Friday, January 30, 2009

Reflective Listening

Hi. I've just read a book called Motivational Interviewing (2nd ed)2002. Miller Rollnick. This book has heaps in it about this technique, which I will write more about in time. In particular I was challenged by the authors ponderings that people who think they are reflective listeners are often not quite as good at it as they think they are. I thought possibly we could do a hands on activity practicing this skill and feeding back to each other in a safe way at one of our meeting days.

Wondering if anyone else had other possible topics for our next get together?

Catch yah later. Rita

Wednesday, December 10, 2008

November Forum Summary

Paediatric OT Forum (Waikato)
25.11.2008 at Hillcrest High School

Present:
Jenny Carty, Dot Roberts, Stephanie Hessell, Cassandra Hopkins,
Annette Jensen, Rita Robinson, Lisa Palmer.

Agenda:
Welcome

1. OT Forum:-
• Should we / not
• Group
• Format
• Time
• Venue
• Organisation
• Name

2. Show and Tell

3. Rita 

Minutes:
1. All agreed that such a forum would be worthwhile. Some uncertainty expressed with regards the relevance for OT’s unable to attend the session. Decided that feedback would be provided to all Paediatric Occupational Therapist's via Rita (see discussion later).
Group – to include all OT’s with special interest in paediatrics, not to be confined to those currently employed with-in realm of Paediatrics or members of NZAOT etc.
Format – speakers and or reps from companies to be included but to be confined to topic area or theme for the meeting. All agreed that the session should be focused on learning, advancement of skill or knowledge and / or forum for confirming good practice in specified area.
Time – General preference towards 9 to 1p.m. slot and 2 xs per annum (max) during the early part of Term 2 and the latter part of Term 3.
Venue – Flexibility thought important to allow arrangements in accordance to subject, number of attendees etc.
Organisation – Agreed that a small committee could make arrangements for each meeting, rather than leave to individual organisations.
Name – Paediatric OT Forum proposed and agreed.

2. Show and Tell
Handmade knickers made by Pat Alderton (RTLB) from Otorohanga.
Eee- PC.
Camera Phone by Nokia that has software that takes a photo of text and then reads it out.
60 minute story about micro chip enhancement of brain wave or thought for typing.

Possible thoughts for next meeting included:
Sensory
Technology

3. Rita Robinson.
Feedback and session on Occupational Performance Coaching.
Information and references shared with attendees.

Mintues written by Lisa.

Monday, December 8, 2008

Medical model - when do we need to use it?

To carry on from Dots ponderings.........she was wondering if she had strayed too far from the medical model.

For me coming up with a series of questions around a topic helps clarify my thinking. Possibly we could all come up with a question to help clarify our thoughts and ponderings around this. These could then be developed at a forum day.

My questions is how can we do it all?, hold all the information that the medical model contains ( and stay up to date with it) and as well as all the other information we need to stay current. I also need to ask is that our job? When is it our job? In some settings yes? In others no. Or would it be better to empower people to ask the source directly what medical information means?

Or another way to think about it is, if you follow a issue from an occupational performance problem down to performance component level then you would move from an occupational frame of reasoning into a medical model frame of reasoning.

So possibly Dot you haven't strayed, you just are able to problem solve it before needing to get to a performance deficit ( medical model) level?

Rita

Thursday, November 27, 2008

OPC - Fi Graham

Professional Development Topic - Occupational Performance Coaching created by Fi Graham. Fi is in the middle of developing this intervention approach. In this approach the therapist works with the parent ( I feel it has potential to be applied with teachers) and assists them to enable their own child.
The OPC has three enabling domains, these include 1) Emotional support 2) Information Exchange 3) Structured Process.
Emotional Support includes, Listen, Empathise Reframe, Respect and Encourage
Information Exchange includes, performance analysis, typical development, health conditions and impairment, teaching and learning strategies, enabling tricks and community resources and entitlements.
Structures process includes, set goals, explore options, plan actions carry out plan, check performance.
In our professional development session we briefly discussed the OPC and were provided with a copy of the following article. Graham, F,. Rodger, S. & Ziviani, J. (2008). Coaching parents to enable childrens particpation: An approach for working with parents and their children. Austrailian Occuaptional Therapy Journal doi:10.1111/j.1440-1630.2008.00736.x

Many aspects of the OPC are already used in our everyday practice. In addition to this it was also highlighted by Cassarda that the OPC uses terminology and tools also shared with some of our multi disciplinary peers.This made me think is the OPC a OT only tool or does it have the potential to be used by others......?. Even though the OPC uses many shared tools that it has an aspect with is unique to OT's. Fi points this out as being focusing on occupational performance concerns, collaborative analysis and parent initiated findings. I feel that only the focus on occupational concerns is pure OT the other parts collaborative analysis and parent initiated findings are unique to this model but not to the field of OT.

I will be interested in hearing what others think once they have had time to read the article and consider its use in OT practice.

Take care Rita

Wednesday, November 26, 2008

What can our blog become.

Hi below is the URL to Merrolee blog. She has links to lots of known OT blogs, both here and overseas, possibly having a quick look at these blogs may help us visualize what this blog could become. I will try and make it a direct link.....if this doesn't work those who are more technology able could try....otherwise just cut and paste. http://oteducation.wordpress.com/occupational-therapy-blogs/ Rita

Welcome to Hamilton OTs Pead's blogg

Hi Everyone. Well we now officially have our own blog. This blog is one way that OT's interested in Pead's (school based, hospital, ACC and clinic based) working in the Waikato can network, share ideas, and discuss issues important to us.

We are trying blogging as a way to further our group learning, alongside twice yearly four hour forums. The blog will be used to capture thoughts, as well as assist in arranging the development of these forums.