Prices from £24.99 Blossom, 01892 535 525 www.blossomforchildren.co.uk

Bali Themed Paediatric Bed All children want a bed that is fun!

The Bali will support all their needs and still won’t look different from a conventional bed, in fact it is more fun. Choose your theme and the frame will be colour coordinated.

We currently have a wide selection of different themes to choose from or alternatively why not design your own.

A paediatric bed needs to fit a child profiling in the correct places, and Centrobed’s certainly do. The Bali is a fully profiling high/low bed with the option to make it into a turning bed at an additional cost. Gaps in the bed are of primary concern when choosing a bed for a child.

Prices available on request Centrobed have made sure there Centrobed, 01233 635 353 are NO GAPS that can put a child at sales@centrobed.com risk of entrapment.

■ www.centrobed.com

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Our useful and fun products respond to the needs of children, families and therapists

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Visit our Online Shop

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childrens products

TomTag

TomTag is a revolutionary new visual schedule tool that offers a quick, easy and affordable way to make personalised visual schedules and timetables for almost any situation. Using sturdy plastic

tags with buttons that click in, TomTag is lightweight and portable yet robust enough to be used at home, school or out and about. There are no tools or effort involved in setting it up or amending it for changes in routine. TomTag is tactile and colourful so it’s fun for children to use too. TomTag ‘I can do it’ sets are designed to teach a range of self-help skills and the ‘I know what to expect’ packs offer visual schedule and timetable kits for home or school. ■ Sets start at just £12.50 Orkid Ideas, 01904 213 123 www.orkidideas.com

Hickies laces Hickies elastic laces are great for children with dexterity problems, who want the same style shoes as their friends. These colourful laces turn any pair of trainers or shoes into easy-secure slip ons. Made of a special elastic they stretch to accommodate any size shoes. In a variety of funky colours the patented elastic bounces right back into shape for use again and again in different shoes. No more trying to tie laces or dealing with them coming undone! ■ Prices from £12 Hickies www.uk.hickies.eu

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24/04/2015 14:31

Raz shower chair The stainless steel, height adjustable modular shower chair

light, compact & portable The Aquarius Porta-Bidet is an innovative battery operated (rechargeable), portable and travel friendly bidet that allows the user luxury and comfort of a regulated spray wash wherever they may be.

It’s light, compact, slim, stylish design focuses on ease of use whilst it’s powerful pulsing wash nozzle improves personal hygiene, well being and dignity.

Scan me to request a brochure or call 01634 813388 to arrange a demo

built to last

Unlike plumbed bidets the Aquarius needs no tradesmen to plumb or wire before use, and also allows you to add emollients or approved medication to the reservoir of water which is a huge step forward in bathroom care. It will fit virtually any toilet, be it at home, hotel, caravan, cruise ship or when visiting friends. Pack it into your suitcase for holidays or weekends away.

FREEPHONE: 0800 064 4454 (option 4) www.aquariushygiene.com

@AquariusHygiene

info@aquariushygiene.com

HORIZONSTANDARD

straight and simple

The new HORIZON STANDARD boasts the essential features of the Platinum Horizon, now at a lower price point. Simple to price, easy to install and featuring a new compact seat, the Horizon Standard can accommodate users up to 120kg (19st).

• Folding seat pad, arms and footrest

• Manual lever-linked seat swivel

• Maximum user weight 120kg (19st)

• Manual footrest with safety edge

• Rail angles 25° to 55°

• Key lockable for security

• Joystick control

• Lap seat belt

• Digital diagnostic display in carriage

• Optional powered hinge rail

• Infra-red remote controls

• Optional Horizon outdoor kit

www.platinumstairlifts.com

ad_pages_ot_may_jun_15.indd 17

Forusmore information call stockist +44 (0)1535 Call to find your nearest 01535 631177

23/04/2015 22:59

Contact us today to join our team of expert housing OTs

Untitled-1 1

06/11/2014 10:32

ConferenCe 2015

University of Leeds: 13th – 15th July 2015 Bookings open March 2015

Join us at our annual conference: the leading UK event for professionals working in the field of posture and wheeled mobility.

Conference prices start from £155.00 + VAT; exhibition only from £35.00 + VAT.

Book early to save money!

further details available at: www.pmguk.co.uk

JOIN PMG FOR FREE

PMG members receive a £15 book voucher at this year’s conference!

