219 Matching Annotations
  1. Apr 2019

      Very good! We talked about in the A.T. workshop last week that two primary models used in assistive technology - the PETT (Person - Environment - Tasks - Tools) Model and the HAAT (Human - Activity - Assistive Technology) Model - align very well with many of the models used in occupational therapy as well as the philosophy of client-centered practice. This is a very important take-away about the overlap between A.T. and O.T.

    2. ,

      omit this comma

    3. a high tech

      A switch is considered a medium-tech device. High-tech includes devices that are more complex like a "talker" (augmentative-alternative communication device) or even a computer or iPad.

    4. According to the notes I took on the introduction to assistive technology prezi

      To align with APA formatting, I recommend that you omit this introductory phrase and instead end the sentence with a citation - like this: "... person with a disability (Lancaster, 2019)."

  2. Aug 2018
    1. Although this may seem simple enough,

      Omit this phrase. Don't assume that you know what the reader is thinking or knows.

    1. why she thought it was an appropriate time to end the session

      But she didn't think it was an appropriate time to end the session ... she accidentally brought things to a close because she didn't have a watch on. This is very unclear and seems like a conflict in what you're relaying.

    2. body temperature

      Again, please source this.

    3. Once out of earshot of our clients we quickly discussed how to handle the situation. 

      It's unclear how you became involved in the transaction here.

    4. so


    5. Additionally, once the body has cooled down from a workout, it is not recommended to exercise again that same day because it could lead to injury or soreness. 

      Is this based on research? If so, please source that. Otherwise, omit this sentence.

    6. Although this may seem illogical to lead a group without having access to the time, I can vouch for my student-peer that she was normally very good at keeping track of the time and gauging her clients to determine when they were about to fatigue.

      Illogical is not the right word here. I would omit or reword this sentence because it seems very subjective.

    7. I also had the opportunity to serve as a role model

      When you say "also," it makes me wonder where the first opportunity occurred as that is not what is demonstrated in the narrative account above.

    8. I felt relieved that I had been honest and demonstrated integrity with my fieldwork educator when it came to the situation.

      I don't think this shows you weren't honest ... but I think it shows a lapse in professional judgment, and I want to see that addressed as well as how you can be proactive in avoiding such a lapse in the future. It's one thing to be forgetful in telling a supervisor in the moment or even in the original documentation, but it's very serious not to then communicate what happened in an accurate/complete manner just after the lapse occurs. Please address this! How can others be assured you learned from this situation?

    9. when the chance presented itself

      How could you have communicated with her earlier than you did? You can't wait for a chance to present itself to communicate with a supervisor or coworker when patient safety is involved.

    10. Finally

      When was this?

    11. d her the truth

      Reword - you didn't tell her an untruth before - but you absolutely did need to communicate the full details of what happened.

    12. a previous fieldwork experience

      Rearrange this sentence so that you are the subject and the responsible party (not an experience).

    13. of course

      omit this phrase

    14. second group I worked with them

      awkward wording - a word or two might be missing here

    1. Bell & Gaillard

      Check your APA formatting in your reference list. There are some dates missing.

  3. Jul 2018
    1. For instance, one of my clients was headstrong but so was my fieldwork educator.  There were times where he didn’t feel like anyone was listening to him and that often resulted in additional resistance when we tried working with him.  At one point, my fieldwork educator was exasperated to work with him

      Be careful - this sounds pretty judgmental, especially about your FWE. How do you know the person you're talking about felt like no one was listening? (Do you mean the client or FWE here?) How do you know the person was exasperated? It is necessary to discuss the emotions of others, or can you primarily focus on what you did to demonstrate this competency?

    1. I took it upon myself to make sure I completed my daily responsibilities because my fieldwork educator was relying on me for this information, plus I was role modeling for the members at the facility. They were learning what it meant to take care of personal responsibilities per day.  By establishing my own personal responsibilities, working on them in front of the clients (within HIPAA), and encouraging them to complete their own personal responsibilities, my clients demonstrated that they were learning these productive habits in their own way. 

      Here I'd like for you to discuss how you are demonstrating this competency on your current rotation. Focus on your own learning, not your clients'. Add a paragraph or more here please.

    1. potentially be a breach in AOTA's code of ethics.

      How so? Please explain.

    2. they gave her the impression that she owed it to them and should keep bringing them free stuff. 

      How do you know what impression she got from them?

