#OTalk Transcript
Healthcare social media transcript of the #OTalk hashtag.
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See #OTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | #OTalk @OTalk_ It's 8pm! That means one thing! It’s #OTalk time! @OTontheTracks on the @OTalk_ account tonight. Who's out there? Say hi, even if lurking! https://t.co/vAvyvmKjB4 |
| #OTalk @OTalk_ Remember that professional codes including @The_HCPC apply online as well as off-. https://t.co/pUlLCtRcL0 #OTalk https://t.co/HfJeQHhldr |
| #OTalk @OTalk_ If you forget the hashtag, or if your account is protected, your tweets wont show up in the chat/transcript. So remember to check before you post! #OTalk https://t.co/ArMz2b80Z1 |
| #OTalk @OTalk_ Tonights #OTalk is being hosted by @therese_jackson from @OTstrokeSSNP. Make sure to say hello… Check out the blog: https://t.co/fVXgB884d2 |
 | Caroline Bryson @callyline1 #otalk. Hi I’m here and looking forward to the chat. Mostly lurking though! New to this. |
| #OTalk @OTalk_ @ot_mai That’s a shame. You can catch up with the transcript when it’s posted in a few days. #OTalk |
 | Dr Jenny Preston MBE @preston_jenny #OTalk Hi everyone, great to see so many new groups joining us for this neuro special chat. Happy learning 😄 |
| Ruth Sharp @r_spells #OTalk Hi, mostly lurking as dont use twitter, looking forward to chat |
| Lynne Merrett @ot_lynne Hi I'm looking forward to tonight's chat and seeing what other people are doing in this area #otalk |
| #OTalk @OTalk_ @Callyline1 Good to have you here. #OTalk |
 | COTSSNP Stroke Forum @OTstrokeSSNP #OTalk Hi Everyone! I'm really looking forward to this one. |
| #OTalk @OTalk_ RT @OTalk_: Tonights #OTalk is being hosted by @therese_jackson from @OTstrokeSSNP. Make sure to say hello… Check out the blog: https://t.co/fVXgB884d2 |
 | thelma smith @thelot17 Hi my favourite topic, listening and lurking, #OTalk |
 | Alli Hayes @allihayesot Hello from Memphis, TN, USA! #OTalk https://t.co/3GI7FiVgre |
| #OTalk @OTalk_ RT @OTstrokeSSNP: #OTalk Hi Everyone! I'm really looking forward to this one. |
| #OTalk @OTalk_ If you are new to #OTalk... be sure to check out our guide of tweet chats: https://t.co/Ld2875Dq4k Just shout if you need a hand! :) https://t.co/9ffYBfSsWH |
| #OTalk @OTalk_ #OTalk @therese_jackson is having a few tech issues, but the first question is coming right up... |
| COTSSNP Stroke Forum @OTstrokeSSNP Good evening all. Who have we got with us tonight? Looking forward to an interesting chat. Please remember to add #OTalk to the end of your tweets so the conversation is captured and part of the transcript later. First question coming.... |
| #OTalk @OTalk_ RT @OTstrokeSSNP: Good evening all. Who have we got with us tonight? Looking forward to an interesting chat. Please remember to add #OTalk to the end of your tweets so the conversation is captured and part of the transcript later. First question coming.... |
 | Thérèse Lebedis OBE @therese_jackson hi everyone 1st Question How would you identify if a person with stroke has apraxia? #OTalk |
| #OTalk @OTalk_ Welcome!! #OTalk https://t.co/7mPJfnZAxr |
 | Orla @orlatheot RT @therese_jackson: hi everyone 1st Question How would you identify if a person with stroke has apraxia? #OTalk |
| #OTalk @OTalk_ #OTalk Question 1 https://t.co/rccxL2HDZy |
| Helen Ellis @HelenLongwell @OTstrokeSSNP Hello. I am here. Looking forward to it. #OTalk |
 | beth cooke @BethcookeCooke Hi everyone, looking forward to tonights apraxia chat #OTalk |
| Ruth Sharp @r_spells #OTalk difficultly with using objects or gesturing use of object, copying gestures, crossing midline |
| COTSSNP Stroke Forum @OTstrokeSSNP @therese_jackson Welcome Therese. Thank you for joining us and hosting the chat on our behalf this evening. It’s great to be able to benefit from your expertise on this sometimes tricky but always interesting subject #OTalk |
 | Stephanie Lancaster @TheOutLoudOT The client is likely to be having difficulty with the coordination of movement of one or more muscle groups #OTalk |
| beth cooke @BethcookeCooke @OTalk_ We have started using a general apraxia screen mixed with general functional assessment ...how about everyone else? #OTalk |
| #OTalk @OTalk_ @cathymc9781 Great that you took some time to read the blog post as way of introduction! #OTalk |
| Lynne Merrett @ot_lynne I would observe them in a functional task and look out for errors not explained by weakness, inco-ordination, sensory loss, or problems with comprehension or inattention to commands #otalk |
 | Bill Wong, OTD, OTR/L @BillWongOT Hello! Joining in late. #otalk |
| Alli Hayes @allihayesot RT @TheOutLoudOT: First-year OT students at @uthsc are ready for their first Twitter chat about #OT @OTalk_ #OTalk https://t.co/0vBIVnDHoo |
| #OTalk @OTalk_ Remember to add #OTalk to all your tweets so others can see them during the chat. https://t.co/F7NE2PQqNo |
| Lynne Merrett @ot_lynne Often problems with sequencing #otalk |
| thelma smith @thelot17 Good evening, my favourite topic, Apraxia #OTalk |
 | Hiral Khatri, OTD, OTR/L @DrHiralKhatri Hii #otalk |
| Hiral Khatri, OTD, OTR/L @DrHiralKhatri RT @TheOutLoudOT: The client is likely to be having difficulty with the coordination of movement of one or more muscle groups #OTalk |
 | Debra Hughes @Debraj_OT Will be lurking somewhere..... interested in the subject #OTalk |
| Thérèse Lebedis OBE @therese_jackson @caralawrence Hi cara - yes and what might make you differentiate between apraxia and other cognitive issues #OTalk @OTstrokeSSNP |