Website: www.pmguk.co.uk Email: conference@pmguk.co.uk Tel: 01392 477710 Twitter: @PostureMob Artwork by Blatchford - proudly supporting PMG

ad_pages_ot_may_jun_15.indd 18

23/04/2015 22:59

student advice

Student advice Maximising Feedback

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Feedback is essential for personal and professional development o matter how much you tell yourself you want an honest critique no one likes negative feedback. Dawn Fraser offers some advice on how to maximise your feedback.

We all need people who give us feedback, that’s how we improve. Feedback comes in different guises and a number of factors can influence how we feel about it; from the method of delivery, to the person delivering it. It may not always feel like a positive experience, sometimes it focuses on uncomfortable areas. In my experience, many students don’t recognise feedback unless it’s in a written format. As an occupational therapy student you will receive lots of feedback; written feedback on assignments, verbal feedback in tutorials or taught sessions and written and verbal feedback during practice placements…the list goes on. Traditionally, feedback focuses on correction or benchmarks against a set of criteria. Feedforward on the other hand, is more concerned with your individual development and future performance.

exercise self-control. Feedback needs to be constructive, if it isn’t, ask what you can do to improve. If you don’t understand, ask for clarification. You should always thank the person for their feedback. Thanking them doesn’t mean you accept or agree with it (this is something you can decide once you have reflected upon it), but it shows you have acknowledged it and you have listened.

AFTER FEEDBACK Ok so you’ve had some feedback…now what? Well the first thing you should do is take time to reflect. Be honest with yourself. If you’re not ready to deal with it, then put it to one side and come back to it. Things will be much easier to turn into action points when you feel less emotional. The important thing is not to forget about it.

Feedback is worthless unless you turn it into something constructive that helps you develop. You need to consider the feedback and decide what can be turned into an action, then focus on this to aid your development. If you can turn feedback into positive action, you can take your performance to the next level. ■

DURING FEEDBACK

If you are a student with a topic you’d like us to cover or

I’ve known times when getting feedback made me wish a hole in the ground would appear and swallow me up.

We all get it wrong sometimes and that’s ok; as long as you learn from it and the outcome is a better you. If you’re receiving verbal feedback it’s important to listen. Don’t be defensive. Always assume the feedback is intended to aid your development, this is the first step in turning it into something positive. If the feedback is upsetting, you need to be aware of your emotions and

have a question you’d like us to answer please email us at theotmagazine@gmail.com

About the Author Dawn Fraser MA, FHEA, 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. www.

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24/04/2015 14:33

Bibbleplus+ b a n d a n a

Safe environments, Hi-Lo beds, travel beds. Naidex stand C103

 Have you tried several beds and still not found an answer?  Is banging and lack of sleep driving carers to breaking point?

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and self harm resulting in injury?  Is day/night wandering a concern but you're worried about restriction?

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We design and manufacture durable height adjustable beds and room sized safe environments tailored to individual needs.

Let our 16 years of experience help you with assessments. Case studies, prices and funding help online at www.creativecareltd.com

PHONE 07585667248 - 07731793687 Innovative, stylish beds and rooms, great service and sensible prices at Creative Care Ltd.

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Bibble Plus+ Bandana Bibs are the functional and stylish solution for older children, teenagers and adults who have difficulties with drooling and dribbling Bibble Plus+ are available in 3 sizes and come in a range of colours and designs to suit every taste and enhance any outfit

Receive 10% off your 1st order.

Enter code: OT10 at the checkout to receive your discount (Valid until 31.07.2015)

www.bibbleplus.co.uk Free Product Awareness Events for OTs

Save your service user up to 40% off a Mangar product with our OT Referral Programme Do you have a service user who doesn’t fit Local Authority criteria, but would benefit from owning a Mangar product?

Use our OT Referral Programme and your patients could get up to 40% off RRP, which could mean a £200 discount.

Have a chat with your patient to assess their need and, once you’ve decided on a product, either complete the form on one of our leaflets or download one online.

Want to know more?

Call now on 0800 2800 485

We’re currently offering free demonstrations of our inflatable moving, handling and bathing equipment, so you can see for yourself what a difference they’d make.

Our Customer Relations Coordinator can arrange an event in your workplace, or source an off-site venue if it’s more convenient.

Product Awareness Events (lunch included) usually run over half a day, during which a Mangar representative will provide an overview of our bathing and manual handling products, before you get to try them for yourself.

