Wednesday 3 October 2012

Video Production


This posting is on video production.  It was a class I was absent from due a head injury I sustained so I will give an outline of what I would have done to meet the production requirements and provide an example of a video produced by another group of students.  The task set was, in small groups, to create a short film based on a concept central to occupational engagement.  The concept I would have based the film around is occupational transition which is seen as the changes in an individual’s occupational engagement as a result of changes in their daily life (Christiansen & Townsend, 2010).  This is because becoming a student is a very big point of transition in the lives of most people.  Coming to university (or polytechnic) changes our eating, sleeping and study habits, not to mention for most students the new found responsibility and freedom which comes with leaving home for the first time and creating a sense of a home away from home.  In order to mimic these changes and the way they impact on people’s interpretation of their occupational engagement I would have created the film that documented the transition we make as students leaving home for the first time.  This film would aim to capture the new living, study and leisure experiences that are transformed with the move as well as conveying traditional roles that have been altered with the transition into the new student role.  The film will also aim to highlight how with the change in life roles also comes a change in environment and resources available to the student which can have an effect in altering what is deemed to being meaningful occupation.

Below is an example of one of the films produced by another group for the tutorial.



References:
Christiansen, C.H., & Townsend, E.A. (2010). Introduction to occupation: The art and science of living.    (2nd ed.). New Jersey: Pearson.

Assistive Technology


Assistive technology is an umbrella term used to describe a “range of devices, services, strategies and practices that are used to increase functional capabilities of individuals with disabilities" (Cook & Hussey, 2000, p. 5).  This is a broad definition that covers a variety of equipment and tools, software and hardware that assist individuals to be able to participate in their environment with increased independence.  A great example of this is the Go Talk 9+

The Go Talk 9+ is a piece of adaptive technology for assisting with communication.  The device has nine key and five different recording levels with each level has three ‘core messages’ which remain the same.  The device has an overall capacity of 45 messages and a total recording time of just less than 8.5 minutes.  The Go Talk 9+ works by way of having messages recorded and allocated to each picture and text which overlays the buttons, then pushing the button allocated to the word or phrase the individual wants to communicate.  This Go Talk is equipped with a series of specialised functions that enable ease of use for the client, such as a whole level erase, adjustable volume and record lock to prevent accidently erasing the recorded messages.  Each of the nine message buttons measure 5.4 cm x 4.1 cm with the overall size of the device measuring 23 cm x 30.5 cm x 2.9 cm.  The Go Talk 9+ cost $310 and runs off 2 AA batteries and comes with a 2 year warranty.




These videos give demonstrations of how to use the Go Talk 9+ as well as how to programme and speak with it.


The Go Talk is used by individuals who have a condition that limits their speech in any way.  The use of the device increases occupational engagement for the user as it provides them with a means to communicate quickly, clearly and with ease.  It provides the user with the ability to participate and converse with others in a more traditional manner.

References:
Accilnc. (2011, November 16).  How to speak with go talk 9+.  Retrieved from: http://www.youtube.com/watch?v=IENNufErOLA&feature=player_embedded

Cook, A, M., & Hussey, S, M. (2000). Assistive technology: Principles and practice. (Eds.). St Louis: Mosby.

Erinelizabethwesley.  (2010, May 1).  Go talk 9+ demonstration.  Retrieved from: http://www.youtube.com/watch?v=8ECS8U-m1Xk&feature=player_embedded

Blogs of interest

For the purposes of this posting I have set to the internet to find a selection of interesting blogs about OT practice and OTs using technology as interventions in practice.  I have posted the links to five blogs I found interesting and particularly relevant to OT practice.  The focus areas of these blogs include: pediatric OT, rehabilitation using WII, OT outlook, the links between OT and hand therapy and child development as well as the blog of a fellow student OT.  I have used these blogs to communicate ideas, share information and ask questions; here is one such example: http://gabipo1.blogspot.co.nz/2012/05/assistive-equipment.html

The internet and online communities



One of the main practice areas that interests me is brain injury, specifically Traumatic Brain Injury (TBI).  I have to see the irony in this as earlier in the year I suffered a fairly decent concussion that resulted in my missing a number of assessments and eventually my second year placement.  The experience has been enlightening but not one I would like to repeat again anytime in the near future.  In this posting I am going to provide an overview of three online communities I have come across intended for people who have suffered a TBI, or have a family member that has experienced such an injury.  Generally these sites are based around the individual and their family members being able to share their experiences, ask questions, and provide support and a forum for discussion via the internet.  Online communities are one example of an environment which has been adapted to enhance the enrichment of other areas of a person’s life (Townsend & Polatajko, 2007).
Occupational transition is seen as changes in engagement as a result of the changes in daily life (Christiansen & Townsend, 2010).  It also is apparent in the way some individuals who were initially the information gathers about their injury have now become the information providers for some of those seeking information in their community (Christiansen & Townsend, 2010).   This is evident in the way these communities have emerged to fulfil a need to adapt to the transitions individuals need to make in their day to day lives post injury as well as gain information about how others have coped with what changes have occurred.
Occupational identity is an individual’s perception of themselves in relation to their participation in different occupational roles (Christiansen & Townsend, 2010).  All of these communities provide their members with a form of occupational identity by giving them the opportunity to engage with each other, share concerns, information, experiences and attitudes relating to their previous and current occupations.  The sites provide a way for individuals to cope with changes in occupational identity as a result of their TBI, such as inability to work or changes in life roles.
A general limitation of the three sites found is that they are all based in the United States of America; if a person from outside the U.S. went onto one of these communities seeking information it may not suit their context. 