| #OTalk @OTalk_ @RachelTeasy @BethcookeCooke Remember to add the hashtag to each of your tweets so others can see your responses #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @therese_jackson Good question- having trouble formulating thoughts. Or observing that they might have trouble with simple daily living tasks in terms of sequencing. #otalk |
| COTSSNP Stroke Forum @OTstrokeSSNP @BethcookeCooke @OTalk_ That's good. Is that in an acute unit Beth? You might want to hold that thought for later on. Think a question on assessment might be coming up #spolieralert #OTalk |
| Lynne Merrett @ot_lynne Important to rule out other problems such as memory dysfunction, visual perception problems and comprehension #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ot_mai: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @HG1OT: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @caralawrence: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ot_lynne: I would observe them in a functional task and look out for errors not explained by weakness, inco-ordination, sensory loss, or problems with comprehension or inattention to commands #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @BethcookeCooke: @OTalk_ We have started using a general apraxia screen mixed with general functional assessment ...how about everyone else? #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @TheOutLoudOT: The client is likely to be having difficulty with the coordination of movement of one or more muscle groups #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @r_spells: #OTalk difficultly with using objects or gesturing use of object, copying gestures, crossing midline |
| Hiral Khatri, OTD, OTR/L @DrHiralKhatri @therese_jackson Functional assessment #otalk and keen observation on ADL tasks |
| Hiral Khatri, OTD, OTR/L @DrHiralKhatri RT @chungsongyau: |
| Hiral Khatri, OTD, OTR/L @DrHiralKhatri RT @BillWongOT: @therese_jackson Good question- having trouble formulating thoughts. Or observing that they might have trouble with simple daily living tasks in terms of sequencing. #otalk |
| Ruth Sharp @r_spells @JenniferNCrow @OTalk_ Whats Tulia? #OTalk |
 | Dee Garrett @GedgraveGirls #OTalk hi all I will just be sipping my Pot of Tea & lurking tonight and learning about Stroke of which will enhance my Tacit knowledge of this interesting unfamiliar topic #OTalk |
| COTSSNP Stroke Forum @OTstrokeSSNP @ot_lynne Indeed. Often a challenge when there's commonly more than one thing going on and patient frequently also have language problems #OTalk |
| Dr Jenny Preston MBE @preston_jenny #OTalk @OT_Ruth @therese_jackson or even the correct sequence? https://t.co/hRnaVUpIbO |
| beth cooke @BethcookeCooke @therese_jackson TULIA is a useful tool #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @ot_mai @BethcookeCooke @therese_jackson Sometimes a good old fashioned one can be simple puzzles that we have with kids! If not, simple ADL observations can also do the trick! #costeffective #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTstrokeSSNP: @ot_lynne Indeed. Often a challenge when there's commonly more than one thing going on and patient frequently also have language problems #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @alexxjscott: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @GedgraveGirls: #OTalk hi all I will just be sipping my Pot of Tea & lurking tonight and learning about Stroke of which will enhance my Tacit knowledge of this interesting unfamiliar topic #OTalk |
| Hiral Khatri, OTD, OTR/L @DrHiralKhatri One affected or all affected extremities will show inappropriate motor planning. Such as spilling food while eating with spoon, or imbalance during taking cup to mouth or not able to button. Sometimes slurred speech. #OTalk |
| #OTalk @OTalk_ #OTalk https://t.co/hHigD43VIw |
 | Morgan Petersen @mpetersen_ot RT @TheOutLoudOT: First-year OT students at @uthsc are ready for their first Twitter chat about #OT @OTalk_ #OTalk https://t.co/0vBIVnDHoo |
| thelma smith @thelot17 Functional assessment first, reduced planning, difficulty sequencing, perseveration difficulty following instructions #OTalk |
 | Kayla Wright @KaylaWright_OT RT @TheOutLoudOT: First-year OT students at @uthsc are ready for their first Twitter chat about #OT @OTalk_ #OTalk https://t.co/0vBIVnDHoo |
| Bill Wong, OTD, OTR/L @BillWongOT @carspring27 Although getting a baseline is also important. I know I am a fast speaker to begin with. So... asking family and friends on how much different from norm before onset is also important. #otalk |
| Ruth Sharp @r_spells @caralawrence @JenniferNCrow @OTalk_ Yes the Oxford cog screen does, we use this in stroke rehab with dysphasic patients #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @thelot17: Functional assessment first, reduced planning, difficulty sequencing, perseveration difficulty following instructions #OTalk |
| beth cooke @BethcookeCooke @therese_jackson it is important to eliminate other cognitive issues ie perceptual difficulties, general agnosia, and consider different types of apraxia to help the assessment process #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @sweet_hiral: One affected or all affected extremities will show inappropriate motor planning. Such as spilling food while eating with spoon, or imbalance during taking cup to mouth or not able to button. Sometimes slurred speech. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @HG1OT: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @BethcookeCooke: @therese_jackson it is important to eliminate other cognitive issues ie perceptual difficulties, general agnosia, and consider different types of apraxia to help the assessment process #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @EmPlayfair: |
