The ot mag by 2A Publishing

ISSUE 13 NOV/DEC 2016

Mental Health Combat Stress on helping those with PTSD

The Perfect Match When OT met rugby

Pillow Talk Identifying the right bedroom solutions

Decisions, decisions OT, young people and the Mental Capacity Act

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COLUMNS

Heartto Heart

PRO DU CTS

An OT’s role in children’s heart transplants

EVENTS

RECRUITMENT & T R AINING

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Hello...

Welcome ROSALIND TULLOCH

About this issue... T

his will be my last issue of The OT Magazine for a while as I am going off on maternity leave in December.

Baby number two’s estimated time of arrival is the very inconvenient date of 30 December 2016, so as you are all raising a glass or two (or three) for the bells, I may be making use of the wonderful NHS staff who have to ignore the standard ‘holidays’ and take care of people who need their expertise. To all AHPs, I am very grateful, especially over the festive period.

This will be my last issue of The OT Magazine for a while...

You will notice that this issue has had a bit of a revamp in the design and we hope you approve. This is also our biggest issue to date, so you are sure to ﬁnd something of interest. We spoke to Catherine Forster, an OT who works with children who are waiting for or have had a heart transplant. Catherine discusses the vital work she does at The Freeman Hospital on page 42. We also look at the importance of sleep in this issue as we focus on helping your patient to achieve the optimum sleep position and dispel some myths of the eight hour sleeping habit. Take a look at our bedroom feature on page 27 to discover some of the innovative solutions that are available to help people of any age, size or ability to sleep comfortably and safely. Our paediatric section unveils some great advice from Sheena Hardwick, Director of Sherwood Therapy Services, on making decisions under the Mental Capacity Act 2005 and we discover more about the amazing app, Tippy Talk, that is giving non-verbal children a voice. We talk to an Australian OT and her husband, who is a professional rugby player, to discover how they have combined their skills to create a form of therapy and fun through Sense Rugby. Don’t forget to visit the team on Stand I59 at The OT Show, we love to meet our readers and hear about the amazing work you do. You can also pick up a free copy of the new wall planner we are launching. I will now leave you in the very capable and experienced hands of my colleague, Lisa Mitchell, who will be taking on the role of Acting Editor in my absence. You can contact her on lisa@2apublishing.co.uk and she will be happy to help with any queries or editorial opportunities.

Member of PPA Scotland

The OT Magazine Editor

Disclaimer The OT Magazine is published by 2A Publishing Limited. The views expressed in the OT Magazine are not necessarily the views of the editor or the publisher. Reproduction in part or in whole is strictly prohibited without the explicit written consent of the publisher. Copyright 2016 © 2A Publishing Limited. All Rights Reserved. ISSN-2056-7146

The Team

Contact Details

Editor: Rosalind Tulloch Staff Writer: Lisa Mitchell Staff Writer: Colette Carr Designer: Stephen Flanagan Marketing: Sophie Scott Sales: Robin Wilson Contributors: Kate Sheehan, Dawn Blenkin, Nikki Bradley, Adam Ferry, Sheena Hardwick, Jen Gash, Fiona Roberston

2A Publishing Ltd, Caledonia House, Evanton Drive, Thornliebank Industrial Estate, Glasgow, G46 8JT

www.ot-magazine.co.uk

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T: 0141 465 2960 F: 0141 258 7783 E: enquiries@2apublishing.co.uk

@ot_magazine The OT Magazine 3 www. -magazine.co.uk

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57 14 07 What’s New?

25 A Day in the Life of…

13 Networking -

27 Pillow Talk

We explore what’s happening in the healthcare sector

Learning from others

Kate Sheehan explains the advantages of socialising professionally

Each issue we speak to a different OT about their job

Three industry giants talk about the importance of accessible bedrooms and sleeping solutions

14 Mental Health

33 Bouncing Back

19 Product Focus

37 Product Focus

The third instalment of our mental health series focuses on PTSD

A selection of innovative products

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A closer look at the use of trampolines in ‘Rebound Therapy’

42 Heart to Heart

OT Catherine Forster speaks about her role in paediatric heart transplants

51 The Perfect Match

Discovering the marriage of rugby and OT

55 Children’s Products The best children’s products on the market

More innovative products to aid independent living

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86 60

What’s

INSIDE

90 60 Tippy Talk

Engineer Rob Laffan creates a solution in communication for the modern day nonverbal child

63 Making Choices

Sheena Hardwick advises on supporting young people under the Mental Capacity Act

69 Hot Topic

Each issue we want to hear your views. This time we look at doll therapy

72 The Evolution of Sleep

Looking at the patterns and progress of sleep

75 Taking a Little Me Time

Jen Gash’s advice on looking after yourself

79 Back in the Saddle

The beneﬁts o horses and riding therapy

82 Getting Your

Message Across The importance of communication between OTs and building planners in housing adaptations

86 The OT Show

What’s on at The OT Show 2016

89 Student Advice

Dawn Blenkin speaks about the advantages of notetaking in lectures

90 It’s an OT’s Life for Me A review of Robert Gordon University’s ‘A Day in the Life of an OT’ event for prospective OT students

92 Recruitment

and Training The latest employment and training opportunities available

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28/10/2016 15:56

Care better, cost less,

sleep well.

Bariatric proﬁling bed

There is no “one size ﬁts all” when it comes to Occupational Therapy. People are different heights, weights, and everyone has their own unique needs. They might need help sitting up, moving around, re-positioning, or getting in and out of bed, and the best solution for same basic need may be different from person to person.

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In today’s challenging economy, shortages in funding and staff time risk leaving those in need without regular care, causing sleepless nights for those suffering and those who care alike. That’s why at Nexus, we’re inviting the world of Occupational Therapy to ﬁnd out how to deliver better care, at a lower cost, for a great night’s sleep.

28/10/2016 12:44

What’s

NEW?

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

Don’t miss...

The Occupational Therapy Adaptations Conference (OTAC) on 7 Dec, Newcastle. Find out more at www.otac.org.uk

TAKING STEPS TO IMPROVE LIVES Langham is very proud to be suppor ting the charity ARCOS (Association f o r Re h a b i l i t a t i o n o f Communication and Oral Skills) with a groundbreaking trial, using the Langham K40 step to improve the lives of people with neurological conditions, such as stroke and traumatic brain injury.

and the coordination of breathing and swallowing.”

S p e e c h a n d La n g u a g e Therapist Kay Coombes, director of ARCOS, said: “The pilot is interdisciplinary. It will involve rehabilitation centres of excellence in London and Birmingham trialing the use of K40 steps instead of wheelchair footplates, when people are sitting. An upright posture of the upper body can be a tremendous help in function, including swallowing

“The position of footrests on a wheelchair can encourage people to lean back, instead of having a comfortable upright sitting position. When sitting still in the wheelchair, resting both feet on a K40 step allows their feet to be positioned directly beneath their knees. This better posture should help with breathing and eating.”

“It is great that we have been able to help with this pilot , by donating 20 Langham K40 Steps fo r t h e n a t i o n a l t r i a l ,” said Marty Brookes, who delivers Langham’s training programme for occupational therapists.

www.arcos.org.uk www.gordonellishealthcare.co.uk

Dementia Research Shortlisted for Award A Portsmouth academic’s research project has been shortlisted for an award by the Royal Institute of British Architects (RIBA). D i a S o i l e m ez i ’s P h D, w h i c h investigated the impact of the home environment in dementia care, was nominated in the Cities and Communities category of the RIBA President’s Awards for Research 2016. Dia, a research fellow in the School of Health Sciences and Social Work, at the University of

Portsmouth, said: “I am delighted and honoured that, out of 75 submissions from 14 countries, my PhD research has been recognised with such a prestigious award nomination. “For people with dementia and their family carers, who spend a lot of time indoors and face various challenges, a suitable home is very important and should not be underestimated. “My research indicated that home, although of paramount importance, can also be a place of risks and tensions. As a result, the meaning and experience of home a r e l i ke l y to c h a n g e

while the illness and the homes are changing. “Life at home with dementia can sometimes be unpredictable, so home environ ents need to re ain e ible to meet people’s needs. “Aspects of the architectural and interior environment, such as layout and size, can be problematic, but when adapted appropriately they can encourage independence and comfort at home.” The annual awards celebrate the best resear h in the ﬁelds o ar hite ture and the built environment. Winners will be announced at a ceremony in December.

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What’s

NEW?

SUPPORTING CHILDREN WITH HEMIPLEGIA L eading clinical expert in child movement disorders at Oxford Brookes, Dr Dido Green, has collaborated with charity HemiHelp to produce guidelines for teachers to better support secondary school students with hemiplegia.

Hemiplegia is paralysis of one side of the body, usually caused by a brain lesion or by a stroke. It is one of the most common forms of physical impairment in childhood and affects approximately one in 1000 children. ‘Secondary Education Pack: The Student with Hemiplegia in Secondary School’ was put together by HemiHelp, a charity which supports both children and adults with the condition. Contributors included members of the charity, education experts and teachers, parents, psychologists and, most importantly, secondary school children with the condition. Dr Dido Green, Reader in Rehabilitation in the Department of Sport and Health Sciences at the

WE ARE AT THE OT SHOW The OT Show, 23-24 Nov, NEC Birmingham. Come and see us on Stand I59 to chat with the team, share your OT passion and pick up your FREE OT Magazine wall planner! We look forward to seeing you there!

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University, invited a mixture of young students with hemiplegia to contribute to the pack. She said: “I knew the young students already having worked with them on previous programmes. I invited them to contribute as they are the true experts. In group sessions and over email, we discussed ideas and talked about what they felt should be included.

“Children with hemiplegia often have asso iated di ﬁ ulties, including epilepsy, emotional effects, challenging behaviour and visual perception di ﬁ ulties. s su h, e anted this pack to deal with both the practical and emotional aspects of having hemiplegia in school and the support teachers can provide to help integration. “The young students provided so many great ideas and suggestions, and were also very open in talking about their own personal experiences both positive and negative. They really liked knowing that their input would go on to help others with hemiplegia in schools.

supporting best practice based on real experiences as well as evidence-based practice. We hope that it provides a great resource for teachers.” The education pack is available to purchase online from the HemiHelp website www.hemihelp.org.uk/support_us/ shop/secondary_education_pack

“The result is a highly informative collection of ideas and case studies

Read the latest issue on the go!

Download

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28/10/2016 14:21

What’s

NEW?

Natalie Jones, second from left, meets Her Royal Highness, Princess Anne at the College of Occupational Therapists’ National Conference.

OT Honoured by HRH Princess Anne

atalie Jones, a Clinical Services Manager in Acute Therapy Services at Sheffield Teaching Hospitals, won the UK Occupational Therapy Research Foundation Award in recognition of her pioneering research with stroke survivors. There are 1.2million stroke survivors in the UK and little is known about how people ope ith eating di fi ulties in the long-term. The purpose of this research was to explore the complex pheno enon o eating di fi ulties si months post stroke. The research, led by Natalie Jones, found that as well as physical disability, other barriers to managing eating include social, environmental and emotional issues. She was one of nine OTs from the Trust showcasing innovative projects

at the National Occupational Therapy Conference, which in this special year celebrated 30 years of Her Royal Highness Princess Anne as the College’s patron. Natalie’s research, funded by a prestigious National Institute for Health Research Clinical Fellowship, used disposable cameras to document the life experiences of stroke survivors so that barriers to daily living could be overcome. As a result, a number of practical measures were introduced to help stroke survivors undertake everyday tasks that most take for granted such as eating, gripping utensils and cooking. Examples included adapting cutlery with sponge hair rollers so that they were easier to grip and using spiked vegetable boards to peel vegetables. Natalie said: “I am immensely proud to have been honoured with this award. There were six different occupational therapy projects from the Trust showcased at the conference, which is an amazing achievement and it

as noted that he field had a big presence at the conference. To win this award at any time would have been fantastic but to do so in this special year and in the presence of Her Royal Highness, Princess Anne, was simply overwhelming. I would like to take this opportunity to thank the stroke survivors who helped with my research, and the fantastic opportunity given to me by the NIHR and the University of he field to begin y resear h areer. ther ey findings presented by the Trust include: an occupational therapy project supporting the health and wellbeing of staff which has helped staff members return to work more quickly following sickness absence; how early interventions by an occupational therapist in primary and acute care hospital settings can reduce functional decline associated with frailty, such as when an older person has a fall, and how reconceptualising pain empowers patients to identify meaningful self-management strategies.

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28/10/2016 14:25

What’s

NEW?

NEW GLOBAL CAREERS WEBSITE LAUNCHES FOR HEALTHCARE INDUSTRY

PAT J o b s , t h e U K ’s biggest online careers website for international jobseekers, has launched its new online healthcares eciﬁc o s oard The site allows users to search for and place new jobs and find the skilled professionals they need no matter where in the world they are based, all via a single portal. ﬁnda o inhealthcare co is a one-stop shop that links skilled professionals in the healthcare sector with organisations and institutions across the world. Supported by the company’s industryleading AT o s co site, which sees 100,000 jobs posted each day,

ﬁnda o inhealthcare co will provide employers and hiring managers with access to a network of more than 1million registered jobseekers across 150 countries. Rhys Maddocks, managing director of XPATJobs, said: “With skilled talent in short supply, employers continue to look beyond national boundaries to secure the healthcare talent they need. “We have spent considerable time working on providing a solution that is both highly targeted and has a global reach. This significantly reduces the employers’ time-to-hire as they can quickly find the right person for the right role at the right time – it is a recruitment solution that extends beyond their immediate geographical boundary. “Conversely, job seekers can easily

find the right role with the right organisation and in the right location. The site will provide them with unrivalled access to the latest and largest choice of healthcare jobs that are available for skilled professionals looking for their next role both here in the UK and overseas.” The new jobs board will serve as a leading careers destination for jobs across the full range of disciplines and incorporate the same functionality as the AT o s co site. Their intuitive systems enable users to conduct a quick search for their ideal role, while the simple registration process offers easy CV uploading and a straightforward application process in addition to providing daily or weekly alerts featuring jobs that match their spe iﬁ re uire ents.

Encourage Outdoor Activities Forestry Commission Scotland (FCS) and social enterprise company Light Bulb Arts are encouraging teachers and outdoor educators to be more adventurous in the woodlands with the launch of a new woodland activity book for children with autism and severe and complex learning di ﬁ ulties. FCS and Light Bulb Arts which delivers a range of art classes in Edinburgh based on sound experience in education and community settings, worked with pupils and teachers at St. Crispin’s Special School, Edinburgh, to develop the woodland activity book with the children as part of FCS’s Engagement Programme.

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The woodland activity book offers teachers and outdoor educators ideas to help develop children’s onfiden e in the oodland through art. The book is packed full of ideas and information for outdoor play and learning, such as outdoor painting, clay and collage activities, den building and bush craft skills to help deliver creative outdoor learning experiences. FCS’s Engagement Programme works with communities to encourage and support a diverse range of minority groups’ access and allo the to en oy the benefits o their local woodland. you are interested in finding

out more contact Romena Huq, ngage ent ﬁ er or orestry Commission Scotland on ro ena hu forestr gsi go u or Heather Lucchesi, director of Light Bulb Arts on eather light ul arts co

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28/10/2016 14:29

Your Guide to

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This Month...

Columnist KATE SHEEHAN

Networking - learning from others

N Kate Sheehan

Kate is 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

ext year I will have been qualified for 30 years. It doesn’t seem possible and it’s making me reflect on all those years, and in particular, the lessons I have learned. So, here are the ramblings of an ancient OT… 1. Your training - this is only the beginning. I came out of college full of wonderful knowledge and clinical practice. However, it can only give you limited understanding and a baseline from which to develop from. It became very apparent from early on in my first job that you need to learn from others – start networking. 2. The first few years, you develop your clinical, communication and management skills. However, you rely on senior practitioners to inform your increasing knowledge and understanding of clinical practice – continue networking. 3. As your years of experience grow, you hopefully give back to the younger people in our profession, by sharing your knowledge and experience but more importantly by inspiring them to succeed. You also have the opportunity to promote your profession to a wider group of people. However, you never stop learning and must carry on networking. The common denominator in all the above is the requirement for you to network. Networking is the interaction with others to exchange information and develop professional or social contacts. However, it is not just about giving or receiving knowledge, it is also part of the business and as we move into a more commercial environment in health and social care, we ignore it at our peril. People buy (or commission) from people; if you can talk to the people you are ‘selling’ your service to, it makes it easier for them to buy into your experience and enthusiasm by

presenting a person rather than just a paper proposal. Get to know the influencers, attend senior manager events, ask questions during presentations, speak to the presenters, email them afterwards thanking them for their hard work and ask a follow up question so that you can start a dialogue, even offer to buy them a coffee.