    1. which applies this model in addition to the biomechanical and rehabilitation frames of reference

      A practitioner applies a model of practice - a setting does not. Revise/reword

    1. of these individuals

      omit - this habit does not only apply to the group with which you were working.

    2. you -- let's say, you're trying to go the gym four or five times a week -- and you both agree to be accountability partners for each other. 

      Avoid the use of second-person pronouns ("you") in professional writing. This sounds too casual/informal. I recommend ending your sentence after the words "the same goals" and then omitting the rest of this paragraph. The "been there, done that" part is too casual, and the focus needs to be on how you collaborated rather than served as an instructor or role model for clients.

    3. Another example of a healthy habit is through the social component of working out at the local community center.

      Awkward/unclear - sounds like the social component is a habit (??). Please reword.

  4. May 2018
    1. he


    2. I was evaluating an older male from Japan. When assessing his abilities to complete BADLs, he informed me that there were many things that were common to me that he did not complete or completed differently. Instead of forcing him to demonstrate the tasks anyways, we worked together to simulate his typical routine in the most appropriate and safest way available. For instance, instead of deodorant he used soap and wash to wash underneath his arms. At the time, I was assessing his abilities to perform BADLs so I was looking for components like fine motor skills, coordination, sequencing, strength, range of motion, endurance, etc.  

      This is excellent!!!

  5. Apr 2018
    1. I found her lack of motivation to be understandable, and recognized a need for change to better suit this client. 

      I love the way you didn't resort to thinking that the client was unjustifiably unmotivated or lazy ... you instead looked for ways to provide the just-right challenge based on the client profile and her needs/interests.

    2. According to the CliftonStrengths finder, my number one strength is that I am a “developer.” This reflects my natural tendency to recognize and cultivate the potential in others (Rath, 2007).

      I fully agree - this is the culmination of several of your super powers :)

    3. Safety-related education for all was clearly needed.

      Very sensitive and client-centered in a variety of different ways

    4. Ultimately, this decision would be a step in the right direction regarding his success.

      I think another strength of yours is your ability to - and really even your habit of - take the perspective of others (aka put yourself in their position). OUTSTANDING!

    5. I was thrilled to revamp and revise this brochure!

      I am so proud of you.

    1. Taylor Bateman, OTRL, reported, "Katie has become proficient with the major standardized assessments we use at our facility. She interprets results well and objectively. Katie creates a very detailed report based on evaluations with a clear picture of the child’s performance.​“ Jessica Dailey, OTRL, wrote, “In the last 4-5 weeks, Katie has become very efficient with her documentation in both timeliness and accuracy. She displays the knowledge, organization and work ethic of an entry level practitioner.

      Wonderful! This is truly an accomplishment, Katie.

    2. Through conversations with my colleagues, I noticed a specific need for further education regarding the services we can provide and the areas we are able to focus on.

      Excellent - you conducted an informal needs analysis and then responded through advocacy and education to convey the distinct value of OT!!

    3. It was an absolute joy to watch them grow, and I was grateful to serve as a small part in their journey to employment!

      Very interesting - what a great experience!!

    1. I was able to improve my ability to articulate the rational behind my intervention choices.

      Isn't it great the way we ourselves can learn and grown through teaching and mentoring others? :)

    2. comments via the links below


    3. Ultimately, a customized program was created for this client, based on programs such as cognitive behavioral therapy, cognitive enhancement, social skills training, and social cognitive theory.


    4. We conversed with one another about research not only in our “journal club” but also on a daily basis, as we justified our choices to one another and explained our rationales when discussing treatment ideas.

      I love the collaborative learning!

    5. I learned that, as someone who is deeply empathetic, the potential for burnout is high. I will implement the strategies I learned in this course to avoid burnout for many years to come. Please see the certificates below that acknowledge my attendance.

      Fantastic! What a proactive way to begin your career with that in your toolbox!

    1. how I handled one particular situation.

      Back to that super power of yours - your adaptability (and creativity in the moment) and ability to make others feel valued and connected. I'm touched by your response and impressed with your ingenuity.

    2. Ultimately, such coaching led to increased confidence and increased independence. 

      This is a perfect example of your ability to empower clients! I'm intrigued by the coaching strategy and would love to hear more!

    3. “Yes! I would love to try.”


