6 Reasons Why You Might Have to Put Someone with Dementia in a Memory Care Facility or Nursing Home
Every caregiver of a person living with Alzheimer's, Lewy Body dementia, Parkinson's or any other related dementia faces this gut wrenching question -Should I put my loved with dementia in a nursing home or memory care facility?By Bob DeMarcoAlzheimer's Reading RoomWe all face this gut wrenching decision. Most of us don't want to do it. But sometimes, it is the only decision, and only right decision.There are a long list of reasons why you might have to place your loved one in a nursing home or long term care memory facility.Topic -Dementia CareLet me start by making this clear -it is not your fault.It is not your fault th...
Source: Alzheimer's Reading Room, The - June 30, 2017 Category: Neurology Tags: alzheimer's care facilities care of dementia patients caregiver dementia care elderly dementia care help alzheimer's help with dementia care memory care facilities memory care facility nursing home Source Type: blogs

Case study: Demise of a professional membership organization
Unless there are dramatic changes in statistical trends, the New York State Occupational Therapy Association may face insolvency and may be forced into dissolution in the very near future.Two years ago I reported that the NY State OT Association was at a critical juncture. At that time, only 4.4% of all NY practitioners were members of the group.  During the period of time from 2006 through 2014 NYSOTA OT/OTA membership declined 24%.   The decreasing trend of participation is continuing.According to statistics published by NYSOTA, now there are only 379 OT members and 120 OTA members.  In consideration ...
Source: ABC Therapeutics Occupational Therapy Weblog - June 22, 2017 Category: Occupational Health Tags: OT practice policy Source Type: blogs

OT History in Clifton Springs!
A group of people made OT History today - pulling off an amazing day of celebration in Clifton Springs that was enjoyed by so many attendees.Eighteen months ago I started corresponding with Steve Egidi, an occupational therapist and Vice President of the Clifton Springs Chamber of Commerce. He invited me to join a working group that was forming to help make plans for the 100th OT Anniversary Celebration in Clifton Springs. Steve was a steady organizing force for the group and it was a real pleasure getting to work with him.Also from the Chamber was Jeff Criblear, President of the Clifton Springs Chamber of C...
Source: ABC Therapeutics Occupational Therapy Weblog - June 4, 2017 Category: Occupational Health Tags: history Source Type: blogs

Targeting the people who need it most
This study provides some support for using single item questions to identify those who need more in-depth assessment, and those who don’t need this level of attention. I like that! The idea that we can triage those who probably don’t need the whole toolbox hurled at them is a great idea. Perhaps the New Zealand politicians, as they begin the downhill towards general elections at the end of the year, could be asked to thoughtfully consider rational distribution of healthcare, and a greater emphasis on targeted use of allied health and expensive surgery.   Deyo, R. A., & Mirza, S. K. (2016). Herniated Lu...
Source: HealthSkills Weblog - May 28, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Assessment Back pain Chronic pain Coping strategies Interdisciplinary teams News Pain conditions Professional topics Research biopsychosocial disability healthcare rehabilitation self management treatment Source Type: blogs

Reasons and Ways to Use Gross Motor Equipment in Articulation Treatment
I’m a school-based and private clinician, but some of my favorite therapy activities use equipment more typically associated with occupational therapy (OT) and physical therapy (PT) services. When I can get my hands on them! Stability balls, sensory bins, tummy scooters … these activities are highly engaging for students and can promote progress with their speech-language goals. Check out the following research-based benefits of using gross motor equipment as a speech-language pathologist: Behavior bonus: For our students with attention deficit or other behavioral disorders, the traditional sit-at-a-table-and-spea...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - May 23, 2017 Category: Speech-Language Pathology Authors: Dvorah Waldman Tags: Speech-Language Pathology articulation Early Intervention Language Disorders motor speech disorders Schools Source Type: blogs

The “ Subjective ” – and really hearing
I’m not a physiotherapist. This means I don’t follow the SOAP format because it doesn’t suit me. The first letter is intended to represent “subjective” – and when I look up the dictionary meaning of subjective and compare it with the way “subjective” notes are thought about, I think we have a problem, Houston. Subjective is meant to mean “based on personal feelings” or more generally “what the person says”. In the case of our experience of pain, we only have our personal feelings to go on. That is, we can’t use an image or X-ray or fMRI or blood ...
Source: HealthSkills Weblog - May 7, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Assessment Clinical reasoning Interdisciplinary teams Occupational therapy Physiotherapy Psychology biopsychosocial healthcare Pain pain management Therapeutic approaches treatment Source Type: blogs

Re-post: The Passion from a kid's perspective
A story worth re-posting:A fairly standard component of my pediatric occupational therapy evaluations is to ask the child to draw a picture of themselves. This assessment technique provides an opportunity to evaluate the child ' s skill with writing and also is a functional assessment of their cognitive and perceptual ability.Sometimes kids draw things that just beg to be probed and questioned - as was the case recently. I watched intently as 6 year old Patrick drew a representation of himself, but then he began adding odd details to his picture. First he colored dark spots on his figure ' s hands and feet, and then added ...
Source: ABC Therapeutics Occupational Therapy Weblog - April 15, 2017 Category: Occupational Health Tags: OT stories Source Type: blogs

