#OTalk Transcript

Healthcare social media transcript of the #OTalk hashtag.
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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
Nicky V @niknak909
RT @OTalk_: 1 hour warning for tonight’s #OTalk. There’s still plenty of time to read @therese_jackson from @OTstrokeSSNP's intro blog post…
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
RCOTStudents @RCOTStudents
Shall be lurking and learning for @OTalk_ tonight from a Premier Inn in Sheffield! #otalk
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
Charlie Chung @chungsongyau
RT @preston_jenny: #OTalk Hi everyone, great to see so many new groups joining us for this neuro special chat. Happy learning 😄
latísh @ljx_01
@OTalk_ @OTontheTracks I think tonight’s talk will consist of lurking on my part! Definitely an area of interest and looking forward to reading everyone’s thoughts on the topic #OTalk
Rachel TeasdaleSmith @rachelteasy
Im #OTalk ready!
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
Alex Scott @alexxjscott
Hi #OTalk I’m in my first NQOT post on an acute stroke ward. Looking forward to the chat tonight 💚
COTSSNP Stroke Forum @otstrokessnp
#OTalk Hi Everyone! I'm really looking forward to this one.
Cara Lawrence @caralawrence
#otalk ready to chat not an area I feel that confident with
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…
thelma smith @thelot17
Hi my favourite topic, listening and lurking, #OTalk
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
Hi everyone, looking forward to tonight's #OTalk. I have some experience of working with clients experiencing apraxia after stroke. Hoping too learn alot tonight and hope I can contribute a little. https://t.co/zYcS7vrN84
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.
madeline angelillo @madelineangeli2
The University of Tennessee Health Science Center MOT class of 2020 says hello! #otalk
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
Catherine McNulty @cathymc9781
#OTalk forgot to add this again ..!! hello everyone .. i shall be mostly reading and lurking this evening as long as my internet keeps connected https://t.co/PDz1dzqWmi
Charlie Chung @chungsongyau
#OTalk Good evening everyone!
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 #OTa
latísh @ljx_01
RT @OTstrokeSSNP: Good evening all. Who have we got with us tonight? Looking forward to an interesting chat. Please remember to add #OTa
Catherine McNulty @cathymc9781
RT @OTalk_: The 3rd @OTstrokeSSNP Stroke focused #OTalk is this Tuesday! It is being hosted this time by @therese_jackson. Check out the p…
Eryn Lobo @erynlobo
Hi from the occupational therapy students at the University of Tennessee Health Science Center! #otalk
Therese Lebedis @therese_jackson
hi everyone 1st Question How would you identify if a person with stroke has apraxia? #OTalk
Charlie Chung @chungsongyau
RT @therese_jackson: hi everyone 1st Question How would you identify if a person with stroke has apraxia? #OTalk
Emma Playfair @emplayfair
@ljx_01 @OTalk_ @OTontheTracks Thank you @ljx_01... can't wait!! #OTalk
Catherine McNulty @cathymc9781
#OTalk I had a quick read ,,, https://t.co/c5Ww4EJ6nn
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
Emma Hall @Emm_OT
@OTalk_ @OTontheTracks Hello! #OTalk
Dr Karen Morris @morrisKOT
RT @OTalk_: Tonights #OTalk is being hosted by @therese_jackson from @OTstrokeSSNP. Make sure to say hello… Check out the blog: https://t…
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
Charlie Chung @chungsongyau
@BethcookeCooke #OTalk Hi Beth
Bethany Marshall @BethjmOT
Hi guys! 👋🏻👋🏻 Think I’ll be lurking tonight, but I’d love to know more about this area of OT! Can’t wait to read through everyone’s tweets tonight! ✨ #OTalk
Matthew Hocking #FBPE @MatthewHocking2
RT @OTalk_: Remember that professional codes including @The_HCPC apply online as well as off-. https://t.co/pUlLCtRcL0 #OTalk https://t.c…
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
Charlie Chung @chungsongyau
RT @r_spells: #OTalk difficultly with using objects or gesturing use of object, copying gestures, crossing midline
Charlie Chung @chungsongyau
RT @OTstrokeSSNP: @therese_jackson Welcome Therese. Thank you for joining us and hosting the chat on our behalf this evening. It’s great to…
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
Cara Lawrence @caralawrence
Not a dictionary definition but they are able to almost do it but not quite #otalk
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
During an initial ax, I would ask my client about their function and observe movement (e.g. lack of or slowed movement). In a follow up session, if appropriate, I may consider a functional ax. #OTalk https://t.co/WNkvtP37OP
Tasha Laming @TashaLaming
RT @OTstrokeSSNP: Good evening all. Who have we got with us tonight? Looking forward to an interesting chat. Please remember to add #OTa
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
thelma smith @thelot17
Good evening, my favourite topic, Apraxia #OTalk
Lynne Merrett @ot_lynne
Often problems with sequencing #otalk
Catherine McNulty @cathymc9781
Love it love it music is amazing for all humans ... #Otalk https://t.co/FzpyudvMq8
Hiral Khatri, OTD @DrHiralKhatri
Hii #otalk
Hayley Green @HG1OT
@OTalk_ Hello all. If there is evidence of issues with object use and sequencing apparent in a functional assessment I would most likely go on to complete a screen to identify if there are specific issues with ideational or idea motor praxis #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @RebeccaCrouch: During an initial ax, I would ask my client about their function and observe movement (e.g. lack of or slowed movement).…
Hiral Khatri, OTD @DrHiralKhatri
RT @TheOutLoudOT: The client is likely to be having difficulty with the coordination of movement of one or more muscle groups #OTalk
Orla @orlatheot
RT @RebeccaCrouch: During an initial ax, I would ask my client about their function and observe movement (e.g. lack of or slowed movement).…
Debra Hughes @Debraj_OT
Will be lurking somewhere..... interested in the subject #OTalk
OTalk @OTalk_
@RachelTeasy @BethcookeCooke Remember to add the hashtag to each of your tweets so others can see your responses #OTalk
Therese Lebedis @therese_jackson
@caralawrence Hi cara - yes and what might make you differentiate between apraxia and other cognitive issues #OTalk @OTstrokeSSNP
Mai93 @ot_mai
@therese_jackson If they can't do the functional task that they are use to doing e.g. wash and dress #OTalk
Catherine McNulty @cathymc9781
#OTalk Hello Thelma https://t.co/vQy0EkhsRW
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: @therese_jackson If they can't do the functional task that they are use to doing e.g. wash and dress #OTalk
Emma Hall @Emm_OT
@OTalk_ Usually in meaningful, functional activities. Knowledge of type of stroke (Oxford classification?) in relation to potential outcomes #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @HG1OT: @OTalk_ Hello all. If there is evidence of issues with object use and sequencing apparent in a functional assessment I would mos…
Bill Wong, OTD, OTR/L @BillWongOT
RT @caralawrence: Not a dictionary definition but they are able to almost do it but not quite #otalk
Ruth Ndlovu @ot_ruth
@therese_jackson Normally when doing a basic functional task e.g brushing teeth, they’ll have difficulty identifying the correct objects required for the task #OTalk
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, o…
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 e…
Charlie Chung @chungsongyau
@therese_jackson #OTalk Q1 can be challenging, but when incorrect tool use or gestures are observed, eliminate other possible causes such as weakness, inattention and proprioceptive loss and apraxia is still a possibility if movement errors are still evident
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
Carol @carspring27
watch out for rapid and involuntary movement of the eyes ...nystagmus. #OTalk
Cara Lawrence @caralawrence
@therese_jackson @OTstrokeSSNP when asked to perform a task they may do it wrong but know what to do? #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 @DrHiralKhatri
@therese_jackson Functional assessment #otalk and keen observation on ADL tasks
Alicia Ridout @AliciaRidout
RT @r_spells: #OTalk difficultly with using objects or gesturing use of object, copying gestures, crossing midline
Mai93 @ot_mai
@BethcookeCooke @therese_jackson What apraxia screen do you use? (Sorry, new to the stroke OT world) #OTalk
Hiral Khatri, OTD @DrHiralKhatri
RT @chungsongyau: @therese_jackson #OTalk Q1 can be challenging, but when incorrect tool use or gestures are observed, eliminate other poss…
Hiral Khatri, OTD @DrHiralKhatri
RT @BillWongOT: @therese_jackson Good question- having trouble formulating thoughts. Or observing that they might have trouble with simple…
Cara Lawrence @caralawrence
@TheOutLoudOT @uthsc @OTalk_ super stuff #otalk
Tasha Laming @TashaLaming
RT @thelot17: Good evening, my favourite topic, Apraxia #OTalk
Ruth Sharp @r_spells
@JenniferNCrow @OTalk_ Whats Tulia? #OTalk
Tasha Laming @TashaLaming
@thelot17 Hi Thelma ;-) #otalk
Charlie Chung @chungsongyau
@BethcookeCooke @OTalk_ #OTalk - yes, the combination is essential isn't it, to see how occupations are affected.
