“ Intuition ” – and clinical reasoning
Intuition is one of two main modes of thinking, according to Daniel Kahneman. Intuition is fast, considers the whole rather than components of the whole, and intuition feels effortless. Intuition can also be wrong – but often isn’t (Gruppen, Woolliscroft & Wolf, 1988).
We use intuition well when we’ve been exposed to many examples of the phenomenon under consideration – for example, if we’ve seen a lot of patients with similar health problems. We don’t use intuition well when we buy into biases or stereotypes.
The alternative to intuition is slower thinking, that typically brea...
Source: HealthSkills Weblog - March 8, 2020 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Chronic pain Clinical reasoning Occupational therapy Pain conditions Physiotherapy Professional topics Psychology intution Source Type: blogs
Pain and neuromodulation: What ’s all the “buzz” about?
Chronic pain is an enigma for both pain doctors and their patients: difficult to understand (as everyone’s pain is different), challenging to treat effectively, and frustrating to live with. Desperate patients sometimes turn to drastic and irreversible surgical procedures, like amputating nerves to relieve pain, and unfortunately even those procedures may fail to provide the hoped-for results. Fortunately there have been great strides in research related to pain perception and our nervous system’s reaction to various pain treatments, and we’ve been able to develop novel devices that provide many people with much-need...
Source: Harvard Health Blog - March 3, 2020 Category: Consumer Health News Authors: Shafik Boyaji, MD Tags: Back Pain Pain Management Source Type: blogs
On so-called'Civility Pledges' and the abolition of free thought and free speech
I have blogged previously about the glaring problem of lack of tolerance for viewpoint diversity in occupational therapy, and unsuccessful attempts to address the concern. See here for more details. It is not a new problem in occupational therapy, and now the problem is being demonstrated again.An important agenda item has been added to the Spring Representative Assembly meeting of the American Occupational Therapy Association - to explore the creation of a ' Civility Pledge ' as follows:On its surface, most people will agree that it is important to be kind and respectful when interacting with others. Howev...
Source: ABC Therapeutics Occupational Therapy Weblog - February 27, 2020 Category: Occupational Health Tags: OT Education OT practice philosophy policy Source Type: blogs
The 2020 motion to Update Policy E.6 Entry-Level Education of Occupational Therapists and Occupational Therapy Assistants
Please see the following for background information:AOTA ' s claim to authority over entry level degree requirementsA Motion to Update Policy E.6 Entry-Level Education of Occupational Therapists and Occupational Therapy AssistantsAn analysis of how small changes can potentially lead to unintended consequences in a motion+++A new motion has been submitted to AOTA to update Policy E.6 regarding entry level education of occupational therapists and occupational therapy assistants. The originator of this motion believes that this update is necessary because in fact the intent of the first motion was changed through w...
Source: ABC Therapeutics Occupational Therapy Weblog - January 30, 2020 Category: Occupational Health Tags: OT Education OT practice policy Source Type: blogs
Inside Schizophrenia: Comorbidity with Schizophrenia
Comorbidity is the presence of one or more additional conditions co-occurring with a primary condition. In this episode, host schizophrenic Rachel Star Withers with her cohost Gabe Howard will be discussing comorbidity with schizophrenia. Comorbidity is associated with worse health outcomes, more complex clinical management and increased health care costs.
Occupational therapist and host of the podcast Occupied, Brock Cook, will be joining us to discuss ways that he works with people with schizophrenia to manage multiple health issues.
Highlights from “Comorbidity with Schizophrenia” Episode
[01:28] What is c...
Source: World of Psychology - January 22, 2020 Category: Psychiatry & Psychology Authors: Rachel Star Withers Tags: Antipsychotic Inside Schizophrenia Mental Health and Wellness Psychiatry Psychology Psychotherapy Bipolar disorder and schizophrenia comorbid comorbid psychiatric conditions Comorbidities Comorbidity Diagnosis Of Schizophrenia Livi Source Type: blogs
Online data sources for narrative analysis: An innovative use of technology in a graduate project
Presented at The Quality Report Annual Conference, Ft. Lauderdale, FL, 1/15/20Thanks for stopping by to look at our slides!Conference slides! (Source: ABC Therapeutics Occupational Therapy Weblog)
Source: ABC Therapeutics Occupational Therapy Weblog - January 18, 2020 Category: Occupational Health Tags: OT Education Source Type: blogs
Congenital heart disease and autism: A possible link?
Children born with congenital heart disease (CHD) are now surviving at extraordinarily high rates; for most, their life expectancy may be comparable to that of the general population. However, despite the great advances in medical and surgical care, many people with CHD experience long-lasting neurodevelopmental difficulties. These include problems with attention and executive function skills, learning challenges, and in some cases, lower-than-normal IQs.
Study links congenital heart disease and autism
A recent study published in the journal Pediatrics provides compelling evidence that there may also be an association betw...
Source: Harvard Health Blog - January 2, 2020 Category: Consumer Health News Authors: Johanna Calderon, PhD Tags: Children's Health Heart Health Parenting Screening Source Type: blogs
Podcast: Getting unSTUCK- Get Yourself Going in 2020
Do you feel stuck where you are in life? In your job, in a relationship, or maybe you are stuck in a negative feeling, like anger or resentment? Do you want to be able to get over it and move forward?
Join us for today’s conversation with Shira Gura, creator of the unSTUCK method. Shira helps our host, Gabe Howard, with his own personal stuck point and shares some powerful tools to help you feel calm, in control, and to get out of whatever muck you are stuck in!