This is a no obligation opportunity for you to assess how you and your clients might use our products. As part of our follow-up service, we can also arrange for further demonstrations with any of your individual service users.

Want to know more or arrange for a FREE Demonstration?

Call now on 0800 2800 485 or email : sales@mangar.co.uk

mangar.co.uk

or send us an email: sales@mangar.co.uk

mangar.co.uk

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24/04/2015 10:09

Travel

Transformed

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etting out and about is of vital importance for a healthy and fulfilling life.

Most of us take for granted that we can hop into our car for the commute to work or to nip to the shops. However, for many people with mobility problems transport can pose a real problem.

Wheelchair users and parents or carers of children who use a wheelchair may want to consider using a wheelchair accessible vehicle (WAV). There are many companies across the UK dedicated to providing a variety of WAVs to suit every family’s need. The Motability Scheme offers grants to people who claim the enhanced rate of the disability living allowance to lease a car through them, giving access to specially adapted transport solutions to everyone who needs it.

Joanne and son Jack with their new Ford Family from McElmeel Mobility

Joanne added: “It helps us massively, especially with the school run as there’s no lifting Jack out and into a car seat. It’s more practical and saves so much time. Grace loves it too! I’ve been recommending other families about McElmeels and the practicalities of having a vehicle like the Ford Family.”

Below: (McElmeel Mobility) High spec and spacious interiour with twin sliding door

McElmeel Mobility provide free nationwide demos across the UK. For more information call 028 3752 5333 or visit www.mobility-services.com.

Brotherwood Automobility Brotherwood Automobility has set an industry first for wheelchair passenger transport, teaming up with Nissan to launch the Brotherwood Envy: The UK’s first Fully Electric Wheelchair Accessible Vehicle.

McElmeel Mobility Joanne Reid couldn’t believe how easy it was to get her new Motability vehicle from McElmeel Mobility and was driving her new WAV just weeks later.

Joanne had ordered a new seven seater car, but when son Jack’s new wheelchair arrived, she realised it wouldn’t fit as it was much larger than his current one and couldn’t be folded down: “We had to rethink and I typed WAV into a search engine and McElmeel Mobility was the first company that popped up. I gave them a call just before Christmas and they were absolutely firstclass to deal with. They were so helpful, from that first phone call right through to collection.”

Joanne visited the Armagh showroom for an assessment at the beginning of January and was driving her new Ford Family just four weeks later!

Joanne explained: “We were so apprehensive about buying a WAV as we didn’t have a clue what we were looking for as we had never had one before. Eileen McElmeel got all the Motability paperwork together and even filled it out for us. She was so helpful.”

The Nissan eNV-200 on which the Envy is based uses Nissan’s trusted plug-in technology. This proven platform endows the Envy with a range of 106 miles, which when equipped with the Rapid Charge facility enables the battery to be fully charged in 4 hours, or topped up to 80% within just 30 minutes.

The Brotherwood Envy conversion offers a true multipurpose vehicle without compromise; the 5 standard passenger seats are retained, whilst the wheelchair user travels on a low, level and flat floor. Wheelchair loading is made fast and easy with the shallow, counterbalanced Brotherwood ramp and easy-use restraint system. The Envy is also the first vehicle to benefit from the newly designed Brotherwood ramp system, which slides neatly into the boot floor when not in use to create a flat luggage area when no wheelchair passengers are on board. This makes the Envy a versatile and flexible vehicle that reaches every possible requirement. ■

Brotherwood Envy,

For more information from Brotherwood Automobility

the UK’s first fully

call 01935 872 603 or visit www.brotherwood.com

electric WAV

www.

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24/04/2015 14:35

Tungsten

New ct du Pro

an

Designed for: Strength ● Stability ●

80 Stone Bed *508 kilos

Increasing Weight ● Larger Sleeping area ● Increased flexibility for carers ●

The Tungsten takes into consideration unpredictable excess flesh movements that can change weight distribution. Manufactured with a reinforced frame that will support and stand up to the increased weight with no rocking.

Optional - Hoops - Wheels - Scales - Start height

www.centrobed.com T: 01233 635353

Tel: 01482 480710 www.panova.biz mail@panova.biz Wheelchair Lift Manufacturer

Introducing the latest Wheelchair Lift concept:

the Panova

Hidden within a pit at the foot of the steps when not in use Suitable for any set of steps, up to 1m rise Discreet and unobtrusive, it is finished to suit your décor Available for use outdoors or indoors

We also supply all other types of Platform Lift Contact us for more information

Harrison Training is a well-established leader in providing occupational therapists with a wide range of high quality continuing professional development (CPD) services.