Key features of a good networker: 1. Dress appropriately for the event. Green trousers will not necessarily give the right impression. 2. Go prepared – do your research into who you will be potentially meeting. Google is an amazing tool, use it. 3. Target people you want to speak to, never be afraid to speak to the movers and shakers. 4. Have a clear brief about what you want to articulate and be able to repeat it in different ways to reinforce it to the people who need to hear it. 5. Always have a business card to give out, it reminds people who you are after the event. If you don’t have a business card for your department/ service/business, get some printed. It makes you look professional and can be sourced at a reasonable price don t go heap, it ill re e t badly on your service. 6. Say goodbyes to the people you want to target with a nice firm handshake and say ‘I look forward to meeting you again’. 7. A l w a y s s a y t h a n k yo u to t h e organisers, that way they might invite you back. 8. Email people you want to build a relationship with, within 24 hours. And above all, smile. Reflecting on my own career path, networking has been by far the most important part of my business/service. It has allowed me to learn from others’ experiences, knowledge and mistakes, it s allo ed e to onﬁr and develop the best way forward for my business, it has allowed me to raise my profile and give back to my profession, but most importantly it has led me to meet some amazing people, who have, and continue to, inspire me. ■ www.

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Mental Health

PTSD By Nikki Bradley

ost Traumatic Stress Disorder (PTSD) is a mental health condition which can occur following direct experience of, or witnessing, a distressing or traumatic incident.

As with any mental health condition, there are a significant number of individuals enduring symptoms of PTSD who remain undiagnosed and untreated. This could be due to the stigma that remains within society around mental health and veterans’ perception that they should be ‘tough’ and not show any vulnerabilities, which prevents them from seeking the help that they need. It is difficult to ascertain accurate prevalence of PTSD within the population. However, it is estimated that 7.8% of the population will experience symptoms of PTSD at some point in their life as a result of adverse life experiences or incidents. There has been recent media focus of attention on psychological impact of trauma experienced in military conflicts. PTSD is also widespread in the general population with common causes being road-traffic accidents, domestic or sexual violence, natural disasters, terrorist attacks and injury to self or others.

Veterans’ occupational needs

Many individuals with PTSD experience di ﬁ ulties engaging in o upations in their local community - whether that is food shopping, going for a meal or attending the local leisure centre. This can be due to the perceived threats of the unpredictable environment and

their difficulties in regulating anxiety when in crowded areas. Intense nightmares interrupt the much needed sleep required to function in everyday occupations, which has a direct impact upon the veteran’s concentration and attention span to undertake productive occupations. The distress of reliving traumatic events can limit processing ability of social contact and irritability is a frequent outcome of interactions, which ultimately has an adverse effect on the relationships of the veteran. Distress experienced during previously enjoyed occupations leads to avoidance, which in turn causes an occupational imbalance and being o upationally dissatisﬁed.

OT and what it can do Occupational therapists are at the forefront of helping veterans to rebuild their lives and their identity, to discover what makes them who they are again. Adaptation to civilian lifestyle through introducing routines, roles and new interests contributes to the restoration of occupational balance to maximise their wellbeing. OT is able to look holistically at the whole veteran and identify their strengths and prioritise improvements. Analysis of activity and grading ensures activities meet the individual’s capabilities, which is core to the work undertaken with veterans at Combat Stress. It is embedded in ex-servicemen and women to work towards and achieve goals or tasks set so it is common that the individuals will be motivated to engage with the interventions and often complete the goals way ahead of the agreed time-frame.

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Mental Health

ikki Bradley landed the Community Occupational Therapist post for the East Midlands region last year, just as the community service at Combat Stress was introducing the role.

s a e ber o the strong T tea , she has been involved in designing and developing the provision o T in the o unity, hi h o ple ents the long standing or o her ounterparts in the treatment centres. o ar, i i has had an e iting ourney experiencing the role unfold and being a part o the develop ent o the T community pathways and programme of resilien e or shops. typi al day ould encompass anything from running a photography and creative writing session as part o a o unity T resilien e or shop,

to helping an individual regain a meaningful leisure occupation in their lives that enables them to relax and connect with others. upational therapists ithin o bat tress deliver group and interventions, or ing losely alongside nurses, psychologists and psychiatrists who all play a role in the delivery o trau a focused programmes within Combat Stress. A large portion of the specialist T role involves net or ing to build up lin s ithin the lo al o unities, and offer the right support at the right time to veterans. “The biggest learning curve I have had since starting with Combat Stress was getting y head around the ilitary argon and culture which is commonplace for the veterans, any o ho have spent several years in servi e, i i said. t an eel li e a di erent language and so it was crucial that I acclimatised myself ith the lient group and s uaddie spea in order to build up rapport and trust, one o the ore ilitary standards, ith the veterans.”

CASE STUDY: Ben W

hen i i ﬁrst saw en for occu ational therapy, he was extremely restless and ‘on guard’, which was worsened when a clear escape route was not visible in a public place.

Ben was becoming increasingly socially isolated due to the dread o an iety provo ing ro ded pla es, hi h aused hi to avoid leaving his house in the tranquil countryside. Ben felt that his life was worthless and he as unsure o his uture path, whilst he had intense anger over stressors that he would usually have perceived to be trivial. This was having a negative impact upon family life and his relationship with his teenage daughters. Ben would spend countless hours sitting alone downstairs at night due to the fear of going to sleep because of the distressing dreams playing out his real life nightmare when in on i t in ra . It was identified through i ple enting the upational el ssess ent , that en has difficulties with having a satis ying routine, rela ing and en oying hi sel and e pressing himself to others. An interest he list as also o pleted in

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a session here he identiﬁed that fishing was a previously eaning ul o upation, hi h he de ided he ould li e to reinstate and incorporate into his routine to give him an outlet for rela ation and en oy ent. oals were collaboratively formed for the long and short term and an intervention plan was devised to support Ben in accessing a local ﬁshing site.

B e n ’s w i f e h a s n o t i ce d a ar ed hange in hi es a di erent person hen he al s through that door after a day’s ishing, he s been ore help ul around the house and is able to get up earlier than he was before with a noticeable spring in his step”. Ben now has more balance in his life as he has protected ti e or leisure o upations, in e he began ﬁshing again, en an area of occupation he was has been able to rela , e pty his previously neglecting. Ben mind and process the thoughts aims to own a small farm running through his head. Ben in the future employing a states that he “felt calm and free s all or or e as this ould for the first time in two years”. complement his love for the Ben began to involve his family outdoors, passion or ani als and in the fishing excursions which physi ally a tive or . enabled quality time with his i i states t is great to see daughters and allowed for more that occupational therapy is free and rational expression of a ing a di eren e in veterans his feelings to his wife. Ben and lives and I’m excited to see his i e have ust elebrated the role o the o unity T their first wedding anniversary flourish and begin to raise even ith a a ily barbe ue, hi h more awareness about PTSD. six months ago would have This is ust the beginning o a seemed an impossible pursuit. re arding ourney. ■

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Identifying

PTSD There are often some tell-tale signs that can help identify PTSD so if you know anyone with the following symptoms they may need your help:

• Nightmares • Sleep disturbances • Reliving traumatic experiences through ashba s • Intense feelings of anger or aggressive behaviour • Feeling numb and empty • Hypervigilance • Feeling socially isolated • Avoiding people and places • Periods of withdrawal from others and activities • ee ing high ris or dangerous pursuits • or related or relationship di ﬁ ulties • Feeling suicidal • el har and sel destructive tendencies • Tearfulness or low mood • ani atta s or an iety • Dissociation

This is the third in a seven-part series detailing specific areas in mental health. The upcoming features will focus on: • Anxiety • Schizophrenia • Eating Disorders • OCD If you are an OT within one of these fields and want to become involved, please contact lisa@2apublishing.co.uk

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Passion for life

Delivered & installed for £5,995* 4 reasons why you should choose the

Malibu Bathing System for your care home

Malibu adjustable height bathing system – complete with mobile sub-chassis, thermostatically controlled bath fill and shower can be delivered and installed anywhere on mainland UK for only £5,995* + VAT

Non obtrusive shower with full reach The Malibu uses state of the art technology with a rim level shower that reaches all areas of the bath and doesn’t block access to your resident – and it complies with WRAS.

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Protection against legionella A unique anti legionella system flushes the entire shower system automatically every twenty four hours with clean water, which reduces the risk of organisms growing by removing any standing water.

Total hygiene system Complete system that includes toileting and transporting as well as a comfortable bathing experience for the resident at a safe working height for the carer.

*Offer available anywhere on mainland UK on orders received prior to 31st December 2016. Price shown is exclusive of VAT.

3 4

To find out more call 01582 745700

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Product

FOCUS

Do you have an innovative product you think we should feature? If so, get in touch! Contact us at lisa@2apublishing.co.uk

Adult and Paediatric Standers Having recently launched new ranges of standers, walkers, lifters and head protectors, 24-7 Healthcare has now revealed its new Prone, Supine and Upright Standers. Each range has three sizes - from child to adult, providing a therapeutically correct standing position from a prone or supine position. The BS range includes multiple supports as standard, the narrow top section allows a larger degree of freedom of movement and allows inﬁnitely variable rising ro a lying do n position. o er options, ad ustable oot plates as ell as a host o other a essories are available. The Novum range offers more options to a o odate di ﬁ ult ases and provides o ortable support or the hole body length not ust various points o the body. The ele tri tilt option for all sizes eases the effort of manual handling.

24-7 Healthcare , 0208 577 2789 www.24-7healthcare.co.uk

Talking Scales oo ing and ba ing enthusiasts should not be put o their culinary craft due to weakening eyesight. These clever talking scales remove the need to read the tiny text or dial when measuring ingredients. As well as using an LCD display to inform the user of measurements, this kitchen companion will read out the measurements in a loud and clear English voice. t an be used to easure the volu es o li uids as ell as the weight of solids thanks to an optional ergonomic jug. It weighs in grams, ounces and pounds and calculates volume in illilitres. t has easy to use buttons and a g apa ity.

Prices from

£36.66

0161 85 00 884, www.abilitysuperstore.com

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Product

FOCUS

New hi-lo desks This exciting new range of height-adjusting des s have been designed to ﬁt into the s hool environment with larger sized desktops for dynamic and inclusive learning. Each desk has a height adjustment turn handle to quickly and easily change it to the desired height, ideal for when there are multiple people having use of the desk.

Coolform Gel Cushions Repose Coolform Gel cushions are using the latest Medical Grade Silicone technology designed to: • Allow pressure to be evenly distributed across the gluteal muscles providing users with the necessary pressure relie needed and signiﬁ antly increased comfort. • Ensure that whatever the body temperature the gel equalises to it, giving a greater feeling of comfort. • Conform to the shape of the body retaining its postural support. • Offer no shear or friction when the user’s body is moving due to the use of specially designed gel cells. • llo the air to o easily bet een the air ells. • Be easy to clean, totally odourless and hypoallergenic.

The hi-lo desks come in a variety of sizes with di erent options or a ﬁ ed or tilting des top, the deluxe version features beautiful soft close hinges. The tilting desktop enables those with higher postural requirements to still work at an angle that suits their needs and different tilts can be selected. All of the tilting desks come with a sliding extension at the bottom to secure pens and papers from sliding off when being used in a tilted position. These stylish desks can be used with a variety of chairs. The desktops are easy to wipe clean and can be colour matched to the very Prices from popular Juni chair range (as pictured).

Smirthwaite | 01626 835552 www.smirthwaite.co.uk

£500

In addition to the standard Coolform cushion, Repose has designed a second cushion which includes a pommel to assist clients with weak trunk or lower limb muscles who are prone to sliding down in their chair or for clients with lower limb spasticity to help maintain hips in the abducted position and in both cases create a good seating position.

Repose | 0844 776 6001 www.reposefurniture.co.uk

Genie V2 Standing Wheelchair Providing independence and comfort through standing, the Genie V2 can revolutionise day-to-day life and well-being. Each Genie is produced bespoke to individual requirements. From made-to-measure upholstery to a wide range of posture supports, comfort aids and optional accessories. Standing can help maintain many aspects of good health from bladder drainage, digestion, circulation, bone development and regular exercise. The Genie V2 allows clients to stand in comfort at their convenience, whilst

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performing everyday tasks, talking with friends at eye level and enabling access to hard to reach places. With a new independent leg raiser, users can now lift their legs while in a comfortable seated position, aiding with circulation and the stretching of leg muscles, providing independence and a better quality of life.

Genie V2 | 01952 610300

www.geniestandingwheelchair.co.uk

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30/10/2016 10:15

Kingkraft Multibath

Adam Ferry

UK Therapy Services

Adam Ferry is an occupational therapist both in the statutory and independent sectors. He is also the co-founder of UK Therapy Services. With combined experience of over 30 years, UK Therapy Services specialises in providing high quality occupational therapy assessment, rehabilitation and consultancy packages for the private, statutory and business sectors. In this regular feature, Adam explores and reviews products he experiences in practice, giving insight and re e tion to those ho it ay beneﬁt. You can contact Adam on adam.ferry@uktherapyservices.co.uk or visit www.uktherapyservices.co.uk for more information.

At a recent exhibition I was fortunate enough to be given an excellent demonstration of the Kingkraft Multibath.

moving and handling in the cramped bathroom areas. The height adjusting element may, for some, solve that problem.

Unlike other products of its type the Multibath looked just like a ‘normal’ bath, certainly non-institutional. However, despite its conventional appearance the product certainly has a lot of versatility.

With the additional options of whirlpool, daisy chain lighting, integrated Bluetooth music systems, powered seating for access with multiple seating options (Multibath SE model) the Multibath certainly requires consideration for environments where there are multiple users with a variety of needs such as care institutions, or where the sensory experience is the focus.

Using a powered handset the bath can be raised and lowered to support multiple residents with different needs. At its lowest height, the Multibath, due to the styled side panels, is the height of a standard bath, yet maintains the option to access with both mobile and ceiling track hoisting.

For more information visit www.kingkraft.co.uk

What struck me was the potential beneﬁts, not only to users, but to their carers. Often clients who prefer bathing are resigned to showering due to carer risk assessments and

Cypress High Leg Lift Rise & Recline Chair During a recent seating assessment and in support of a client’s private purchase I was involved in the demonstration of the Oak Tree Mobility Cypress rise and recline chair. My client, despite having elements of capacity certainly required support in making the right decision for them. This always puts me somewhat on alert when dealing with sales reps (rightly or wrongly) but in this instance I need not have worried. The rep from Oak Tree was fantastic, instantly supporting my client to make informed decisions using communication they could process. The product purchased was the Cypress with high leg lift motor. The Cypress is a wonderfully made chair of very high quality. It is sleek and modern whilst remaining sophisticated and elegant.

angles supported during recline were perfect ergonomically, ensuring that my client could continue to function independently whilst also supporting tissue viability and pressure management. Past the level of normal leg lift the chair effectively became tilt-in-space with angles maintained throughout the tilt. This supports numerous aspects of health and well-being whilst once again in this instance supporting independence. For more information on the product visit www.oaktreemobility.co.uk

Functionally, the product on the face of it did exactly what you would expect a chair of this type to do. It supported a good functional stand with easy-to-use controls and was very comfortable. However, what made the Cypress stand out for me was the use of the high leg lift motor. The

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28/10/2016 14:56

Product CASE STUDY

Stylish Solutions

ussell Dawkins and his wife Danielle Kingdon had to think fast when a cycling accident resulted in Russell using a wheelchair, in June 2013. At the time, the couple were living in a Victorian property built over seven oors, which would have meant making major changes to their existing home. t ﬁrst, they ere ada ant that they could make the house work for Russell but soon decided that moving to a smaller dwelling would be a better solution. Around that time, an apartment belonging to a friend’s parents became available and it was conveniently located close to the couple’s friends and their daughters’ schools. Situated in West London, the at as unusual be ause it sat at the top of a Grade II-listed former power station which was built in 1901. It was converted into apartments in the eighties, 22

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with this particular one spread a ross t o oors which provided excellent lateral space for Russell’s wheelchair. Few changes had been made to the apartment since it had been converted. The entrance opened onto the lo er oor ith bedroo s and bathrooms, while the stairs led up to a separate kitchen, dining and living room which opened onto a roof terrace. Two balconies overlooked the two downstairs rooms and there was also a mezzanine level. Steel beams stood in the centre of the vaulted ceiling but some were boxed-off or hidden by dividing walls. With Russell still recovering in hospital, Danielle turned to two friends, an interior designer and a builder, and they immediately went to work on opening up the top oor at and reating a much more practical layout. Initially, they took out all o the alls on the ﬁrst

oor and ade it into one big, open-plan space, while downstairs some of the walls were tweaked to make bedrooms and the bathroom bigger. The couple decided that a Stiltz Home Lift would be ideal as it would provide Russell with easy access bet een the t o oors and still look stylish. With a small footprint of less than a square metre, the lift was spacious but compact enough for them to incorporate it discreetly into the kitchen design. Danielle said: “Russ needed access, but we still wanted our home to look stylish. We were told about the Stiltz Lift which has one of the smallest footprints on the market and is really discreet, so we hatched the idea of incorporating the lift within the kitchen units.” With no lift shaft or load

bearing walls required, it was easy for the Stiltz team to install the Stiltz Duo Lift with its self-supporting structure and unique dual rail system which bear the load of the lift. Unlike most traditional home lifts, Stiltz lifts are not powered by loud hydraulic equipment. The home lift has a very quiet self-contained drive system which is housed, out of sight, at the top of the lift and plugs straight into a normal 13amp power socket - like any other household appliance. The couple made many more fantastic changes to the property across a 12-month period and it was ﬁnally o pleted in October 2014. ou can ﬁnd out ore a out the o tions that Stilt offer at www stilt co u

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28/10/2016 10:08

home lifts designed for independent

living

• • • • • • • • •

Safety first; inside the lift & out Easy operation for the less mobile Ergonomic & compact design Innovative technology Quick & fuss-free installation UK-wide 24/7 after-sales support Adds value to the home Safe & flexible stairlift alternative Wheelchair-friendly lift available The Stiltz home lift is a compact domestic lift large enough to carry 2 adults, bulky domestic items or medical equipment. The lifts come with multiple options such as folding seat, grab rails and in-car emergency phone. Packed with sensors and monitors for optimal safety both inside and outside the lift, a Stiltz lift plugs straight into a domestic socket, runs very quietly and uses less energy than a toaster! Controls are intuitive and easy to use, even for the less mobile or dextrous. The unique Stiltz lift allows homeowners to live independently and move around their home with confidence.