DeeGarrettGrimwood @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
Alex Scott @alexxjscott
#OTalk Q1, first asking them if they have troubles and then completing a functional assessment. They always show more than I realise!
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
Cara Lawrence @caralawrence
@r_spells @JenniferNCrow @OTalk_ does the Oxford cog have a apraxia area #otalk
Charlie Chung @chungsongyau
@Emm_OT @OTalk_ #OTalk good point in accounting for type of stroke and also which hemisphere as apraxia has a stronger relationship with left hemisphere stroke
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…
Ismalia De Sousa MSc RN @ismalia_s
Nurse Ismalia here. Late and lurking tonight #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @alexxjscott: #OTalk Q1, first asking them if they have troubles and then completing a functional assessment. They always show more than…
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…
Carol @carspring27
#OTalk also watch out for garbled speech, change in the pitch and volume from being normal at one time and changing its pitch the very next moment., known as Ataxia Oculomotor Apraxia, type 1
Charlie Chung @chungsongyau
RT @HG1OT: @OTalk_ Hello all. If there is evidence of issues with object use and sequencing apparent in a functional assessment I would mos…
Alicia Ridout @AliciaRidout
@TashaLaming Where they fully aware of their data privacy using Alexa? #OTALK
Hayley Green @HG1OT
@therese_jackson Classic examples - using toothbrush to comb hair, putting clothes on in wrong order, putting tea bag in glass instead of mug. You need to make a differential diagnosis - rule out perception, attention, memory and orientation issues. Often there are several issues at play #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @carspring27: #OTalk also watch out for garbled speech, change in the pitch and volume from being normal at one time and changing its…
Hiral Khatri, OTD @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
Charlie Chung @chungsongyau
RT @ot_lynne: I would observe them in a functional task and look out for errors not explained by weakness, inco-ordination, sensory loss, o…
Cara Lawrence @caralawrence
@BethcookeCooke @therese_jackson what does it involve #OTalk
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
Francesca S @OT_Francesca
Interesting #OTalk tonight! I'll definitely be lurking #StudentOT
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
Emma Playfair @emplayfair
@RebeccaCrouch I agree re chatting to client - how are they managing etc. I find the most effective way is to OBSERVE the simple tasks. I work in acute stroke, so pt's usually have some form of grooming task we could offer to help them with at the bedside. "Oh dear you're hair... #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
Tasha Laming @TashaLaming
RT @HG1OT: @therese_jackson Classic examples - using toothbrush to comb hair, putting clothes on in wrong order, putting tea bag in glass i…
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 s…
Bill Wong, OTD, OTR/L @BillWongOT
RT @HG1OT: @therese_jackson Classic examples - using toothbrush to comb hair, putting clothes on in wrong order, putting tea bag in glass i…
Bill Wong, OTD, OTR/L @BillWongOT
RT @BethcookeCooke: @therese_jackson it is important to eliminate other cognitive issues ie perceptual difficulties, general agnosia, and c…
Bill Wong, OTD, OTR/L @BillWongOT
RT @EmPlayfair: @RebeccaCrouch I agree re chatting to client - how are they managing etc. I find the most effective way is to OBSERVE the s…
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
Carol @carspring27
#OTalk https://t.co/cQ4gfLwXgW this seems to be a useful reference
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
Louise @Louisepenny87
@therese_jackson I remember once asking a fellow OT if a pt was apraxic ahead of breakfast group. They said no, based on grooming task, but then the pt was trying to eat porridge with spoon upside down #OTalk
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.
Emma Hall @Emm_OT
@OTalk_ TACS/PACS? More issues with higher cortical functions? Im dredging the knowledge from my rotation which finished in July! #OTalk
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
Cara Lawrence @caralawrence
@starbright12 @r_spells @JenniferNCrow @OTalk_ I really liked it in stroke rehab #otalk
Tasha Laming @TashaLaming
RT @carspring27: #OTalk https://t.co/cQ4gfLwXgW this seems to be a useful reference
Charlie Chung @chungsongyau
@r_spells @caralawrence @JenniferNCrow @OTalk_ #Otalk the apraxia section in OCS is very useful but caution needed to interpret as incorrect gesture copying can be a result of reduced working memory too
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 for…
OTalk @OTalk_
RT @chungsongyau: @r_spells @caralawrence @JenniferNCrow @OTalk_ #Otalk the apraxia section in OCS is very useful but caution needed to int…
Catherine McNulty @cathymc9781
its a great topic .. #OTalk https://t.co/0Xh6AYE6KB
Kathryn Fox @OccupationalFox
Just back from the gym in time to catch most of #OTalk will mostly be lurking tonight I think!
Bill Wong, OTD, OTR/L @BillWongOT
RT @Emm_OT: @OTalk_ TACS/PACS? More issues with higher cortical functions? Im dredging the knowledge from my rotation which finished in Jul…
latísh @ljx_01
A couple of people have mentioned the TULIA screen? Would be interested to hear what this is #OTalk
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 for…
Cara Lawrence @caralawrence
@chungsongyau @r_spells @JenniferNCrow @OTalk_ this is the problem with screens! Used to guide further assessment #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @Louisepenny87: @therese_jackson I remember once asking a fellow OT if a pt was apraxic ahead of breakfast group. They said no, based on…
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
Therese Lebedis @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
Carol @carspring27
#OTalk https://t.co/KlD6Z78QSq another useful reference
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
Tasha Laming @TashaLaming
RT @carspring27: #OTalk https://t.co/KlD6Z78QSq another useful reference
Bill Wong, OTD, OTR/L @BillWongOT
RT @carspring27: #OTalk https://t.co/KlD6Z78QSq another useful reference
Bill Wong, OTD, OTR/L @BillWongOT
RT @caralawrence: @chungsongyau @r_spells @JenniferNCrow @OTalk_ this is the problem with screens! Used to guide further assessment #otalk
Emma Playfair @emplayfair
@BethcookeCooke @therese_jackson "Apraxia screen" of things you have just formed yourself, or is there another apart from Tulia? I definitely only use functional observations to assess at present - would love to know what screen you mentioned #OTalk
Amie Jayne @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
Carol @carspring27
@ljx_01 https://t.co/OgntkOwRBA #OTalk
Mai93 @ot_mai
@BillWongOT @BethcookeCooke @therese_jackson Never thought to do that. Normally use puzzles for cognition and dexterity. Good to know that there are more use to it #OTalk #Sustainability
Charlie Chung @chungsongyau
@HG1OT @BillWongOT @therese_jackson #OTalk associative visual agnosia can also be eliminated too from the fact that, even though the person may not recognise the object by looking, once it is in hand, it will be recognised through touch and the person can use it appropriately.