Run and delivered by occupational therapists, we understand the context, relevance and knowledge required to support competent practice.

Services include: ■ Skills-based,

cost effective in-service training courses, covering most areas of practice ■ Bespoke workforce development, e.g. enablement, or outcome measurement ■ Mentoring or supervision – for services or individuals ■ Career development to include skills profiling, self-development tools, resources ■ Consultancy – e.g. service reviews, specialist programme implementation, research ■ An e-CPD portfolio for secure and easy record keeping – providing templates, summaries, appraisal documents, and multiple resources.

For more information: info@harrisontraining.co.uk / harrisontraining.co.uk / cpdol.co.uk

0410 HT CPDoL Ad.indd 1

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06/04/2015 09:04

24/04/2015 14:24

Independent practice Is it for me?

Career mentoring could help you to decide...

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orking in independent practice is on the increase for occupational therapists and the range of possible roles is wide. In the last edition of The OT Magazine, for example, advice on starting and maintaining your own business, considering financial, support and practical decisions, was offered alongside job advertisements and personal experiences from therapists who are already working independently.

But what if you are still uncertain about whether independent practice is for you?

Career mentoring could be the answer; enabling you to discover what roles are available, what they entail, how and where they are advertised and specifically how your skills and values match those required within an independent job role.

Harrison Training, a well-established OT training company, provides high quality, post-graduate training courses and professional development services.

Their Career Mentoring Service is designed to enable therapists to explore options and take educated decisions towards making a transition into a different role or way of practicing.

If this sounds interesting, considering the following areas will get you started.

Review your skills, experience and areas of interest: • Update your C V - does it represent your experience in the best light? Is it current? Is it in the appropriate style for the type of role you are interested in?

• Identify your values in a job role or organisation try using career self-assessment tools such as Career Anchors (Schein and Van Maanen 2013) to evaluate your preferred, type of work, pay and benefits, type of recognition, growth opportunities.

• Do a career history/timeline (www.cot.co.uk, Schein and Van Maanen 2013) – to discover patterns, decisions made, how successful they were, etc.

• Update your CPD portfolio evidence – work through your experience using CPD Online portfolio tool at: www.cpdol.co.uk

What opportunities are out there?

• Make a detailed analysis of an advert, job description or person specification. Even though you may not apply for this job, your analysis helps you to build a picture of its demands, what is said/not said, how it matches your skills, what are the gaps?

• Start to identify ‘search terms’ (job titles) to help you find similar jobs/organisations How can I find out more?

• Draft a covering letter – this can be used to make prospective enquiries (by email/phone/letter) about specific jobs or future opportunities.

Include a summary of your background, what you are looking for, any specific questions.

• Talk to key people – in an organisation, how do they advertise, could you visit, do you know someone doing a similar role?

How do I make my decision?

• Allocate some time (regularly, during leave, decrease your hours), don’t expect to do it all at once.

• Gradually focus your research on things that really interest you and match your sk ills.

• Set goals, timescales and record your progress.

Consider what you expect from independent practice – does this match with your self-assessment, is it pointing you towards particular roles? ■ To find out more about Career Mentoring and the wide range of CPD training courses and services provided by Harrison Training visit www.harrisontraining.co.uk or email info@harrisontraining.co.uk

References Schein, E., and Van Maanen,J., (2013). Career Anchors: The changing nature of work and career: participant workbook (4th Ed.). San Francisco: John Wiley and Sons, Inc. Schein, E., and Van Maanen, J., (2013). Career Anchors: The changing nature of work and career: self-assessment (4th Ed.). San Francisco: John Wiley and Sons, Inc

www.

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24/04/2015 14:36

RECRUITMENT AND TRAINING SENSIBLESTAFFING Recruiting Occupational Therapists

OCCUPATIONAL THERAPY AT YOUR FINGERTIPS

TRAINING TO HEALTH/SOCIAL CARE STAFF TO ENHANCE SERVICE DELIVERY 18/05/15

London (NCVO)

Sales, Marketing and Social Media for OTs

08/06/15

London (NCVO)

Professional Report Writing for OTs

22/06/15

London (NCVO)

Introduction to Housing Adaptations for Community OTs

29/06/15

London (NCVO)

How to be an Independent OT

13/07/15

London (NCVO)

Independent Mobility Assessment

~ At Sensible Staffing we have a wide range of flexible working options for Occupational Therapists.