To learn more about the Stiltz home lift and how it helps maintain independence, call 0330 222 0334 or email info@stiltz.co.uk. Stiltz OT Magazine Ad_v2 .indd 1 Adverts_Iss13.indd 7

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Visit us at

The Occupational Therapy Show 23rd & 24th Nov 2016 Birmingham NEC

Stand D31

A FAMILY OF EXPERTS SINCE

1891

OTOLIFT AIR

OTOLIFT TWO

Smallest diameter rail tube of any other single rail stairlift on the current market. Ideal for narrow and steep staircases.

Compact Twin Rail system, available in both Standard & Heavy Duty Options, plus an extensive range of additional features.

Heavy Duty

6cm

Tube

otoliftstairlifts.co.uk 01207 581 636 info@otolift.co.uk

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OTOLIFT Stairlifts only sell in the UK through an approved dealer network. Contact us for your local dealer

28/10/2016 12:47

Day in the

LIFE

A day in the life of...

Farzana Karim

About Farzana

Faranza graduated from the University of Derby in 2011 and started working as a Locum OT. She progressed from a junior therapist to a senior therapist within ﬁve years o pra ti e and currently works in Rapid Access Services.

What is your current job role? I am currently working as a Band 7 Rapid Access Services Occupational Therapist for Central and North West London NHS Foundation Trust in the quirky and unique London Borough of Camden. As part of my role, I work across three teams: Rapid Response, Rapid Early Discharge Service (REDS) and Post-Acute Care Enablement (PACE) team, which are all based in the community.

Describe a typical day… Arrive at work and check my emails over a coffee. I then receive a patient handover from a member of the therapy team. Then on to board round where I meet with the MDT (physiotherapist, nurse, consultant, social services and advanced nurse practitioner) to discuss all patients and what our plans are for them in terms of assessments, rehab and discharge plans, etc. I then compile a priority list, delegate some tasks and go on to see any new patients who have just arrived on the ward. I may conduct an initial interview with them to establish their home circumstances and previous abilities then, with the physio, jointly assess their current mobility and transfer ability. All this is documented and I compile an OT plan for the patients during their stay. Then I have an access visit planned for a palliative patient who is immobile and wishes to go home for end of life care. I will be meeting his wife at his home and measuring their dining room for provision of a hospital bed and hoist as he cannot manage the stairs anymore. I may need to reassure his wife about discharge plans for her husband and assure her that sufficient care will be

provided to support both her and the patient in these critical forthcoming weeks. This visit requires the utmost sensitivity and empathy towards the patient’s family. After a quick half hour lunch break I head onto the ward to measure a patient for a wheelchair. I complete the wheelchair referral and fax it off to wheelchair services. I then type up the access visit report from earlier and report my plans to the nurse caring for the patient and to the patient. I order the hospital bed and hoist for the patient. I then have a meeting with another patient’s f a m i l y a n d t h e M DT because the patient has severe dementia, lacks capacity and is unsafe to be discharged home. We make a best interest decision with the family to place the patient in a residential setting specialising in dementia care. I contribute and feedback my assessments that I’ve completed with the patient to the MDT and family to assist with the decision making. Then it’s time for home after a busy and productive day.

What is the best part of your job? My favourite part of my job is when I see a patient discharged from hospital safely knowing that they will lead an independent life due to equipment or adaptations that I have put in place allowing them to maintain their dignity and stay in their own home for longer. I love making a difference to people’s lives and empowering them to be independent and also arranging care for them when they are struggling to manage. Elderly people are our true heroes and have such interesting life experiences to talk about and share. ■ www.

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Pillow

TALK The average person has around eight hours sleep a night. That’s a staggering 229,961 hours in an average lifespan.

third of your life is spent in your bed and that doesn’t include the odd sick day, hungover mornings-after or lazy Sunday afternoons. Sometimes this can be even longer if you consider a client who is unable to leave their bed. lient ho ﬁnds the selves in this situation can become susceptible to a n u m b e r of h e a l t h p r o b l e m s , such as: bedsores, pulmonary congestion, spinal column pressure, night sweats, skin irritation as well as circulatory and respiratory issues. The OT Magazine spoke to three of the largest and most well-known companies that have their own unique and successful sleeping solutions and ease the common issue of accessing the bed, no matter the age or disability.

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Pillow TALK

Centrobed Comfort in bed is something we take for granted. Our position when in bed affects the quality of our sleep. If we are unable to position ourselves, intervention from equipment or a carer may be necessary. Clients and their carer do not want their home to look like a hospital. Every care is taken by Centrobed to produce a bed that will, where possible blend into the home environment. To enable a disabled person to have a good night’s sleep there are a number of varying factors that have to be taken into consideration. To us, some of these may seem quite trivial but to those concerned they can affect the quality of their sleep. Getting into bed, whether by hoist, self-help using equipment or unaided, there are simple inexpensive adaptations to an existing bed that can help. Keeping their own bed as long as possible is important so the small adaptations can be the answer. The Nile leg lifter fits easily onto a divan or a hospital-type bed and will assist transfer of the legs into bed. When in bed, if the head needs elevating, an Ultimate Pillow lifter can easily be fitted and will lift and support the head, both o these ﬁtted without the need to change the bed. As a person’s needs become more complex, beds are available to assist transferring in and out of bed, achieving a comfortable position whilst in bed and also being able to reposition within the bed. Couples like to continue sleeping next to their partners and Centrobed is able to manufacture a bed that has two different functions, allowing the partner to sleep on a standard nonproﬁling bed and the person re uiring a more complex bed having one made to suit their needs. These can be separated easily for a carer to access the client from both sides. The Centrobed Timor bed chair will

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allow transfer via either side entry from a wheelchair or entry into the bed from the end like a chair, reclining you back to a sleeping position without the need for intervention from a carer - an ideal bed for those with heavy legs who struggle to get their legs onto a bed. For some this will allow them to live a completely independent life. For a person with complex positioning needs, the Centrobed Arctic turning bed can be programmed to turn automatically at pre-programmed intervals through the day and night, assisting in reducing pressure sores and improving comfort, again without manual intervention. For a person with Duchene Muscular Dystrophy, the leg section of the bed is split into two and can be operated independently to improve comfort with leg spasms related to their condition. If people are very tall or very short, a standard issue proﬁling bed does not allow for the variations in their height, length o body or legs hen proﬁling. Centrobed are able to manufacture beds that profile in the correct place allowing comfort whilst sleeping. Even from birth, Centrobed produce a Scotia cot that has a backrest and the facility to bring the baby to the parent, whilst still not looking like a medical cot. For an amputee, problems arise with slipping down the bed, resulting in shearing. The Hudson is a bespoke bed designed to reduce shearing and improve comfort by manufacturing the bed with section sizes that fit the client. At Centrobed we appreciate no one bed fits all and have for many years been manufacturing and supplying beds for the person with more complex needs. www.centrobed.com

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28/10/2016 10:09

Pillow TALK

Smirthwaite etting a good night s sleep in uen es psy hologi al ellbeing and also an individual s sleep patterns ill a e t the entire a ily. hour postural anage ent progra e is essential to ensuring so eone s posture is aintained at its opti u level. s ar et leaders in providing dayti e posture anage ent e uip ent, e an no o er hildren and young adults e uip ent that ill support the during the night. irth aite ai s to build a hild s or young adult s on iden e and independen e during the day and the night. ur usto isable sleep syste s allo you to tailor the syste to the individual s needs. y utilising the hoo and loop attress sheet, you an then build the syste using a yriad o ushioned o ponents any o these also use hoo and loop . The syste aters or ost onditions, ro ild to o ple , as ell as all age ranges. To get the ost ro your noooooo e syste , e strongly re o end an assess ent ro one o our e pert

produ t advisors, in onsultation a therapist.

ith

a h o ponent o the noooooo e sleep syste is overed in arte a breathable health are aterial, hi h irth aite also uses or our uni hairs. The o ponents are ﬁlled ith ru bed vis o elasti oa , providing a o ortable, ta tile eel. ll o ponents are rated at rib ﬁre resistan e and the re ovable overs are ashable at or in e tion ontrol purposes. This e ible sleep syste is designed or hildren and young adults. t is light eight, highly portable and highly ad ustable to ater or the gro th and the needs o the individual. The noooooo e syste supports the individual s in supine on their ba , side and se i prone lying positions. This ey eature enables users to a o odate and orre tly position posture overnight, hilst aintaining a high level o o ort. • Supine Lying - To ensure orre t positioning both during the day and night, the pelvis is stablised. The pelvis is the oundation o good

posture, and is there ore the irst area e evaluate hen ondu ting an assess ent. sing a o ponent li e the eg Trough, e ai to dra the legs into id line. • Side Lying - The ody roll has heralded a ne stage in side lying, and an help a hieve an e ellent trun and leg position or both le t and right side lying. t is ost e e tive or hen the trun has shortening sides and the legs are inds ept. lign ent o the legs is a hieved ith the noooooo e illo bet een the individual s legs. The inal ey o a hieving a good posture is to support and position the head. • Semi prone lying - volved ro our or in side lying, se i prone lying is best a hieved through use o our ody roll. This very uddly roll e e tively supports the individual s head and nees at the sa e ti e. The ey beneﬁt o the noooooo e sleep syste is that it s e tre ely usto isable, so that the individual an sleep in a position that is suitable or his or her needs. www.smirthwaite.co.uk www.

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Pillow TALK

BaKare Beds Many of us, following a bad or uncomfortable night’s sleep have awoken with either backache, headache or feeling tired or groggy. With conditions such as Multiple Sclerosis, Muscular Dystrophy or Cerebral Palsy, it is easy to attribute all aches and pains to the respective condition. However, BaKare Beds are equally convinced that some people, with these or similar conditions also suffer posture related pains like everyone else and it is possible to diminish or eliminate posturerelated pain. proﬁling ad ustable bed allo s you to sit up in bed or raise your legs at the touch of a button. Each section can be positioned independently to enable you to find your perfect position to achieve comfort, relaxation and a great night’s sleep. Profiling beds can assist with a variety of medical conditions and have been found to provide relief from arthritis, rheumatism and traditional back o plaints. o e ad ustable beds offer a chair or comfort position which is perfect for those who want to eat, read or relax in bed. height ad ustable bed an be raised to a high height, which means that carers don’t have to bend dangerously w h e n a s s i s t i n g a u s e r. H e i g h t ad ustability redu es the ris o ba in ury and is no a re uire ent by which many social services provide home care. It also allows positioning 30

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the bed at the correct height in order to assist transfer into and out of bed with less reliance on carers. Some ad ustable beds an lo er the selves very lose to the oor and are suitable for users at risk of falls. For extra low beds, please visit the low bed section. d ustable height beds ean that the bed can be positioned at the correct height for wheelchair transfers. Many users find that positioning the bed at least at the same height as the wheelchair seat assists transfers, whilst others prefer to position the bed so that they drop down slightly onto it when transferring into bed, and drop down off it when transferring out, especially if upper body strength is an issue. It is often possible to use the bed to lift you from a sitting to a standing position and vice versa, by utilising the height ad ustability o an ad ustable bed. This is achieved by pressing the appropriate button on the electronic handset which gently lifts you from a sitting to a standing position with the minimum of effort. Side rails can provide safety for users from falling from bed involuntarily. Unfortunately, some types of rails can prove dangerous and should be considered with the guidance of either an occupational therapist or the MDA guide ‘Safe Use of Side Rails’.

Some beds, such as the Volker 3080 utilise four independent side rail sections that profile in line with the lying surface of the bed frame. This means that a person who is sat up in bed will still retain protection at all times, should they be susceptible to rolling to safety frames at the side. One of the key benefits of the Volker 3080 is its ‘discreet technology’. This means that the side rails can seemingly disappear into the side panels of the bed when they are not needed. Bakare Beds are designed primarily to assist mobility and offer orthopaedic comfort to those who find sleeping on a standard bed di ﬁ ult, strenuous or painful. A multitude of profiling positions enable you to find the perfect position to achieve comfort and relaxation. www.bakare.co.uk

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28/10/2016 15:25

PRODUCT FOCUS

T ra nsfe r Guldmann ceiling hoists are an integral part of a complete range of welldesigned equipment, making the lifting and transferring process of people safe and comfortable for both user and carer. To be able to work efficiently and safely, you have to choose the correct products, and know how to use them in the best possible way. We offer you over 30 years of experience for selecting the right product as well as training programmes for individuals and staff.

Treatment

Tra in in g

The free-standing rail system is ideal for here-and-now lifting needs. The rails are easy to adjust in both height and width and provides a simple way to deal with any temporary need for lifting help. The entire system can be set up – and taken down again – in only 10 minutes, with no tools needed.

Both the GH1 lifting module and the rail systems blend easily into the décor of any space in which they are used. The lifting module is delivered with a choice of 2 different covers as standard.

The lifting module is quickly recharged by placing the hand control in the GH1 recharging dock. A fully charged lifting module can cope with more than 55 lifts of 85 kg.

01793 608806 info@guldmann.com www.guldmann.com

This all helps ensure a good return on investment that provides long-term benefits, and provide more time to care. The GH1 ceiling hoist system is designed to meet the full range of dayto-day lifting needs in private homes and care homes. It takes up very little space, and is very easy to use with the full range of Guldmann lifting slings and other lifting accessories. The GH1 lifting module quickly and safely lifts users weighing as much as 205 kg, operated by an easy-to use hand control.

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D I T S E BE

R A S EA

M I S E E TH

. . . T S PLE

IN CTS E N CON ONDS! SEC

AN B R AN WU

N E A P E R T H E! HE RIV C A RT D A SM

R E W PO N O S! D IP L N C F CO E O S D E A N G I O N S R E E RA H H C C T E A T BAT ES/DE YOU ON Y R A N CH ET A O I G T T T D U A OM N L C S . A O E Y ILIT REV D CYCL D LOAD B E O H 0 T 5 EM N N N A A 8 O H K 4 L 80 CYC . AND TO LOC 1 W 0 W 0 Y W 8 D A 0 E R A4-batech urban.indd 11 1 Adverts_Iss13.indd

16/10/2016 11:57:28 28/10/2016 12:49

Bouncing

BACK

g n i c n u Bo

Back

-year-old Callum MacKinnon has made it his mission to bring Rebound Therapy to those who need it most in Scotland. The owner of Forth Valley Rebound Therapy Service is also a Level 2 Coach for the therapy that has found assi e eneﬁts in its unique use of trampolines.