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 ye…
Bill Wong, OTD, OTR/L @BillWongOT
RT @EmPlayfair: @BethcookeCooke @therese_jackson "Apraxia screen" of things you have just formed yourself, or is there another apart from T…
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: @BillWongOT @BethcookeCooke @therese_jackson Never thought to do that. Normally use puzzles for cognition and dexterity. Good t…
COTSSNP Stroke Forum @otstrokessnp
@ljx_01 https://t.co/4SqDNIT7ie #OTalk
Charlie Chung @chungsongyau
RT @preston_jenny: #OTalk @HG10T @therese_jackson I think the most severe case of apraxia was evident in showering, the patient could descr…
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
Rachel TeasdaleSmith @rachelteasy
@therese_jackson Ideomotor and ideational. Its when 'dressing apraxia' and 'constructional apraxia' get thrown about I start to get confused! Where do they fit in?!!🙈 #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
Emma Playfair @emplayfair
@BillWongOT @therese_jackson Interesting! How much does sequencing come into apraxia? In my mind it's mostly tool use, often associated with muddled sequencing, but if it's just sequencing impairments I would keep that separate from 'apraxia' myself... @JenniferNCrow @Louisepenny87 thoughts? #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @RachelTeasy: @therese_jackson Ideomotor and ideational. Its when 'dressing apraxia' and 'constructional apraxia' get thrown about I sta…
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
latísh @ljx_01
Excellent, thank you! TULIA link 👇🏼 #OTalk https://t.co/LQXtHbAFeh
Therese Lebedis @therese_jackson
@RachelTeasy dressing I meant #OTalk
Emma Hall @Emm_OT
@OTalk_ Incorrect use of objects ( eg comb to teeth), difficulty mirroring, difficulty initiating and terminating actions. #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 i…
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 @Emm_OT: @OTalk_ Incorrect use of objects ( eg comb to teeth), difficulty mirroring, difficulty initiating and terminating actions. #OTa
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)
Mai93 @ot_mai
@BillWongOT @BethcookeCooke @therese_jackson Thanks!! That's good to know. I will let my colleague know, her current project is on apps that can be used within stroke #OTalk
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
I have only seen one person with post-stroke apraxia in my adult community rehabilitation team rotation. The type of apraxia observed was with regards to sequencing difficulties. #OTalk https://t.co/L89YwuZ3H1
Charlie Chung @chungsongyau
@caralawrence @r_spells @JenniferNCrow @OTalk_ #OTalk Definitely. The apraxia specific screens are useful in that many will ask people to mime object use without the object present, then mime with it present and finally pick the object up and demonstrate its use. These address apraxia often being present at conscious level
Louise @Louisepenny87
@therese_jackson I really like the Van Heugten error classification tool.... errors of concept and execution. Sometimes feels more concrete #otalk
Hayley Green @HG1OT
@therese_jackson Yes it's important in terms of transferability / progression of skills and referral in to other services - knowing what your clients needs to acces #OTalk
DeeGarrettGrimwood @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 ye…
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 activitie…
Bill Wong, OTD, OTR/L @BillWongOT
RT @ot_lynne: Q2: I would expect to see ideational apraxia (a problem with the concept of the action related to the object) or ideomotor a…
Ruth Ndlovu @ot_ruth
@therese_jackson From pts I’ve treated in the past, ideational apraxia has been the common one. On rare occasions I’ve seen pts with both ideational and ideomotor #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @Louisepenny87: @therese_jackson I really like the Van Heugten error classification tool.... errors of concept and execution. Sometimes…
Dr Jenny Preston MBE @preston_jenny
RT @ot_lynne: Q2: I would expect to see ideational apraxia (a problem with the concept of the action related to the object) or ideomotor a…
Cara Lawrence @caralawrence
@chungsongyau @r_spells @JenniferNCrow @OTalk_ would you always do an apraxia specific screen #otalk
Rachel TeasdaleSmith @rachelteasy
@OTstrokeSSNP @therese_jackson Oh good, I thought I was missing something 😁 #OTalk
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
@Louisepenny87 @therese_jackson I've not heard of the Van Heugten error classification tool - is this specific to apraxia? #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @OT_Ruth: @therese_jackson From pts I’ve treated in the past, ideational apraxia has been the common one. On rare occasions I’ve seen pt…
Bill Wong, OTD, OTR/L @BillWongOT
RT @HG1OT: @therese_jackson Yes it's important in terms of transferability / progression of skills and referral in to other services - know…
Bill Wong, OTD, OTR/L @BillWongOT
RT @chungsongyau: @caralawrence @r_spells @JenniferNCrow @OTalk_ #OTalk Definitely. The apraxia specific screens are useful in that many wi…
Ruth Sharp @r_spells
#OTalk I hadnt realised you can have a combination of ideomotor and ideational, good to know
Hayley Green @HG1OT
@chungsongyau @BillWongOT @therese_jackson Yes - can this also be done via matching / grouping objects do you think? #otalk
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
Charlie Chung @chungsongyau
@BillWongOT #Otalk certainly a challenge. I like to use gestures and tool use that require little in the way of attention or working memory. When difficulties happen, cognition is less of a possibility.
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
Aisling van der Walt @aisling_neuroot
@RachelTeasy @therese_jackson Dressing apraxia and constructional apraxia are more or less redundant terms now - mostly found in old literature. Don’t get too worried about the terms, just focus on the functional difficulties #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @chungsongyau: @BillWongOT #Otalk certainly a challenge. I like to use gestures and tool use that require little in the way of attention…
Nicky V @niknak909
RT @OTstrokeSSNP: #OTalk Useful summary from Charlie of the basics of assessment of apraxia https://t.co/PmuIXsWxtb
OTalk @OTalk_
@TheOutLoudOT How are your first years getting on? #OTalk
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
@therese_jackson @Louisepenny87 Sounds useful. I'll speak to my supervisor about this in our next supervision. #OTalk
Charlie Chung @chungsongyau
RT @Aisling_neuroOT: @RachelTeasy @therese_jackson Dressing apraxia and constructional apraxia are more or less redundant terms now - mostl…
Bill Wong, OTD, OTR/L @BillWongOT
RT @Aisling_neuroOT: @RachelTeasy @therese_jackson Dressing apraxia and constructional apraxia are more or less redundant terms now - mostl…
DeeGarrettGrimwood @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
latísh @ljx_01
RT @ot_lynne: Q2: I would expect to see ideational apraxia (a problem with the concept of the action related to the object) or ideomotor a…
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 t…
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
Alexandra Cheese @ACHEESEOT
@therese_jackson Functional assessments would be a good opportunity to identify the possibility of apraxia. Kitchen Ax, using a comb, wash and dress Ax are examples #OTALK
Bill Wong, OTD, OTR/L @BillWongOT
RT @ACHEESEOT: @therese_jackson Functional assessments would be a good opportunity to identify the possibility of apraxia. Kitchen Ax, usin…
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 A…
Jennifer Crow @jenniferncrow
@OTalk_ @chungsongyau @caralawrence @r_spells Thanks I’m new to #OTalk
Charlie Chung @chungsongyau
@JenniferNCrow @caralawrence @r_spells @OTalk_ #OTalk Yes, I would certainly think so. This is why it's good to use both - an apraxia screen to pick up the apraxia (which may present sometimes in non-routine tasks), and functional to determine impact on real life. Care should be taken to assess more than routine movements.
