The demise of authentic makerspaces: From Dad's workbench to Angie's List
Makerspaces or hackerspaces are terms used to describe environments where people build or create with materials, to learn how to share resources and work together to make things. & nbsp; In their current iterations they are often found in libraries, schools, or even community centers and people are invited to come into the environment to work on individual or shared projects. & nbsp; Here is a picture of a modern makerspace: < br / > < br / > < div class= " separator " style= " clear: both; text-align: center; " > < a href= " https://4.bp.blogspot.com/--4_7ZHZF_yY/V0fcX2iGySI/AAAAAAAAAo4/f-TvAdBS6w0mZm8MlKsTnWNi9OFl9zjNwC...
Source: ABC Therapeutics Occupational Therapy Weblog - May 27, 2016 Category: Occupational Health Tags: history parenting Too much information Source Type: blogs

Collected thoughts on narrative in occupational therapy documentation
About ten years or so ago I wrote about the potential power of using writing and hypertext as a qualitative methodology for understanding human narrative.  I got that idea back in high school, actually, after reading the Langston Hughes poem, Theme for English B:The instructor said,      Go home and write       a page tonight.       And let that page come out of you—       Then, it will be true.I wonder if it’s that simple?...The poem is all about identity, and expression, and trying to understan...
Source: ABC Therapeutics Occupational Therapy Weblog - May 20, 2016 Category: Occupational Health Tags: OT stories philosophy Source Type: blogs

Why does “doing exercise” work?
Bless all the physiotherapists in the world, they keep us doing exercises. And exercises are good because they get us doing the things we want to do in our daily lives. But how does it work?  This is not an exposition on exercise physiology – I’m not au fait enough with physiology to do that and there are many other people out there with vast amounts of knowledge giving us the benefit of their wisdom who have written at length about exercise and why it’s important. Instead I want to talk about some observations – and maybe pose some critical questions too. For many years I’ve worked in a chro...
Source: HealthSkills Weblog - May 1, 2016 Category: Anesthesiology Authors: adiemusfree Tags: 'Pacing' or Quota Assessment Chronic pain Clinical reasoning Coping Skills Coping strategies Low back pain Occupational therapy Pain conditions Physiotherapy Psychology Science in practice pain management Research Source Type: blogs

Why does “ doing exercise ” work?
Bless all the physiotherapists in the world, they keep us doing exercises. And exercises are good because they get us doing the things we want to do in our daily lives. But how does it work?  This is not an exposition on exercise physiology – I’m not au fait enough with physiology to do that and there are many other people out there with vast amounts of knowledge giving us the benefit of their wisdom who have written at length about exercise and why it’s important. Instead I want to talk about some observations – and maybe pose some critical questions too. For many years I’ve worked in a chro...
Source: HealthSkills Weblog - May 1, 2016 Category: Anesthesiology Authors: adiemusfree Tags: 'Pacing' or Quota Assessment Chronic pain Clinical reasoning Coping Skills Coping strategies Low back pain Occupational therapy Pain conditions Physiotherapy Psychology Science in practice pain management Research Source Type: blogs

The impact of the janitor on an occupational therapy practice
Owning a private practice is a never-ending adventure that usually causes the owner to take on many different job roles.  This Saturday I put on my janitor clothes and tried to take care of some things that were starting to turn from minor annoyances to full blown problems.I am not embarrassed to talk about the presence of these things that need fixing or adjusting, mostly because I have a comfort level with the humble nature of our mom-and-pop therapy shop. The families that come to us seem to understand that, I think, because sharing stories about the tribulations of trying to get things done probably resonates with...
Source: ABC Therapeutics Occupational Therapy Weblog - April 27, 2016 Category: Occupational Health Tags: ABC Therapeutics OT practice Source Type: blogs

From elite social clubs to personal atonement: The history of the formation of Consolation House.
Private and elite clubs were vehicles of socialization and business transaction during the Gilded Age.  Clubs were often restricted in membership and members were highly scrutinized before being offered the opportunity to join. The Tavern Club in Boston is one example of an elite social club.  It was established in 1884 and was a gathering place where the members were focused on fine dining, lectures, and the arts.  Notable members included Charles Eliot Norton, William Dean Howells, and Henry Cabot Lodge.  Herndon (1892) described the club as "an organization of good fellows, mostly artists, music...
Source: ABC Therapeutics Occupational Therapy Weblog - March 30, 2016 Category: Occupational Health Tags: Barton history Source Type: blogs

CDC Chronic Pain Guidelines: Not so bad, but...
by Tom QuinnIn case you didn’t notice, the US Centers for Disease Control published their long-awaited (dreaded?) “CDC Guideline for Prescribing Opioids for Chronic Pain.” It made a pretty big splash: Five editorials plus the full Guideline in the online Mar 15 JAMA, front page New York Times feature article, the first hour on NPR’s “Diane Rehm Show,” (Mar 17) and multiple others. It is specifically aimed at primary care prescribers, who write about half of the scripts for opioids in the US. It is intended to “support clinicians caring for patients outside the context of active cancer care or palliative o...
Source: Pallimed: A Hospice and Palliative Medicine Blog - March 30, 2016 Category: Palliative Care Tags: CDC ethics opioids pain quinn The profession Source Type: blogs

