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Occupational Therapy

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					Occupational Therapy


 Presented by
 Erin Walker erg.
 Royal Victoria Hospital
    What is Occupational Therapy?

   A health profession concerned with promoting
    health and well-being through occupation
   The primary goal of occupational therapy is to
    enable people to participate in the occupations
    which give meaning to their lives
   We work with people who are having problems with
    their daily occupations. Problems may result from a
    change in function (physical & cognitive) because of
    illness or disability, and/or barriers in the social or
    and physical environment
   Client centered model
       OT evaluation

            Environment


     ADLs                    IADLs
                          -Meal preparation
   - Feeding
                          -Housechores
   - Dressing
                          -Finances
   - Bathing
                          -Work
   - Transfers
                          -Driving




Swallowing       Physical status
dysfunction           Cognitive status
             What do Occupational
               Therapists do?
   Evaluate people of all different ages, determine their
    personal needs, plan & execute therapeutic
    interventions and assess the progress of the
    intervention
   We work with people who have health problems
    such as: CVA, MI, TBI, SCI, arthritis, COPD,
    dementia, learning disabilities, etc.
   We use specialized skills to help patients relearn or
    find new ways to perform ADLs & IADLs
              How is OT different
                 from PT???
   PT is a health care profession aimed at
    evaluating, maintaining and restoring physical
    function
   OT is a health profession that looks at physical
    function too but in terms of how it affects your
    ability to perform ADLs & IADLs
   Also, OT’s are trained to assess and implement
    treatment plans with people who have cognitive
    deficits, Dysphagia & mental health problems
        Many Career options for an OT!

   Hospital
   Rehabilitation center (inpatient & outpatient)
   CLSC
   CHSLD
   Private clinics
   Mental Health
   Self employed
   Schools
   On road driving assessments
   Law-disability claims
   Advising on health risks in the workplace
   Manager, researcher, program developer or educator in addition
    to the direct delivery of professional services
                How to become an OT

   Graduate from an accredited university program with a Master's
    degree in OT (McGill University, University of Sherbrooke,
    University of Ottawa, University of Montreal)

   Successfully complete a minimum of 1000 hours of fieldwork
    education

   Successfully pass the certification examination administered by
    the Canadian Association of Occupational Therapists or meet
    provincial registration qualifications

   Maintain competency to practice based on provincial regulatory
    requirements (OEQ)& OTs must be registered with their
    provincial regulatory organization in order to legally practice
    occupational therapy in Canada
         Post graduate education &
         professional development
   PhD in Rehabilitation Science
   Combine with another Master’s degree or
    Certification (e.g. business/management,
    education, architecture, osteopathy,
    homeopathy etc.)
   Professional development courses required by
    the OEQ
   Supervisor of clinical placements
   In-services (workplace learning activities)
            How much $$$ can OT’s

   Many OTs have found that an occupational
    therapy degree can provide them with many
    career choices
   Salary limitations are more common in public
    hospitals and rehab centers but occupational
    therapists in private practice can benefit from
    higher incomes
    Salaries vary from one province to another but a
    newly qualified occupational therapist can earn
    from $40,000 to $45,000
               Job availability

   Like most health care professionals we are in
    high demand
   In second and third year of study we got
    many job offers
   After graduating still many job offers
        What is the schedule like???

   For hospitals (MUHC): 8am to 4pm Monday
    to Friday, Weekends off as well as holidays.
    4 Weeks vacation & 9 sick days
   Rehabilitation centers: +/- same as hospitals
   CLSC: more flexible hours
   Private clinic: variable
   Self employed: you make your own schedule
A typical day for me at the RVH….

   6 Medical & Ross 5 (Vascular sx, Plastic sx &
    Urology)
   My role: evaluation of functional status,
    cognitive status and swallowing dysfunction
   Help with d/c planning: need for inpatient or
    outpatient rehab setting, conval, home with
    CLSC help, modifications of their home
    environment, etc.
   While patient is at hospital we f/u
             A typical day for me at
                  the RVH….
   Gather my new consults, find out about new d/c
    plans and then PRIORITIZE
   See my patients
   Discuss my patients with the multidisciplinary team
    (informal or in rounds)
   Document
   Communicate with rehab centers, family members,
    CHSLD, etc.
   Special projects
   Attend Grand rounds at lunch or other teaching
    activities
What I enjoy most about working as an
        occupational therapist
   Help patient to realize their goals: client
    centered approach, building a rapport with
    the patients, learning from my patients
   Analyzing findings from evaluations
   Working with the multidisciplinary team
   Can be very exciting with many learning
    opportunity
   Autonomy & availability of mentoring
What I enjoy least about working as an
occupational therapist

   Can be stressful at times secondary to large
    case load & staff shortages
      Thank you


Any Questions????
                   References

   http://www.caot.ca/
   http://www.mcgill.ca