Resources for People with Traumatic Brain Injury: http://www.brainline.org/index.html
The intended purpose of this site is to provide support and information for individuals and families who are experiencing some form of traumatic brain injury.  The site is somewhat interactive with a number of different available to users including features on how to identify concussion, articles written by TBI survivors detailing their experiences, ask experts questions, and an area for blog postings.  The community also has separate areas for different types of visitors (people with TBI, family and friends, and professionals).  People choose to communicate with this community as they are able to stay informed and up to date with the latest research and share and receive support from others who are experiencing similar circumstances to them.

The intended purpose of this site is to provide a forum for individuals and families who have incurred some form of traumatic brain injury to share their experiences and seek advice from other members.  The site is very interactive, encouraging members to communicate and connect with other community members. The community provides a number of discussion groups, blog pages as well as a live online chat room where members can interact with each other.  In order to contribute you need to become a registered member, so that the site can be monitored.  It also provides members with a private ‘members only’ area, only accessible when you sign up to the site.  Those who aren't members are unable to see what has been posted in some sections, taking into consideration the ethical issues related to contributing to online communities.

Daily strength; brain injury support group: http://www.dailystrength.org/c/Brain-Injury/support-group
The intended purpose of this site is to provide support for individuals and families who are experiencing some form of brain injury, not necessarily traumatic.  Individuals are able to remain anonymous when posting on the page if they choose or create an in depth online member profile and participate in further in the forum.  Community members are also encouraged to start their own groups for others to join, share experiences/struggles and participate in discussion within that community.  Features of the site include common treatment methods and how community members have responded to these, as well as what challenges they have faced during their recovery process.  This site offers the ability to ask professionals questions anything about TBIs from the injury process, to treatment, and anything in between. 

References:
Christiansen, C.H., & Townsend, E.A. (2010). Introduction to occupation: The art and science of living (2nd ed.). New Jersey: Pearson.
Townsend, E.A., & Polatajko, H, J. (2007). Enabling occupation II: Advancing an occupational therapy vision for health, wellbeing and justice through occupation. Ottawa, ON: Canadian             Association of Occupational Therapists.

Tuesday 2 October 2012

Online Video Sources: Total Hip Replacement


While on my first OT placement I spent the majority of my time on the orthopaedic ward working with patients who recently had total hip replacements.  In an effort to learn more about the topic I turned to the internet.  I quickly found that videos are a great source of information, butt it is important to bear in mind that not all online videos are made by the experts on a topic but after a bit of searching you can find some that explain what you are looking for.

Hip replacement surgery
This is an animation of the hip replacement surgery.  It is a very detailed video giving viewers a great insight into what happens throughout the surgery without having all of the actual visuals and sounds associated with the procedure.

After Hip Replacement: Warnings and Precautions.
This video illustrates examples of the three hip precautions that patients need to be aware of post surgery.  It also shows how these precautions should be used in everyday life and what types of activities to avoid.

Activities of Daily Living; getting in and out of a car
Shows the client how to get into and out of their car after the surgery-pretty self explanatory based on the title.  This video would be really useful for clients to watch prior to coming in for surgery to prepare for heading home.

Lower extremity dressing after your THR
This video illustrates methods of dressing and undressing the lower limbs post hip replacement using different pieces of equipment.

PATIENT EDUCATION: At Home Activity & Adaptive Equipment, Pt. 5
Shows how to get in and out of the bath and shower safely and effectively using adaptive equipment.

References:


Glynnwallace. (2011, October 12). Lower extremity dressing after your THR. [Video file]. Retrieved from: http://www.youtube.com/watch?v=hLlSIQ2x6Pc

HSpecialSurgery. (2012, August 15). Activities of Daily Living; getting in and out of a car . [Video file]. Retrieved from: http://www.youtube.com/watch?v=UXFwSJB_P9M

MarathonManiac100. (2011, August 1). Hip replacement surgery. [Video file]. Retrieved from: http://www.youtube.com/watch?NR=1&feature=endscreen&v=BYwVaKkRdF4

Mercysacramento. (2011, June 22). PATIENT EDUCATION: At Home Activity & Adaptive Equipment, Pt. 5. [Video file]. Retrieved from: http://www.youtube.com/watch?v=y7gjtSv2sVQ&feature=relmfu

Physicaltherapyvideo. (2011, September 25). After Hip Replacement: Warnings and Precautions. [Video file]. Retrieved from: http://www.youtube.com/watch?v=Sa-E4LcWMwA