Rebound Therapy The phrase ‘Rebound Therapy’ was coined by its founder, E.G. Anderson, in 1969 to describe the use of trampolines in providing therapeutic exercise and recreation for people with a wide range of special needs. Participants range from mild to severe physical disabilities and from mild to profound and multiple learning disabilities, including dual sensory impairment and autistic spectrum. “Forth Valley Rebound Therapy Service (FVRTS) is located in Stirling and is the ﬁrst and only open servi e or ebound Therapy in the whole of Scotland. I

offer 1:1 60-minute sessions. Engaging in Rebound Therapy sessions can provide an individual with a wide range o physi al, sensory and so ial beneﬁts depending on the outcomes that the service user wants to achieve. “FVRTS has been trading as a small business since July 2016 and clients are currently accessing it from Stirling, Clackmannanshire and the Falkirk area. “The demand for this service has been attracting more clients from across the Central Belt and Perthshire, all of whom are interested in travelling to attend sessions.”

Main Benefits Balance Increase or decrease in muscle tone Relaxation Sensory integration Fitness and exercise tolerance Communication skills Most importantly, fun!

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n e allu has ﬁnished his studies in su er and ualiﬁes as an o upational therapist ro lasgo aledonian niversity, he hopes to turn the s all business into a so ial enterprise and bran h out to o er open ebound Therapy servi es a ross otland. Through his T training, allu re ognises the value o play and uses this strategy as a ain ay to a i ise intera tion ith individuals on the tra poline and plan un, en oyable a tivities that ollo the instrada progra e or ebound Therapy. attended the T nnual on eren e in ondon this year and brie y dis ussed this pro e t ith so e Ts ho gave positive eedba and en ouraged e to eep gro ing it in otland.

allu added a a are that Ts and Ts ithin so e servi es o er rebound therapy to their patients, there ore a interested in a ing the a are o this servi e so they an signpost patients onto e privately, or set up a re erral pro ess, i this an be agreed. have been in onta t ith various lo al authorities and harities ho are interested in lin ing in ith this servi e ho are already or ing ith e to pro ote the servi e to their servi e users and a ilies. ■ To ﬁnd out ore in or ation or to get involved, onta t allu at calmackinnon@hotmail.com or phone 07415323683.

Success Story C allum has already seen some real and lasting effects from Rebound Therapy in clients with whom he works now:

is a year old boy ho has been diagnosed ith and utisti pe tru isorder . as previously no n daily to the tea at his pri ary s hool or so e hallenging behaviour and an iety. attends T to pra ti e al ing te hni ues, engage in un a tivities and in rease his so ial and o uni ation s ills. uring s ﬁrst visit, it too hi so e ti e and a lot o reassuran e to get hi into the therapy roo to engage ith e on the tra poline. e as very autious and ould not let his u leave the roo or let go o his teddy or the hole session. e o ten struggles to intera t ith ne people and ollo instru tions. espite this, is already part o a gy nasti s lub but does not go onto a tra poline

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regularly. is very a tive and physi ally able to develop onto higher grades ithin ebound Therapy. in e has been attending sessions ith support, his o uni ation s ills and so ial intera tion have i proved signifi antly. ne regular volunteer has been attending his sessions on a Thursday as he has as ed or her to o e ba every ee . has allo ed his u to drop hi o during sessions and o e ba inutes later, allo ing her to get so e e tra respite ti e and let hi intera t independently ithout her or his teddy. has no passed both rades and o the instrada progra e and has re eived an a ard or ea h grade. e has begun starting onversations, as ing uestions and is no hoosing his o n a tivities to engage ith during sessions. is also re eiving the diverse range o physi al benefits and is gaining ore onfiden e on the tra poline, hi h is overall positively i pa ting on his sel e fi a y and onfiden e.

-magazine.co.uk

28/10/2016 15:34

t the a e r ’ We ow! OT Sh nd G52 n sta

so See u

Timo UK are proud to be exhibiting our new additions to the range at this year’s Occupational Therapy Show. Come along and see the Heavy Duty and Children’s versions of our classic shower trolley.

Swirl® Pushchair • Buggy rotates 360° with the child still in the seat • Various fabric colours

• Tilt in space, without fixed positions, of 0-41° • Back recline, without fixed positions, of 90 - 135°

• Soft-touch side frame protection

• Crash-tested (forward facing position only)

• Highly adjustable seating system

• Large shopping basket • Front and rear transit brackets

• Soft-touch, easy-to-operate, pinlock brake. Hub brake also available

Contact Information Phone: 01903 726161 Email: info@tendercareltd.com Website: www.tendercareltd.com

Adverts_Iss13.indd 12

28/10/2016 12:49

Supporting Recovery Through Outdoor Adventure Together we can move mountains Bringing together outdoor activities and occupational therapy intervention. Our programme aims to develop: Ability to make choices Social interaction, spontaneity and expressiveness Motor skills Attention, concentration and memory Release potential

Discover what’s possible and contact The Calvert Trust on 017687 72255 Supporting Recovery Through Outdoor Adventure is a collaboration between

Voyager Evo Elegant • Durable • Individual

The Voyager Evo is a robust, rigid frame wheelchair for active use with a uniquely individual construction Visit www.ottobock.co.uk for more information and to see Sammi’s video Ottobock · 01784 744 900 · www.ottobock.co.uk

Adverts_Iss13.indd 13

28/10/2016 12:49

Product

FOCUS

Do you have an innovative product you think we should feature? If so, get in touch! Contact us at lisa@2apublishing.co.uk

Grippoz These new wheelchair grippers are designed to provide additional comfort and grip for those who self-propel. The moulded silicone grippers slide easily onto the rims of a wheelchair to improve manoeuvrability and comfort for the user and are available in a selection of attractive colours for a 24-inch wheel rim. Prices from

£69

Cosyfeet

Grippoz are made from hard-wearing silicone and their robust design helps to protect furniture from bumps and scrapes. Primasil produce every pair of Grippoz here in the UK. They formulate and mix their silicone compound and mould their ﬁnished produ ts, ensuring that ith every pair of Grippoz you get the quality you’d expect from a British company. BS ISO ertiﬁed.

Grippoz, 01382 250 777 www.grippoz.com

Find the comfort you crave with a collection of extra-roomy footwear from Cosyfeet. The collection is spe ifi ally designed to fit s ollen eet, and ease dis o ort aused by bunions and problem toes. Wearers won’t have to compromise on style to achieve comfort. The new Autumn range for both men and women adds a seasonal twist to any outfit. ele t ro a ide hoi e o slip on, tou h fastening and lace.

www.cosyfeet.com 01458 447275

www.

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28/10/2016 15:40

Product

FOCUS

Shower Screens

PRICES AVAILABLE ON REQUEST

Autumn UK design shower screens with the end-user and carer in mind, ensuring an enhanced showering experience for years to come. They use PETG panels because their shatterproof qualities deliver optimum safety for the user. For clients with limited hand function there is the advantage option (free upgrade) which enables the user to move the doors more easily as it eliminates all drag. •

o ore di ﬁ ulties to open traditional shower doors • Free add-on to folding and sliding doors • Unique air assisted hinge • Operated by a small lever that lifts the door lear o the oor

Autumn UK, 0161 331 3000 www.autumnuk.co.uk

Voyager Travel Shower Cradle Orchid Medicare has developed a fully collapsible shower cradle that is easy to carry and takes up minimal space when stored. It enables users to be showered in a reclined position with full support and it weighs only 14kg. Measuring only 56cm x 131cm x 25cm when folded, the Voyager cradle comes with a travel bag with pockets to carry accessories such as head supports and side panels. Designed to rigorous hygiene standards, the product is of stainless steel construction with an antibacterial powder coating. It has a quick release mesh for ease of laundry or replacement.

PRICES AVAILABLE ON REQUEST

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Orchid Medicare 01482 820333 www.orchid-medicare.co.uk

-magazine.co.uk

28/10/2016 10:12

Product

FOCUS

Turner Pro The new Turner PRO from Etac offers patient turning with standing support. Its intuitive and lightweight design makes it easy to use and transport. Simple adjustments change the height of the handle and leg support. It has a maximum SWL of 200kgs.

Prices from

£5

BibblePlus Clothing Protectors

The design encourages a natural standing and sitting movement for the user and it enables a good posture and minimises the risk of injury for the carer when transferring. Turner PRO has a small footprint and is easy to manoeuvre making it the perfect choice when transferring in tight spaces. Its cast aluminium base plate with integrated anti-slip function ensures added safety and easy cleaning. The handle design offers many grip opportunities and is a contrasting colour for added visibility.

Etac, call Lindsay on 0121 561 6097 for more information email: education@etac.uk.R82.com or visit: www.etac.com/uk

PRICES AVAILABLE ON REQUEST

If you are looking for a modern twist on the traditional bib, Bibble produce modern designs with practical and discrete solutions for older hildren and adults ho have di ﬁ ulties ith drooling and dribbling. Handmade in Nottingham, the bandana style bibs are available in four sizes. Made with a soft quality cotton top fabric to absorb wetness and a so t ee e under layer to a t as a barrier. The tunnel ee e disperses etness, reates air o and allows moisture to evaporate allowing the bib to dry quickly preventing clothing and the wearer’s chin from becoming wet and uncomfortable. Our ranges of practical long-length feeding bibs are perfect for mealtimes, providing full chest coverage to catch drips and spills. For those looking for something a little more avant-garde they have a range of super smart dining bibs, like Ryder Shirt bib (pictured) which can be worn under a cardigan or jacket without being obvious.

BibblePlus 0115 849 0174 www.bibbleplus.co.uk

www.

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28/10/2016 10:12

Assessment DEBBIE BISSELL

The three 'A’s: Assessment, Assessment, Assessment

e ie issell s ecialist occu ational thera ist was recentl co issioned to carr out an inde endent s ecialist seating assess ent in South ales for a client who had een in ed for a considera le eriod of ti e

She was asked on behalf of Promoting Independence to assess if the patient could be supported more appropriately within the care environment and become more engaged with activities regularly provided by the home, rather than spending all day, every day in his room with limited social contact. Stuart Barrow, managing director of Promoting Independence explained: “I was contacted by a solicitor at ME Law who was acting as a client’s deputy to see if the client could be supported better within his care home. The client had no family, hence the decision to appoint a representative to act in his best interests. “The solicitor/deputy did not know which equipment to buy and realised the benefits and need for a skilled assessment by a qualified professional. I suggested one of my specialist seating assessors, Debbie Bissell, to assess if the client should/ could have a chair as he was then bedbound and in end-stage dementia and perhaps a chair would enable him to come out of bed and engage with the home’s activities.” Debbie visited the client and conducted a physical examination and assessment to gauge postural needs. Debbie was able to ascertain exact postural needs and identify suitable options for specialist seating. Debbie explains: “I had been advised by the deputy that the client would self-fund any identified equipment to avoid application delay with the NHS or LA. The client did have sufficient funds and it seemed the right decision. However, what was paramount was my assessment identifying the right equipment. “My physical assessment also needed to capture aspects of the 40

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environment and nursing home routine for my client. I contacted a reputable company, CareFlex, with whom I liaised closely and requested specialist seating with exact specifications to meet the unique needs of the individual. “I requested a trial of the seating to enable ongoing assessment. I was acting in someone’s best interests and it was vital to ensure the best outcome was achieved, together with aspe ts o ost e ﬁ ien y. “The seating was trialled for a week. I provided the staff at the home with my ‘evaluation tool’ to complete each time the seating was used to enable me to conduct a thorough evaluation. Correct positioning and use of functions were demonstrated to staff. “As the client had been bedbound, staff had to be encouraged to sit my client out regularly while the trial opportunity was available. I rang the home each day to prompt and ensure this would happen. After the trial period the evaluation forms were returned to me to analyse for tolerance and patterns, as well as skin integrity and comfort. “Analysis enabled me to make an accurate, informed decision for my client to ensure the product was matched to the individual’s needs. A professional written report with assessment findings was sent to the deputy and a quote was requested and sent to the deputy with the exact spe iﬁ ation.

co m m e n te d a n d a c k n ow l e d g e d t h e g r e a t i m p r ov e m e n t i n t h e client’s wellbeing, interaction and overall presentation. For more information about CareFlex chairs please visit www care e co u or to speak to Stuart and his team, on

Advantages of the chair The client received the right chair for his needs with the right spe ifi ation. There were no waiting times for assessment or equipment. The chair was trialled before purchased The chair chosen was the ost ost e fi ient No one involved was in uen ed by a spe ifi seating company. There was no bias The assessment was ade by a ualified professional There was noticeably improved health and wellbeing of the client: cognitively, physically and emotionally.

Six weeks after provision of the chair, they were advised that the client had significantly changed in terms of his engagement within the home, now communicating with staff and spending every day sitting out in his new chair engaging in the care home’s activities. The DOLS/best interest assessor for the local authority also

-magazine.co.uk

28/10/2016 15:43

OT Advert Oct 2016.pdf

20/10/2016

11:07

Sidhil’s range of community products...

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Adverts_Iss13.indd 14

18/10/2016 14:03:53

28/10/2016 12:50

Heart to Heart The Freeman Hospital in Newcastle upon Tyne is one of only two hospitals that can facilitate childrenâ&#x20AC;&#x2122;s heart transplants in the UK. The unit, and the one in Great Ormond Street Childrenâ&#x20AC;&#x2122;s Hospital, is supremely important to hundreds of families all over the country, some of whom travel far from home for the chance of a little more time.

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-magazine.co.uk

28/10/2016 10:13

Freeman

HOSPITAL

The nature of the patient group is unpredictable, transplant can happen at any time. Catherine Forster, occupational therapist Great North Children’s spital ree an spital and al ict ria nfir ar

atherine Forster is an occupational therapist who works within paediatrics at Great North Children’s Hospital, Freeman Hospital and the oyal i toria nfir ary. er ob ould definitely be lassed as one o the ost ulfilling in her area. Through occupational therapy, Catherine tries to give children a sense of normality and freedom to enjoy activities and favourite past times either before, immediately after or long after a life-saving heart transplant. “The main role of OT is to work with patients to maximise their independence before, during and after transplantation. That all depends on their age and what is developmentally appropriate within their activities of daily living. Patients can be with us for a long time whilst waiting for their transplant. Therefore, engagement in occupation is important for their physical, cognitive, emotional and social wellbeing. “I started working within paediatrics seven years ago and I covered patients on the acute wards at The Great North Children’s Hospital. The patients’ ages range from babies to teenagers, who often have complex medical needs. I have covered the clinical areas of orthopaedics, rheumatology, respiratory, renal, general paediatrics and cardio which are regional and national specialities/services. “I started to work on a permanent

basis in cardio at Freeman following a departmental restructure in 2015. I cover the Paediatric Intensive Care Unit (PICU), High Dependency Unit (HDU) and the ward. Paediatric cardiology is an exciting place to be, with opportunities to explore and be part of with all the medical advances in cardiac care.”

• Functional activities – assessment of self-care, transfers, functional mobility, within home and for school.”

There is no such thing as a ‘typical day’ for Catherine. She is always doing something new or solving different problems. No child is ever the same and neither is their heart, either the one they were born with, or the one they hope to get.

“Seeing patients make a recovery is the best part. If a patient goes through the process without any complications or even if the patient has had complications (strokes, rejection, respiratory, renal issues etc.) a patient achieving their rehab goals and making a recovery to get home, that is also ulﬁlling to see.

“The nature of the patient group is unpredictable, transplant can happen at any time. Patients may have changing needs, adding to existing complexities which need to be taken into consideration during assessment and intervention continuously, in order to maximise rehab potential at any stage of the process, eg. patients are as well as they can be, physically, going into transplant. These are all things I need to take into account: • Splinting - assessment and provision of splints to maintain muscle length and position for function. • Wheelchair assessment and provision • Neuro rehab – postural, positioning incl. seating, splinting, tone, using activities/play as intervention • Moving and handling – equipment provision, education and practice

Her job is a tough yet rewarding one. She sees herself on the front line of attempting to normalise a child’s life after transplant as much as possible.

Catherine has even won an award for her creativity, innovation and dedication to her patients. No matter their age or ho di ﬁ ult the situation that creates. “I won Clinical Innovation in The Newcastle upon Tyne Hospitals NHS Foundation Trust and Highly Commended at the Bright Ideas in Health Awards 2016 for the design of a special vest for one of my patients. The Freeman Hospital put Heartware, a ventricular assistive device (VAD), in the youngest person in the world. My patient, Hasnath was three years old at the time. The Heartware VAD is a mechanical support for the heart and acts as a bridge until transplant or until the patient’s own heart recovers.

www.