    4. my supervisor was not accessible. I felt lost and scared; Easily the most frustrated I have ever felt in the field. I wanted to blame my supervisor for the entire encounter, and I wished to communicate this blame and frustration through crying and yelling. These behaviors are unlike me, but frustration surely brings out the worst! I wanted to tell her everything she should have been doing differently in that moment. Yet, I resisted. Instead, I communicated calmly. I did express my needs, but I did so without tears or an elevated voice. I shared with her that I would feel more comfortable if she was easily accessible, particularly when I was transferring new clients. This communication led to an improved relationship between us and a level of supervision that I was more comfortable with.

      I can only imagine how scary and frustrating that must have been for you! I am so proud and impressed by the way you handled this, Katie.

    5. as I could easily see his light.

      This brought tears to my eyes. Your OT heart is shining through for sure. Bravo, Katie! I hope you will always remember this interaction as it and the many others like it you are sure to have as an OT practitioner will carry you through the hectic, stressful, and challenging times that come with every career.

    6. I also realized how essential the use of humor is for my therapeutic relationships.

      Agreed! Another strength (super power) of yours for sure!!

    7. to communicate the meaning behind my actions.

      Fully agreed! This is the true mark of understanding/mastery of a specific set of knowledge.

    8. This weekly dinner date served me well, as I typically feel energized and refreshed following quality time with my sister! Certainly, it brought balance to my personal life.

      You have provided great evidence of your competency in this area, very impressive given the demands of Level II FW.

    9. discussion board

      This is outstanding, Katie!! What you have identified as an area for growth really is the "yin" to the "yang" of your strengths of flexibility and collaborativeness, and I believe that you hit on a very effective strategy to strike a balance between the two. VERY well done!

    10. My aha moment occurred when she explained that my struggle likely stemmed from not using my activity analysis skills. When she shared this, it was as if she had truly identified the source of my difficulty.

      Fantastic - I love this aha!!

    11. I have always viewed adaptability and flexibility as strengths of mine. These strengths are typically evidenced by my ability to go with the flow and remain calm in unsure situations.

      Fully agree - this is one of your strengths (aka "super powers")!!

    12. This also gave me an opportunity to provide feedback to another professional in a way that was both constructive and kind.

      I really like the way you used what you learned from your FWE's style of questioning as model for questions others and yourself (aka reflecting)!!

    13. I decided to answer it in a way that evidences I gave feedback to others and myself.

      Creative approach!

    1. Katie Marie KellamS mots

      The font and design of this site are just beautiful!! I love the photo array :)

  6. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. to have an environment that


    2. An entry-level practitioner should possess this quality so that they are prepared to create and implement the occupational therapy process with all of their patients, while also forming that therapeutic relationship by creating interventions and ideas that the patient enjoys and can benefit from.

      What theory or theories would you say you used here?

    1. It is our professional responsibility to always have the client’s best interest in mind.

      Very good!

    2. mini-movement

      Nice work!

    3. In order to engage the men, I centered the group around topics of interest including vintage cars, music, airplanes, tools, outdoor activities, home maintenance, etc.


    4. While I believed in them and they believed in me, we all took the risk together to maximize on potential outcomes but made appropriate adjustments for safety.


    5. run-on

    6. Often times


    7. I would frequently begin by stating that I was first going to ask the hardest question of the day, “What is your name and date of birth?” I found utilizing light humor to be advantageous in building a therapeutic relationship and once a therapeutic relationship was established I would have greater success in participation.

      I love this! I often think the hardest question is what the date is :)

    8. authoritarianism


    9. b

      need a comma

    10. authoritarianism

      Is that the word you meant to use? Check the definition - it doesn't seem like a compliment

    11. There were other areas that I had strengths in and could have an effective leading role.

      What would you have done if you couldn't "step down" from this role - if you were the only OT in a facility or no one else was available to take on that job? Keep in mind that one does not have to be an expert in something to lead a group on that topic/skill area.

    12. s b


    1. Contributes


    2. VCU


    3. To teach someone else the knowledge you have procured is the ultimate factor in attesting one’s comprehension on a topic

      Very true!

    4. Furthermore, during clinical rotations I utilized global research for presentations on rare diagnosis and intervention approaches. Please refer below for an example.

      Very good!

    1. If I were to be unsure of an answer, I would always respond with honesty in that I was unaware of the answer but that I would do my best to find out.


    2. I would leave that item blank

      Did you leave it blank or mark N/A for not available?

    3. It was challenging to develop a personal schedule and routine but through collaboration with other professional staff members I was able to function effectively and autonomously in the end. 