 | Jessica Kirk @jessicakirk_ot RT @TheOutLoudOT: First-year OT students at @uthsc are ready for their first Twitter chat about #OT @OTalk_ #OTalk https://t.co/0vBIVnDHoo |
| Dr Jenny Preston MBE @preston_jenny #OTalk @HG10T @therese_jackson I think the most severe case of apraxia was evident in showering, the patient could describe the process, identify objects such as soap and sponge but could not sequence the activity at all. https://t.co/KxKXlm8uf9 |
| COTSSNP Stroke Forum @OTstrokeSSNP It's good to hear that function is first/high in the list of assessments for many of you. So far we've got some more formal screening tools being mentioned too. TULIA recommended in the previous RCP guidelines #otalk |
| Caroline Bryson @callyline1 #OTalk I’m not familiar with TULIA. Is it an assessment? Sorry for daft question. |
| Kayla Wright @KaylaWright_OT RT @TheOutLoudOT: The client is likely to be having difficulty with the coordination of movement of one or more muscle groups #OTalk |
 | Ashten Maldonado @ashemaldot RT @TheOutLoudOT: First-year OT students at @uthsc are ready for their first Twitter chat about #OT @OTalk_ #OTalk https://t.co/0vBIVnDHoo |
| #OTalk @OTalk_ RT @OTstrokeSSNP: It's good to hear that function is first/high in the list of assessments for many of you. So far we've got some more formal screening tools being mentioned too. TULIA recommended in the previous RCP guidelines #otalk |
| #OTalk @OTalk_ RT @chungsongyau: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTstrokeSSNP: It's good to hear that function is first/high in the list of assessments for many of you. So far we've got some more formal screening tools being mentioned too. TULIA recommended in the previous RCP guidelines #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Louisepenny87: |
| COTSSNP Stroke Forum @OTstrokeSSNP @carspring27 Need to be careful not mixing apraxia and ataxia. But thank you for the share. Keep ideas, suggestions and resources coming #OTalk |
| Thérèse Lebedis OBE @therese_jackson Q2 - What types of apraxia would you generally see in a person with stroke? #OTalk |
| #OTalk @OTalk_ @OccupationalFox Good to have you here tonight @OccupationalFox #OTalk |
| #OTalk @OTalk_ #OTalk Question 2 https://t.co/whizgR8Qrw |
| Bill Wong, OTD, OTR/L @BillWongOT Speaking of cognition, it can be difficult to tease out if that person also has developmental disabilities and/or something like dementia. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @caralawrence: |
 | Amie Jayne💚(she/her)🏳️🌈 @Amie_OT @OTstrokeSSNP @carspring27 At least I don't seem to be the only one trying to get my head around all these similar sounding yet very different terms #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Amie_OT: @OTstrokeSSNP @carspring27 At least I don't seem to be the only one trying to get my head around all these similar sounding yet very different terms #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @EmPlayfair: |
| Ruth Sharp @r_spells #OTalk ideomotor (right object, wrong plane), ideational (poor sequencing) i think, but always muddle the 2! |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ot_mai: |
| COTSSNP Stroke Forum @OTstrokeSSNP @ljx_01 https://t.co/4SqDNIT7ie #OTalk |
| Dr Jenny Preston MBE @preston_jenny #OTalk @therese_jackson ideational and ideomotor? https://t.co/mK7p3srhLp |
| Helen Ellis @HelenLongwell @therese_jackson @otalk Also need to rule out memory and attention difficulties #OTalk |
| COTSSNP Stroke Forum @OTstrokeSSNP @Amie_OT @carspring27 Absolutely. It's a minefield but an exciting one once you've got your head round them all. Hang in there. It's worth it #OTalk |
| Dr Jenny Preston MBE @preston_jenny @r_spells Great minds @r_spells #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @ot_mai @BethcookeCooke @therese_jackson Yes- say if a person is an avid user of iPad for example, I definitely would use an app like crossfingers and purposely pick challenges that requires sequencing. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @RachelTeasy: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @r_spells: #OTalk ideomotor (right object, wrong plane), ideational (poor sequencing) i think, but always muddle the 2! |
| beth cooke @BethcookeCooke @OTalk_ ideational apraxia and ideomotor are the two that spring to mind #OTalk |
| Thérèse Lebedis OBE @therese_jackson @RachelTeasy dressing I meant #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTstrokeSSNP: @Amie_OT @carspring27 Absolutely. It's a minefield but an exciting one once you've got your head round them all. Hang in there. It's worth it #OTalk |
| #OTalk @OTalk_ One of the most important rules of #OTalk is Remember the hashtag so we can all see your tweets in the conversation. https://t.co/9HFdnINlb5 |
| Lynne Merrett @ot_lynne Q2: I would expect to see ideational apraxia (a problem with the concept of the action related to the object) or ideomotor apraxia (a problem with the initiation and execution of planned sequences of movement) or potentially a combination #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @BethcookeCooke: @OTalk_ ideational apraxia and ideomotor are the two that spring to mind #OTalk |
| COTSSNP Stroke Forum @OTstrokeSSNP @RachelTeasy @therese_jackson #OTalk Not widely used now. These are terms that used to be used to describe the activities in which Apraxia was problematic, but we know that it isn't restricted to individual activities, so is now referred to by the way it affects activities (ideational and ideomotor) |