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
Charlie Chung @chungsongyau
RT @OTstrokeSSNP: We have shared a performance error checklist during our SOS training, to help you and assistants capture the number and t…
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
Thanks for sharing details of the Apraxia Screen of TULIA (AST). Am very interested in talking to my supervisor about this in our next supervision. #OTalk https://t.co/qzIKN82MgO
Diane Allen @starbright12
@OTstrokeSSNP Are u able to share this with us #Otalk
Cara Lawrence @caralawrence
@JenniferNCrow @chungsongyau @r_spells @OTalk_ communications difficulties make things hard but the joy of working in a MDT #OTalk #slt
Alexandra Cheese @ACHEESEOT
@therese_jackson I have not much experience with apraxia. Can someone please explain what the different types of apraxia are and how they present differently? 😌 #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
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
RT @ot_lynne: Q2: I would expect to see ideational apraxia (a problem with the concept of the action related to the object) or ideomotor a…
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 va…
Cara Lawrence @caralawrence
@BethcookeCooke @r_spells @chungsongyau @JenniferNCrow @OTalk_ OTs mustn’t forget their bread and butter functional assessment #otalk
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
RT @chungsongyau: @caralawrence @r_spells @JenniferNCrow @OTalk_ #OTalk Definitely. The apraxia specific screens are useful in that many wi…
Jennifer Crow @jenniferncrow
@caralawrence @chungsongyau @r_spells @OTalk_ Yes and supporting physio colleagues when they are working with these pts is also important- breaking tasks down into steps is not helpful #OTalk
Charlie Chung @chungsongyau
@BethcookeCooke @r_spells @caralawrence @JenniferNCrow @OTalk_ #OTalk I often think that ideational apraxia assessment should include video clips where the person has to indicate correct or incorrect object use or gesture. This has been used in research (Rothi and Heilman book) as concept not confounded by ideomotor
Therese Lebedis @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
Hayley Green @HG1OT
@therese_jackson From memory ... Ideomotor is problems with the direction, timing or force of movement; ideational is more about the concept of object use. #OTalk
OTalk @OTalk_
#OTalk Question 3 https://t.co/JUiwWiPRJi
Emma Hall @Emm_OT
@OTstrokeSSNP Ah the B6 I worked with developed an errorless learning check for activities. Is this similar? #OTalk
Dr Jenny Preston MBE @preston_jenny
#OTalk @therese_jackson And of course functional assessments are also ecologically valid. https://t.co/KewnDibFWF
Therese Lebedis @therese_jackson
@brona79 yes - important to work with S&LT 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
Louise @Louisepenny87
@therese_jackson @OTstrokeSSNP Need assistance with various tasks, change in performance outside of routine environment. Implications for recovery and level of independence #OTalk
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
@kellycgoodwin @Niknak909 @OTstrokeSSNP COTSSNP Stroke Forum - Would be v interested in seeing a copy of your performance error checklist if you are able to share. #OTalk
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: Regardless of whether learnt or change in ability it demonstrates an improvement in function as you ob…
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
Louise @Louisepenny87
@therese_jackson @OTstrokeSSNP And also implications for how well they do in other disciplines ie Physio, if not managed in the right way. I remember a Physio struggling with a patient and trying rota stand, but when I patted the chair and said “let’s go”, she just got straight up #OTalk
Cara Lawrence @caralawrence
@preston_jenny @therese_jackson when workin in comm stroke found doin washing and dress useful as family found them getting in pickle #otalk
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 object…
Hayley Green @HG1OT
@therese_jackson @OTstrokeSSNP Need familiarity and consistency of task and environment in order to function. Lots of contextual cues including time of day, environmental context etc. It can impact on all ADL #Otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @caralawrence: @preston_jenny @therese_jackson when workin in comm stroke found doin washing and dress useful as family found them getti…
Charlie Chung @chungsongyau
RT @OTstrokeSSNP: Interesting point: Regardless of whether learnt or change in ability it demonstrates an improvement in function as you ob…
Cara Lawrence @caralawrence
@emmasusanbee hurrah #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @Louisepenny87: @therese_jackson @OTstrokeSSNP And also implications for how well they do in other disciplines ie Physio, if not managed…
Ruth Sharp @r_spells
Q3 Difficulty with so many tasks, eg shaving, putting in hear aids, brushing teeth #OTalk
latísh @ljx_01
RT @OTstrokeSSNP: Interesting point: Regardless of whether learnt or change in ability it demonstrates an improvement in function as you ob…
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
Carol @carspring27
@HG1OT @therese_jackson ideomotor apraxia...inability to translate an idea into motion...there is no loss of the ability to perform an action automatically, such as tying the shoelaces, but the action cannot be performed on request. #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @HG1OT: @therese_jackson @OTstrokeSSNP Need familiarity and consistency of task and environment in order to function. Lots of contextual…
Louise @Louisepenny87
@EmPlayfair @BillWongOT @therese_jackson @JenniferNCrow I have a real issue with people saying “impaired sequencing”, because I always think it stems from another impairment, eg apraxia or recall, attention etc. Maybe @JenniferNCrow will correct me tomorrow though! #OTalk
Nicky V @niknak909
RT @preston_jenny: @HG1OT @therese_jackson #OTalk I always remember it by the use of ‘motor’ in ideamotor and the idea of movement or motor…
Uni of Essex OT Soc @otsocietyuoe
RT @OTstrokeSSNP: @JenniferNCrow @caralawrence @chungsongyau @r_spells @OTalk_ @JenniferNCrow raises a good point. OT have a key contribut…
Charlie Chung @chungsongyau
@ACHEESEOT @therese_jackson #OTalk You are so right in being frustrating for the person. Also, people can be labelled as difficult and lazy when they are observed doing something procedurally but can't do it on command which can be a feature too
Charlie Chung @chungsongyau
RT @OTstrokeSSNP: @JenniferNCrow @caralawrence @chungsongyau @r_spells @OTalk_ @JenniferNCrow raises a good point. OT have a key contribut…
Bill Wong, OTD, OTR/L @BillWongOT
RT @chungsongyau: @ACHEESEOT @therese_jackson #OTalk You are so right in being frustrating for the person. Also, people can be labelled as…
Cara Lawrence @caralawrence
@OTstrokeSSNP @JenniferNCrow @chungsongyau @r_spells @OTalk_ our skills in activity analyse helps #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @carspring27: @HG1OT @therese_jackson ideomotor apraxia...inability to translate an idea into motion...there is no loss of the ability t…
Dr Jenny Preston MBE @preston_jenny
RT @carspring27: @HG1OT @therese_jackson ideomotor apraxia...inability to translate an idea into motion...there is no loss of the ability t…
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
Apraxia can prevent people from carrying out once simple, automatic, learnt meaningful ADLs. This can include showering, preparing a simple meal, taking the kids to school etc. It can have a huge impact on a person's quality of life. #OTalk https://t.co/eR1RqwQwSy
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
Alexandra Cheese @ACHEESEOT
@therese_jackson @OTstrokeSSNP I’d imagine that they would need more support with carrying out ADLs. It could also be quite frustrating for service users aswell which could also affect their performance #OTALK
Dr Jenny Preston MBE @preston_jenny