      Sounds like a fantastic growth opportunity!

    4. on similar level to theirs.

      Your goal needs to be to enter the field as an effective entry-level OT practitioner (not on the same level as someone with a year or more of clinical experience).

    5. Although it was proving to be a process, through hard work and determination we were eventually able to improve the client’s functional abilities, tolerance and endurance to receive additional services for contracture management. ​

      Good example!

    1. This activity tailored to the client's motivation allowed her to improve her self esteem enhancing her functional independence.  

      Fantastic example!

    2. Most importantly, during these interactions I have instilled confidence and motivation within myself to become the best version of myself and the best occupational therapy role model I can be.  

      Remember that this competency skill is under the Competency Area "Occupation and Client-Centered Practitioner." What this skill is referring to is gaining the trust of client and/or other professional with whom you're working in order to have the best outcome and be as client-centered as possible. Please rewrite/revise #4.

    3. Alyson howard-MOTs

      I love the font and the layout you chose, Alyson.

  7. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. I also made sure to not let these compliments get to my head, but instead motivate me to continue being personable and forming a relationship with my future patients.

      I'm SO proud of you, Mary Kate!!

  8. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. Entry-level occupational therapists should weigh their decisions with risk-taking and decide if the patient will benefit from the risk and if it will move them along in the occupational therapy process.

      Excellent example of how you have met this competency!

  9. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. They always loved the titles for the groups.

      I love this!!

  10. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. I also believe that practitioners should have a check in moment with themselves at least a couple of times a month in order to inspire and motivate themselves to continue to strive to be the best occupational therapist that they can be.

      Great idea! This check-in system is something you can implement when you are a fieldwork supervisor :)

  11. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. Some instances over this rotation, the stress of balancing this program, my rotation, and my personal life would start to get to me, however I never let it show in front of my educators.

      There are periods of time in our lives when we have to let certain things take a backseat or be put on hold in order to prioritize something else that's more pressing. The big idea here is that you need to seek balance overall - not necessarily every day, every week, or even every month or season.

  12. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. Even if I was very challenged by these weaknesses, I did not let them get in the way of me continuing to work hard and become a better and more competent future occupational therapist. I believe that because I had knowledge of my own strengths and weaknesses, I was able to grow in my abilities and achieve skills that I did not think I would ever achieve.

      Very well said and very well done! There is always room for improvement, even after one has been in the field for decades :)

  13. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. In the beginning of my rotation there, my fieldwork educator mentioned to me that my personality was a little too bubbly and that it may come off the wrong way to those who come to the program each day.

      I'm proud that you were able to avoid taking this too personally and to focus on the big picture which is learning to meet the needs of the clients.

  14. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. an entry-level practitioner

      Really, this is true for all OT practitioners, regardless of experience level.

  15. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. The profession of occupational therapy is always growing and a practitioner should put effort into keeping up with our growing profession so that they are providing their patients with the best and most up-to-date care.

      Well articulated! Definitely very important!

  16. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. This competency skill is something that an OT entry-level practitioner should most definitely have when they come out of school and into the working world.

      Yes - well said!

  17. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. It is crucial that a future occupational therapy practitioner is evidence-based, but that they can also utilize their patient's values, wants, and needs into creating occupation-based and client-centered interventions.

      Yes - spot on!

  18. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. I believe that it is extremely important for an entry-level occupational therapist to attend workshops, continuing education courses, and pursue additional degrees because occupational therapy is constantly changing and areas of occupational therapy are becoming more and more evidence-based everyday.

      Very true - and because entry-level OT practitioners graduate as generalists and will need to further develop knowledge and skills in any area(s) in which they choose to practice.

  19. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. Keeping the patient's information private is a big part of the code of ethics and an entry-level practitioner must be able to keep within the guidelines of HIPAA.

      This is a good example!

  20. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. Without the challenges and growth that I went through, I would not feel confident in myself as a future occupational therapist. It is very important for an entry-level occupational therapist to take responsibility for their actions while practicing, no matter if these actions are positive or negative. I also feel as if an entry-level practitioner should not dwell on the actions if they are negative, and instead take these experiences and grow from them.

      Outstanding! Very reflective!

  21. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. During these inter-professional situations, the OT can receive feedback from the other professionals and give feedback to others as well. In the end, the patient receives the best care when each professional knows how to communicate and stay on the same page with one another.