Check your patron
Reciprocity.  It is customary in ethics to discuss the connection between purpose and values in terms of reciprocity.  The body of knowledge in any discipline - that is, the reflective concepts and the action of technology - is derived from its reciprocal relationship to the purpose of its services... Searching for patronage and constructing a new support system is a dangerous venture for any discipline....The shift to a client system represents, perhaps, a desperate strategy to survive under the awesome pressure of the self-interest of medicine.  - Reilly, (1984).Last year I noted that an article published ...
Source: ABC Therapeutics Occupational Therapy Weblog - March 22, 2016 Category: Occupational Health Tags: health insurance OT practice policy Source Type: blogs

Update on occupational therapy and case management
One year ago I posted about the American Occupational Therapy Association process of an Ad Hoc committee to delineate the role in case management for occupational therapy in primary care and mental health.My concern at that time centered around two primary points:1. Case management is not a recognized domain of concern of occupational therapy practice. 2. There is a difference between 'things that can be done with OT skills' vs. 'what constitutes OT practice.'  I believe that occupational therapists should be delimiting practice and clarifying professional roles, not blurring them.My objections have nothing at all t...
Source: ABC Therapeutics Occupational Therapy Weblog - March 18, 2016 Category: Occupational Health Tags: OT practice policy Source Type: blogs

Why Dads are so lucky.
I pulled this out of a fifteen year old journal tonight and decided to post it.  My daughter will be 21 years old next week so I thought I would remind her of a story.+++3/14/01I need to explain a couple seemingly disconnected points.Casey (my youngest daughter) will write novels or be an artist someday - I am sure.  She writes constantly, and she is only in kindergarten.  I find scraps of paper all over the house, and she will take books from my library and sit down to spend hours copying the words.  She is like a little monk scribe, preserving the world's knowledge before the Dark Ages.It is so funny ...
Source: ABC Therapeutics Occupational Therapy Weblog - March 14, 2016 Category: Occupational Health Tags: parenting Too much information Source Type: blogs

How some OTs are responding to criticism
Sometimes images can convey an action or feeling better than words, so I offer this as representation of the occupational therapy profession's response to the Washingtonian article that some in the profession believed was overly critical: Like the Spartans, many occupational therapists responded to the message in the article by killing the messenger.  That might not be the best idea.I made the following comments in the article but since I am not assured that those comments will persist I thought I would document them here.Some OTs are concerned that the article is unfair and undermines the legitimacy of OT in general ...
Source: ABC Therapeutics Occupational Therapy Weblog - March 3, 2016 Category: Occupational Health Tags: evidence-based practice OT practice sensory integration Source Type: blogs

Elephants and Mobile Clinics in Uganda
​By Luke Husby, DO, and Heather Brown, MDWe arrived in rural Masindi, Uganda, after more than 24 hours of air travel and a five-hour van ride over the only two paved roads in the country. The travel was fairly exhausting.The Masindi-Kitara Medical Centre (MKMC) is a fully functional hospital in Masindi, Uganda, run by Palmetto Medical Initiative (PMI), a nonprofit organization based in Charleston, SC. MKMC has multiple nurses, an inpatient ward, and obstetrics, gynecologic, surgical, and outpatient wards. It recently established itself as a low-cost, self-sustainable, private clinic to offset the two opposing ends of the...
Source: Going Global - March 1, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Sometimes, just standing there is what patients really need
My newly admitted patient was at the end of a very long struggle with a devastating genetic disorder. He had been treated by some of the finest experts in America for his rare disease, and had come to my rehab unit for aggressive physical and occupational therapy. He was exhausted, but mustered the energy to tell me (probably the 100th physician to treat him) his complicated story. Listening to this man, and examining his frail body, I realized that he had already explored every treatment option and avenue available. He had extensive conversations about his genetic variant, and which drugs could possibly modify his course...
Source: Kevin, M.D. - Medical Weblog - February 18, 2016 Category: Journals (General) Authors: Tags: Physician Hospital Primary care Source Type: blogs

Articles about access to Canadian healthcare that should concern everyone
I live in a border region and local health care folk frequently talk about Canadian medical tourism.  A week or so ago Buffalo Business First published this article about the increasing trend for our northern neighbors to cross the border for elective surgeries, emergency room visits, and diagnostic procedures in order to avert the long wait times that are commonly associated with the Canadian care system.http://www.bizjournals.com/buffalo/news/2016/01/29/nearly-1-000-canadians-treated-at-wny-hospitals.htmlThe article discusses the issue from the grim perspective of how this is all a revenue opportunity for Western NY...
Source: ABC Therapeutics Occupational Therapy Weblog - February 11, 2016 Category: Occupational Health Tags: Disability rights health insurance OT practice Source Type: blogs