or's

observation

multitude of diagnoses

Bachelors

ding

second-year

ractions.

g and buttoning.

es. This was an area I wanted to grow in clinical confidence. The lower image shows how I productively grew and developed my therapeutic skills

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tioners.

ting.

SPD.

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ond

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ogram

Telehealth.

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sity (COTAD)

See post below for details on the integration of theory in clinical practice

cognitive behavioral therapy

The image below describes this encounter and how I incorporated a return to work task in our therapy session

M

(ROM)

BS

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ons.

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t clinic.

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I kept a notebook filled with notes and would often confer with my fieldwork educator about the evidence I found and asked their opinion on how they approach different evaluations based on the patient's level of functioning

out the session.

mor

I specified what goal was addressed and whether it needed a different grading so the next session would have a starting point or if a different therapist treated the client, they would have an idea of client participation during treatment session

levels of function.

al need.

lls.

I fulfilled my commitment by stepping up and getting the kids the treatment they needed despite not being able to have their full time seen by their regular occupational therapist by incorporating them into my other caseload.

milies.

overall participation of session

utions.

ow a

hey may have about what the session will look like and what my clinical judgement

with

a co-trea

re they will be transitioning to (inpatient rehab, skilled nursing facility, palliative care, etc.

ed

nt facility

y name is Laura Mendez and I am from Little Rock, Arkansas! I am a second year master's of occupational therapy student and I am approaching my level II fieldwork rotations.

I am a 2nd year maste

include

change

Many members in this group are sensory seeking and need to work on something while they are learning about coping skills

lead

nt’

lient’s f

Min-Mod A fro

p’

y are d/c.

We had a productive conversation about how his rehab team is working hard to help him and that even though we can’t feel the pain he is feeling, we know he is motivated and trying the hardest he could

arised,

ling him I have been a student here for eight weeks, he reported that he thought I had been working here and reported I had the confidence and attitude of an OT practitioner.

nd make s

. I answer client’s and

Even though I would some time after fieldwork planning groups and individual interventions

goals

my strengths for the week

ang

was Max A

y providing this feedback, I am ensuring the client’s safety and that they are able to get the most out of their individual or group th

I also have as

I have corrected

nt’

CEU

EBP

ided.

orks.

LB dressing at d/c (wearing d

I made sure to center my group interventions based on the client’s goals to ensure that they gained coping skills, anger management, problem solving, identifying triggers, and community based skills based on client factors and performance skills.

nt’s

NAMI and SAMHSA, to

rvention.

is is a pi

DME

t will need at discharge

educate t

While at Regional One, a client reported that he was going to sell his medication once he was discharged. I educated him on that being illegal and he reported that he was joking with me. I did not want to take the chance, so I reported this news to my educator. She reported that the rehab team, including the pharmacist and doctor, was aware and that this was not the first time he mentioned this. Katie Heismann, OTR/L reports "Rachel adheres to AOTA's code of ethics and also adheres to any safety protocols."

was

clients and to put the

’s

clien

or’

nt’s

CGT

rs

SNF

ADL

I have been able to communicate

se of the activity.

gave

ADL

GTs, nurses, and RT to

LMHS

rou

ps

cator.

R/L.

cked up all of the rods and that I did minimal effort to help ensure she felt successful and to maintain our therapeutic relationship.

each domain works together to positively or negatively impact health

otivation and attendance in group decreased,

One client was feeling discouraged one week and felt as though she would never get discharged and that she learned all the skills in OT.

aw the jar in the therapy room as well as the clients

they

promote activity to promote

ELMHS

ROH

occupational therapy code of ethi

Bachelor of science

kids

e

independent way

y

was

with

Statio

ADL

post

selves

t

we would like to evaluate him for our services

once I graduate

les

would not benefit myself.

as able to provide

t

with

g

up

to improve his condition

ask h

ss

specific diagnosis/disability

ist

eekly.

you

the way I did

able to be

d re

would even do

on it

for the next time we saw him

was able to talk

from

She would advocate with the medical team on research and study’s done for patients on the vents and early intervention therapy.

and low sedations

with

show

’s

most

a

since being in the ICU can be a serious situation

e

by

an intimidating

once I begin practicing as an occupational therapist

the most

to positively impact my weeks

To be occupational therapist, I feel like we have a passion to help people and most of the time we take those struggles home with us. I know how important it is to balance your work life and personal life. I know that it is hard to leave those struggles at work once you get home, but it is important to focus on yourself and your loved ones just like your patients.

throughout my rotations

as a

p grow my therapeutic use of self.

n

I know how important it is to help them without being asked

I was able to use my strength as a servant

as well as writing up reports

being a servant

after sessions

is helping me develop the skill as I will need it in the future as a practitioner.

because she said that she wants

is

than she provided me

haven’t had

as my instructor for the week

with

was able to talk

that relate wit

y therapeutic use of self

my