RT @chungsongyau: @ACHEESEOT @therese_jackson #OTalk You are so right in being frustrating for the person. Also, people can be labelled as…
Charlie Chung @chungsongyau
@OTstrokeSSNP @JenniferNCrow @caralawrence @r_spells @OTalk_ #OTalk yes, very important as it can be a huge relief for them to know that it is a common experience and that the team understand what's going on
Bill Wong, OTD, OTR/L @BillWongOT
RT @caralawrence: @OTstrokeSSNP @JenniferNCrow @chungsongyau @r_spells @OTalk_ our skills in activity analyse helps #OTalk
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 moo…
Jennifer Crow @jenniferncrow
@OTstrokeSSNP @EmPlayfair @BillWongOT @therese_jackson @Louisepenny87 I would put apraxia quite high in the cognitive hierarchy because a number of the lower cognitive domains like poor attention can cause a person to make errors that look apraxic #OTalk
Therese Lebedis @therese_jackson
@Louisepenny87 @OTstrokeSSNP yes - cueing can really help. Important to identify which cues will help each person verbal, gestural, physical... #OTalk
Aisling van der Walt @aisling_neuroot
@therese_jackson @OTstrokeSSNP Often patients withdraw from activity if they have insight into their apraxic difficulties #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
Charlie Chung @chungsongyau
#OTalk great point. Essential for identifying not only the right level of challenge but also the right level of conscious engagement. https://t.co/H3Xemf55FY
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
Cara Lawrence @caralawrence
@HelenLongwell @starbright12 @r_spells @JenniferNCrow @OTalk_ do we need 2 go in2more depth of screen highlights but function is good #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @Aisling_neuroOT: @therese_jackson @OTstrokeSSNP Often patients withdraw from activity if they have insight into their apraxic difficult…
Charlie Chung @chungsongyau
RT @carspring27: @HG1OT @therese_jackson ideomotor apraxia...inability to translate an idea into motion...there is no loss of the ability t…
OTalk @OTalk_
@CTONKSOT @therese_jackson @OTstrokeSSNP Theres only one T in #Otalk Chloe.
Louise @Louisepenny87
@JenniferNCrow @OTstrokeSSNP @EmPlayfair @BillWongOT @therese_jackson It’s like being a detective, especially when they have communication deficits too #otalk
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? Com…
Bill Wong, OTD, OTR/L @BillWongOT
RT @chungsongyau: #OTalk great point. Essential for identifying not only the right level of challenge but also the right level of conscious…
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 ver…
Jennifer Crow @jenniferncrow
@OTstrokeSSNP @caralawrence @chungsongyau @r_spells @OTalk_ I have also found that nursing colleagues may assume someone is going to manage their wash and dress independently if they walk to the bathroom themselves #OTalk
Joyce Latimer @JoyceInYork
RT @HG1OT: @therese_jackson Classic examples - using toothbrush to comb hair, putting clothes on in wrong order, putting tea bag in glass i…
Cara Lawrence @caralawrence
@Louisepenny87 @JenniferNCrow @OTstrokeSSNP @EmPlayfair @BillWongOT @therese_jackson #sherlockOT #OTalk
Rachel TeasdaleSmith @rachelteasy
@OTstrokeSSNP @JenniferNCrow @caralawrence @chungsongyau @r_spells @OTalk_ Is there a recommended information leaflet to support education of families, carers etc #OTalk
Louise @Louisepenny87
@OTstrokeSSNP Argh.... razor to teeth, so scary!! #OTalk
OTalk @OTalk_
@CTONKSOT @therese_jackson @OTstrokeSSNP No probs :) Just didn’t want others to miss your contributions. #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
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
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…
Cara Lawrence @caralawrence
@RachelTeasy @OTstrokeSSNP @JenniferNCrow @chungsongyau @r_spells @OTalk_ the snpp use to have a leaflet #otalk
Therese Lebedis @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
Clare Thomson @claredthomson
@Louisepenny87 @EmPlayfair @BillWongOT @therese_jackson @JenniferNCrow I totally agree with you @Louisepenny87 sequencing stems/is part of another impairment #OTalk
thelma smith @thelot17
Q3 depending on level and type of Apraxia - mood, reduced independence, increased risk of harm, stress on family understanding, leisure.......#OTalk
Chloe @ctonksot
@therese_jackson @OTstrokeSSNP #OTalk Q.3- Self care may be affected such as washing, dressing and grooming. They may also have difficulty with leisure activities too. This could include physical activity and even shopping and daily activities.
Bill Wong, OTD, OTR/L @BillWongOT
@Louisepenny87 @OTstrokeSSNP Another just as scary... perhaps you use a knife like a fork or spoon. #otalk
Aisling van der Walt @aisling_neuroot
@OTstrokeSSNP Razor to the mouth freaks me out - I take an errorless learning approach when it comes to that! 🙈 #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@Louisepenny87 @OTstrokeSSNP Or sometimes you mistake soap as toothpaste. #otalk
latísh @ljx_01
RT @OTstrokeSSNP: Education and emotional support really important for this patient group (and their families). Delivered in a format they…
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
Bill Wong, OTD, OTR/L @BillWongOT
RT @CTONKSOT: @therese_jackson @OTstrokeSSNP #OTalk Q.3- Self care may be affected such as washing, dressing and grooming. They may also ha…
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 understandin…
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…
Therese Lebedis @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
Charlie Chung @chungsongyau
RT @OTstrokeSSNP: @RachelTeasy @JenniferNCrow @caralawrence @chungsongyau @r_spells @OTalk_ There's one being crafted by your friendly stro…
Hayley Green @HG1OT
@carspring27 @therese_jackson Yes - I suppose a need to tie your shoelaces provides a large amount if cueing and taps into the hard wired pathways of function - that's what we need to recreate in treatment where apraxia impacts on other ADL #otalk
Clare Thomson @claredthomson
@JenniferNCrow @OTstrokeSSNP @caralawrence @chungsongyau @r_spells @OTalk_ Just the point we were discussing this morning before your training to nursing staff @JenniferNCrow #OTalk
Ruth Ndlovu @ot_ruth
@Aisling_neuroOT @therese_jackson @OTstrokeSSNP As well as increased anxiety and confusion re-level of impairment/s, which will have an impact on engagement in therapy #OTalk
OTalk @OTalk_
#OTalk Question 4 https://t.co/QzBKwbT83n
Joyce Latimer @JoyceInYork
Really interesting #OTalk tonight, I have not had much experience in this field ☺
Bill Wong, OTD, OTR/L @BillWongOT
RT @HG1OT: @carspring27 @therese_jackson Yes - I suppose a need to tie your shoelaces provides a large amount if cueing and taps into the h…
Heather Sheldon @heathersheldo17
@OTstrokeSSNP Eating cereal with hands, buttering without a knife #OTalk
Louise @Louisepenny87
@OTstrokeSSNP Agreed. So many families say their relative is “confused” #otalk
Therese Lebedis @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
latísh @ljx_01
RT @carspring27: #OTalk https://t.co/KlD6Z78QSq another useful reference
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
Charlie Chung @chungsongyau
RT @OTstrokeSSNP: @Louisepenny87 @JenniferNCrow @EmPlayfair @BillWongOT @therese_jackson And that's what makes our job so interesting isn't…
Cara Lawrence @caralawrence
@therese_jackson @preston_jenny and often less threatening #otalk
Rachel TeasdaleSmith @rachelteasy
@therese_jackson @OTstrokeSSNP On reflection I think I only use backward chaining, non verbal/physical cues and education 😮 #OTalk
Joyce Latimer @JoyceInYork
RT @OTstrokeSSNP: @Louisepenny87 @JenniferNCrow @EmPlayfair @BillWongOT @therese_jackson And that's what makes our job so interesting isn't…
Bill Wong, OTD, OTR/L @BillWongOT
RT @RachelTeasy: @therese_jackson @OTstrokeSSNP On reflection I think I only use backward chaining, non verbal/physical cues and education…
Cara Lawrence @caralawrence