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-magazine.co.uk

28/10/2016 15:44

Freeman

HOSPITAL

“The Heartware was originally designed for adults to carry on their person to enable them to participate with their activities of daily living and to return home. As the device was designed for adults, the size and weight was too heavy for my patient to carry. The carry bag and utility belt that is provided was not suitable. I did not want the Heartware to impact on my patient’s ability to participate in his activities of daily living therefore potentially impacting on his development (physical, cognitive, social, emotional etc.). I designed, in collaboration with CareAbility, a cartoon character vest to carry the Heartware. This meant the weight was more evenly distributed and held in position. There as no identiﬁed sa e means of carrying the Heartware for this patient group as it had not been done before.” The most common issues that she faces with her patients are wide-ranging. Some days, children who are on the transplant waiting list need her help to be able to continue with their favourite occupations, despite their ailing health and other days children need guidance on what to do now that they have had their transplant. Some days she must help a child function as independently as possible, even when facing organ rejection. “I work with the children whenever they need OT and are inpatients. It all depends on how their cardiac function is impacting on their activities of daily living, whether they are awaiting transplant, have had a transplant or are facing rejection. Some patients who have had a stroke pre or post-transplant require a neurorehabilitative approach. “Freeman Hospital is one of only two hospitals in the country that can carry 44

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out heart transplants for children. Therefore, we offer a national service. Our patients can come from anywhere in the UK and Ireland. This is a challenging aspect of the job in terms of locating the right services, teams or support a patient may require on hospital transfer or discharge.” The 36-year-old sees on a daily basis just how necessary occupational therapy is for the children waiting for a heart transplant, children in recovery after a transplant or those who are sadly facing organ rejection. No one can say that Catherine’s job is an easy one, definitely not hen it comes to the emotional aspe t o her field and often she deals with children and families at the ost di fi ult ti e of their lives. “Some of our patients require mechanical support for the heart to function (eg. Berlin Heart, Levotronix, Heartware). One of the major complications of mechanical support is the increased risk of stroke. This can have various levels of severity which impacts on the patient. So, as well as transplantation, they have neurologi al di fi ulties to overcome within their rehab. Some patients unfortunately despite all efforts deteriorate and pass away. This is parti ularly di fi ult hen ve worked with the patient so closely for a signifi ant a ount o ti e. “We have some of the sickest children on our cardiac unit facing an incredibly unpredictable time ahead of them. Seeing patients deteriorate over time, the effects of stroke and other o pli ations are di fi ult. s an T, can identify interventions that could help, however, these are not always possible as there are contradications for their cardiac function. I work with a great team of physiotherapists, Karen and Rachel, who understand and offer support within this unique role.” As of 20 October 2016, there are 22 children waiting desperately for a vital heart transplant. This line of work can’t stress enough the importance of signing up to be an organ donor. To register visit www.organdonation.nhs.uk.

-magazine.co.uk

28/10/2016 10:14

Is your Specialist Seating Fit for Purpose? Do you need Tilt in Space with Pressure Relief as Standard ? The HydroTilt Family of chairs is backed by Independent, ethical Clinical Trials. Giving confidence to HCP and Clinicians alike. The unique CareFlex design has been used in hospitals and the community for over two decades delivering pressure relief and comfort to patients. Much admired and envied by other manufacturers but still the best seating system to fight pressure damage before it happens.

CareFlex is the only specialist seating manufacturer supported by independent clinical evidence over many years. At CareFlex we have confidence and pride in our specialist seating and the positive changes we know it can have on people’s lives. We have always been open to the evaluation of our products to prove their clinical effectiveness. Since 1998 we have submitted our seating to be tested every eight to nine years to ensure we have the evidence to support our beliefs.

Built to last - a well thought out, effective design which is simple to use and adjust.

HydroTilt® Arrange a free, no-obligation assessment or product demonstration If you have any specific queries, contact our Clinical Specialist, Becca Dunstall enquiries@careflex.co.uk

0800 018 6440

www.careflex.co.uk

OUTSTANDING INNOVATION We’re developing new products and redesigning our best sellers with feedback from you and your clients. We’d love to hear what you think...

Visit stand G22 at The OT Show or contact us for a demonstration www.nrshealthcare.co.uk 0845 121 8111

Adverts_Iss13.indd 15

28/10/2016 12:50

Find me at stand C50!

Medequip is the market leading provider of community equipment services working with over 40 local authorities across the UK. Come and see us at STAND C50 at the OT Show 23rd - 24th November 2016 @ NEC Birmitngham

Manage At Home is your online Medequip retail store specialising in home care products such as mobility aids and assistive equipment. Our range of over 3,000 products are designed to promote independence at home and manage daily living more easily.

Freephone orderline: 0800 910 1864

Shop online at: www.manageathome.co.uk

a St

to launch new stabiliser at the OT show for its Supine Stabiliser, a leg support system that helps to stabilise the femora and pelvis when a person is in a supine lying position. The Supine Stabiliser also helps to keep an individual’s hips in a neutral position, slightly abducted to keep the hips in joint therefore increasing comfort levels.

Simple Stuﬀ Works will be launching their new Multi-Plane Stabiliser on stand A20 at The OT Show. As the leading manufacturer and supplier of night positioning systems in the UK, Simple Stuﬀ Works is renowned

and families.” Said John Goldsmith, designer at Simple Stuff Works. The Multi-Plane is available in three colours and 2 sizes. It’s multi-adjustable design means these two sizes will accommodate small children through to larger adults. “Here at Simple Stuff Works we are passionate about providing individuals with the best possible sleep positioning solutions to assist with protecting body shape and believe the The new Multi-Plane Stabiliser, new Multi-Plane Stabiliser will offer a level designed by John Goldsmith, of flexibility and dynamic leg support that provides the same levels of support has never before been available in the UK.” as the original stabiliser but the new design allows the legs to gently slope Commented Managing Director Anna Waugh. upwards towards the pommel and is multi adjustable, allowing for control of both Anna and the team will be on hand internal and external rotation. “We are all throughout the show to discuss sleep very proud of this innovation, it comes about positioning and demonstrate the range of through a constant process of improvement solutions available. On 23rd November, and respect for the feedback we receive 15.30-16.00 in the Showcase Theatre, from healthcare professionals, individuals Simple Stuff Works CEO Sarah Clayton

Visit our site www.simplestuffworks.co.uk

Adverts_Iss13.indd 16

will be giving a talk titled ‘Protecting body shape, Protecting quality of life’. Sarah wrote the first studies around the use of therapeutic positioning and has spent the past 20 years developing accredited training for families and healthcare professionals. Simple Stuff Works is an award winning organisation. The therapeutic positioning system won the British Healthcare Trade Association Independent Living Design Award in 2011 for its simplicity and ease of use. In the last 12 months Simple Stuff Works has gone on to win the British Healthcare Trades Association Best Established Product Award in 2015 and the Tamworth Business Awards 2015 for Manufacturer of the Year. For more information on the full range of therapeutic positioning solut ions and training available from Simple Stuff Works call

01827 307 870

28/10/2016 12:51

Simple

STUFF WORKS

New e-learning tool launched S imple Stuff Works, the UK’s leading manufacturer and supplier of therapeutic positioning systems and associated training, is delighted to announce the launch of its interactive e-learning package in therapeutic positioning. This revolutionary course has been developed in partnership with leading e-learning provider, The National Training Academy. The National Training Academy provides e-learning solutions to individuals and businesses of all sizes including: the social housing sector voluntary and community sector and the public and private sector. Recently commended by Staffordshire Chamber of Commerce in its science, technology and innovation category for 2016 business awards. Claire Arthur, Director of the National Training Academy commented: “We are committed to developing engaging, informative and accredited e-learning, across many areas. So we were delighted to work with Simple Stuff Works to develop an interactive e-learning course on postural care awareness. This will be launched under i Training olutions and you an ﬁnd more information at www.tnta.co.uk.” The course has been designed to support learners who are unable to attend training sessions during the day due to work or care commitments and as it is online it is open to anyone, anywhere. To allow users to integrate

the online course within their day-today activities, each user has up to 12 months to access the material available and complete the course. Sarah Clayton, CEO Simple Stuff Works commented: “Here at Simple Stuff Works we are passionate about the importance of postural care and therapeutic positioning. We are very excited about sharing our knowledge on a global platform,”

On signing up to the course, learners will have access to an extensive portfolio of training material that is available from Simple Stuff Works to support them to complete an a redited ualifi ation. The e learning overs si ey areas identifi ation of need, pain and consent, physical assessment, therapeutic positioning at night, achieving thermal comfort and the principles of using a postural care pathway. Within each section there are between one and three sessions which are followed by an assessment. To access the next section, the learner must achieve a minimum score of 75% in their assessment and prior to unlocking the next phase they are asked to o plete a learner file ith additional uestions. The learner file helps people to describe their experiences and no ledge in a ore e ible ay, the file is assessed by a trainer and learners will receive supportive feedback. Once a learner has completed the ourse and their learner file has been assessed as meeting the required standard, the Open College Network est idlands egion is notified. The Open College Network West Midlands Region is an external awarding body which provides quality assurance and

ertifi ation. ertifi ates are sent by recorded delivery direct to the learner. During every stage of the course, the learner has access to a trainer via email should they have any queries with regards to the course content or assessment. Simple Stuff Works has been working with the Open College Network West Midlands Region for over 10 years and during this time has developed a range o five nationally re ognised postural are ualifi ations. There are two course packages available. The full online course which comes with 12 months access to all training material costs £150 + VAT. For learners who have already attended training sessions and are looking to complete their learning, access to the assessment and accreditation can be purchased separately for £60 +VAT. Simple Stuff Works provides a comprehensive range of training delivered by independent physiotherapist, Tess Ellis. The training ranges from single informal sessions that are delivered free of charge, Train the Trainer courses which are held every three months and are also free o harge and finally easure ent of Body Symmetry which will be delivered twice in 2017 at a cost of £150 +VAT. For more information on the full range of therapeutic positioning solutions and training available from Simple Stuff Works call 01827 307 870, email admin@simplestuffworks.co.uk or visit www.simplestuffworks.co.uk.

www.

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-magazine.co.uk

28/10/2016 17:25

a fl exib

as up por tive sleep system

le sleep system

Sleep systems that are flexible and highly customisable to the needs of the child Sleep systems A child will spend roughly a third of their time sleeping. Sleep is the time when the body does its best ‘repair work’and it is vital for recuperation. A child has to sleep because it is essential to maintaining their levels of cognitive skills such as speech and memory Little dots - a supportive system for babies up to 12 months old

Examples of our sleep range

We recognise that every child is different which is why we have developed and designed systems that: • • • • • • • • • •

Maximise a child’s potential Promote postural integrity Encourage better sleep patterns Prevent postural deterioration Offer high levels of compliance Can be used for most conditions Improve positioning Give the carer respite Portable & easy to adjust Easy to wash & clean

Snooooooze - a flexible system for children and young adults.

Range of leg troughs

Variety of different Rolls

Call for your free assessment or product training Little dots system

www.smirthwaite.co.uk I 01626 835552 I info@smirthwaite.co.uk

Adverts_Iss13.indd 17

28/10/2016 12:53

Paediatrics SECTION T

his issue we look at the importance of engaging children in sport. Carlien and Jesse Parahi, an Australian husband and wife team talk to us about their new and innovative sport therapy â&#x20AC;&#x201C; Sense Rugby and its effect on children with varying degrees of disability.

Rob Laffan is a dedicated husband and father. He spoke to us about how he put his engineering expertise to use by pioneering an app that allows his non-verbal daughter to communicate with him. Director of Sherwood Therapy Services, Sheena Hardwick, explains and is offering advice to fellow OTs regarding young people under the Mental Capacity Act 2005. As always, we have a selection of the freshest and best childrenâ&#x20AC;&#x2122;s products and equipment on the market. We love hearing from you, so if you have any ideas for features, events or any products you feel deserve a mention, simply email us at lisa@2apublishing.co.uk.

www.

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-magazine.co.uk

28/10/2016 10:15

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The team

THE P E RF E CT M ATC H

Sense Rug by Whether it is driven by an extreme need to win, a leisurely past time, a way to feel part of a team, or even simply a desire to shred a few pounds or narrow your waistline, thereâ&#x20AC;&#x2122;s no denying that sport offers a range of eneďŹ ts From health to social, to physical and mental, the diverse and wonderful world of sport probably has a lace for ou or our client One OT that has recognised the power of sport is Australian paediatric occupational therapist Carlien Parahi, who found the perfect way to marry sport with OT, co-founding Sense Rugby with Rio 2016 Olympian and Glasgow 2014 Rugby Sevens edallist hus and esse arahi

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Carlien Parahi You set up the programme with your husband, can you talk me through how it all came about and to be? Sure! We still have a friendly debate sometimes about how it actually started! I’m a paediatric OT and my husband plays rugby for the Australian Sevens Team. For Jesse, he always felt that working with kids would be his ideal job and for a while we thought about him running rugby clinics for kids after he retires. Around the same time, I asked him to come into some of my sessions as I felt that some of the kids ould really benefit ro his in reased physicality. A few months later, we went to a local sevens tournament and met a family whose son with sperger s benefited signifi antly from being part of a rugby team. This started the conversation about the sensory and so ial benefits o rugby for kids and we haven’t looked back.

Can you talk our readers through why rugby is an ideal sport for OT – the sensory benefits and such? Rugby tends to have a bit of a bad reputation in the medical world. It’s associated with injuries seen to be quite dangerous, but not many people have actually stopped to think of the beneﬁts. esides the yriad o beneﬁts o tea sport, there are a e things about rugby that we as OTs may be more inclined to think about. 1. Rugby allows for appropriate physical contact. Physical contact and risk-taking is increasingly discouraged. OTs know the value of experiencing and exploring your body around objects and others

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in order to develop the body and spatial awareness that is so often missing. Rugby allows for that, without kids getting into trouble for it. 2. Rugby is an incredible mix of tactile, vestibular and proprioceptive input. In its natural form, it involves rolling on the grass, falling and getting back up, pushing, pulling, squeezing, running, jumping, diving, crashing, wrestling and so much more. You use excessive force but it also requires you to plan more controlled movements and put the two together. 3. Three words - projected action sequences. I had this great chat ith T Teresa ay enson hen she was in Sydney recently and it was great to see her passion for, not only rugby, but the motor planning it requires. When you pass a ball down the line in rugby, you have no choice but to develop your timing and planning skills. This is one of our kids’ biggest challenges, but also their greatest achievement. 4. It’s motivating and it has a shared purpose. For children who are usually hesitant with movement, it’s encouraging to see other kids safely tackle a tackle bag and fall without getting hurt. For kids who usually struggle with limits, it’s a safe and motivating way to practice the skill of motor control. 5. Social skills, including how to manage yourself when you lose, wait your turn, follow instructions and structured activity.

You run the service for young children, do you think the principals or process can be adapted to suit adults? or sure e ust need to ﬁnd so e extra time somewhere.

This year has been by far the craziest one of our lives! We got married, started Sense Rugby and Jesse went to the Olympics

What has it done for the kids involved? osh, ould find it hard to narro it do n as it s so broad. ur first group we ever ran helped a six-year-old boy with ASD who had never successfully engaged with his friends, play rugby with friends at school after a couple of sessions. Some are enjoying and playing sport su ess ully or the first time, sharing with friends more and others are finally oping ith being on the grass. Some have showed signifi ant i prove ents in their motor planning abilities and others are now happy to be in the same space with others without meltdowns. We have girls who realised that just because they don’t like craft or dance, it doesn’t mean that they can’t be part of a team or group. Also for us though, we have families who have a community to belong to and a new interest and can come and just relax because they know the other parents ‘get it’.

Do you think that sport and OT have a lot of similarities? In terms of things like roles, development or aims and objectives? Yes. Firstly, I think sport is an occupation that most kids are required to participate in at one point. It can be very challenging for some kids with signiﬁ ant e e ts on their onﬁden e. It’s very important that OTs help kids succeed in this occupation because the impact it has on social and physical success is monumental. In terms of objectives of sport at a young age, it aligns so well with our goals of helping kids successfully be part of the o unity. Tea or , e ibility, accepting another person’s strengths and weaknesses as well as your own is

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Paediatrics SECTION

Jesse Parahi

fundamental to most occupations.

Do you think enough OTs consider sport as an option for their clients – not even just for rehab purposes, but to provide support in the areas you specialise in? n y e perien e, have deﬁnitely seen some wonderful OTs recommend sport that ould be beneﬁ ial. thin we tend to focus on clinical settings or school settings because, perhaps, sometimes it’s easier logistically to reach our goals this way. There comes a time when a child needs to practice their skills in a community setting. In saying that, it’s not for everyone and some kids are simply not ready to be challenged on so many levels at the same time.

