#OTalk Transcript
Healthcare social media transcript of the #OTalk hashtag.
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See #OTalk Influencers/Analytics.
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#OTalk @OTalk_ Evening all! Welcome to tonights #OTalk chat! We are talking Mental Capacity Act and Deprivation of Liberty Safeguards. with @SarahSharland19 and @OT_rach for support https://t.co/zZMNKNmGLo | |
Bill Wong, OTD, OTR/L @BillWongOT Howdy from Canada. I am on the road in Vancouver this week. #otalk https://t.co/YydDD8DcES | |
Holly Flintoff @hollyflintoff @OTalk_ @SarahSharland19 @OT_rach Whoop whoop #OTalk | |
#OTalk @OTalk_ Whats the first rule of #OTalk? Dont forget to include the hash tag in ALL your tweets. https://t.co/EFyHqcGlkn | |
#OTalk @OTalk_ Remember your professional codes of conduct apply online as they do in practice. Please consider confidentiality when sharing & respect others views and experiences. #OTalk https://t.co/r0RCVv36iQ | |
#OTalk @OTalk_ Right, lets get this show on the road! @SarahSharland19 its over to you! #OTalk https://t.co/Blo1EYKJPj | |
Bill Wong, OTD, OTR/L @BillWongOT @ais_d make sure you make your tweets public for the hour. #otalk | |
#OTalk @OTalk_ @Lauren_OT WELCOME you need to put the # in all your tweets. #otalk!! https://t.co/cuiTNvftcf | |
Tim Dockerty @timdockerty82 #OTalk I am a first year student who is about do my case study presentation, I am in a mental health unit for eating disorders. I have to do a 10-20 minute discussion but I really can’t think of any questions to propose to initiate the conversation. any suggestions please might | |
#OTalk @OTalk_ Question 1 #OTalk https://t.co/RJMyeZBOHH | |
Bill Wong, OTD, OTR/L @BillWongOT RT @timdockerty82: #OTalk I am a first year student who is about do my case study presentation, I am in a mental health unit for eating disorders. I have to do a 10-20 minute discussion but I really can’t think of any questions to propose to initiate the conversation. any suggestions please might | |
#OTalk @OTalk_ @timdockerty82 Hi Tim, questions like that are best at the end off the discussion. We need to focus on the questions. #otalk | |
Bill Wong, OTD, OTR/L @BillWongOT @GillyGorry I am lurking too because it seems like an UK only topic. #otalk | |
Holly Flintoff @hollyflintoff @OTalk_ Hi everyone, I’m a return to OT gal but previously MCA influenced my practice greatly with older ppl #otalk | |
#OTalk @OTalk_ It’s a uk act of Parliament yes, but I’m sure there will be things to pick up on. #OTalk https://t.co/jM8eDpD6vf | |
#OTalk @OTalk_ @shilyOT @SarahSharland19 Generic assessment anyone in the team can? Or always done by OT? #OTalk | |
Holly Flintoff @hollyflintoff @timdockerty82 Could u do something on a case you’ve seen, a little about the condition and then a treatment plan? I always found chocolate to those watching helped too! ☺️#otalk | |
Holly Flintoff @hollyflintoff @SarahSharland19 @OTalk_ I think having an awareness of it and that if older ppl don’t have capacity whether that be financial or otherwise they could be taken advantage of #otalk | |
Orla @orlatheot @SarahSharland19 It played a big factor in my communities learning disabilities placement, it was essential reading. Every adult must be assumed to have capacity unless it is proved otherwise. #otalk | |
Orla @orlatheot @SarahSharland19 This means that you cannot assume that someone cannot make a decision for themselves just because they have a particular medical condition or disability #OTalk | |
Gemma P @gemOT18 #OTalk I’m late to the chat so will try and catch up on MCA chat... | |
Bill Wong, OTD, OTR/L @BillWongOT RT @FlintoffHolly: @SarahSharland19 @OTalk_ I think having an awareness of it and that if older ppl don’t have capacity whether that be financial or otherwise they could be taken advantage of #otalk | |
Bill Wong, OTD, OTR/L @BillWongOT RT @Lauren_OT: | |
#OTalk @OTalk_ Do people tonight feel they have an awareness? Or is more training needed. #OTalk https://t.co/dYHqKzl24Y | |
Bill Wong, OTD, OTR/L @BillWongOT @orlatheot @SarahSharland19 In the US... we have something called conservatorship. It is for those who don’t have cognitive capacity to represent themselves. #otalk | |
#OTalk @OTalk_ @shilyOT @SarahSharland19 How is this documented? #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT RT @orlatheot: @SarahSharland19 This means that you cannot assume that someone cannot make a decision for themselves just because they have a particular medical condition or disability #OTalk | |
Gemma P @gemOT18 @SarahSharland19 #OTalk MCA affects my practice to be able to consider its principles in daily work with older people with MH needs inc dementia. We consider capacity on a daily basis but need to improve on formal assessments. | |
Holly Flintoff @hollyflintoff @OTalk_ Totally feel it’s not trained enough, I only knew bits because of reading up on it but every member of professional staff should be trained on it me thinks #otalk | |