| Dee Garrett @GedgraveGirls RT @Amie_OT: @OTstrokeSSNP @carspring27 At least I don't seem to be the only one trying to get my head around all these similar sounding yet very different terms #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTstrokeSSNP: @RachelTeasy @therese_jackson #OTalk Not widely used now. These are terms that used to be used to describe the activities in which Apraxia was problematic, but we know that it isn't restricted to individual activities, so is now referred to by the way it affects activities (ideational and ideomotor) |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ot_lynne: Q2: Q2: I would expect to see ideational apraxia (a problem with the concept of the action related to the object) or ideomotor apraxia (a problem with the initiation and execution of planned sequences of movement) or potentially a combination #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Louisepenny87: |
| Dr Jenny Preston MBE @preston_jenny RT @ot_lynne: Q2: Q2: I would expect to see ideational apraxia (a problem with the concept of the action related to the object) or ideomotor apraxia (a problem with the initiation and execution of planned sequences of movement) or potentially a combination #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OT_Ruth: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @HG1OT: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @chungsongyau: |
| Ruth Sharp @r_spells #OTalk I hadnt realised you can have a combination of ideomotor and ideational, good to know |
| Bill Wong, OTD, OTR/L @BillWongOT RT @r_spells: #OTalk I hadnt realised you can have a combination of ideomotor and ideational, good to know |
| COTSSNP Stroke Forum @OTstrokeSSNP #OTalk Useful summary from Charlie of the basics of assessment of apraxia https://t.co/PmuIXsWxtb |
| #OTalk @OTalk_ RT @OTstrokeSSNP: #OTalk Useful summary from Charlie of the basics of assessment of apraxia https://t.co/PmuIXsWxtb |
| Ruth Sharp @r_spells @caralawrence @chungsongyau @JenniferNCrow @OTalk_ I only do if I have considered apraxia following observation of functional tasks #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @r_spells Me too- now I got to look out for them if I see this combo in my practice. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @chungsongyau: |
| #OTalk @OTalk_ @TheOutLoudOT How are your first years getting on? #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Aisling_neuroOT: |
| Dee Garrett @GedgraveGirls @Amie_OT @OTstrokeSSNP @carspring27 Dito...Amie @Otalk #OTalk needing more Tea...from the half full teapot to absorb and slowing digest this very interesting topic unbeknown to my now enlightened conciousness...of Stroke terms in OT. |
| COTSSNP Stroke Forum @OTstrokeSSNP We have shared a performance error checklist during our SOS training, to help you and assistants capture the number and types of errors (ideomotor and ideational) as you observe a task. Useful to see where in task things break down and when repeated over time shows change #otalk |
| Caroline Bryson @callyline1 #OTalk Thanks for the TULIA link. I will have s good look at it. Maybe use it as ideas to incorporate into existing knowledge and assessment, rather than as a stand alone screen. |
| #OTalk @OTalk_ @JenniferNCrow @chungsongyau @caralawrence @r_spells Jennifer there needs to be a space before you use the hashtag for it to work properly. Great contributions to the chat tonight. #OTalk |
| #OTalk @OTalk_ RT @OTstrokeSSNP: We have shared a performance error checklist during our SOS training, to help you and assistants capture the number and types of errors (ideomotor and ideational) as you observe a task. Useful to see where in task things break down and when repeated over time shows change #otalk |
 | Bronagh @brona79 @therese_jackson I work on an ASU and find that a high proportion of my patients with severe aphasia present with ideational Apraxia #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ACHEESEOT: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @brona79: @therese_jackson I work on an ASU and find that a high proportion of my patients with severe aphasia present with ideational Apraxia #OTalk |
| beth cooke @BethcookeCooke @r_spells @caralawrence @chungsongyau @JenniferNCrow @OTalk_ functional assessment is my general fall back, and in a variety of functional activities. I find ideomotor apraxia an easier one to assess for #OTalk |
| Diane Allen @starbright12 @OTstrokeSSNP Are u able to share this with us #Otalk |
| Dr Jenny Preston MBE @preston_jenny #OTalk @therese_jackson @OTstrokeSSNP Do you repeat this with the same task? If yes how do you know if it is change in ability or learned response? https://t.co/04CLCPXff0 |
| Bill Wong, OTD, OTR/L @BillWongOT @ACHEESEOT @therese_jackson And functional assessments are awesome if you are on a time crunch to get a patient’s baseline levels. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @BethcookeCooke: @r_spells @caralawrence @chungsongyau @JenniferNCrow @OTalk_ functional assessment is my general fall back, and in a variety of functional activities. I find ideomotor apraxia an easier one to assess for #OTalk |
| Thérèse Lebedis OBE @therese_jackson Great chat everyone Q3 - in what ways can apraxia affect people’s occupational performance #OTalk @OTstrokeSSNP |
| COTSSNP Stroke Forum @OTstrokeSSNP @brona79 @therese_jackson Indeed. Commonly these impairments co exist which makes assessment and intervention a more complex challenge. A really necessary opportunity for us to reduce the language involvement in instructions, interaction and assessment (hard for a chatterbox) #OTalk |