      Really important points! Well done!!

  22. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. Card Sort Activity

      Excellent! Brings back memories of the neuro media project :)

  23. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. it was wonderful to see an occupational therapist and physical therapist work together to provide the best care for these individuals.

      Very cool experience as part of a Level II FW!

  24. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. Even when I was not leading groups and just hanging out with the members, I always asked them what they were interested in doing in their free time and I assisted them with that.

      There's that super power again :) Your willingness to and ability to connect with others in a variety of situations is a big part of what will make you a very strong, effective, and client-centered OT practitioner.

  25. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. I put a lot of effort to connect with my clients and their families while at Lebonheur and I truly feel as if this made my interventions and treatment sessions with them more efficient and valuable.

      I see this as one of your strengths (i.e. "super powers"), Mary Kate!

  26. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. This is just as important because you gain trust and a therapeutic relationship from your clients and their families when you use positive communication, both verbally and non-verbally.

      Excellent! Excellent example of this competency skill.

  27. marykatehenderson.weebly.com marykatehenderson.weebly.com
    1. I believe that every occupational therapist should respect and admire others' differences throughout the occupational therapy process and that this is a quality that is pivotal for an entry-level practitioner to possess.

      Yes! Spot on!

    2. that cannot be changed.

      Is this phrase necessary? It seems like it changes the meaning of what you're trying to say. Consider this: Whether or not something about a client can be changed, it's the client's choice to life and to do things the way he/she wants, and it's our job as OT practitioners to consider their choices in our work with them as individuals. I think this is what you're saying here but feel like it would be clarified by deleting this phrase.

    1. which is a drive able distance.

      Wonderful - I am so glad you are planning to go!! We should definitely have a UTHSC get-together during that conference b/c I bet a lot of people from the program will be in attendance.

    2. This was a great opportunity to collaborate with a COTA student and see her field of knowledge and get a feel for the relationship between a COTA and occupational therapy practitioner. 

      What a terrific experience!

    3. Overall, the domain of occupational therapy is used continually throughout the OT process in all settings. 

      Yes - and I can see many examples in your APDE indicating how you incorporated the OTPF into your work as an OT student.

    4. Her answer was simple she wanted to be able to fix her hair.

      There's the clinical carrot!!

    5. CVA patient

      Remember person-first language ...

    6. I was able to utilize the attached article for occupation-based intervention ideas. 

      Excellent! Very proactive!

    7. even as an entry level practitioner I will continue to grow and learn.

      Learning and growth (even on a daily basis) will continue throughout your career as an OT practitioner!

    1. This was a tough situation as I had to be honest with the client about the repercussions of her choices and my ethical duty to report this information since she would be putting her unborn baby at risk. 

      Definitely a tough situation, one you handled with grace and integrity!

    2. This meant so much to me because with all of my patients I tried my best to uphold their dignity especially when some patients feel so helpless.

      There's that super power again!

    3. After midterm I was sent to conference to represent OT.


    4. While discussing anger management strategies I slowly uncovered that my patient was being physically and emotionally abused.

      Wow! This really speaks to your ability (super power) of being able to connect with others on a deep and meaningful level. What a different outcome this situation could have had if you had not taken steps to get to know her.

    1. So during one session I gave him several pieces of PVC pipe and a picture of a design.

      I love this!!

    2. This young man stood up, started a beat and began his rap. It was about believing in God and turning to Him in our times of need. By the end of the rap, the entire group was clapping along with the beat and a few ladies even jumped in and sang back up notes.

      This story brought tears to my eyes. I am so, so proud of you, Shani, for your ability to connect with others, even when they and/or their ways of doing things are different from you/yours. Definitely another strength/super power!

    3. I feel like I was able to collaborate with this patient and her family to promote her health and happiness, so that she could continue doing what she most loved.

      I see this as one of your strengths (aka "super powers), Shani.

    4. This rotation lead me to communicate effectively with the social workers that meet with the clients on a day to day basis.


    5. I can appreciate his diverse background and I’m honored I could reach out to him and help him to provide someone or something to find comfort in during those tough times. 

      Fantastic! This story demonstrates perfectly your skills in this area.

    1. I utilized my resources and personal skill to create a wooden maze that would stand vertically, therefore patients would have to reach in various directions to guide their knob through the maze.

      Sounds like a media project in neuro :) I'm so glad you were able to demonstrate how to create a shift away from the ROM arc, which is preparatory and not occupation-centered.