As an NHS Framework agency we have nationwide assignments.

We offer free DBS checks, mandatory training and on-going support for CPD. If you are look for an agency that can provide you with a personal service, register with Sensible Staffing.

Tel: 0208 364 9911 Email: aiden@sensible-staffing.com or vis it:

www.sensible-staffing.com

To book any of these training courses please visit www.accessindependent.co.uk email Lindsey Powell at lindsey.powell@accessindependent.co.uk or call 01223 229091.

ot@accessindependent.co.uk www.accessindependent.co.uk

Harrison Associates is an internationally accredited and award winning business providing case management and expert witness services for people with catastrophic injuries. As our business continues to grow, we are expanding our team to include

Clinical Services Manager

Clinical Lead for Children

Harrison Associates provides sector-leading training, supervision and support and this is your opportunity to become a vital part of that.

We need enthusiastic senior clinical professionals to help manage our services. Working from our West London office and part of the senior management team, you will be: ➢ ➢ ➢ ➢

providing supervision, training and development of a cohort of clinical associates; maintaining a small fee-earning caseload of your own; ensuring the highest quality of service delivery; making a real contribution to the overall business performance.

Excellent candidates will have significant clinical experience from previous senior positions and a background in managing and developing others.

In addition, we always welcome applications for Expert Witness and Case Management work. Expert Witnesses provide independent, objective expert assessment, advice and information to the Court in personal injury and medical negligence litigation cases. Case Managers work alongside clients, families and legal professionals to develop, deliver and monitor tailor-made rehabilitation plans.

We offer full Harrison Associates training and mentoring for these roles which are at the cutting edge of this extended scope of practice.

Maintenance of CPD is expected and supported. We offer competitive remuneration and flexible working arrangements.

To find our more or to apply for any of our vacancies, please send us your CV and a covering letter to: recruit@harrisonassociates.org You can find us at www.harrisonassociates.org.

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24/04/2015 10:14

RECRUITMENT AND TRAINING

Join our OT team recruitment@somek.com

medico-legal consultancy

APPLY FOR YOUR NEXT OT JOB TODAY • Leading OT recruitment specialists • Nationwide coverage • Recruitment Agency of the Year 2014*

*at the national Recruiter Awards For Excellence

Visit sanctuaryalliedhealth.com to register your CV or call 0333 7000 023

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” You will be working at a senior level with a minimum of 8 years post qualification experience as an OT and/or case manager

We require: 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.

Sanctuary Allied Health is part of Sanctuary Personnel Limited.

Neptune Marina, 27 Neptune Quay, Ipswich IP4 1QJ

Sanctuary AH_OT Mag_133x92mm_150410.indd 1

Run by OTs, we are the largest provider of HP expert witnesses in the UK, renowned and respected in the field

Occupational therapists play a key role acting as expert witnesses in clinical negligence / personal injury litigation

10/04/2015 12:28

“My consultant always negotiates the best pay rates for me”

Medacs Healthcare is an approved supplier of temporary and permanent OTs into both the NHS and private clients.

Our specialist consultants are dedicated to getting you the most attractive locum rates possible.

Plus, they always take the time to get to know you so that you are offered bookings around your availability, no matter how limited it may be.

• Dedicated consultant – focussed on your needs • Competitive pay rates – with daily payroll • Flexible working hours – full and part time opportunities available • First choice of jobs – we are the preferred supplier for a number of trusts nationally • Various roles – available across the NHS and private clients • Diverse areas of work – from hospital to community based work

Register your interest today Call 01785 256605 Email your CV to heart3@medacs.com Apply online as www.medacs.com/we-heart-ots

#WeHeartOTs Medacs Healthcare is committed to providing services which embrace diversity and promote equal opportunity.

ad_pages_recruitment.indd 3

23/04/2015 21:22

Events calendar

2015 Kidz South

Date: Venue:

Time: Cost:

4 June 2015 Rivermead Leisure Complex, Richfield Avenue, Reading, RG1 8EQ 9.30am – 4.30pm Free

Dedicated to children and young adults with disabilities and additional needs.