| #OTalk @OTalk_ #OTalk Question 3 https://t.co/JUiwWiPRJi |
| Dr Jenny Preston MBE @preston_jenny #OTalk @therese_jackson And of course functional assessments are also ecologically valid. https://t.co/KewnDibFWF |
| Thérèse Lebedis OBE @therese_jackson @brona79 yes - important to work with S< therapy colleagues on this - often people with aphasia can use familiar objects normally in the right context - which wouldn't be the case with apraxia #OTalk @OTstrokeSSNP |
| COTSSNP Stroke Forum @OTstrokeSSNP Interesting point: Regardless of whether learnt or change in ability it demonstrates an improvement in function as you observe fewer performance errors. Good for assistants or juniors less confident in writing it all up, or a useful quick way of jotting whilst you observe #OTalk https://t.co/9GxLq4flQ6 |
| #OTalk @OTalk_ RT @OTstrokeSSNP: Interesting point: Interesting point: Regardless of whether learnt or change in ability it demonstrates an improvement in function as you observe fewer performance errors. Good for assistants or juniors less confident in writing it all up, or a useful quick way of jotting whilst you observe #OTalk https://t.co/9GxLq4flQ6 |
| Diane Allen @starbright12 @therese_jackson @OTstrokeSSNP They may miss or repeat a task in the sequence, spend additional time searching for objects or use objects incorrectly #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT Oops! Forgot #otalk 😂 https://t.co/cRf1EQ5pCm |
| Bill Wong, OTD, OTR/L @BillWongOT RT @starbright12: @therese_jackson @OTstrokeSSNP They may miss or repeat a task in the sequence, spend additional time searching for objects or use objects incorrectly #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @caralawrence: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Louisepenny87: |
| Ruth Sharp @r_spells Q3 Difficulty with so many tasks, eg shaving, putting in hear aids, brushing teeth #OTalk |
| Dr Jenny Preston MBE @preston_jenny @HG1OT @therese_jackson #OTalk I always remember it by the use of ‘motor’ in ideamotor and the idea of movement or motor planning whereas ideational is more about the conceptual planning. Probably just confused you more 🤔 https://t.co/q4Nj7tylpZ |
| Bill Wong, OTD, OTR/L @BillWongOT @therese_jackson @OTstrokeSSNP And sometimes may not be a good idea to leave them by themselves to perform community occupations. May have trouble with shopping... getting from their home to another location close by, etc. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @r_spells: Q3 Difficulty with so many tasks, eg shaving, putting in hear aids, brushing teeth #OTalk |
| COTSSNP Stroke Forum @OTstrokeSSNP @JenniferNCrow @caralawrence @chungsongyau @r_spells @OTalk_ @JenniferNCrow raises a good point. OT have a key contribution in the MDT (and pt and family) to explain, educate and assist other members of the team to work with apraxia, whether it be in how someone can use their walking aid, or feed themselves or wash themselves etc #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @HG1OT: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @chungsongyau: |
| Lynne Merrett @ot_lynne Huge problems with all different kinds of occupational performance, inability to complete tasks successfully. Can affect mood if unable to manage tasks, so often coupled with a language problem as well this only serves to baffle families more #otalk |
| Dr Jenny Preston MBE @preston_jenny RT @chungsongyau: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @caralawrence: |
| Helen Ellis @HelenLongwell @starbright12 @caralawrence @r_spells @JenniferNCrow @OTalk_ I have found people may have difficulty with this aspect in the OCS but have not problems in function. I think the point about checking the problem is not caused by working memory or attention difficulties is really important. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ot_lynne: Huge problems with all different kinds of occupational performance, inability to complete tasks successfully. Can affect mood if unable to manage tasks, so often coupled with a language problem as well this only serves to baffle families more #otalk |
| Thérèse Lebedis OBE @therese_jackson @Louisepenny87 @OTstrokeSSNP yes - cueing can really help. Important to identify which cues will help each person verbal, gestural, physical... #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @chungsongyau @ACHEESEOT @therese_jackson And sometimes they may feel annoyed of having a caregiver to provide at least stand by assistance if needed. #otalk |
| COTSSNP Stroke Forum @OTstrokeSSNP I bet a few of you have seen the classic of someone taking a razor to their mouth to 'brush'their teeth when shaving? Combing hair with the comb flat to their head instead of teeth pointing down into their hair? #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Aisling_neuroOT: |
| #OTalk @OTalk_ @CTONKSOT @therese_jackson @OTstrokeSSNP Theres only one T in #Otalk Chloe. |
| #OTalk @OTalk_ RT @OTstrokeSSNP: I bet a few of you have seen the classic of someone taking a razor to their mouth to 'brush'their teeth when shaving? Combing hair with the comb flat to their head instead of teeth pointing down into their hair? #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @chungsongyau: |
| Ruth Sharp @r_spells @JenniferNCrow @OTstrokeSSNP @EmPlayfair @BillWongOT @therese_jackson @Louisepenny87 Hadnt considered this, or its position in the hierachy, interesting #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @therese_jackson: @Louisepenny87 @OTstrokeSSNP yes - cueing can really help. Important to identify which cues will help each person verbal, gestural, physical... #OTalk |