    2. I can proudly say that I can confidently work with children that suffer from more physical issues without fearfulness. 

      I am impressed - - but not surprised. :)

      This is such a great skill for an entry-level OT practitioner to have and will carry you far as you enter the field of OT.

    3. Even during a family member’s anger, I was able to stay calm and professional to handle the situation in a professional manner. 

      Wow, Shani, I imagine that as very stressful and scary! It sounds like the client's family was going through some major grief/adjustments and the anger was just unfortunately directed at you. I am impressed by your response.

    4. (Below is a family training note I made for myself as to not forget anything I needed to discuss with the family.

      Great idea! I still do this kind of thing (making notes for myself about what to talk to a client/caregiver/family about - and sometimes I create a "cheat sheet" to give to them as part of the briefing too).

    5. Below is the calendar

      Excellent strategy! Maintaining a healthy balance between work and personal life will continue to be important going forward.

    6. I would make myself ask the child 3 questions right when I saw them to help build rapport so we both felt more comfortable for me to begin the treatment session.

      What a great strategy!!

    7. Continually, throughout this entire fieldwork experience I found that each of my educators reported to me that they believed my documentation was a strength. I took a lot of pride in this because I had always thought my documentation was not a strength, so for that to be confirmed 3 separate times in 3 different settings has given me more confidence in my documentation skills

      I concur and am so proud of your growth in this area!

    1. I was able to successfully complete my first two rotations while turning in all assignments in a timely manner, and also had the best wedding ever ;)

      This is truly a testament to your organizational skills (another strength of yours!). I've seen photos and you were a gorgeous bride! Congratulations on your marriage and on all you have accomplished as an OT student. I look forward to continuing to see you bloom, Maggie.

    2. "flexor/tendon extravaganza"

      What a cool assignment!!

    3.  My supervisor respected my feedback and let me practice a transfer using a hoyer lift.  I am glad that this experience occurred early during my level II rotations, because it helped me realize the importance of speaking up and providing constructive, timely feedback because if I did not address my concerns about this transfer with my supervisor, the client or I could have been injured.

      Wonderful example of practicing in an ethical and safety-conscious way!

    1. As stated previously, in the upcoming future, I would like to take a course on orthotic fabrication to enhance my skills in this area

      This is a great plan!

    2. She worked on strength and endurance and was able to carry the weighted tray with ten pounds for five minutes at discharge.

      Excellent!! It's common for clinics that specialize in hand therapy to use a biomechanical frame of reference almost exclusively, and this shows that you recognize the importance of incorporating occupation (and the MOHO approach) into that work as well in order to achieve the best outcomes!

    3. Stacey Dupre, OTR/L stated, "addressing goals EVERYDAY with fun, sensory aspects that engage :)"

      Again, this is a strength of yours, and I hope you use this talent every day as an OT practitioner!

    4. Resolving the fat finger.

      What a great title for an article!

    1.  Through this experience, I was able to successfully uphold the AOTA code of ethics.

      Great example of this competency area. You were able to see the significance of putting the clients' needs (and safety) over your own (b/c you could have potentially gotten in trouble and therefore it might have been tempting NOT to report the item as missing). Bravo!

    2. I quickly realized how much I needed to learn about handling skills and incorporating dynamic surfaces into interventions.  I was very overwhelmed when working with infants because I felt like I did not know how to position their body to help facilitate movements to address their goals.  Because I identified this as an area of growth for me, I discussed my concerns with my supervisor, who provided me educational resources to enhance my knowledge of handling techniques.

      Fantastic! You are so proactive, which is such a vital part of being an effective OT practitioner. Another one of your strengths I see is your ability to accurately self-assess (i.e. recognize your own areas of need for growth). Well done!

    3. "I just thought y'all did the same thing at rec. therapy."

      I'm so glad you were able to use your elevator speech abilities in this way!

    4. That same day, I saw his doctor and told the doctor personally about scheduling an eye appointment for my client.

      That is the epitome of patient advocacy ... and of being a leader/change agent. Bravo!

    1. Model of Human Occupation theory.

      Excellent - this is truly a pillar of our profession. Remember that MOHO is not a stand-alone tool but rather one that is to be used in conjunction with other theories.

