#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
[REDACTED USER] [REDACTED USER] [REDACTED USER] @IHCPlymouth [REDACTED USER] 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 ? [REDACTED USER] is ready to go
#OTalk @OTalk_
That is dedication! #otalk https://t.co/peBtNwv12x
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
@OccScienceBae
@OTalk_ [REDACTED USER] 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
Hiral Khatri @DrHiralKhatri
[REDACTED USER] 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
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
[REDACTED USER] 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: [REDACTED USER] The term Participation for me is - getting involved with just everything but not above my availability, and…
@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
Hiral Khatri @DrHiralKhatri
[REDACTED USER] [REDACTED USER] 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.
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 @OccScienceBae: @OTalk_ Broadly, it’s the ability to access and engage in daily life activities of one’s choosing. However, what I have…
Hiral Khatri @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
@OccScienceBae
[REDACTED USER] @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
#OTalk @OTalk_
Interesting point. How is it being measured? #otalk https://t.co/LjdB4VO7Sg
Hiral Khatri @DrHiralKhatri
[REDACTED USER] Yes. It is an important measure. As it shows signs of a person's choices, moods, tolerance levels and interests. #otalk
@OccScienceBae
@BillWongOT How do you document it, Bill? #OTalk
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
@OccScienceBae
[REDACTED USER] If we’re truly practicing client-centered care, would patient’s determinants of participation not be captured? #OTalk
#OTalk @OTalk_
[REDACTED USER] 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
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
[REDACTED USER] 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
@OccScienceBae
[REDACTED USER] 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
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
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
[REDACTED USER] 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
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
@OccScienceBae
[REDACTED USER] [REDACTED USER] 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: [REDACTED USER] [REDACTED USER] Theoretically, I’ve wondered the same. What are we (as a profession) adding when we sa…
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
@OccScienceBae
[REDACTED USER] It comes up every year at the SSO-USA conference! #OTalk
Susan Ritchie @SusanRitchie123
[REDACTED USER] 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
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
Bill Wong, OTD, OTR/L @BillWongOT
[REDACTED USER] It will be a nursing home setting. #otalk
@OccScienceBae
[REDACTED USER] 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
@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
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
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 [REDACTED USER]
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
#OTalk @OTalk_
Final thoughts? #otalk https://t.co/c4GZsW2hz3
#OTalk @OTalk_
Thanks to [REDACTED USER] for tonight's #OTalk and to our fab community for an interesting and thought provoking discussion.
@LynneGoodacre
Great to know that [REDACTED USER] and [REDACTED USER] will be leading #OTalk research in April based on #coproduction in research https://t.co/s6d8XryaLd
#OTalk content from Twitter.