This free event brings together a host of companies who provide products and services designed to help children, families, carers and the professionals who work with them.

For more information contact Disabled Living on 0161 607 8200, email info@disabledliving.co.uk or visit www.kidzsouth.co.uk

Mobility Roadshow Date: 25–27 June Venue: Donington Park, Castle Donington, Derby, DE74 2RP Time: Thurs 10am – 5pm

Fri 10am – 5pm

Sat 10am – 4pm Cost: Free The Mobility Roadshow is a three day event providing visitors with a wealth of information on acquiring a car or a wheelchair accessible vehicle (WAV). There will be a wide variety of car manufacturers and vehicle converters exhibiting their 64 www.

64 Events_kw.indd 64

vehicles and there is also a unique test drive facility that allows visitors to test drive cars accompanied by experienced professional drivers. In addition to this you will find many exhibitors promoting products to aid independent living, from wheelchairs and scooters to daily living aids and useful services.

For more information please email info@mobilityroadshow.co.uk or visit www.mobilityroadshow.co.uk

COT Annual Conference 2015 Date: 30 Jun – 2 Jul 2015 Venue: Brighton Centre, Kings Road, Brighton, East Sussex, BN1 2GR Cost: See website for the varying member, non member and student fees.

The COT Annual Conference is an excellent opportunity to meet and hear influential health and social care policy makers, interact with the foremost occupational therapy thinkers and practitioners, contribute to discussions on the future direction of the profession and explore new and different ways to develop their practice.

OTs will also have the opportunity to meet other OTs with the same interests and from similar settings, share best practice and discuss ideas and challenges and meet CPD needs and career aspirations.

For more information call 020 8977 7997, email admin@conferencecollective.co.uk or visit www.cotannualconference.org.uk

PMG Conference 2015 Date: 13-15 July Venue: University of Leeds Cost: Prices range from £35 +VAT

for an Exhibition Pass to £400

+VAT for a full delegate

package (this includes full

access to conference

proceedings and exhibition,

with buffet lunch and

refreshments and ticket to

Gala Dinner.)

PMG’s annual conference provides an educational programme, industry exhibition and networking events for delegates. This event focuses on the posture and mobility needs of wheelchair users and is relevant to those who work in this field, including occupational therapists, physiotherapists, rehabilitation engineers and clinical scientists who work within the NHS wheelchair services or manufacturers/distributors of mobility products. Much of the content is also transferable to other complex seating needs.

For more information please call 01392 477710, email olwen.ellis@pmguk.co.uk or visit www.pmguk.co.uk

-magazine.co.uk

24/04/2015 14:40

Feedback

Your voice counts

T

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.

Mr/Mrs/Miss/Ms/Dr: First Name:

May/June 2015

Surname: Address:

Postcode:

Tel: Email:

Age: under 25

26-40

41-60

over 60

Are you: a) an occupational therapist

b) a professional in the healthcare industry

c) a student of occupational therapy

What would you like to see in The OT Magazine?

• Products • Case studies of products and methods in practice • Columns from OTs • Interviews with OTs from different fields • Research articles • Services available for patients • Information on respite and accessible holidays • Information on events and exhibitions • Information for students • Recruitment section • Other (Please specify)

Are you an independent OT? Yes No What area of occupational therapy do you work in?

What is your overall impression of The OT Magazine?

Please post back your completed form to:

The OT Magazine, Caledonia House, Evanton Drive, Thornliebank Ind Est, Glasgow, G46 8JT www.

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23/04/2015 23:16

Subscribe

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sign up for your FREE subscription today!

W

e hope you have enjoyed The OT Magazine and have found it informative and enjoyable to read. If you would like to register to receive a FREE copy of the magazine every issue, simply fill in your details and post back this form to the address provided, email ros@2apublishing.co.uk or call 0141 270 8085 and our team will be happy to help you.

Yes! I would like to subscribe Mr/Mrs/Miss/Ms/Dr: First Name:

The OT Magazine is out every two months and every issue will include a wide range of products, news stories, personal stories and informative articles.

Surname: Address:

If you would like to have your say on what you would like to see in the magazine, see page 65 (other side of this page). We would love to hear your thoughts.

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Are you an independent OT? May/June 2015

The OT Magazine, Caledonia House, Evanton Drive, Thornliebank Ind Est, Glasgow, G46 8JT

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What area of OT do you work in?

-magazine.co.uk

23/04/2015 23:17

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