It’s celebrating its first birthday. How has the first year been and what’s in store next for Sense Rugby? This year has been by far the craziest one of our lives! We got married, started Sense Rugby and Jesse went to the Olympics after a code switch to and back from Rugby League! We are very fortunate to have a great team around us. The Australian Rugby Sevens family, our team of therapists and students as well as their families, have been so supportive of the programme. This has allowed us to grow from occasional school groups to running seven weekly groups in ﬁve lo ations. e t year, ere ai ing to add at least ten regular locations and grow our amazing team. We are also working on continuing to improve the programme in preparation for a research project midway through next year. ■

I’ve read that you wish you’d had these kinds of opportunities when you were young, how does it feel to be a part of this? ro ing up, ound it pretty di ﬁ ult to focus and learn. I didn’t have any particular diagnosis and awareness of the OT role in learning was pretty low. I assumed that studying wasn’t for me and I found rugby and sport to be the only things I was good at. As a result – that’s all I did! When I met Carlien and learnt more about the foundations to attention and sequencing, I couldn’t help but start thinking about my own experiences and the different ways there are to learn. Thinking back, I wish this sort of information was more readily available back then as eel really ould ve beneﬁted from it.

so. It’s pretty full on, but I try and get to every session I can. When I’m home, I usually lead the sessions. The kids tend to get pretty involved in tackling me at the end of the sessions so that’s always a highlight – for them! My wife jokes that I’m a stand-in OT as we talk about the OT side of the groups all the time. I have developed a pretty good understanding of sensory processing and oorti e te hi ues and do all the ourses an. ﬁnd it absolutely fascinating and love seeing it in action during the sessions.

You have had a career in rugby and are obviously now helping the next generation get involved. Do you think enough is done in sports, like rugby, to make it accessible To be able to now use what I have and inclusive enough achieved to make a difference is just for kids? incredible. It’s the most rewarding thing I’ve ever done. It’s also really great to be able to help raise the proﬁle and a areness o T in environments where it’s usually not considered. Of course, I also see my own OT to help me focus on the ﬁeld.

What is your role in the sessions and what do you think of the OT side of it? I still play rugby full time and travel around the world every year to do

I don’t think that there’s an inclusion issue as much as an understanding issue. I don’t think clubs are purposely exclusive, but I think there’s not enough training on how to make groups inclusive to kids who have different needs. I feel that most coaches just don’t know how to help kids be successful in some settings and as a result they may feel at a loss. We are working on helping clubs to understand how to integrate kids, which is great! ■

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Paediatrics SECTION

KIDS Product Focus

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

Zippie Voyage Prices from

£2195

Blending the experience of Baby Jogger™ with Zippie’s versatile seating system, the Zippie Voyage is an easyto-use, super-stylish and incredibly lightweight early intervention stroller with no compromise on comfort, clinical need or practicality. A highly adjustable seating system is comfortable and clinically supportive and grows with your baby - right through to their school years. Front and rear facing positions are both achievable and the seat can also be removed and the lightweight frame simply folded, thanks to the patented quick-fold technology for ease of storing in a car boot. The tilt and recline adjustment helps to improve positioning and assists with feeding, digestion and respiratory function. Available in a choice of four stylish colours, with large under-seat storage for belongings or to store essential equipment and with a choice of extras, the Zippie Voyage really is the perfect blend of style and functionality. Sunrise Medical, 0845 605 6688 www.sunrisemedical.co.uk/voyage-ot

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Paediatrics SECTION

Rebound rooms for schools Sunken Trampolines have extensive experience of providing in-ground trampolines for schools across the UK and have recently launched a consultancy service working with schools to design and build rebound rooms.

Klearside BaKare Beds have collaborated with parents, therapist and children to design beds that are both functional and aesthetically pleasing. Their range of Klearside® beds focuses on prote tion, o ort and visibility. The beneﬁts of this range are: • Transparent sides so that both the parents and the child have increased visibility • Tough vinyl bump covers to enhance safety and protection against involuntary movement

They have recently been engaged by Caerphilly County Council in the development of a new Rebound Therapy room for Trinity Fields School in Ystrad Menach. If you know of a school or organisation interested in having a rebound room, contact either Joel or Angus.

Sunken Trampolines, 07801 573 278 (Joel) or 07765 256 537 (Angus) www.sunkentrampolines.co.uk

BaKare Beds understand the importance of a bed that works with the child’s condition but also gives the parent peace of mind. For maximum comfort all of their Klearside® range eature our se tion proﬁling ith anti-mattress compression.

Bakare Beds, 01752 512222 www.bakare.co.uk

PRICES AVAILABLE ON REQUEST

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Paediatrics SECTION

EazyHold EazyHold is a soft silicone grip assist for children and adults ho have di ﬁ ulty holding ob e ts due to ea or no grip. ts hygieni , ashable at high te peratures and super adaptable to a wide variety of utensils, grooming aids, writing i ple ents, usi al instru ents, obility aids, sporting equipment and toys! It’s the only universal u that ﬁts even the tiniest o hands easily with immediate and pro ound results and is enabling hildren o all ages to hold ob e ts easily and effortlessly for more independence and fun. The product is ro an eri an o pany but they do offer international shipping.

PRICES AVAILABLE ON REQUEST

www.eazyhold.com

Easy Easel This double sided ga es easel is a great game for wheelchair users and those who have a visual impairment. The easel is oor standing and has sna es and ladders on one side and noughts and crosses on the reverse. Its magnetic counters are easy to grasp and it olds at or easy storage.

NRS Healthcare 0345 121 8111 www.nrshealthcare.co.uk Prices from

£105.95 More products on next page

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Paediatrics SECTION

Safety Sleeper Safety Sleeper, designed nine years ago by Rose Morris, was born out of the need for a safe and protective space for her autistic son, Abram. It offers a cocooned environment allowing Mum time for basics like showering, cooking and sleep at night. Kids can now retreat into their own comfortable space for sleep and play, providing them with security and calm. Safety Sleeper is extremely durable, portable, is supplied in its own suitcase and assembles in minutes. It provides the possibility of overnights to grandparents, friends, as well as foreign travel. A child’s usual bed can now also give you the very same security and peace of mind away from your home.

Prices from

£2995

Murrays Medical 028 91 877 951 www.thesafetysleeper.co.uk

PRICES AVAILABLE ON REQUEST

Nimbus Blatchford’s passion for posture and expert knowledge has been poured into Nimbus to create a unique, fully-adjustable and attractive seat that optimally manages posture for children aged from four years through to adulthood. The Nimbus seat combines safety, quality and e ibility ith a ide range o a essories and colour options so it can easily be tailored to meet clinical requirements. The Nimbus seat is modular in design allo ing ui and easy onﬁguration and interfaces to a wide selection of indoor and outdoor mobility bases. At Blatchford, they believe in seeing the patient, not the seat. Nimbus achieves this with a minimal design providing safety and support in all the right places without dominating.

Blatchford 0114 263 7900 www.blatchford.co.uk

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RAZ

The stainless steel, height adjustable modular shower chair RAZ shower chairs feature self and attendant propelled models suitable for users with differing ranges of mobility. The RAZ offers up to 40° of tilt-in-space for those in need of more specific support Tilt-in-space Assists with positioning and safety Adjustable seat depth Ensures aperture is located correctly Moulded seat Provides stability for the pelvis Flip-up arm rests For excellent access Tension adjustable backrest Accommodates and supports the spine

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Paediatrics SECTION

Tippy

Talk

eing a parent of a child with special needs is one of the hardest, yet ost fulﬁlling o s you can have.

A job, although trying and testing at times, you wouldn’t trade for the world. However, when your child is non-verbal the days can be a little more challenging trying to meet your child’s needs and wants. But if you are a robotic engineer, you’re not going to let that stop you. One such parent and robotic engineer is Rob Laffan. The 39-year-old from Limerick is the founder of TippyTalk. TippyTalk is an app that is still in its infancy but now 60

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Tippy Talk creator Rob Laffan & his daughter Sadie now communicate much clearer thanks to the app.

being used around the globe to help parents of non-verbal children address how their child is feeling, what they want and what they need. Rob’s adorable daughter, sixyear-old Sadie, who is nonverbal, was diagnosed with autism spectrum disorder when she was two. But, not su ﬁ ing or guess or communication and having the technological know-how, he decided to do something about it. Rob said: “I saw the way that Sadie viewed the world visually and communicated by using pictures. I was studying Robotic engineering at Limerick Institute of Technology at the time and decided to create a device that would allow Sadie to select images

on a touch screen that was designed for industrial purposes and translate the selected image into a readable text message that could be sent to my phone or my wife’s phone. “TippyTalk was originally a device created on industrial robotic hardware, but it was very expensive, just over €5000. To me as a special needs parent, it wasn’t an option to ask others to pay. The cheapest and best way to deliver TippyTalk to the a ilies that ould beneﬁt was to take the original concept and deliver it in app form.

“Sadie spent about a day or two sending random meaningless messages hen she as first introduced to the TippyTalk device I created. On day two or three she sent e her very first valid communication requesting some chicken nuggets when I was at the other side of my home city. Needless to say that was the moment I knew I had more than just a communication aid for my daughter but I also realised I had a social responsibility to try to carry this concept and idea to others who could benefit ro it.

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“It has improved my life by being able to understand her exact desires, wants and needs and to actually get to know her little personality. Tippy Talk Creator, Rob Laffan

“Sadie mainly uses TippyTalk to request food, drinks, trips to the park, shopping and particular activities like drawing or trampoline time, etc. She also uses TippyTalk to express emotion. I often get messages that say “Daddy, I feel happy” or “Daddy, I feel sad”. Sadie also tells me if she is in pain or discomfort. From time to time I get messages saying “Daddy, my head hurts” or “Daddy, my belly is sick”.

guessing game anymore. Because of the reduced frustration she tends to have fewer meltdowns that are associated with her autism.

“It has improved my life by being able to understand her exact desires, wants and needs and to actually get to know her little personality. Just because she can’t speak it doesn’t mean she hasn’t got anything to say. My girl is a little chatterbox thanks to TippyTalk. Sadie doesn’t get as frustrated because of communication breakdown anymore, she can send an instant message and I can respond instantly to the request, there is no

“I was fortunate enough to win two prestigious national student awards in 2015 while still at college: Enterprise Ireland Student Entrepreneur of the Year 2015 and Engineers Ireland Innovative Student Engineer of the Year 2015.

in e ﬁnished ollege last year, I have worked day and night to get TippyTalk off the ground, turning down some fabulous career opportunities. If TippyTalk can give just one more person the same joy it gives me, it will all have been worth it.

“These two awards carried a €12,000 prize fund which allowed me to get the ball rolling. Along with my own personal savings thrown into the mix. Since the start of the year, I have had

years who are residents in care homes.

both an Irish and American investor see the value in what the app can deliver to people and have helped bring TippyTalk to the masses. “When I get mail from a parent thanking me because their son or daughter was able to say “I love you” or the ﬁrst ti e or even request a drink of water, money can’t buy the feeling it gives. “Approximately 5000 people activated the 30-day free trial since last month and it is now available in 31 different countries on Android, iPhone and iPad. TippyTalk can help anyone ho has di ﬁ ulty spea ing for whatever reason, we have had success from a multitude of different areas like stroke, brain injury, autism to name but a few. We have had success from users as young as three years old all the way up to individuals in their twilight

“We have had lots of feedback from families of TippyTalkers. One case in particular is of a young man called Jamie who lives in the UK. He is 20 years old and non-verbal. Jamie uses TippyTalk to text his mum about his emotions and his dad to request his dinner choice for the evening while he is studying at college. “It’s my drive, mission and passion to get this into the hands of those that could beneﬁt ro it ost, to give back the same joy I experience every day being able to understand my girl’s desires, wants, needs and feelings.” ■

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Visit www.tippy-talk. com to watch tutorials on how the app works. To download the 30-day free trial visit your app store.

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Paediatrics SECTION

Sheena Hardwick Sheena Hardwick has over 20 years’ experience as an occupational therapist working with children and young people. She is Director of Sherwood Therapy Services and provides direct intervention, case management services and expert evidence to the court on care and occupational therapy issues.

Making Choices S

upporting young people with disabilities to make decisions under the framework of the Mental Capacity Act (MCA).

Here, Sheena offers guidance to fellow occupational therapists who are striving to fully understand and implement the principles under the Mental Capacity Act (MCA) 2005.

The MCA says: “A person lacks capacity in relation to matter if at the material time he is unable to make a decision for himself in relation to the matter because of an impairment of, or a disturbance in the functioning of the mind or brain.”

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C y Â?Â? Â? Â?n Đžs? WÂt Â&#x20AC; Â? beÂ&#x192; Â&#x201E; ĘŚ?

Is t Đž?

I f d Đž?

W I e s?

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PRINCIPLES

Are you making all the right choices? By Sheena Hardwick

s an occupational therapist working with children and young people I was aware that when the Mental Capacity Act came into effect in October 2007 my practice did not change. Despite some training, I did not really understand what was required of me to empower the young people I worked with to make their own decisions and what to do if they were unable to. I thought I understood the terms ‘capacity’ and ‘best interests’, but in practice I did not. I did not fully understand when not to refer to parents for decisions or what to do hen there as a on i t. There were two subsequent incidences involving young people I was working with that made me feel helpful. I realised that I needed to learn more about the Act and I think these will be familiar to many OTs working with this group (I have anonymised these examples, but the salient points remain): The first e a ple involved year old oe ho had severe learning di fi ulties and was moving out of the family home. His parents wanted him to live near to them in a care home which was walking distance from their house. However, this care home provided care to people who were much older than Joe (as old as his grandparents) and had very different needs. Another living option had been identified hi h would allow Joe to be with his peers

but it as inutes ro the a ily home. Joe was moved into the care home near his parents. The ne t e a ple involved year old Ben who had cerebral palsy and oderate learning di ﬁ ulties. e also had challenging behaviour. The family had dogs and Ben and his dad loved to walk the dogs every day in the woods. Ben had a manual wheelchair but he was getting too big to push in the woods. I recommended an all-terrain outdoor wheelchair but was turned down on the basis that Ben should not be left in charge of a wheelchair as he “might run someone over”. Ben did not get this wheelchair and stopped going out with his dad. It turned out my experiences were commonplace as the House of Lords Scrutiny on the Mental Health Act, April ound The t as a very signiﬁ ant and progressive piece of legislation, with the potential to transform lives… It provides empowerment for those who may lack capacity; a structure for decision-making for those who lack capacity; and protection for carers, families and professionals. However, the evidence was that the Act was not well implemented…” The Government’s response (June This is not tolerable and e are determined to put this right… the prize is great; a society where those who lack capacity are treated in the same way and enjoy the same rights as those who do not.” This article aims to provide guidance to occupational therapists supporting young people to make decisions under the framework of the Mental Capacity Act and case law.

he Act has ﬁ e rinci les and it is really important that all of these are understood and embedded in your practice.

This means that you have to assume the person you are working with (if they are aged years or over has apa ity to make decisions. If you have any doubts, the onus is on you to demonstrate lack of capacity, not on the individual to prove it. Beware! This principle is widely misunderstood and can sometimes be used as an excuse to support a ‘nonintervention’, putting a vulnerable person at risk.

Support to make their own decisions

This means that you need to support the person to make a decision by communicating it in a way they can u n d e r s t a n d . T h i n k a b o u t h ow to communicate most effectively, the environment, key people. Be careful you or others don’t try to influence them unduly. Beware! This principle is not well embedded and usually this is down to time pressures.

Unwise decisions

It’s perfectly OK to make unwise decisions as long as you are able to understand the information and weigh it up and communicate this. Beware! This principle demands that you are ‘detached and focused’ to avoid what is known as the ‘protection imperative’.

Continued on next page

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PRINCIPLES

BIG

questions

Continued... 4

Best interests

Best interest decisions are decisions made on behalf of a person who does not have capacity to make the decision in question at the time they need to make it.

What does the Mental Capacity Act 2005 (MCA) do?

What is meant by ‘capacity’?

Beware! The evidence-based approach required by the MCA necessitates the need to have an objective record should your decision or decision-making processes later be challenged.

Less restrictive option

A ‘best interests’ decision needs to be the least restrictive one. However, if you follow the checklist above and the best decision you arrive at is more restrictive than one that could be made, this will usually trump the less restrictive principle.