| #OTalk @OTalk_ @CTONKSOT @therese_jackson @OTstrokeSSNP No probs :) Just didn’t want others to miss your contributions. #Otalk |
| beth cooke @BethcookeCooke @OTstrokeSSNP @JenniferNCrow @caralawrence @chungsongyau @r_spells @OTalk_ the OT role within the MDT is vital in educating patients, family and the MDT of ways to manage this condition...education on strategies such as errorless learning, reducing cognitive demand etc #OTalk |
| COTSSNP Stroke Forum @OTstrokeSSNP Education and emotional support really important for this patient group (and their families). Delivered in a format they can engage with of course (remember often also have aphasia) #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @therese_jackson @Louisepenny87 @OTstrokeSSNP Having a consistent therapist who has good rapport with patient is vital- then he/she can pass on knowledge to other MDT staff or caregivers. #otalk |
| #OTalk @OTalk_ RT @OTstrokeSSNP: Education and emotional support really important for this patient group (and their families). Delivered in a format they can engage with of course (remember often also have aphasia) #otalk |
| Thérèse Lebedis OBE @therese_jackson @HG1OT agree - ideomotor tends to be more of an issue with force direction and timing of motor out put and ideational more with the concept of object use and sequencing #OTalk @OTstrokeSSNP |
| thelma smith @thelot17 Q3 depending on level and type of Apraxia - mood, reduced independence, increased risk of harm, stress on family understanding, leisure.......#OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @Louisepenny87 @OTstrokeSSNP Another just as scary... perhaps you use a knife like a fork or spoon. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @Louisepenny87 @OTstrokeSSNP Or sometimes you mistake soap as toothpaste. #otalk |
| COTSSNP Stroke Forum @OTstrokeSSNP @RachelTeasy @JenniferNCrow @caralawrence @chungsongyau @r_spells @OTalk_ There's one being crafted by your friendly stroke forum right now! :-) Hopefully being finalised at our forum meeting at RCOT on friday, They'll be with you soon #Otalk |
| Ruth Sharp @r_spells @caralawrence @RachelTeasy @OTstrokeSSNP @JenniferNCrow @chungsongyau @OTalk_ Has anyone got a link for this? #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @thelot17: Q3 depending on level and type of Apraxia - mood, reduced independence, increased risk of harm, stress on family understanding, leisure.......#OTalk |
| Thérèse Lebedis OBE @therese_jackson Where is the time going ... Last question. Q4- What interventions do you know of that are most helpful for someone with apraxia? #OTalk @OTstrokeSSNP |
| Bill Wong, OTD, OTR/L @BillWongOT RT @therese_jackson: @HG1OT agree - ideomotor tends to be more of an issue with force direction and timing of motor out put and ideational more with the concept of object use and sequencing #OTalk @OTstrokeSSNP |
| #OTalk @OTalk_ #OTalk Question 4 https://t.co/QzBKwbT83n |
| Bill Wong, OTD, OTR/L @BillWongOT RT @HG1OT: |
| Thérèse Lebedis OBE @therese_jackson @caralawrence @preston_jenny Good functional assessment - also grooming as it poses so many object use requirements #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @therese_jackson @OTstrokeSSNP Chaining techniques- forward or backwards, depending on what works for the person. #otalk |
| COTSSNP Stroke Forum @OTstrokeSSNP @Louisepenny87 @JenniferNCrow @EmPlayfair @BillWongOT @therese_jackson And that's what makes our job so interesting isn't it. Detective work, setting hypotheses, seeking out evidence in what we observe and what our assessments show to confirm or refute our hypothesis #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @RachelTeasy: |
| Thérèse Lebedis OBE @therese_jackson @carspring27 @HG1OT common issue that a person with apraxia can not perform on command but may at times perform correctly in the right context - however it is important to identify the impact on occupational performance #OTalk |
| Ruth Sharp @r_spells backward and forward chaining, with lots of oppertunity to practice, and education only ones I use #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @HeatherSheldo17 @OTstrokeSSNP Better than soup noodles with hands! Not good to develop burns! #otalk |
| Diane Allen @starbright12 @OTalk_ Patient and family education and practice, practice, practice #OTalk |
| COTSSNP Stroke Forum @OTstrokeSSNP @Aisling_neuroOT The moral of the story is never relax towards the end of a wash and dress thinking you're on the home straight. Often when you get caught out with this one #OTalk |
| Dee Garrett @GedgraveGirls RT @OTstrokeSSNP: @Louisepenny87 @JenniferNCrow @EmPlayfair @BillWongOT @therese_jackson And that's what makes our job so interesting isn't it. Detective work, setting hypotheses, seeking out evidence in what we observe and what our assessments show to confirm or refute our hypothesis #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @HG1OT: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Aisling_neuroOT: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @starbright12: @OTalk_ Patient and family education and practice, practice, practice #OTalk |
| Lynne Merrett @ot_lynne @therese_jackson @OTstrokeSSNP Errorless learning in a relevant functional activity usually best in the patient's home environment. I remember working in the community and taking a man who was discharged as independent with his personal care, but when he got home he was totally clueless #OTalk |