@OTstrokeSSNP @RachelTeasy @JenniferNCrow @chungsongyau @r_spells @OTalk_ I have used the old ones like the space to add #OTalk
Therese Lebedis @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
Louise @Louisepenny87
@therese_jackson @OTstrokeSSNP Repetition, chaining, errorless learning, education, context #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
Aisling van der Walt @aisling_neuroot
@therese_jackson @OTstrokeSSNP Depends on what stage of the task they struggle with (initiation / execution etc). I try verbal correction first, failing that try demonstration, then hands-on correction #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
Carol @carspring27
I am quite new to this area...could repetition of tasks influence neuroplasticity? #OTalk
Hayley Green @HG1OT
@therese_jackson @OTstrokeSSNP Repetition and practice in the correct context and provision of increased information regarding the task. Have also used errorless learning and chaining. #OTalk
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
Much needed resources, thanks @OTstrokeSSNP! I'll be sure to let my team know about this. #Otalk https://t.co/09DOUhTdaJ
Chloe @ctonksot
First time tweeting in the #OTalk and I am loving! Finally got the hang of it 😄💚
DeeGarrettGrimwood @GedgraveGirls
RT @OTstrokeSSNP: @Louisepenny87 @JenniferNCrow @EmPlayfair @BillWongOT @therese_jackson And that's what makes our job so interesting isn't…
Rachel TeasdaleSmith @rachelteasy
@therese_jackson @OTstrokeSSNP I do tend to push toward a quicker d/c with increased support so rehab is timely, in context, in familiar environment, ?repeatition is more consistent. Anybody else? #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @HG1OT: @therese_jackson @OTstrokeSSNP Repetition and practice in the correct context and provision of increased information regarding t…
Bill Wong, OTD, OTR/L @BillWongOT
RT @Aisling_neuroOT: @therese_jackson @OTstrokeSSNP Depends on what stage of the task they struggle with (initiation / execution etc). I tr…
Bill Wong, OTD, OTR/L @BillWongOT
RT @starbright12: @OTalk_ Patient and family education and practice, practice, practice #OTalk
Ismalia De Sousa MSc RN @ismalia_s
@JenniferNCrow @OTstrokeSSNP @caralawrence @chungsongyau @r_spells @OTalk_ Very true. I remember doing that as a staff nurse when I didn't know much about it... Until 1 day because of 1 patient I changed my practice! MDT education and training is key #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
Louise @Louisepenny87
@therese_jackson @OTstrokeSSNP And so important to educate family regarding best rehab options. Often inpatient rehab isn’t the right option but families struggles with this #otalk
Therese Lebedis @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
Aisling van der Walt @aisling_neuroot
@therese_jackson @OTstrokeSSNP And performing the task in the appropriate context / environment helps access automatic movements. Eg brushing teeth at a sink, in front of a mirror (not in bed with a bowl) #OTalk
Hayley Green @HG1OT
@therese_jackson @OTstrokeSSNP Hard to do if hospital based - we would try to demonstrate an ability to improve in treatment whilst an inpt as a justification to access community based OT #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 enviro…
Jennifer Crow @jenniferncrow
@OTstrokeSSNP @Louisepenny87 @EmPlayfair @BillWongOT @therese_jackson So if a person with a left hemisphere Stroke uses a toothbrush to brush their hair I would describe this as an apraxic error but some might describe it as an object recognition error or agnosia. What are views on this #OTalk
Alexandra Cheese @ACHEESEOT
@BillWongOT @therese_jackson @OTstrokeSSNP What are chaining techniques? 🤓 #OTALK
Bill Wong, OTD, OTR/L @BillWongOT
RT @Ismalia_S: @JenniferNCrow @OTstrokeSSNP @caralawrence @chungsongyau @r_spells @OTalk_ Very true. I remember doing that as a staff nurse…
Alex Scott @alexxjscott
#OTalk I have little knowledge or experience with apraxia, this talk has been very informative. Increased my awareness for when I come across it in practice! Thanks all! 💚
Bill Wong, OTD, OTR/L @BillWongOT
RT @RachelTeasy: @therese_jackson @OTstrokeSSNP I do tend to push toward a quicker d/c with increased support so rehab is timely, in contex…
Helen Ellis @helenlongwell
@BillWongOT @therese_jackson @OTstrokeSSNP Sorry forgot the #OTalk
Avril Drummond @AvrilDrummond1
RT @chungsongyau: #OTalk great point. Essential for identifying not only the right level of challenge but also the right level of conscious…
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
Cara Lawrence @caralawrence
@Ismalia_S @JenniferNCrow @OTstrokeSSNP @chungsongyau @r_spells @OTalk_ learn so much from discussin!hca noticed it day 1 ofadmission #otalk
Therese Lebedis @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
Carol @carspring27
@HG1OT @therese_jackson @OTstrokeSSNP I am thinking that repetition of tasks may be key to relearning a skill after stroke ....how do you ensure errorless learning? #OTalk
Louise @Louisepenny87
@JenniferNCrow @OTstrokeSSNP @EmPlayfair @BillWongOT @therese_jackson That’s why I would look at the bigger picture. Can they name objects? Match objects? What do they do in other contexts? What do they do on an apraxia screen? #OTalk
Francesca S @OT_Francesca
RT @chungsongyau: @ACHEESEOT @therese_jackson #OTalk You are so right in being frustrating for the person. Also, people can be labelled as…
COTSSNP Stroke Forum @otstrokessnp
@CTONKSOT Well done. Thanks for joining us #OTalk
Charlie Chung @chungsongyau
#OTalk Tweetdeck toggled to the stroke forum account! This post was from me! https://t.co/BWDQHDfq31
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
Ruth Ndlovu @ot_ruth
RT @ot_lynne: @therese_jackson @OTstrokeSSNP Errorless learning in a relevant functional activity usually best in the patient's home enviro…
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
I am yet to deliver my interventions, but hope to use errorless learning. #OTalk https://t.co/4qh6lXHTnq
Charlie Chung @chungsongyau
RT @BillWongOT: @ACHEESEOT @therese_jackson @OTstrokeSSNP Backwards chaining starts from therapist completing all but the last step of a ta…
Bill Wong, OTD, OTR/L @BillWongOT
RT @carspring27: @HG1OT @therese_jackson @OTstrokeSSNP I am thinking that repetition of tasks may be key to relearning a skill after stroke…
Therese Lebedis @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
beth cooke @bethcookecooke
@therese_jackson @OTstrokeSSNP errorless learning, functional activities with reduced cognitive demand. Hand over hand techniques if needed, graded approach #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @thelot17: Backward & forward chaining, hand on hand, errorless learning, repetition +++ #OTalk
Emma Hall @Emm_OT
@therese_jackson @OTstrokeSSNP I've found (albeit from my limited experience) that many patients with apraxia usually have other areas that have been impacted e.g communication, physical and they are unfortunately unable to participate in many of the occupations that they previously undertook. #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 occu…
Coventry Uni OT @CovUniOT
Lovely to see some more of our students using twitter & taking part in #OTalk tonight 😀👩🏻‍💻 https://t.co/TefkfaxpJ3
Charlie Chung @chungsongyau
RT @BethcookeCooke: @therese_jackson @OTstrokeSSNP errorless learning, functional activities with reduced cognitive demand. Hand over hand…
Bill Wong, OTD, OTR/L @BillWongOT
RT @BethcookeCooke: @therese_jackson @OTstrokeSSNP errorless learning, functional activities with reduced cognitive demand. Hand over hand…
Aisling van der Walt @aisling_neuroot
@JenniferNCrow @OTstrokeSSNP @Louisepenny87 @EmPlayfair @BillWongOT @therese_jackson Good question - you need to rule out object recognition difficulties before considering apraxia. Can they name the object or describe what it’s used for? When given the correct object can they use it? #OTalk
OTalk @OTalk_
It’s the last 5 mins of tonight’s #OTalk. Any take home thoughts? or final questions.
Ismalia De Sousa MSc RN @ismalia_s
Can we include nurses in this practice also? #OTalk https://t.co/v86v0Ejkwf
Emma Playfair @emplayfair
@therese_jackson @Louisepenny87 @BillWongOT @JenniferNCrow FAB! three cheers to this #simples #OTalk
Therese Lebedis @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
Cara Lawrence @caralawrence
@carspring27 @HG1OT @therese_jackson @OTstrokeSSNP does gently encouraging them. Like brush their teeth you are about 2 miss ur teeth #otalk
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
Hayley Green @HG1OT
@carspring27 @therese_jackson @OTstrokeSSNP You can use chaining - it's difficult and I have mixed feelings about it vs the benefits of learning through trial and error - good to hv in your toolkit though #OTalk
OTalk @OTalk_
Remember #OTalk can count as #CPDhttps://t.co/Dnl21vIAi2 https://t.co/fU6lX9VLYq
Charlie Chung @chungsongyau
RT @therese_jackson: @Ismalia_S @JenniferNCrow @OTstrokeSSNP @caralawrence @chungsongyau @r_spells @OTalk_ if someone on the team tells you…
latísh @ljx_01
RT @OTalk_: Remember #OTalk can count as #CPDhttps://t.co/Dnl21vIAi2 https://t.co/fU6lX9VLYq
Aisling van der Walt @aisling_neuroot
@ot_lynne @therese_jackson @OTstrokeSSNP Yes I use errorless learning too in more severe cases #OTalk
Therese Lebedis @therese_jackson
@BethcookeCooke @OTstrokeSSNP all great suggestions :-) #OTalk @OTstrokeSSNP
Hayley Green @HG1OT
@carspring27 @therese_jackson @OTstrokeSSNP Hand over hand facilitation too #OTalk
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
Therese Lebedis @therese_jackson
@CTONKSOT me too! #OTalk
Bethany Marshall @BethjmOT
RT @CovUniOT: Lovely to see some more of our students using twitter & taking part in #OTalk tonight 😀👩🏻‍💻 https://t.co/TefkfaxpJ3
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 di…
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
Jennifer Crow @jenniferncrow
@therese_jackson @Ismalia_S @OTstrokeSSNP @caralawrence @chungsongyau @r_spells @OTalk_ Yes was teaching on this today on our Stroke MDT training and I like to think of them as cognitive red flags! Any of the MDT might see odd things and then if they identify the red flag that is half the battle won #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 packa…
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…
Bill Wong, OTD, OTR/L @BillWongOT
RT @HG1OT: @carspring27 @therese_jackson @OTstrokeSSNP Hand over hand facilitation too #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @HG1OT: @carspring27 @therese_jackson @OTstrokeSSNP You can use chaining - it's difficult and I have mixed feelings about it vs the bene…
beth cooke @bethcookecooke
@OTstrokeSSNP @OTalk_ totally agree #OTalk
Therese Lebedis @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 ta…
Carol @carspring27
first time on this forum - it is fantastic to share ideas thank you #OTalk
Aisling van der Walt @aisling_neuroot
@OTalk_ Just want to say thank you - thoroughly enjoyed my first #OTalk 👍
Ismalia De Sousa MSc RN @ismalia_s
RT @JenniferNCrow: @therese_jackson @Ismalia_S @OTstrokeSSNP @caralawrence @chungsongyau @r_spells @OTalk_ Yes was teaching on this today o…
Charlie Chung @chungsongyau
#OTalk useful to know stroke site to suggest whether ideomotor or ideational. Ideomotor - often white tracts in frontal lobe affected, ideational - often left inferior parietal lobe - has a similarity to expressive and receptive aphasia https://t.co/NS6XUAnOCV
Alexandra Cheese @ACHEESEOT
@BillWongOT @therese_jackson @OTstrokeSSNP So interesting! It’s amazing what we come up with to support others! #OTalk
Hayley Green @HG1OT
@caralawrence @carspring27 @therese_jackson @OTstrokeSSNP May be a little subtle - depends on your client. I tend to be definite (but gentle) to avoid confusion. #OTalk a whole new set of questions there
Alexandra Cheese @ACHEESEOT
RT @BillWongOT: @ACHEESEOT @therese_jackson @OTstrokeSSNP Backwards chaining starts from therapist completing all but the last step of a ta…
OTalk @OTalk_
RT @chungsongyau: #OTalk useful to know stroke site to suggest whether ideomotor or ideational. Ideomotor - often white tracts in frontal l…
Chloe @ctonksot
@OTalk_ Tactile and Proprioceptive Stimulation #OTalk
Charlie Chung @chungsongyau
RT @BethcookeCooke: @OTalk_ Functional assessment, being the great detectives we all are as OT's, and ensuring other cognitive deficits are…
Therese Lebedis @therese_jackson
@starbright12 @Ismalia_S essential to get input form all of the MDT and family for consistency #OTalk
Charlie Chung @chungsongyau
RT @OTstrokeSSNP: If in an acute unit, it's always important to see how these patients function in their own environment. So often very di…
Catherine McNulty @cathymc9781
age appropriate important #OTalk https://t.co/ujnx0XPSf0
latísh @ljx_01
RT @chungsongyau: #OTalk useful to know stroke site to suggest whether ideomotor or ideational. Ideomotor - often white tracts in frontal l…
Aisling van der Walt @aisling_neuroot
@Em_Garratt @OTstrokeSSNP We all need an outlet @Em_Garratt and #OTalk seems like the perfect place!