The Children of Medicaid
This article was originally published on Complex Child.  Compiled by Susan Agrawal I’ve been continually surprised by how many people think Medicaid is just for poor families on welfare. Those of us who parent children with complex medical needs know that Medicaid is so much more than that. After all, 72% of Medicaid enrollees are children, people with disabilities, and the elderly, and these groups account for 84% of spending. Medicaid provides vital services for children, including home nursing care and therapies, that are not otherwise covered. In this article, we will share just a few of the children with medical co...
Source: Disruptive Women in Health Care - April 10, 2017 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Uncategorized Source Type: blogs

The meaning of a word cloud
This image caught my attention when I attended the Presidential Address at the AOTA national conference in Philadelphia last week, and it has been tweeted around in occupational therapy circles since that time.The question is - what does it mean?The AOTA president discussed population health as a concept that she believes will be integral to occupational therapy ' s future vision.  Unfortunately, this vision has more to do with a misguided alignment with payment models (Triple Aim) than anything to do with patient care.This unusual vision has been promoted by other occupational therapists and also discussed extensivel...
Source: ABC Therapeutics Occupational Therapy Weblog - April 5, 2017 Category: Occupational Health Tags: health insurance OT practice philosophy Source Type: blogs

The danger of assuming universal and singular narrative explanations of disability
In a recentarticleappearing on the CNN website, author Wayne Drash reviews the concept of ' wrongful birth ' in context of Lesli, a person who has developmental disabilities.  Drash ' sprofile states that he " specializes in stories off the radar " and that " his passion is to tell narratives about life and the unfolding drama of the world we live in. "It would be more accurate to state that Drash cherry picked one person ' s perspective and advanced a fiction that serves one ideological perspective.His initial description of Lesli in his opening sentence tells us everything he believes about her person-hood.  He...
Source: ABC Therapeutics Occupational Therapy Weblog - April 4, 2017 Category: Occupational Health Tags: Disability rights OT practice OT stories parenting Source Type: blogs

The Barton Project: AOTA 2017 Conference Handouts
Hi and thank you for stopping here to look at the poster handouts that are being distributed at the 2017 AOTA conference!If you were unable to get a copy of the handout of the poster presentation, the files below are hi-res JPG scans that you can download and view in a larger format.This version of the timeline is one small step of a multi-year project attempting to document George Barton ' s life.  I was always struck by the fact that his life story was documented in such a limited way as compared to other occupational therapy founders.  The lack of previously published information on Barton motivated my effort....
Source: ABC Therapeutics Occupational Therapy Weblog - March 28, 2017 Category: Occupational Health Tags: Barton history Source Type: blogs

Governor Cuomo and the Early Intervention State Fiscal Agent boondoggle
Another update in the ongoing saga of the failing New York State Early Intervention program:The Governor ' s 2018 budget proposal adds new requirements on insurance companies and providers.  Under other circumstances, a provider or fiscal intermediary would simply operate within the available rules that exist in the private marketplace, but since the State has designated a fiscal agent that is unable to compete in the free market, the Governor is forced to rewrite insurance laws in order to facilitate payment. In FY 2016, nearly 85% of claims submitted by the Early Intervention State Fiscal Agent to private insur...
Source: ABC Therapeutics Occupational Therapy Weblog - March 27, 2017 Category: Occupational Health Tags: health insurance OT practice Source Type: blogs

Reasons to yawn: Wrap up analysis of two recent SCOTUS cases involving IDEA
On 11/8/16 IwroteIn both of these cases it is important to carefully analyze the details of what is actually being litigated.  So often the truth of what is being discussed gets lost in poor reporting about the topics.  For example, many news outlets focus on the ' evil school district vs. the child in the wheelchair with Wonder the GoldenDoodle ' meme instead of focusing on the decidedly less appealing ' what is the importance of due process ' angle.As OTs become more savvy with policy analysis they will avoid the bias-trap of media reporting and try to approach a more ' rational comprehensive ' method of consid...
Source: ABC Therapeutics Occupational Therapy Weblog - March 25, 2017 Category: Occupational Health Tags: Disability rights OT practice school-based practice Source Type: blogs

You can't keep a good event down...
...but you might delay things just a little while because of winter weather!Today a gathering was scheduled in Clifton Springs for a celebration of the occupational therapy founding.  The mayor was also scheduled to issue a proclamation but the celebration had to be postponed due to inclement weather.  The event will be rescheduled.+++The March 8. 1917 Clifton Springs Press had an announcement about the upcoming First Consolation House Conference, but it also had an interesting article about George Barton.  The subheadlines and text of the article are notable because they provide direct evidence of exac...
Source: ABC Therapeutics Occupational Therapy Weblog - March 15, 2017 Category: Occupational Health Tags: Barton history Source Type: blogs

How the Wrong Medicaid Reforms Could Devastate Young People with Complex Medical Needs
This post was authored by Sophia Jan MD, MSHP; Ahaviah Glaser, JD; and Rebecca Kim. It was originally published by the Children’s Hospital of Philadelphia Research Institute Policy Lab blog.  Current proposals to simultaneously repeal the Affordable Care Act (ACA) and reform the federal Medicaid program would be devastating to children and young adults with disabilities and complex medical needs. Even if the final ACA replacement plan continues to allow young people to stay on their parents’ insurance plans until they turn 26 – which is a benefit largely supported on both sides of the political aisle ̵...
Source: Disruptive Women in Health Care - March 10, 2017 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Uncategorized Source Type: blogs