    2. I found a pediatric reacher and scattered the plastic insects down the hallway.

      I can totally picture you doing this :)

    3.  I have attached a photo of all bell ringer worksheet comparing her handwriting before and introducing primary lines.

      This is definitely one of your strengths (aka "super powers"), Maggie!

    4.  Without being able to gain an understanding of factors that motivate your clients, it would be difficult to encourage occupations that would promote health and prevent disease and disability.

      Exactly!! Very important! This is a great story that illustrates that point perfectly.

    5. My heart broke, and I was immediately disappointed in myself that I believed it would not be a big deal for his mother to go buy him these specific type of markers for him.

      What a huge realization! I love the way you were so proactive in addressing this need in a sensitive manner.

    6. Throughout the past 9 months, one of my main focuses when intervention planning was developing good rapport with my clients to be able to incorporate meaningful, occupation-based treatment plans

      Excellent! Keep it up!

    1. I am now the vice chair of the mental health committee, and I plan to continue my leadership when I become a licensed practitioner. 

      Terrific! True leadership in action!

    1. I created this document

      Fantastic!! Excellent resource that is sure to be used for a long time to come

    1. I finally realized I was stating,"I need a man". The joke made our whole team's day a little brighter! 

      Hilarious - and this speaks to your ability to truly become part of a team even in just a relatively short period of time. Great story!

    1. My fieldwork educator and I purposely selected clients who required a lot of assistance to be on my caseload

      Wow! I'm impressed! What a strength-building way to approach fieldwork!

    1. They were also glad to hear the positive affirmations and encouragement that was included with my feedback.

      I love this, Carly! This definitely demonstrates your propensity as a teacher/educator which is a very important skill for a clinician to have.

    1. the information I learned can truly be used across all settings of occupational therapy.

      Exactly right! Addiction in general is a very important topic regardless of the setting or population

    1. We would go through her typical morning routine every day,

      Great incorporation of the OTPF (3rd ed.)!

    1. We were able to utilize large padded mats in the therapy gym. We got on the floor with the client and show her techniques to get back up or at least call for help.

      Excellent! This is such an important skill to make sure our clients (and sometimes caregivers too) know.

    1. I made sure that the articles were recent and mentioned beneficial interventions that they could utilize.

      Excellent idea! This demonstrates your ability to function as a role model in a professional setting and context as well!

    1. The session was extremely beneficial for me, because I mainly worked with clients in the ICU.

      Sounds like a really worthwhile inservice! On a related note, I highly recommend the book "Final Gifts" by hospice nurse Maggie Callanan when you have more time time read. It's one of the most informative books I've ever read, especially in terms of understanding more about the end-of-life process.

    1. This experience has made me take on a leadership role that I did not think would come into play until later down the road after receiving my license.

      This always surprises and usually (as in your experience) reinforces the self-confidence levels of Level II students and new practitioners. I encourage you to assume the role of fieldwork educator in supervision OT students as an OTR as soon as you can. It's one of the things I know you'll be really good at!

    1. This allowed me to see the broad array of service models that our career has to offer. 

      What a fantastic alignment of Level II FW experiences you had!

    2. I would have my clients bake cookies, wash clothes, simulate grocery shopping, etc. to prepare them to go home and live independently.

      I love the occupational focus of your interventions!

    1. because we have been directly involved with the research behind a recovery high school that might be coming to Murfreesboro in the near future.

      Excellent example!! This also shows how being an evidence-based OT practitioner can inspire trust and respect from others.

    1. so being a greeter was actually one of the worst positions for her.

      Really important insight that shows you are able to look at the client's strengths and motivations as well as the environment and context in the OT process. Very well done!

    1. I had her write down all of her favorite recipes that her family loved.

      This is fantastic! I can see your OT heart shining through in this intervention.

    1.  On my first Level II Fieldwork at Paris Rehabilitation and Nursing Center, the administrator gave me the nickname "smiley".

      I love this! I believe that too!

    2. to share what I was doing with them to the other practitioners

      This is a great way to look at something like that! You make an excellent point about the potential power of non-verbal communication too.

    1. This lack of interest in making friends was either a result or cause of the client's inability to read social cues and appropriately engage with others.

      How do you know this is the cause of her lack of friendships?

    2. occupational profile while also using theory to support it


    3. th, "nothing occurs in isolation" and it is "multifaceted,"

      Use APA

    1. clavicles

      This does not sound like proper seizure protocol. It may just be in the way you are describing things, but it sounds like the client was put at risk by this type of handling.