| #OTalk @OTalk_ Great to hear! :) #OTalk https://t.co/46Y745eodP |
| Bill Wong, OTD, OTR/L @BillWongOT @starbright12 @OTalk_ And cueing. Sometimes apps can help with teaching sequencing. #otalk |
| Thérèse Lebedis OBE @therese_jackson @Louisepenny87 @EmPlayfair @BillWongOT @JenniferNCrow sequencing issues often seen in ideational when the order of object use is mixed up or sequences are blended together or actions remain incomplete #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @ot_lynne: @therese_jackson @OTstrokeSSNP Errorless learning in a relevant functional activity usually best in the patient's home environment. I remember working in the community and taking a man who was discharged as independent with his personal care, but when he got home he was totally clueless #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Ismalia_S: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @RachelTeasy: |
| Helen Ellis @HelenLongwell @BillWongOT @therese_jackson @OTstrokeSSNP Sorry forgot the #OTalk |
| COTSSNP Stroke Forum @OTstrokeSSNP #OTalk Q4 Education of person and carers, Ideomotor - strategy training, gesture and specific motor training with an occupation, Ideational - demonstration, light manual guidance, routine achievable activities so that the person experience success - so important |
| Thérèse Lebedis OBE @therese_jackson @Louisepenny87 @EmPlayfair @BillWongOT @JenniferNCrow in apraxia its the use of the object and 'knowing how' to use it causes the issues #OTalk |
| COTSSNP Stroke Forum @OTstrokeSSNP Important to recognise this is complex & can take time to work out what you're seeing. To reassure, it is ok to have ?apraxia + some evidence to support this in the notes, perhaps alongside some other differential diagnoses, until you are more certain. #otalk |
| thelma smith @thelot17 Backward & forward chaining, hand on hand, errorless learning, repetition +++ #OTalk |
| COTSSNP Stroke Forum @OTstrokeSSNP @CTONKSOT Well done. Thanks for joining us #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @ACHEESEOT @therese_jackson @OTstrokeSSNP Backwards chaining starts from therapist completing all but the last step of a task. Forward chaining starts from patient starting the first step and then therapist completing the rest. Then patient eventually will have to do more as time goes on w/ increased competence. #otalk |
| beth cooke @BethcookeCooke @therese_jackson @OTstrokeSSNP errorless learning, functional activities with reduced cognitive demand. Hand over hand techniques if needed, graded approach #OTalk |
| Thérèse Lebedis OBE @therese_jackson @BillWongOT @OTstrokeSSNP good suggestion - can help especially when someone is supported to do a task and practices the last element - backward chaining #OTalk @OTstrokeSSNP |
| Bill Wong, OTD, OTR/L @BillWongOT RT @thelot17: Backward & forward chaining, hand on hand, errorless learning, repetition +++ #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTstrokeSSNP: #OTalk Q4 Education of person and carers, Ideomotor - strategy training, gesture and specific motor training with an occupation, Ideational - demonstration, light manual guidance, routine achievable activities so that the person experience success - so important |
| Bill Wong, OTD, OTR/L @BillWongOT RT @BethcookeCooke: @therese_jackson @OTstrokeSSNP errorless learning, functional activities with reduced cognitive demand. Hand over hand techniques if needed, graded approach #OTalk |
| #OTalk @OTalk_ It’s the last 5 mins of tonight’s #OTalk. Any take home thoughts? or final questions. |
| Thérèse Lebedis OBE @therese_jackson @Ismalia_S @JenniferNCrow @OTstrokeSSNP @caralawrence @chungsongyau @r_spells @OTalk_ if someone on the team tells you 'they're not right' then we need to assess them....#OTalk @OTstrokeSSNP |
| Bronagh @brona79 @therese_jackson @OTstrokeSSNP Activities in context with patients own familiar objects, carrying out meaningful purposeful tasks. Reassurance, guidance using cueing and errorless learning #OTalk |
| Helen Ellis @HelenLongwell @OTstrokeSSNP I agree. I think it requires more than one observation / assessment to confirm apraxia. #OTalk |
| #OTalk @OTalk_ Remember #OTalk can count as #CPD… https://t.co/Dnl21vIAi2 https://t.co/fU6lX9VLYq |
| Thérèse Lebedis OBE @therese_jackson @BethcookeCooke @OTstrokeSSNP all great suggestions :-) #OTalk @OTstrokeSSNP |
| COTSSNP Stroke Forum @OTstrokeSSNP If in an acute unit, it's always important to see how these patients function in their own environment. So often very different (improved) in their own kitchen, with their own things. Remember the impact of context and environment #otalk |
| beth cooke @BethcookeCooke @OTalk_ Functional assessment, being the great detectives we all are as OT's, and ensuring other cognitive deficits are eliminated. It is always key to work as an MDT, problem solve, brainstorm and educate together #OTalk |
| Thérèse Lebedis OBE @therese_jackson @CTONKSOT me too! #OTalk |
| Diane Allen @starbright12 @Ismalia_S I include all members of the MDT when it’s essential for the patient. Also we delivers good MDT training package. #OTalk |