References • • •

• •

• • • • • • • •

Richards, S., & Mughal, A. F. (2009). Working with the mental capacity act 2005. North Waltham: Matrix Training Associates. Great Britain. Dept. of Health. (2008). Code of practice: Mental health act 1983: Published pursuant to section 118 of the act. (). London: TSO (The tati ner fice Great Britain. Ministry of Justice. (2008). Mental capacity act 2005: Deprivation of liberty safeguards: Code of practice to supplement the main mental capacity act 2005 code of practice: Issued by the lord chancellor on 26 august 2008 in accordance with sections 42 and 43 of the act. (). London: TSO (The tati ner fice https://www.supremecourt.uk/decided-cases/docs/UKSC_2012_0068_ Judgment.pdf Article 5 of the human Martin J. R. Curtice, & Sandford, J. J. (2009). Article 8 of the human rights act 1998: A review of case law related to forensic psychiatry and prisoners in the United Kingdom. Journal of the American Academy of Psychiatry and the Law Online, 37(2), 232-238. Curtice, M., & Crocombe, J. (2011). Article 8 of the human rights act 1998 and intellectual disability. Advances in Psychiatric Treatment, 17(4), 292-300. doi:10.1192/apt.bp.109.007682 Read, J., Clements, L. J., & Ruebain, D. (2006). Disabled children and the law: Research and good practice. London: Jessica Kingsley. http://www.39essex.com/cop_cases/k-v-lbx-and-others/ Jones, R. M. (2012). Mental capacity act manual. London: Sweet & Maxwell. Jones, R. (2014). Capacity and Autonomy. Basingstoke, England: Palgrave Macmillan Northamptonshire Healthcare NHS Foundation Trust v ML (2014) EWCOP 2, (2014) MHLO 31 Hoffman, D., & Rowe, J. (2013). Human rights in the UK: An introduction to the human rights act 1998. Harlow, England: Pearson. Steiner, H. J. (1990). Book reviews and notes: International human rights (in a nutshell). Washington: American Society of International Law

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The Act’s starting point is to onﬁr in legislation that it should be assumed that an adult (aged 16 or over) has full legal capacity to make decisions for themselves (the right to autonomy) unless it can be shown that they lack capacity to make decisions for themselves at the time the decision needs to be made.” Department for Constitutional Affairs, 2007; 15, para 1.2

• Alternative words suggested by a thesaurus: ability, competence, faculty, power. • Part 1 of the Mental Capacity Act 2005 makes it clear that capacity refers to the legal power and ability to make any kind of decision, including unwise decisions. • Capacity in law refers to accountability – the extent to which an individual is responsible for, and can be obliged to answer for their actions and decision-making rights. To be accountable, an individual is assumed to have a ‘sound mind’ and an understanding of the nature and consequences of their actions.

-magazine.co.uk

28/10/2016 10:21

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28/10/2016 12:55

Hot TOPIC

Doll

THERAPY T

housands of children have found comfort in a baby doll for hundreds of years as they cradle it in their arms and let their imaginations take them to a world where they are the care giver. But could something as simple as a dolly provide that same comfort and ‘escapism’ for the older generation? Here, NHS Lothian Occupational Therapist Fiona Robertson discusses her experience with the controversies around the intervention that is often described as infantilization, and why she thinks it presents such a split opinion amongst OTs: “I am a fan of doll therapy, but only when it is utilised in a sensitive and careful way by someone that has been trained in same. Doll therapy is a specialist intervention like any other and is therefore not suitable for everyone. “As it is not suitable for everyone, there are both dangers and beneﬁts to it. “The dangers that I see are as follows: this intervention looks very easy to implement, and as such there is a high

potential for it to be utilised inappropriately by untrained staff causing potential distress to the individual. o ever, the beneﬁts that I have seen have been in the context of a complex care unit for men in the latter stages of their illness. Within this context, doll therapy (used in an evening session) helped reduce the effect of sundowning in the men who engaged with it. It provided a connection and positive exchange between therapist and participant through the doll. It has helped a man who used to pace the ward and swear constantly to stop and sit down holding the doll, cuddling it and talking gently to it. “The reasons for this may be the following: • The doll is a tangible object. • There is a strong sensory aspect - textures of clothing, hair etc.

can also help loved ones reconnect with a part of the person that they perhaps no longer witness on a day to day basis. • The timing - Many of these men only saw their children as infants at bedtime as they were out at work all day. • No right and wrong -A failsafe activity if sensitively implemented. I think that the reasons are multifaceted as to why doll therapy is so polarizing. Those that do not like it may have witnessed it being poorly implemented, or may not have been given to opportunity to fully understand the reasons why it might suit their loved one.

re-engagement with roles previously lost and takes skill and sensitivity to do it appropriately, and I would be onﬁdent in using doll therapy. If you have any thoughts or experiences with doll therapy and would like to have your thoughts heard, get in touch with colette@2apublishing.co.uk or ﬁnd us on Twitter @ot_magazine.

It has taken off with OTs as it is an intervention that can utilise sensory work, reminiscence therapy,

• Providing a link to previously meaningful roles e.g. father/brother/ grandfather. • Provides a prop through which the facilitator can connect with the individual. • One does not need any verbal skills to communicate with the doll. We don’t need words to ‘speak’ to a baby. • Instinct to nurture - This

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-magazine.co.uk

28/10/2016 17:28

Autumn UK go national with Advantage option door For almost 28 years, Autumn UK (Fabricon Group) have manufactured and branded shower doors, screens and cubicles for a number of leading distributors. Our focus is producing high-quality products which are innovative, modern and stylish making people’s homes more enjoyable and usable. Courtesy of Autumn UK’s now direct to market status, Autumn UK are delighted to relaunch the “Advantage option”: a design feature which utilises a small paddle that the client depresses to lift the doors away from the floor thus removing all drag. It helps those clients who experience difficulty opening traditional shower screens and is a simple free of charge upgrade which can be fitted to Autumn UK’s folding and sliding door ranges. Autumn UK’s National Sales and Marketing Manager Damien McKeaveney outlined the benefits of this development to specifiers and contractors alike:- “We see this development as a real positive for many people and it reflects Autumn UK’s aspiration to engage more directly with contractors and specifiers to ensure the products we manufacture continue to meet and exceed expectations. It also dovetails well with both our soon to be launched CPD Progamme to explore ways in which a flexible approach to adaptations can be considered to keep people independent. For further information call Autumn UK on 0161 331 3000 or email karina.torolova@autumnuk.co.uk.

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28/10/2016 17:30

App &

WALL PLANNER

Download THE APP

t The OT Magazine we are always looking for new ways to develop your favourite occupational therapy magazine. Out every two months, the app features all the latest products, in-depth features, industry news, personal profiles and up-to-date information on events and exhibitions that you find in the magazine but you can download it to your mobile phone or tablet to read on the go. The app is available free of charge and can be downloaded now and read at your leisure.

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Pick up your free copy... The OT Magazine is always striving to make sure readers are kept up-to-date and in-the-know with every aspect of the occupational therapy sector. We are now pleased to bring you The OT Magazine 2017 wall planner! The wall planner features a large a n n u a l c a l e n d a r, i n c l u d i n g eve r y relevant, innovative and impor tant event or show that would be beneficial for occupational therapists. Now you will never forget the next CPD event or networking opportunity available to you. Copies will be sent out along with the Jan/Feb 2017 issue to all of our subscribers as well as distributed at the OT Show.

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-magazine.co.uk

28/10/2016 16:03

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28/10/2016 10:22

Sleep

PATTERN

EVOLUTION OF SLEEP

here has been unanimous evidence for quite some time now that people should look at trying to achieve at least eight hours of sleep per night. It is proven that sleeping for this length of time has significant benefits to both mind and body. However, perhaps what is less well documented is the fact that we have evolved from two block chunk sleeping periods. In fact, it often comes as a shock to many that the block eight hour sleeping pattern that we have become accustomed to is a relatively new concept. The truth is that sleep is an essential part of health. It helps us to learn new things more easily and lower our risk of developing mental health conditions such as stress and anxiety. Sleeping well literally enables us to lead better quality and healthier lives. Having said this, do you ever wake up in the night feeling tired or experiencing broken sleep? The answer for a peaceful night’s sleep could lie within changing your sleeping pattern. An independent OT for HSL Chairs comments: “It is important to note that everyone is different. Some will have a high intake of caffeine and get a rush of energy where others won’t. Similarly, someone else may well be fitted to the block eight hour sleep and others will naturally lean towards the two four-hour sleep patterns”. All of these sleep patterns are in some way linked to evolution

and history. In fact, history holds valuable insights with regards to sleeping habits. Previously, it was very common for people to sleep in two four-hour blocks, separated by a period of wakefulness for around two hours. During this time many people would do very normal things such as reading, praying or talking. However, others would get up and be far more active, engaging in activities such as doing household chores or visiting the neighbours. This first sleep, considered to be the deep sleep, and the second o r ‘m o r n i n g sleep’ is well documented in historical literature such as l e g a l depositions and other official papers. As the 19th century progressed the language changed and mentions of segmented sleeping patterns began to diminish. But what changed the way in which we historically slept? Thomas Edison. More spe iﬁ ally, his invention o the light bulb. The advent of street lighting and later indoor lighting ultimately changed the way in which people slept. Two sleeps were eventually considered a waste of time as night t i m e b ec a m e a p e r i o d for socialising or work. Shortly after the turn of the 20th century, the idea of two sleeps had virtually vanished from common knowledge.

ancient history now but the tendency to move towards it still very much linger in modern society. Some believe that there is an innate tendency and even a preference towards two sleeps that prevails. This was confirmed in the early 90s when Thomas Wehr, a psychiatrist of the National Institute of Mental Health underwent a study on exposure to light and its effect on sleeping patterns. In his study, the days of mid-winter were replicated, with shorter daylight and long nights. The fifteen par ticipants in the test, rather than stay awake for the usual sixteen hours, fell asleep after only . t ﬁrst, those in the study would sleep for long periods of time, most likely restoring the sleep debt that is all too common in modern society.

study slept for more than eight hours. Far from the restless tossing and turning that many of us experience in the middle of the night, the few hours of wakefulness were underpinned by feelings of calmness. It was reported that the individuals did not worry about falling back asleep, instead using the time to relax. Therefore when many experience waking up in the night, it shouldn’t always be a cause for concern. In fact, it may amount to a very natural experience or a throwback to our bi-modal sleeping state. Instead, these people should try and relax and not think about the need to get back to sleep. Of course, this is made harder in today’s society in an environment full of light. Indeed, today’s age has ade it ore di ﬁ ult not to worry about sleep because of our lifestyles and this is one reason why people should onsider the beneﬁts of napping.

H o w ev e r, o n ce t h e participants caught up on their sleep, something quite incredible happened. They began to have two block sleeps. Over a period of 12 hours, initially the participants would s l eep for around four hours, have wakefulness of around three hours and spend a fur ther four h o u r s a s l ee p until morning. No one in the

The idea of two sleeps in one night might be

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You can check out the blog on HSL Chairs’ website for the perfect formula for napping, visit www.hslchairs.com/blog.

-magazine.co.uk

28/10/2016 16:06

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Revitalising respite holidays for disabled people and carers Regular respite is an integral part of any occupational therapy package. With our unique blend of attentive care and the support of volunteers on top of an exciting range of activities, excursions and entertainments, Revitalise gives your clients a break that feels like a real holiday.

Book a break Volunteer Support us Visit revitalise.org.uk Call 0303 303 0145 (quote OTW16) Email bookings@revitalise.org.uk Registered charity number 295072

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28/10/2016 12:56

Some me

TIME

his article is mostly about self-care and the importance of looking after ourselves as OTs, but the thing about this is it goes much deeper than just taking a lunch break every day and doing some yoga (mind you, if you are able to do those two great things, you are doing pretty well!).

Taking a little

me time By Jen Gash

Self-care looks very different for us all and the opposite of self-care looks very different too. Before I bang on about eating well, having space for yourself and achieving this enigma called ‘work/life balance’, I think we need to look at what drives OTs and what things we, as a group, sometimes struggle with more than others. Some of you might know the story behind OTCoach, but if you don’t, here is a one sentence version. veryone on y first oa h training was busy choosing their niche (aka who to work with as a coach) and I immediately decided to work with OTs as I had seen so many great OTs struggle ith la o onfiden e and burnout. OK, I am going to have to go a little further than that one sentence. Early in my OT career I had witnessed several colleagues have extended periods off work due to stress and had myself succumbed to this twice ithin the first five years o my OT life. I also knew some completely amazing, highly s illed, highly ualified Ts who were still racked with a la o onfiden e. aybe it’s because I work with OTs and see this a lot, especially the confidence problems, but I really don’t see it in other professional groups in the same way. Google

‘Imposter Syndrome’ if you are interested. These two issues are intrinsically linked and seem to be par t of a p a t te r n t h a t s ee s o u r natural strengths as OTs and human beings working against us. Bear with me on this and please understand that there is so much we could look at here – these are just a few things I see from my window on the OT world.

Empathy & sensitivity As a group, I see high levels of empathy, emotional intelligence and sensitivity in the OTs I work with. Some experience it as intuition (you know that thing we can’t talk about), some connect very deeply with their clients and I have met very few OTs who don’t use themselves therapeutically at work. It’s pretty crucial in our work and indeed a strength, but it can also lay us open to poor boundaries, taking problems home with us, feeling/being hur t by others and being used as the o ﬁ e ounsellor.

Perfectionism y goodness, e are so good at our jobs and there are many reasons for this.

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-magazine.co.uk

28/10/2016 10:23

Some me

TIME

Beyond our unique and all-embracing training, OTs do things to a very high standard; we write notes, very good notes usually and very good reports, often leaving no stone unturned; we CPD ourselves often to within an inch of our lives; we do so much for our clients – often above and beyond what is expected a n d we a r e i n te r e s te d in stuff and keen to be involved. However, this perfectionism can lead us to overwork, taking on more than we should and working too hard on things that perhaps don’t need to be perfect.

The problem solver and 'go-to’ person: Yes, that’s you I’m talking to – the one in the team that knows where to find out information, who to speak to and how to get things sorted. We solve difficult p r o b l e m s , l i ke g e t t i n g someone home when there is not a standard piece of equipment or a nightmare housing situation. Give me an OT and I know it will get done. I know that all sounds like I adore OTs and that’s because I do, but these fabulous qualities all have their flip sides and often result in us overworking, getting stressed and burning out. In some people too, when it’s coupled with a deep seated feeling of “I’m not good enough”, we try to overcome this by doing another course, working harder on that report or just worry all the time that something will go wrong. Self-care requires us to create a little bit of quiet - an internal space, as well as the external ones for the all-important yoga, pottery or choir. This internal space starts with us starting to say to ourselves “I am good enough and I am doing the best I can right now”. 76

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It requires us to shift our perception of the world enough to say “oh, perhaps everyone struggles with this, maybe it’s not just me” or “perhaps life won’t fall apart if I am a little less perfect” or “perhaps I won’t miss out if I don’t do this course/ meeting/help at school”. If we let go of the stranglehold that perfectionism and selfdoubt have over us, we can be a little kinder to ourselves – without this, true self-care is pretty di ﬁ ult. es, e an look after our physical body, but it’s our other parts, that self-care needs to reach. Before we finish, I would also like to say that self-care activities come in many shapes and sizes. I find my well-being soars when I watch comedy, especially live stand-up. I’m also a fan of dancing around the lounge to Abba - it only takes 10 minutes rather than an hour of Lycra® hell. I also need more sleep than most, so basics are important too. If you get stuck, I am an advocate for this profession called occupational therapy. They have this amazing way of looking at people which can really help us in our own desire to keep well, happy and engaged in a meaningful life. ■ You can contact Jen Gash on jen@otcoach.com or visit www.otcoach. com and sign up for regular bursts of OT inspiration. Check out Jen’s recently published book, “Coaching Creativity – transforming your practice” www.routledge.com/ Coaching-CreativityTransforming-yourpractice/Gash/p/ book/ 9781138960800 Use code FLR40 for a discount!

-magazine.co.uk

28/10/2016 16:07

scallop Providing stability without preventing movement Available at www.Also4Me.com Danish design | Innovation | Quality

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Horsing around rmed with the help of the Big Lottery Fund, over 150 volunteers, 11 members of staff, new accessible toilets and changing facilities, a new learning and therapy room, accessible residential holidays, 24 specially trained ponies and horses, and one mechanical horse, Clwyd Special Riding Ce n t r e i s s p o r t i n g s o m e serious horsepower in taking strides towards becoming one of the UK’s most accessible equestrian centres.

The centre which has already attracted the attention of the likes of Clare Balding, is launching its new Project C E LT ( Ce n t r e f o r E q u i n e

Learning and Therapy) as t h ey w a t c h t h e i r “ d r e a m become reality”.