SUBSCRIBE & REVIEW
Guest information for ‘Unstuck New Year’ Podcast Episode
Shira Gura is a well-being coach on a mission to create an emotion...
Source: World of Psychology - January 2, 2020 Category: Psychiatry & Psychology Authors: The Psych Central Podcast Tags: General Interview LifeHelper Motivation and Inspiration Podcast Self-Help The Psych Central Show Source Type: blogs
Benefits of incorporating more aerobic activity into stroke rehabilitation
After a stroke, the main goal is to get back home and be as independent as possible. To achieve that goal, most stroke rehabilitation centers focus on helping people to regain lost function, such as the inability to use a hand, to speak, to swallow, or to walk. A great deal of effort is put into functional recovery so that the patient can go home safely and adequately perform activities of daily living (ADLs). There is little effort put into aerobic exercise and conditioning in most stroke rehabilitation programs.
A recent systematic review and meta-analysis published in the Journal of the American Heart Association (JAHA)...
Source: Harvard Health Blog - November 19, 2019 Category: Consumer Health News Authors: Elizabeth Pegg Frates, MD Tags: Exercise and Fitness Hypertension and Stroke Source Type: blogs
Insights and Tips for My Fellow Introverted SLPs
As a speech-language pathologist, you talk to patients and their caregivers, to colleagues, and to collaborators, and then you talk to yourself while making notes on the all previously listed interactions. Therefore, you’d think an extrovert would be the ideal personality for the job. After all, SLPs devote their careers to promoting better communication, so they must enjoy communicating, right?
Not always. As it turns out, a special and not-so-rare species of introverted SLPs quietly works in the profession.
The term “introverted SLP” should not come off as an oxymoron. When talking to my peers for this piece, I dis...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - November 18, 2019 Category: Speech-Language Pathology Authors: Marsha Pinto Tags: Academia & Research Health Care Private Practice Schools Slider Speech-Language Pathology Professional Development Source Type: blogs
The OTD Mandate and The Great Pumpkin
It is near Halloween, so a themed entry seems appropriate.We have another motion in front of the AOTA Representative Assembly to mandate an entry level doctoral degree - even though a decision point was reached just six months ago on this same issue. At that time, the decision was to support dual entry at both the master ' s and doctoral level.That did not satisfy a Small Group of individuals, and so we are at the debate again.People frequently ask me ' why ' the profession is going through this again. That is where the Halloween story comes in.Each year, despite overwhelming evidence against his belief system,...
Source: ABC Therapeutics Occupational Therapy Weblog - October 30, 2019 Category: Occupational Health Tags: OT Education Source Type: blogs
The need for occupational therapy educational standards reform: Addressing the real problem behind the push for a doctoral mandate
As a profession, occupational therapists have been spending time talking about opposing the motion to mandate the doctorate – but we need to spend time trying to solve the problem that is bringing this issue to the table.I believe that we have a specific problem (too many credits in masters programs) and some of our colleagues are trying to justify the escalated degree solution by conflating the real problem with a lot of side issues that may not be accurate (e.g. doctorates will give us a seat at the table, doctorates will make us more respected, doctorates will maintain parity with other professions, doctorates will ma...
Source: ABC Therapeutics Occupational Therapy Weblog - October 27, 2019 Category: Occupational Health Tags: OT Education OT practice Source Type: blogs
Why are there not more occupational therapists in pain rehabilitation?
A question I’ve asked myself many times! As a small profession with a long history (as long as physiotherapy, TBH), it does seem odd that there are many, many pain rehabilitation services where never an occupational therapist has darkened the door.
Some of the reasons lie within the profession: in general, occupational therapists are busy being clinicians and have little time for research. In New Zealand, few occupational therapists pursue higher degrees, and many avoid statistical analyses, experimental design, randomised controlled studies. In fact, some occupational therapists have argued that the tailored appr...
Source: HealthSkills Weblog - October 13, 2019 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Clinical reasoning Cognitive behavioral therapy Coping strategies Occupational therapy Pain conditions Resilience/Health interprofessional teams pain rehabilitation persistent pain Source Type: blogs
Open letter to the Representative Assembly of the American Occupational Therapy Association
Dear Representative Assembly Members, I am a program director of an occupational therapy program. I am shocked and concerned that the AOTA ' s Representative Assembly has accepted a new motion to re-litigate the entry level doctoral issue after it was just voted on and decided six months ago. In any democratic process, issues should never be considered ' closed. ' However, we also need to have some procedural safeguards to ensure that there is not an abuse of processes in order to effect a Small Group ' s will. The Representative Assembly has such a process. In the document ' Rubric for RA Motions ' it clearly states:" T...
Source: ABC Therapeutics Occupational Therapy Weblog - October 9, 2019 Category: Occupational Health Tags: OT Education Source Type: blogs
Three letter acronyms and what they mean – CBT, DBT, CFT, ACT – not alphabet soup!
Once you begin to dip your toes into psychological therapies, it doesn’t take long before you begin to see TLAs all over the place. So today I’m going to post on two things: some of the TLAs, and why or how we might consider using these approaches in pain rehabilitation.
The first one is CBT, or cognitive behavioural therapy. CBT grew out of two movements: behaviour therapy (Skinner and the pigeons, rats and all that behaviour modification stuff), and cognitive therapy (Ellis and Beck and the “cognitive triad” – more on this later). When the two approaches to therapy are combined, we have c...
Source: HealthSkills Weblog - October 6, 2019 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Clinical reasoning Cognitive behavioral therapy Coping strategies Interdisciplinary teams Occupational therapy Physiotherapy Professional topics Psychology Research Science in practice Source Type: blogs