| #OTalk @OTalk_ RT @OTstrokeSSNP: If in an acute unit, it's always important to see how these patients function in their own environment. So often very different (improved) in their own kitchen, with their own things. Remember the impact of context and environment #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTalk_ First Then Visual Schedule HD by Good Karma Applications, Inc https://t.co/AlNFSJmpSY Don’t know how well this might work with stroke patients. But I know this may work well with kids. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @starbright12: @Ismalia_S I include all members of the MDT when it’s essential for the patient. Also we delivers good MDT training package. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @BethcookeCooke: @OTalk_ Functional assessment, being the great detectives we all are as OT's, and ensuring other cognitive deficits are eliminated. It is always key to work as an MDT, problem solve, brainstorm and educate together #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @HG1OT: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @HG1OT: |
| beth cooke @BethcookeCooke @OTstrokeSSNP @OTalk_ totally agree #OTalk |
| Thérèse Lebedis OBE @therese_jackson @BillWongOT @OTalk_ interesting suggestion - will take a look #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @brona79: @therese_jackson @OTstrokeSSNP Activities in context with patients own familiar objects, carrying out meaningful purposeful tasks. Reassurance, guidance using cueing and errorless learning #OTalk |
| #OTalk @OTalk_ RT @chungsongyau: |
| Thérèse Lebedis OBE @therese_jackson @starbright12 @Ismalia_S essential to get input form all of the MDT and family for consistency #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT See you guys next week! #otalk |
| #OTalk @OTalk_ That's officially the end of #OTalk tonight, but keep chatting! Transcript posted after 24hrs. Thank you to @therese_jackson for hosting. https://t.co/jcXTWXQeeu |
| COTSSNP Stroke Forum @OTstrokeSSNP Keeping task flowing, as automatic as possible, without verbal interruption whilst covertly intervening through errorless learning to prevent mistakes from occuring #Otalk |
| #OTalk @OTalk_ RT @OTstrokeSSNP: Keeping task flowing, as automatic as possible, without verbal interruption whilst covertly intervening through errorless learning to prevent mistakes from occuring #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @cathymc9781 Definitely... but we got to pick somewhere that we can start grade up or down with challenges so that we can get a sense of their levels. #otalk |
| thelma smith @thelot17 Signing out, great discussions everyone, see you next time #OTalk |
| COTSSNP Stroke Forum @OTstrokeSSNP Wow! The time goes so quickly! We'll try & make sure we've got back to any queries. Thank you so much for joining us and a big thank you to Therese. Look out for the transcript capturing all the conversation- maybe to be used for a reflection or basis of team discussion #Otalk |
| Thérèse Lebedis OBE @therese_jackson @OTalk_ thanks everyone - great conversation #OTalk @OTstrokeSSNP |
| Ruth Sharp @r_spells Thanks for the interesting topic tonight, lots to digest! #OTalk |
| #OTalk @OTalk_ Great chat, glad to have all the input from @therese_jackson and @OTstrokeSSNP :) #OTalk https://t.co/ixlJKEmOIX |
| Lynne Merrett @ot_lynne @ACHEESEOT @Louisepenny87 @therese_jackson @OTstrokeSSNP Basically you don't let the patient make an error during the functional task so you stop them before they to. This means they only learn the correct way to do a task. Works well in context #OTalk |
| #OTalk @OTalk_ Thank you all for your valuable contributions to tonights #OTalk. @OTontheTracks logging out of the @OTalk_ account for the night. Have a great rest of the week! Night. https://t.co/9FMuYJtZQe |
| COTSSNP Stroke Forum @OTstrokeSSNP @OTalk_ @OTontheTracks Thank you for your help and guidance for everyone and an even bigger thank you for having us for what was the last of the stroke forum's planned OTalks. We've really enjoyed it and have had lots of positive f/b from members too #otalk |
 | Sophie Maynard @SophieMaynard8 Missed #OTalk due to family commitments, hoping I have enough data to have a read of all your conversations on the bus in the morning! #familymatters #OTstudent |
| Thérèse Lebedis OBE @therese_jackson @brona79 @OTstrokeSSNP yes - environment and context really important to help facilitate occupational performance #OTalk |
| COTSSNP Stroke Forum @OTstrokeSSNP @ACHEESEOT @ot_lynne @Louisepenny87 @therese_jackson Yes, it is. The trick is to be slick and inconspicuous so the task flows fluidly and they have a positive outcome #otalk Videoing sessions can be very insightful |
| COTSSNP Stroke Forum @OTstrokeSSNP @RebeccaCrouch @therese_jackson @OTalk_ It's a complex subject and is always lots to learn. Once you see more patients with this, you'll build up a confidence with what works in what circumstances. Can be very rewarding (with some patience and a lot of repetition) #otalk |
| Thérèse Lebedis OBE @therese_jackson @HelenLongwell @OTstrokeSSNP yes - all good. also consider modifying the environment #OTalk |
| COTSSNP Stroke Forum @OTstrokeSSNP @willchegwidden Haggis making would be an interesting functional task for someone with apraxia for sure. Transcript of tonights chat will be out in 24 hours. #otalk |
| COTSSNP Stroke Forum @OTstrokeSSNP @EmPlayfair @therese_jackson Very good point. Input needs to balance rehabilitation to try and improve the impairment and taking action to maintain safety, especially in it's severest forms #otalk |
| COTSSNP Stroke Forum @OTstrokeSSNP @AvrilDrummond1 @therese_jackson Thanks for joining us Avril- Any new research coming in this field? #otalk |
| Thérèse Lebedis OBE @therese_jackson @EmPlayfair @HelenLongwell @OTstrokeSSNP I would use a screen - basic tasks using objects in function - really important to identify in early stages even if you cant pinpoint issue - at least identify need for further input #OTalk |
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