    2. In short, I had earned her respect and trust which ultimately inspired her confidence in me as a clinician.

      Good story that illustrates the competency in terms of working with a client

    3. because she knew I was right and it wasn't helping her get out of the facility faster

      Reword - you don't know for sure why she remained silent. Only state what you know for sure - or be sure to identify your assumptions and thoughts as such.

    4. vague and unsatisfactory

      sounds judgmental - reword

    5. respecting my client's wishes, explaining my reasoning for doing what I do, and preserving his or her dignity throughout the entire process

      very good!

    1. once they get the hang of it

      Unclear how this passage serves as evidence that you are competent in the skill area identified in the heading

    1. Each competency area will need to be accompanied by a narrative passage in which the competency skill is linked to occupational therapy in terms of significance or relevance.  Your writing should clearly answer the question "Why is it important for an entry-level OT to possess this quality/ability/knowledge?"  An artifact or other specific evidence such as a written anecdote demonstrating your competence must be included with the passage you write about each competency skill.

      Delete the instructions.

    1. concluded after two more weeks of practicing transfers, balance techniques, and endurance training, he would be ready to go home safely

      On what did you base this recommendation?

    1. By performing interventions that are meaningful to them, it increased their motivation to participate in therapy sessions. 

      Excellent point - the essence of OT!

    1. I rode the Rover,  the public transportation system in Murfreesboro

      Interesting - and I can see how that could be a way to learn more about the culture of the clients in that area.

  28. Mar 2018
    1. there are times in practice when the lines become blurred and one must refer to the AOTA Code of Ethics to guide practice as they are a written standard to guide our practice.

      Please provide a specific example of this - an ethical dilemma or other situation in which you needed to refer to what you know about the Code of Ethics in order to move forward in your work.

    2. I have learned that I do not have to try to be exactly like any one therapist because I have seen several people with very different styles and approaches, all of whom were excellent therapists.

      Outstanding - so very true!! I have no doubt that you will continue along the path to furthering your professional growth throughout your career as an OT.

    3. As can be read in the above Blackboard post, this interaction which resulted in me learning a lot more about PT and aided in my ability to view the body holistically and in return the PT student began to pick up on the unique value of OT.

      I can see your internal locus of control shining through here. Well done!

    4. equity shall not be confused with equality.

      Wow - this is profound! I applaud your efforts in this area as well as your dedication to continue along these lines - so true to our OT-think mindset!!

    1. Continued education is a privlege as well as a responsibility to the field and consumers.


    2. can not


    3. The handout I created can be viewed to the right.


    4. "She often takes our more "challenging" patients and is able to blend all of her knowledge together in order to treat the whole person, not just their physical injury." -Tess G., OTR/L

      Your goal and your performance in this area is exceptional, Morgan, and clearly provides evidence of higher order reasoning skills as a clinician.

    5. wether

      spell check

    6. integrate knowledge

      I think there's a word missing here

    7. to inform my theories and interventions

      I'd like to hear how something specific that you read or otherwise learned from research/EBP impacted your practices on Level II. For example, did you research interventions for burns or autism and then apply what you learned in working with one or more clients on Level II? Please add to this section.

    8. While attending school,

      Very good points and I'm sure this was beneficial to your professional development. I want to hear how what you took away from this event impacted your work on Level II FW. Alternately, you can choose to write about how you sought to attend continuing ed or similar training (this can include independent research you did) to further your skills/knowledge during Level II. Please add to this section.

    9. participate


    1. I chose this profession for the shear purpose of being able to make a difference in the lives of others which is way more important to me than self-promotion or profit. 

      You chose the right path in this situation, and this definitely exemplifies valuation of the client over self-promotion.

    2. Actively participates in leadership

      I agree that your experience in these positions was important to your professional growth. I want to hear more about how what you learned in these leadership roles played into what you did on Level II FW. Please add a little more to this section.

    3. an honor

      Outstanding! This is something to hold onto for the rest of your career.

    4. I created handouts for patients and caregivers.

      Fabulous, Morgan!! This relates all the way back to the elevator speech in Foundations - a message is only as good as the receiver's ability to understand and relate to it. Very well done! I'm sure these handouts will be used for a long time to come!

    5. 5minutes

      Interesting approach. I'm curious to know what the rationale for this particular time period (or the 8 minutes the vest was worn in the clinic). There is very limited published research on this as far as I know, which means this is a good area for further exploration in the future!