The centre provides courses in riding, equestrian vaulting, carriage driving, show jumping and hippotherapy, a therapeutic and rehabilitative treatment which improves co-ordination, balance, strength and functionality for children with cerebral palsy or learning, sensory and physical disabilities, carried out by the centre staff and Equine Therapy Coach Casey McDougall. Centre manager Sorrel Taylor believes that the use of the trusty herd in therapy is

invaluable, as its popularity grows at a canter. “ Without the horses, we would not have a centre, and we definitely would not be able to carry out any form of therapeutic session, whether it was on horseback or with the horses on the ground,” she said. “Horses are magical and emotional animals that give us such honest feedback, and give such a refreshing outlook on whatever situation we may be in. Not only that, they lend themselves to being the topic of discussion to help break the ice if it’s needed with attendees w h o a r e a p p r e h e n s i ve to start with.

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-magazine.co.uk

28/10/2016 10:24

Horsing

AROUND

ippotherapy is e tre ely beneﬁ ial for all the riders that take part, but it is also ainly o used on young hildren under the age o ive, so there ore helps to target us les they are unable to otherwise use when al ing, sitting or standing. dditionally, the entre is no providing a ne sensory and learning T roo , o ering urther a essibility and support to those who want to enjoy the entre o ortably and ith pea e o ind. “ T h e C E LT r o o m i s a g r e a t a d d i t i o n to the entre. t has a very onvenient little por h area or people to either dry o hen o ing out o the rain, or si ply to have somewhere dry and out of the way to par their heel hair. al ing into the lovely light and inviting roo gives a sense o spa e and you an t help but bring your attention to the added e ber o our herd, hi h is the big bla e hani al horse at the ar end o the roo . e have height ad ustable tables and hairs, along ith a height ad ustable sin . state o the art s artboard fills the wall at the other end of the roo , hi h our uine earning oa h re uently uses. n the any upboards and dra ers that are in the roo , e have various sensory toys and aids that are brought out in sessions hen needed. 80

79-80_RidingTherapy.indd 80

“The purpose for the rooms was not only to have our e hani al horse, but also to allo or a uiet and sa e environ ent or attendees to eel o ortable in. t s a great user riendly roo , ith total a ess or all to use, that helps to bring variety to the sessions. ut

a ing the drea a reality did not happen overnight.

aving the right tea and unds is pivotal in any venture as spe i i and ambitious as this one, and ith a tea o over volunteers and members of staff, the energy and passion is there but ﬁnding per ee to help run the a ility is a harder hurdle to over o e. ith the help o the ig ottery und and endorsements from the likes of horse lover lare alding, it relies heavily on undraising, eaning a great deal o or goes into eeping the entre open or business, but the hallenge does not hange their priority. orrel said is in lusive to all persons ith all areas ully a essible. nsuring that ro e t T as built to be ully a essible as a priority. unding the hanging la es a ility as an essential part o the develop ents at . ossibly the ost i portant aspe t o the pro e t is a essibility or all.

ten a essibility is too ui ly asso iated ith a essible a ilities or those ith physi al disabilities, but l yd goes the e tra ile. The entre also a es sure that servi es are available or those ho need other alternatives, re ognising that even i a person anting to ride is able bodied, they ay also need additional support or alternative ays to get involved. The hole idea behind ro e t T as to be o e totally a essible to everyone and anyone ith ultiple and o ple needs, hether that be physi ally or entally. “It is easy to look at someone and thin that there is nothing rong ith the i they loo ﬁne physi ally. o ever you annot no everybody, and annot no everybody s story. o ething e ta e seriously in T is treating ea h individual as an individual and atering to their personal needs. There is no te plate for our sessions and that is why we are able to have le ibility ithin sessions and therefore we are always re e bering to loo or hat e a tly ea h beneﬁ iary needs. ■

If you would like to hear more about hippotherapy or Clwyd Special Riding entre ou can ﬁnd the on clwydspecialridingcentre.co.uk.

aga ine. o.u

28/10/2016 10:24

Delivered by Occupational Therapists for Occupational Therapists

23rd and 24th Nov 2016 NEC Birmingham theotshow.com

Where you can:  Access over 60 hours of free CPD  Learn from world-class speakers and experts in their field  Network with thousands of colleagues and peers  Get practical advice and share best practice

 Update knowledge across all therapy areas  Research and source new products and services  Hear industry and regulation updates  Have fun. Be inspired

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At our five star, fully accessible residential centre on the edge of Exmoor National Park all activities and facilities are specifically designed and equipped to cater for everyone. Stay with us for a few days, a week, or just for the day; however long you’re here you’ll discover it's what you CAN do that Counts!

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28/10/2016 16:46

Get your message across Eﬀective communication methods for Housing OTs By Marney Walker

Independent OT specialising in design of housing for older people

l l to o ofte n w h e n reviewing a completed a d a p t a t i o n , O Ts a r e dis a ed to find that their recommendations have not been implemented. Whether an adaptation or new build, once work is co leted it is difficult and costly to change. I t ’s n o t j u s t a b o u t m a k i n g recommendations, it’s about being able to explain why they are needed. As advocates for our clients, how can we be more effective in getting our message across? OTs are rarely in direct contact with the person ho is fitting the rail, installing the shower, building the housing. By the time of installation, will the builder

understand the impact of fixing a shower seat at the wrong height? Will they have seen the reasoning in your recommendations? There is a fine line between understanding user requirements and the technical knowledge required. Knowledge exchange between OTs and architects, surveyors and contractors is crucial to successful outcomes.

Ask the OT questions: OTs are experienced in the various challenges our clients face on a daily basis. First-hand experience of clients, families and carers provide invaluable insights that ensure that an adaptation or ne build is ﬁt or purpose. The issues may seem obvious to us, but always ask the questions. How will a person with a walking frame open that door? How will someone with arthritic shoulders be able to reach up

into that cupboard? Will the position of that light cast a shadow on the task area? Could you reach the shower if you are seated? How easy is it to see and operate shower controls?

Must do and could do

Referencing regulations and access guidance gives reports more authority. Part M 1, familiar to all involved, is the minimum, ‘must do’ standard and needs to be signed off by building inspectors. To make a case for more generous space requirements use BS8300 2 and HBN 00-023. Although not mandatory, it’s worth referring to the excellent OT guidelines4 for both new build and housing adaptations. 1. Approved Document M Access to and Use of Buildings: Volume 1 Dwellings (2015 Edition) 2. BS8300 2009 + 2010 Design of Building and their approaches to meet the needs of disabled people 3. Health Building Note 00-002 Sanitary Spaces Department of Health 2016 4 for example if Greenwhich Wheelchair Site Brief (2012) and Adaptations Design Communications Toolkit (2014) DHSSPSNI and DSDNI

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Housing

OTs

to have an agreed sign off role and will need to respond at short notice. I have developed checklists of key dimensions ready to hand so I can check plans and spe iﬁ ations ui ly.

Every picture tells a story

Written or verbal descriptions of specialist needs can be misunderstood. Using images in reports, meetings, or on site, can be more immediate, accessible and persuasive. Products ith te hni al spe iﬁ ations are readily available on websites. Good design solutions that are functional but less clinical in appearance can change attitudes of commissioners. People in spaces: turning circles are useful but drawings showing space taken up by users and carers is more convincing. CAD software, iPads and smartphones are making this much easier.

Act it out

Learning the language: Version Control: Charts, Plans, Checklists, and Acronyms

It’s impossible to learn all the jargon used in build projects. But it’s well worth familiarising yourself with some key terms and documents commonly used: GIFA (Gross Internal Floor Area) first fix , second fix, GA (General Arrangements) , RFI (Request for Information), RDS (Room Data Sheets) Employers Requirements (ERs). And if you don’t know what these are don’t be afraid to ask. I have found that when auditing large schemes using tables and checklists that reference units, and prioritise requirements, alongside reasoning, are better understood.

Understanding priorities and developing negotiation skills It helps to understand the viewpoint of our partners in these projects. Housing 84

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providers will see maintenance costs as a priority. If rails in corridors are seen as institutional, their value for people with sight loss, may be less convincing than potential marks on walls. Equally we need to understand the real technical challenge for contractors in creating flush thresholds when they will have insurance liability for weather protection.

It’s never too early and it’s always too late I have been told in the past that it’s too early to visit the site because it’s still very muddy. Emphasising the value of OT input at an early stage is essential. Once foundations are laid the next step is drainage. Position of WCs will be set, and almost impossible to change. OTs are always trying to avoid being too late to in uen e de isions about spa e, layout and positioning of key items: sanitary ware, switches, sockets and controls. In new build an OT is unlikely

If you get the chance, act it out. I’ve met ingenious project managers who have bound the shoulders of contractors to demonstrate inability to reach high shelves. I have slid down walls to show how a radiator could be a hazard in the event of falls. Or bring equipment with you like walking frames, wheelchairs and so on.

Knowledge Exchange Forum for OTs, Contractors, Surveyors and Architects

In the long term I believe it’s about raising awareness. I am really keen to explore the possibility of setting up knowledge exchange forums across the building trades so that we can learn from each other and develop better outcomes. Above all, in any communication, w r i t te n o r ve r b a l , b e p o s i t i ve , constructive and realistic. Everyone i nvol ved want s to achieve the best result. ■

To ﬁnd out ore ro The OT Service email contact@theotservice.co.uk.

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Annual OT exhibition is a real show stopper 4 ,500 occupational therapy professionals from all o er the countr are e ected to oc to the UK’s largest OT education conference and exhibition on 23 -24 November.

Occupational Therapy at CQ University, Melbourne, who will tackle the topic ‘fitness-to-drive and the role of the OT in maintaining driving mobility and measuring what matters: Using AusTOMs-OT in everyday practice.’

The action-packed event, taking place at the NEC Birmingham, promises to be even bigger, better and more informative than last year. OTs, who can register for free, can glean advice, insight and information at no fewer than 163 lectures and seminars, and counting, at the bumper show. In addition, the latest innovative products and services now helping to improve patients’ independence will be showcased at the major exhibition, w h i c h h a s a t t r a c te d a d i ve r s e gathering of more than 300 exhibitors and suppliers. The annual show will give a platform to the latest occupational therapy equipment and materials and will make available the best offers and support services to help OTs and 86

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their teams offer a smarter and more e ﬁ ient servi e. The programme is bursting with more than 100 OT-focused interactive lectures, seminars and workshops. The event will give professionals ample opportunity to update and refresh learning across physical, mental health and learning difficulties, as well as highlighting innovation in children and family therapy.

Hear from the experts The enviable list of world-renowned speakers and experts will see leaders in the field addressing a huge crosssection of the profession. The ‘ Who’s Who’ of leading OT professionals includes Professor Carolyn Unswor th, Professor of

National standards for local priorities will be outlined by Professor Gillian Leng, Deputy Chief Executive at the National Institute for Health and Care Excellence (NICE) and Visiting Professor at King’s College, London. Michael Guthrie, Director of Policy and Standards at Health and Care Professions Council, will reveal what is new and why in standards of conduct, performance and ethics. And Project Manager Chapal Khasnabis will explain the role of Global Cooperation on Assisted Technology (GATE) World Health Organisation– a new gateway for OT professionals. Also in the Keynote Theatre, Adam Ferry, Director at UK Therapy Services, will address professionals on the topic of supporting occupational performance in the area of visual impairment and the home environment.

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WED 23rd & THU 24th November 2016 NEC Birmingham www.theotshow.com

ne o the highlights o this year s event will be The Occupational Therapy Show Awards. Following on from the tremendous su ess o last year s inaugural a ards, 2016 sees the much anticipated return of the coveted OT Oscars ceremony. Jen Gash of OTCoach, who is chairing this year s a ards, o ented There is so much great work happening out there and many OTs work without due recognition or reward. These new awards are a chance to celebrate the work of OTs.” The judging panel comprises: Liz Waterman, an accomplished OT with more than 35 years experience; Robert Birmingham, a highly experienced OT professional operating in community settings; Anna Clampin, senior lecturer and course director for the MSc OT and MSc Neurological Occupational Therapy at Coventry University; and Teresa Buchan, who has worked as an OT for more than 20 years, predominantly in mental health services.

‘Including the Excluded: A Creative ourney ill be e plored by ane Reynolds, Community Mental Health Practitioner, Northern Health and Social Care Trust (Northern Ireland), while Independent Legal Trainer and Consultant Michael Mandelstam will tackle the subject of the Care Act 2014. In the buzzing Innovation Theatre, OTs will learn about forward thinking in the area of ceiling hoists and slings, specialist seating, and moving, handling and managing someone who has fallen. On day two, attendees will hear how the College of Occupational Therapists an help support Ts pra ti e, as ell as learning about getting the right chair at the right price, bathing solutions and the ergonomics of care around the bed. The programme in the Showcase Theatre is also jam-packed, with comprehensive information on offer about how to correctly specify best practice layout of ceiling hoists, assisted baths and changing tables, how to set up and monitor a singlehanded care project, protecting body shape and protecting quality of life and pressure management: the four

principles of seating. Visitors to the Showcase Theatre on day two will also hear how occupational therapists make excellent expert witnesses. The Posture and Mobility Group (PMG) and National Wheelchair Managers Forum (NWMF) will also hold their very own Posture and Wheelchair Essentials education programme at the show, and will probe topics such as basic wheelchair assessments, clinical assessments for pressurerelieving cushions and assessment and prescription for special seating. Designing bathrooms for people of varying abilities will be explored as part of the exhibitor-led education programme, as will benefits and applications of fully enclosed throughoor li ts and tips or assessing lients accessibility needs.

The Poster Zone & Awards The oster one on the sho oor ill showcase work by OTs who work across the UK within NHS Trusts, local councils, independent practice and other sectors.

Hopeful applicants have thrown their hats into the ring in the following categories: • Outstanding Senior OT • Outstanding OT • Outstanding OTTI/OTA • Outstanding Innovation (product, service or tool) • Outstanding Innovator (individual) The winning organisation/individual in each category will be awarded a prize of £200 to go towards enhancing CPD.

Learning Opportunities As well as having the opportunity to meet suppliers and gain CPD education, visitors to the show can have fun, unwind, meet conference speakers and exhibitors and relax with colleagues at a free networking drinks reception in the networking lounge on Wednesday 23 November from 5.30pm. The OT Magazine – the leading publication for OT professionals in the UK – will be among the hundreds of exhibitors who will have a presence on the bustling sho oor. eet our tea at Stand 159. ■ It’s not too late to register for free at www.theotshow. com/otmag or you can call 0207 348 1851 or 0207 013 4998 for more information.

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Kidz to Adultz North

C&S

Thursday 17th November 2016 EventCity, Barton Dock Road, Manchester, M17 8AS

22 Theaklen Drive Ponswood Industrial Estate Hastings East Sussex TN38 9AZ

seating

9.30am – 4.30pm A FREE event for children & young adults up to 25 years with disabilities and additional needs, their families, carers and the professionals who support them.

01424 853331 info@cands-seating.co.uk www.cands-seating.co.uk

Products designed and developed to aid basic postural management.

Free Entry Free Parking Easy Access Children Welcome

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T Rolls are used to control position of the body in supine lying.

Over 160 Exhibitors providing information on:

Mobility, Seating, Bathing, Transport, Housing, Education, Vehicles, Employment, Communication, Funding, The Care Act, Legal Dates For Your Diary matters and much more.. • Kidz to Adultz Middle

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See our web site for our full range of postural control & support products.

16th March 2017 Ricoh Arena, Coventry

Seminars

Alternative Positioning Support

• Kidz to Adultz South

Accredited CPD & Topical Seminars to boost your portfolio

The APS is designed for use where more control of the abducted lower limbs is required.

8th June 2017 Rivermead Leisure Complex, Reading

Seminars Sponsored By:-

• Kidz to Adultz Wales TBC

For Visitors FREE entry tickets contact Disabled Living:-

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Dates for your Diary Exhibit or Attend:

OTAC Newcastle

Wednesday 7th December 2016

50+ Exhibitors 15 Seminars (with CPD Certificates)

23rd and 24th Nov 2016 NEC Birmingham theotshow.com

10 B

SI VI

The UK’s Only FREE Occupational Therapy Adaptations Conference and Exhibition Event

TU C SO N STAND

OTAC Ireland

Wednesday 15th February 2017

OTAC Cardiff

Tuesday 25th April 2017

OTAC Newcastle

Wed 7 Dec 2016 th

Hilton Hotel & Spa Gateshead, NE8 2AR

OTAC Reading

Wednesday 20th September 2017

OTAC Edinburgh

Wednesday 13th December 2017 Opening times from 9am – 5pm

We have industry experts conducting each seminar, these include: