#OTalk Transcript

Healthcare social media transcript of the #OTalk hashtag.
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See #OTalk Influencers/Analytics.

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Bill Wong, OTD, OTR/L @BillWongOT
Hello everyone! Today I am going to be pre-tweeting for #otalk due to daylight savings.
Bill Wong, OTD, OTR/L @BillWongOT
@KatrinaBannigan @MOT1ON_Research @OTPlymouthUni @IHCPlymouth @PlymUniResearch That means I schedule tweets in advance and have them appear live in real time. So you can tell that my tweets might be out of sync relatively speaking in relation to the discussions. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
And the dimension I come from- I work with a good bit of patients with psych diagnosis; and some of the nursing homes I work at have almost all psych patients. #Otalk
#OTalk @OTalk_
Who's on for tonight's #otalk ? @Tori_Doll_ is ready to go
#OTalk @OTalk_
That is dedication! #otalk https://t.co/peBtNwv12x
Dr Mary Birken @MaryBirken
Hello everyone I'm here and looking forward to #otalk
Bill Wong, OTD, OTR/L @BillWongOT
@OTalk_ And I already scheduled my tweets... since I am working now! #otalk
#OTalk @OTalk_
#Otalk on the go! https://t.co/o7XWQjUSzf
Bill Wong, OTD, OTR/L @BillWongOT
In my setting, I think I see a good bit of psych patients are the most motivated when time is getting close to smoke break time. #otalk
Susan Ritchie @SusanRitchie123
Joining #otalk tonight
#OTalk @OTalk_
RT @Tori_Doll_:
Khalilah R. Johnson, PhD, OTR/L @OccScienceBae
@OTalk_ @Tori_Doll_ Checking in from Richmond, Virginia #OTalk
#OTalk @OTalk_
Q1 #OTalk https://t.co/s3yZASKg6p
Bill Wong, OTD, OTR/L @BillWongOT
Participation is meaningful in my setting (through my example) can be something like a meaningful time to socialize and build friendships with fellow patients. #otalk
Kate Sharp @OT_Sharp
I’m here...at the gym but aiming for Occupational balance! #otalk https://t.co/cOhIZcTa8k
Bill Wong, OTD, OTR/L @BillWongOT
And of course... occasionally we also do community training. That is also meaningful because it can be motivation for them to get discharged to lower level of care. (Though that might not happen at some nursing homes I work at because patient might also be flight risk). #otalk
Charlotte Carpenter 💙 @CharCarpenter
@Tori_Doll_ @Tori_Doll_ #OTalk Engaging patients in what is meaningful to them whilst presenting a stimulating just-right challenge using #VdTMoCA to aid skill development and improvement in self-esteem/self-worth
Hiral Khatri, OTD, OTR/L @DrHiralKhatri
@margaretOT360 The term Participation for me is - getting involved with just everything but not above my availability, and my skills. Following passion and working for what I like makes me more of a good participant rather than just being a passive-employee. #OTALK
#OTalk @OTalk_
RT @CharCarpenter: @Tori_Doll_ @Tori_Doll_ #OTalk Engaging patients in what is meaningful to them whilst presenting a stimulating just-right challenge using #VdTMoCA to aid skill development and improvement in self-esteem/self-worth
Bill Wong, OTD, OTR/L @BillWongOT
In terms of meaning to me, that means feeling I belong actively in an environment through participation. #otalk
#OTalk @OTalk_
Great examples Sue. #otalk https://t.co/dBWVWpuG4X
Susan Ritchie @SusanRitchie123
@Tori_Doll_ It means doing or being part of something that is valuing to the person that they want to do #OTalk To me it is finding that something and providing the means for them to do it
#OTalk @OTalk_
RT @sweet_hiral: @margaretOT360 The term Participation for me is - getting involved with just everything but not above my availability, and my skills. Following passion and working for what I like makes me more of a good participant rather than just being a passive-employee. #OTALK
#OTalk @OTalk_
RT @margaretOT360:
Khalilah R. Johnson, PhD, OTR/L @OccScienceBae
@OTalk_ Broadly, it’s the ability to access and engage in daily life activities of one’s choosing. However, what I have learned working with adults with intellectual and developmental disabilities, is that participation can look different. We should think beyond the conventional. #OTalk
#OTalk @OTalk_
RT @KatrinaBannigan:
#OTalk @OTalk_
RT @JessikaLack_OT:
#OTalk @OTalk_
RT @DebbiiHarrison:
Hiral Khatri, OTD, OTR/L @DrHiralKhatri
@KatrinaBannigan @MOT1ON_Research certainly. #otalk and performance is better if you start practicing participation. Its hard to comment sitting on the other side and actually participating and experiencing that task.
Vikki Smith @vikkijaynedale
RT @MOHOspark:
Charlotte Carpenter 💙 @CharCarpenter
@Tori_Doll_ Absolutely!! Especially how #VdTMoCA helps us to gain the smallest amount of participation from even the least well individuals - a strength lacking by most other models #OTalk
Dr Mary Birken @MaryBirken
@OccScienceBae @OTalk_ Participation can look different, I agree- have you got examples of these differences? #otalk
Bill Wong, OTD, OTR/L @BillWongOT
In my setting, I will say we don’t have a direct measure for participation. However, it will show in some way in patients’ functioning levels... as the hard work they put in usually will result in improvements in some way. #otalk
#OTalk @OTalk_
RT @VikkiBarryOT:
#OTalk @OTalk_
RT @OccScienceBae: @OTalk_ Broadly, it’s the ability to access and engage in daily life activities of one’s choosing. However, what I have learned working with adults with intellectual and developmental disabilities, is that participation can look different. We should think beyond the conventional. #OTalk
#OTalk @OTalk_
RT @MaryBirken: @OccScienceBae @OTalk_ Participation can look different, I agree- have you got examples of these differences? #otalk
Hiral Khatri, OTD, OTR/L @DrHiralKhatri
@robbrooks_uk Good question. #otalk I believe, there are no specific types though we can differentiate as per our own norms may be??
Bill Wong, OTD, OTR/L @BillWongOT
In my setting, participation makes a positive difference in prognosis in patient’s maximum functional potential. #otalk
Khalilah R. Johnson, PhD, OTR/L @OccScienceBae
@MaryBirken @OTalk_ Using emblematic gestures (i.e. eye gazes and vocalizations) rather than physical touch to engage in activity. For example using eye gaze to choose pieces in a game of dominos when verbal language and upper extremity movement is impaired. #OTalk
Vikki Smith @vikkijaynedale
RT @OccScienceBae: @OTalk_ Broadly, it’s the ability to access and engage in daily life activities of one’s choosing. However, what I have learned working with adults with intellectual and developmental disabilities, is that participation can look different. We should think beyond the conventional. #OTalk
#OTalk @OTalk_
Interesting point. How is it being measured? #otalk https://t.co/LjdB4VO7Sg
Charlotte Carpenter 💙 @CharCarpenter
@Tori_Doll_ As a high secure service, It is in terms of the standard of offering a min of 25hrs of activity to each patient per week but the quality of this participation is often not considered - us OTs definitely feel this is more important! Quality over quantity every time!! #OTalk
Hiral Khatri, OTD, OTR/L @DrHiralKhatri
@Tori_Doll_ Yes. It is an important measure. As it shows signs of a person's choices, moods, tolerance levels and interests. #otalk
Khalilah R. Johnson, PhD, OTR/L @OccScienceBae
@BillWongOT How do you document it, Bill? #OTalk
Vikki Smith @vikkijaynedale
RT @MOHOspark:
Dr Mary Birken @MaryBirken
I think participation is the most important outcome to measure result of occupational therapy in mental health. Occupational performance can be seen as proximal outcome that contributes to participation #otalk
Charlotte Carpenter 💙 @CharCarpenter
@KatrinaBannigan @VdTMoCAFUK @MOT1ON_Research No but the strategies it gives us in high security on ICU, HDU & Admissions are incredibly beneficial when working with extremely unwell individuals who would often be assumed as too unwell for OT. As a service, we have more confidence in ourselves, our role and direction #OTalk
Matthew Molineux @mmolineux
Daniel Sutton at https://t.co/1hMFJiULCI has a paper that includes that issue #OTalk https://t.co/uKfYtssksB
#OTalk @OTalk_
RT @Tori_Doll_:
Bill Wong, OTD, OTR/L @BillWongOT
and in my setting, community integration has meaning from occupational participation standpoint. For some patients, this might mean a crucial step before being discharged to home or lower level of care. #otalk
Khalilah R. Johnson, PhD, OTR/L @OccScienceBae
@VikkiBarryOT If we’re truly practicing client-centered care, would patient’s determinants of participation not be captured? #OTalk
#OTalk @OTalk_
@Tori_Doll_ Certainly for my client group I would need to monitor participation, review how it’s going, change if needed. Sometimes we pause things because it not the right time to participate and then revisit how we reboot things. #otalk
Charlotte Carpenter 💙 @CharCarpenter
@JessikaLack_OT @Tori_Doll_ Yes but I’m not always sure it does when NHS targets are set unfortunately! #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
And for those who are long term residents at my setting, it can mean a reward for good behavior and a much needed change from being at the facility all day. #otalk
Alondra Ammon @AlondraLaOT
@Tori_Doll_ I would say for sure! In my opinion, as OT's our purpose as a whole is to help our clients participate in meaningful occupations. The only thing that changes in regards to the type of participation they engage in is the setting, but our focus remains the same. #OTalk
Dr Mary Birken @MaryBirken
@KatrinaBannigan @joanne_inman @MOT1ON_Research I agree that its an asset to Occupational therapy to have WHO recognise participation as a component of health. In mental health the concept hasn't been recognised as much as other areas of OT. But overlapping terms are used- eg social functioning. #otalk
Sophie Maynard @SophieMaynard8
RT @MOHOspark:
Khalilah R. Johnson, PhD, OTR/L @OccScienceBae
@VikkiBarryOT I think drawing on evidence from the literature and being intentional in how we document participation and patient’s progress is what will make a difference. #OTalk
Charlotte Carpenter 💙 @CharCarpenter
@mirnoonanOT @KatrinaBannigan @MOT1ON_Research Great point!! We’re doing a service evaluation to compare numbers of sessions patients have attended vs their outcomes in occupational domains. A big question out of this is, what was the quality of their engagement in each session plus the quality of session delivery! #Otalk
Bill Wong, OTD, OTR/L @BillWongOT
I think where I live in LA is a huge factor with culture. After all, Los Angeles is like a melting pot. #otalk
Sophie Maynard @SophieMaynard8
@Tori_Doll_ Q2 - I am unsure if #participation should be a measure. A little participation in a meaningful occupation might be the perfect balance for one individual and not enough to another #OTalk
#OTalk @OTalk_
RT @CharCarpenter: @mirnoonanOT @KatrinaBannigan @MOT1ON_Research Great point!! We’re doing a service evaluation to compare numbers of sessions patients have attended vs their outcomes in occupational domains. A big question out of this is, what was the quality of their engagement in each session plus the quality of session delivery! #Otalk
Dr Mary Birken @MaryBirken
@KatrinaBannigan @MOT1ON_Research It is currently difficult to measure as not clearly defined as a concept, particularly in MH but we can attempt to measure "involvement in a life situation" in the meantime? #otalk
#OTalk @OTalk_
RT @KatrinaBannigan:
Bill Wong, OTD, OTR/L @BillWongOT
And culture also play a role in setup in the environments I work in. Some holidays were better celebrated than others. So does activities the residents would do at these places on an everyday basis. #otalk
Alondra Ammon @AlondraLaOT
@Tori_Doll_ I would say that subconsciously I do. If a client seems disengaged from the occupation or activity at hand, then it's something I feel most would recognize and question/probe and begin to think more critically about the approach or client preference. #OTalk
Sophie Maynard @SophieMaynard8
@Tori_Doll_ When assessing interventions it may be important to look at participation - what is holding people back? Is the intervention useful or does it need changing/reassessing? Is the individual doing too much and not having any balance? #OTalk
#OTalk @OTalk_
RT @JessikaLack_OT:
Dr Mary Birken @MaryBirken
@KatrinaBannigan @joanne_inman @MOT1ON_Research I agree that more psychometric testing of existing measures claiming to measure participation is needed #otalk
#OTalk @OTalk_
RT @robbrooks_uk:
Dr Mary Birken @MaryBirken
RT @christiephysio:
Bill Wong, OTD, OTR/L @BillWongOT
Social wise, I think it will really depend on the mix of patients. It is almost like how a group of special needs kids blend in with one another in such classrooms. #otalk
Charlotte Carpenter 💙 @CharCarpenter
@JessikaLack_OT @Tori_Doll_ Too true!! Shows how we need to promote the impact of our work whilst meeting standards but educate our senior management teams along the way to help inform commissioners of such issues. #OTalk
Khalilah R. Johnson, PhD, OTR/L @OccScienceBae
@KatrinaBannigan @MOT1ON_Research Theoretically, I’ve wondered the same. What are we (as a profession) adding when we say “occupational” participation? #OTalk Maybe I’m being too deep about this?!?
#OTalk @OTalk_
RT @OccScienceBae: @KatrinaBannigan @MOT1ON_Research Theoretically, I’ve wondered the same. What are we (as a profession) adding when we say “occupational” participation? #OTalk Maybe I’m being too deep about this?!?
#OTalk @OTalk_
RT @KatrinaBannigan:
#OTalk @OTalk_
RT @CharCarpenter: @JessikaLack_OT @Tori_Doll_ Too true!! Shows how we need to promote the impact of our work whilst meeting standards but educate our senior management teams along the way to help inform commissioners of such issues. #OTalk
#OTalk @OTalk_
RT @MOHOspark:
Dr Mary Birken @MaryBirken
@thebakerstron @Tori_Doll_ @OTalk_ I agree it is key that Occupational therapists use the term participation within MDT, to demonstrate our unique contribution. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
Although I can’t say it is completely true... but i can imagine patients will feel like they are in jail if they are placed in locked units... even if it is a measure to protect them for themselves and/or the community. #otalk
Khalilah R. Johnson, PhD, OTR/L @OccScienceBae
@VikkiBarryOT It comes up every year at the SSO-USA conference! #OTalk
Lee Ann Hoffman @LeeAnnHoffman2
RT @MOHOspark:
Charlotte Carpenter 💙 @CharCarpenter
@mrkwhtmnOT @mirnoonanOT @JessikaLack_OT @Tori_Doll_ If we want to show our impact we need to show what patients are participating in (we have specific treatment based sessions) and change in occupational performance in each domain being treated at CPA intervals. This is vital to aiding others’ understanding of our work #Otalk
Susan Ritchie @SusanRitchie123
@SPOTeurope Not a standardises measure but in my long stay MH ward I evidence increased participation by applying a graded approach and each week the person has a bigger part of the activity to do #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
I will respond to any tweets responded to me at a later time. But now I will add my final thoughts. #otalk
Dr Mary Birken @MaryBirken
RT @christiephysio:
#OTalk @OTalk_
RT @Tori_Doll_:
#OTalk @OTalk_
RT @VikkiBarryOT:
#OTalk @OTalk_
RT @VikkiBarryOT:
#OTalk @OTalk_
RT @DebbiiHarrison:
#OTalk @OTalk_
RT @Jacqusie:
#OTalk @OTalk_
RT @MaryBirken: @thebakerstron @Tori_Doll_ @OTalk_ I agree it is key that Occupational therapists use the term participation within MDT, to demonstrate our unique contribution. #otalk
Susan Ritchie @SusanRitchie123
For many with MI the social part is so hard joining groups is not for everyone #otalk it is about them having the skill to get their need me,t can the get on a quiet bus to go to the shop this for many is as much participation as they want
Vikki Smith @vikkijaynedale
RT @MOHOspark:
#HelloMyNameIs Laura @laurareidOT
RT @MaryBirken: @thebakerstron @Tori_Doll_ @OTalk_ I agree it is key that Occupational therapists use the term participation within MDT, to demonstrate our unique contribution. #otalk
Dr Mary Birken @MaryBirken
@KatrinaBannigan @MOT1ON_Research Yes I think we should talk about participation- the occupational element is implicit, and we are in danger of talking to ourselves by using different phrase than wider mdt use #otalk
Bill Wong, OTD, OTR/L @BillWongOT
@SarahSharland19 It will be a nursing home setting. #otalk
Khalilah R. Johnson, PhD, OTR/L @OccScienceBae
@Tori_Doll_ This is a big question, especially when you consider the culture and histories our clients bring to therapy and how they transact through the culture of healthcare. #OTalk
Susan Ritchie @SusanRitchie123
RT @DebbiiHarrison:
Khalilah R. Johnson, PhD, OTR/L @OccScienceBae
This is an important question to ponder, especially when you consider the culture and histories our clients bring to therapy and how they transact through the culture of healthcare. #OTalk #AOTA #OccupationalTherapy #OccupationalScience https://t.co/qxKIGeqTLC
Bill Wong, OTD, OTR/L @BillWongOT
Just like with special needs kids, I feel service users in this population should be placed in least restrictive environments. #otalk
Sophie Maynard @SophieMaynard8
@KatrinaBannigan @MOT1ON_Research I feel like the “occupation” but refers more to whether it is meaningful to the person. I might seem to participate in something but not find any value positive or negative #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
With the mental health population, safety is an ultra important component to consider while thinking of meaningful occupations for patients to engage. #otalk
Vikki Smith @vikkijaynedale
RT @KatrinaBannigan:
Vikki Smith @vikkijaynedale
RT @SophieMaynard8: @KatrinaBannigan @MOT1ON_Research I feel like the “occupation” but refers more to whether it is meaningful to the person. I might seem to participate in something but not find any value positive or negative #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
And within mental health settings, I feel participation in meaningful occupations has a direct correlation with maximum functional potential for the patients. #otalk
#OTalk @OTalk_
Final 7 minutes of an interesting #otalk tonight. Certainly giving me lots to think about @Tori_Doll_
Dr Mary Birken @MaryBirken
Very good point MDT contributes to changing participation #otalk https://t.co/SVpMrfYh1g
Vikki Smith @vikkijaynedale
RT @sleepOTsophie:
Bill Wong, OTD, OTR/L @BillWongOT
So as occupational therapy practitioners, I feel it is important all of us to promote the importance of participation in meaningful occupations... even if they say no again and again. Who knows if they will say yes one of these times. #otalk
Sophie Maynard @SophieMaynard8
@Tori_Doll_ #OTalk secure environments can be restrictive of participation, both physically and socially. It’s important not to force participation on patients and cause occupational alienation
Vikki Smith @vikkijaynedale
RT @SophieMaynard8: @Tori_Doll_ #OTalk secure environments can be restrictive of participation, both physically and socially. It’s important not to force participation on patients and cause occupational alienation
Vikki Smith @vikkijaynedale
RT @VikkiBarryOT:
#OTalk @OTalk_
Final thoughts? #otalk https://t.co/c4GZsW2hz3
#OTalk @OTalk_
RT @MOHOspark:
#OTalk @OTalk_
RT @Tori_Doll_:
Sophie Maynard @SophieMaynard8
@Tori_Doll_ Unfortunately participation can be seen as a tick box for people getting better, but again, we need to make sure that the participation is suitable and meaningful to that individual, only then we will see positive effects on health and well-being #OTalk
Vikki Smith @vikkijaynedale
RT @KatrinaBannigan:
sarah thompson @sarahth50274266
RT @Tori_Doll_:
Dr Mary Birken @MaryBirken
The ICF defines participation as "involvement in a life situation". Not all life situations involve other people. #otalk https://t.co/2x3rPmfvnL
Vikki Smith @vikkijaynedale
RT @sleepOTsophie:
#OTalk @OTalk_
Thanks to @Tori_Doll_ for tonight's #OTalk and to our fab community for an interesting and thought provoking discussion.
Sophie Maynard @SophieMaynard8
@Tori_Doll_ Often this is what makes occupational therapy unique, meaningful participation needs to be advocated for by the OT to the MDT #OTalk
Dr Mary Birken @MaryBirken
RT @Tori_Doll_:
Dr Lynne Goodacre 💙 @LynneGoodacre
Great to know that @TinaColdham and @ClaireBallinge1 will be leading #OTalk research in April based on #coproduction in research https://t.co/s6d8XryaLd
Dr Mary Birken @MaryBirken
RT @Tori_Doll_:
Dr Mary Birken @MaryBirken
@sue_mesa @MOHOspark There have been some papers published exploring this and what it means but the term participation does need further defining conceptually. Some of the papers are on @MOT1ON_Research website. #otalk
Sophie Maynard @SophieMaynard8
@KatrinaBannigan @MOT1ON_Research I guess arguably if they have been coerced to participate, then they may not feel they are actively participating. Unfortunately in secure environments, it can sometimes lead towards a reward system... eg good to see you doing xyz, we will increase your leave now #OTalk
Sophie Maynard @SophieMaynard8
RT @Tori_Doll_:
Sophie Maynard @SophieMaynard8
@colourful_ot @Tori_Doll_ @RespectConnectd Thanks for the link. Will be an interesting read for my current essay! #OTalk
Sophie Maynard @SophieMaynard8
I was a bit late, but really enjoying #OTalk this evening
#OTalk content from Twitter.