Bill Wong, OTD, OTR/L @BillWongOT
See you guys next week! #otalk
Alexandra Cheese @ACHEESEOT
@CTONKSOT @OTalk_ What is this?🤓 #otalk
Jennifer Crow @jenniferncrow
@OTstrokeSSNP Yes so important but increasingly difficult to be able to take pts home on a visit from the acute setting #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
Louise @Louisepenny87
@HG1OT @caralawrence @carspring27 @therese_jackson @OTstrokeSSNP Plus sometimes you need less words and more gesture / hand over hand #OTalk
Beverley Goodman @bevg_studentot
Fascinating #OTalk tonight on #apraxia, thank you @OTstrokeSSNP @therese_jackson @OTalk_ Just lurking tonight but learning a lot from contributors. Hopefully a future area of practice for me (all being well!)
Rachel TeasdaleSmith @rachelteasy
Excellent #OTalk tonight. Maybe one day my apraxia crib sheet hidden away in my tunic will be destroyed forever. @OTstrokeSSNP
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
Charlie Chung @chungsongyau
RT @OTstrokeSSNP: Keeping task flowing, as automatic as possible, without verbal interruption whilst covertly intervening through errorless…
OT Huddersfield Uni @Hudds_Uni_OT
Remember this students - if you fancy giving twitter and #OTalk a try! https://t.co/3a8FBp0HNp
OTalk @OTalk_
RT @OTstrokeSSNP: Keeping task flowing, as automatic as possible, without verbal interruption whilst covertly intervening through errorless…
Emma Garratt @em_garratt
@Aisling_neuroOT @OTstrokeSSNP There was no sarcasm intended there...I love them! 😍😂 great #OTalk , enjoyed observing and looking forward to discussing with the team tomorrow 👍
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
#OTalk https://t.co/kgL5kF4HHw
Alexandra Cheese @ACHEESEOT
@Louisepenny87 @therese_jackson @OTstrokeSSNP What is errorless learning? 🤓 #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
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
RT @OTstrokeSSNP: Keeping task flowing, as automatic as possible, without verbal interruption whilst covertly intervening through errorless…
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
Louise @Louisepenny87
@ACHEESEOT @therese_jackson @OTstrokeSSNP Don’t let the patient make mistakes that you are know they will make, or correct them ASAP when they do #otalk
Therese Lebedis @therese_jackson
@OTalk_ thanks everyone - great conversation #OTalk @OTstrokeSSNP
Alexandra Cheese @ACHEESEOT
@OTalk_ @therese_jackson Thank you for an interesting talk! Learnt a lot more about apraxia tonight! #otalk
Ruth Sharp @r_spells
Thanks for the interesting topic tonight, lots to digest! #OTalk
Avril Drummond @AvrilDrummond1
Thanks @therese_jackson and #OTalk. My wifi coming and going tonight but enjoyed session! https://t.co/dMSj3a3WzY
OTalk @OTalk_
Great chat, glad to have all the input from @therese_jackson and @OTstrokeSSNP :) #OTalk https://t.co/ixlJKEmOIX
Louise @Louisepenny87
@ACHEESEOT @therese_jackson @OTstrokeSSNP You know when you go somewhere new and you go the wrong way? And the next time you go there you still go the wrong way? Errorless learning would stop that #OTalk
Emma Playfair @emplayfair
@therese_jackson @OTstrokeSSNP Not to mention, RISKS associated with incorrect object use / actioning of the task. 1 pt had difficulty with toilet paper; not knowing what to do with it after conducting hygiene. Infection, hygiene issues, not to mention anxiety and stress at the situation #OTalk
Nan Kearney @nankearney
+1 Thanks #otalk https://t.co/3EQiF5lLf8
Will Chegwidden @willchegwidden
Hi! Missed the fun... my haggis making course overran!! Can also recommend van heugten for both an assessment tool and a treatment approach. Divides concepts of apraxia into initiation, execution & control #otalk
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
Chloe @ctonksot
@ACHEESEOT @OTalk_ It refers to stimulation of the nervous system from receptors in the skin so this intervention might include things like sensory integration 😊 #otalk
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
This evening's #OTalk has made me reflect on how little I know about #apraxia. Thank you @OTstrokeSSNP, @therese_jackson & @OTalk_. I have learnt alot tonight (& still have alot to learn).
Alexandra Cheese @ACHEESEOT
RT @Louisepenny87: @ACHEESEOT @therese_jackson @OTstrokeSSNP Don’t let the patient make mistakes that you are know they will make, or corre…
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
Alexandra Cheese @ACHEESEOT
RT @Louisepenny87: @ACHEESEOT @therese_jackson @OTstrokeSSNP You know when you go somewhere new and you go the wrong way? And the next time…
Alexandra Cheese @ACHEESEOT
@Louisepenny87 @therese_jackson @OTstrokeSSNP Thank you for explaining this so well! #otalk
Alexandra Cheese @ACHEESEOT
@ot_lynne @Louisepenny87 @therese_jackson @OTstrokeSSNP Could this be difficult if they are convinced they are doing it the right way? #otalk
Alexandra Cheese @ACHEESEOT
RT @CTONKSOT: @ACHEESEOT @OTalk_ It refers to stimulation of the nervous system from receptors in the skin so this intervention might inclu…
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
Therese Lebedis @therese_jackson
@brona79 @OTstrokeSSNP yes - environment and context really important to help facilitate occupational performance #OTalk
Charlie Chung @chungsongyau
@ACHEESEOT @Louisepenny87 @therese_jackson @OTstrokeSSNP #OTalk Some people with cognitive challenge and apraxia find it difficult to learn from errors as this requires executive function. Making errors can reinforce the behaviour. Errorless learning is about setting up occupations so that the person can achieve without making errors
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
Emma Playfair @emplayfair
@HelenLongwell @OTstrokeSSNP That's fab to hear @HelenLongwell - how can this be supported from ASU OT's? I haven't done ESD/comm myself, so would love to better understand how we can flag pt's that might be able to easily dc home with ESD #OTalk
Francesca S @OT_Francesca
RT @BethcookeCooke: @OTalk_ Functional assessment, being the great detectives we all are as OT's, and ensuring other cognitive deficits are…
Louise @Louisepenny87
@RachelTeasy @RCOT_NP @OTstrokeSSNP @OTalk_ Learning from a senior with real patients if you can #OTalk
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
Therese Lebedis @therese_jackson
@HelenLongwell @OTstrokeSSNP yes - all good. also consider modifying the environment #OTalk
Kelly M @OTontheTracks
Great to hear the Stroke focused #OTalk chats have gone down so well. It’s been a brilliant forum to share the knowledge and experience. https://t.co/j346BuMtiN
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
Charlie Chung @chungsongyau
RT @OTstrokeSSNP: @ACHEESEOT @ot_lynne @Louisepenny87 @therese_jackson Yes, it is. The trick is to be slick and inconspicuous so the task…
Will Chegwidden @willchegwidden
@caralawrence @RachelTeasy @OTstrokeSSNP @JenniferNCrow @chungsongyau @r_spells @OTalk_ #otalk I’ve put together patient and staff leaflets on apraxi based on the van heugten model... did them as part of my MSc work so still needs validating but feedback good so far
Kevin Breitman @kbreitman27
RT @Aisling_neuroOT: @therese_jackson @OTstrokeSSNP Depends on what stage of the task they struggle with (initiation / execution etc). I tr…
Emma Playfair @emplayfair
@BillWongOT @therese_jackson @OTstrokeSSNP @BillWongOT which one do you think works better? Forwards/Backwards? What 'depending on the person' factors might you consider influencing forwards/backwards? #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
Therese Lebedis @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
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
RT @OTstrokeSSNP: @RebeccaCrouch @therese_jackson @OTalk_ It's a complex subject and is always lots to learn. Once you see more patients w…
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