Bill Wong, OTD, OTR/L @BillWongOT @SarahSharland19 @orlatheot Yes... I believe so. I seen that in mental health and occasionally at my work setting in nursing homes too. #otalk | |
Gemma P @gemOT18 @OTalk_ I often feel I don’t have the skills to assess capacity and often consider an MDT approach #OTalk | |
Holly Flintoff @hollyflintoff @ClaireBellNYPOT @OTalk_ @shilyOT @SarahSharland19 Great way of putting that 🤔#otalk | |
Gemma P @gemOT18 @BillWongOT @orlatheot @SarahSharland19 It does sound like something similar to what we have in the UK 🇬🇧 #OTalk | |
#OTalk @OTalk_ Yes I would agree (@OT_rach) it’s done within the MDT? Need more understanding training #OTalk https://t.co/wn1SkIglAK | |
#OTalk @OTalk_ RT @ClaireBellNYPOT: | |
Paula Otter @PaulaOtter1 Integral part of our practice in stroke rehab from identifying capacity to be in hospital and consent to treatment to capacity regarding discharge destination. whole MDT are able to complete assessments - initially band 6's and 7's now extended to band 5's #OTalk https://t.co/rzSEmnKD1L | |
Orla @orlatheot RT @Lauren_OT: | |
Bill Wong, OTD, OTR/L @BillWongOT RT @Lauren_OT: | |
Bill Wong, OTD, OTR/L @BillWongOT @Lauren_OT @SarahSharland19 In the nursing home setting can be like smoking. Not all of us agree, but that can be meaningful social occupation for them. #otalk | |
Gemma P @gemOT18 @OTalk_ @OT_rach Think it’s often my confidence with the assessment but when I know a patient well and understand the nature of the decision to be made then actually it makes it easier #OTalk | |
Holly Flintoff @hollyflintoff @Lauren_OT @SarahSharland19 So true! That’s really good point #otalk | |
#OTalk @OTalk_ Thanks for Joining us @Mark_HollowayHF you need to include the # so people can see your tweet, in the conversation, and transcript after. #OTalk https://t.co/jQqOj04d6N | |
Jo OT 💙 @LDOTJo @SarahSharland19 I am. I work with adults with learning disabilities. I lead on certain assessments and am part of others #OTalk | |
Jo OT 💙 @LDOTJo RT @RCOT_PLD: | |
Gemma P @gemOT18 @ClaireBellNYPOT @OTalk_ I’ve often thought about becoming a BIA but need to know more #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT RT @PaulaOtter1: Integral part of our practice in stroke rehab from identifying capacity to be in hospital and consent to treatment to capacity regarding discharge destination. whole MDT are able to complete assessments - initially band 6's and 7's now extended to band 5's #OTalk https://t.co/rzSEmnKD1L | |
#OTalk @OTalk_ Hi @PaulaOtter1 thanks for joining us. #OTalk needs to be in all your tweets so people see what your saying and ends up on the transcript https://t.co/TooZ727fuI | |
Gemma P @gemOT18 @Lauren_OT @OTalk_ Completely agree its confidence and practicing with each case #OTalk | |
#OTalk @OTalk_ #OTalk https://t.co/5Sc1bF7UPV | |
#OTalk @OTalk_ 😱 @colourful_ot forgetting the hashtag!!! #OTalk https://t.co/izsrmGeOZL | |
Paula Otter @PaulaOtter1 @gemOT18 @OTalk_ @OT_rach #otalk - yes absolutely. Important that the people who know person best are involved in the assessment. Also important assesssmenr is on more than one occasion and a different times of day. Patients can have fluctuating capacity and important to recognise this | |
Holly Flintoff @hollyflintoff @ClaireBellNYPOT @OTalk_ Sorry what’s a BIA? #otalk #ivenotgotaclue | |
#OTalk @OTalk_ Don’t forget that hashtag #Otalk https://t.co/Ms5nmmb4Ei | |
Bill Wong, OTD, OTR/L @BillWongOT RT @ClaireBellNYPOT: | |
#OTalk @OTalk_ Lots forgetting to include the # in their tweets if you miss it out, your tweet will not be seen, and it will not get on the transcript of conversation so don’t forget #OTalk IN ALL TWEETS.. https://t.co/MxpWJJxcSD | |
Gemma P @gemOT18 @FlintoffHolly @ClaireBellNYPOT @OTalk_ Yes its Best interest assessor #OTalk | |
#OTalk @OTalk_ 🤗 #OTalk https://t.co/yNa4m0OZ4T | |
Bill Wong, OTD, OTR/L @BillWongOT RT @JacqusieOT: | |
Jo OT 💙 @LDOTJo @ClaireBellNYPOT @OTalk_ @shilyOT @SarahSharland19 Although every day care plans can cover regular acts of care such as choosing clothes. The Act recognises this #OTalk | |
Holly Flintoff @hollyflintoff @ClaireBellNYPOT @OTalk_ As in NY? USA? I’m there.... lol #otalk | |
Bill Wong, OTD, OTR/L @BillWongOT @JacqusieOT @OTalk_ I think perhaps in the mental health portion is probably best. It will be a good idea to know a thing or two before going into such settings for placements. #otalk | |
#OTalk @OTalk_ Question 2 #OTALK @SarahSharland19 You forgot the # https://t.co/nnVl05jjlu | |
#OTalk @OTalk_ Question 3 #OTalk https://t.co/qD8tEU46jz | |
Gemma P @gemOT18 @SarahSharland19 @Mark_HollowayHF @OTalk_ I think that’s so important to remember that if it went to court it’s examined so we need to have confidence in the training we have to apply it in practice #OTalk | |
#OTalk @OTalk_ @Mrsbaistow don’t forget that Hashtag!! #OTALK https://t.co/HlZ1m2JQnt | |
Gemma P @gemOT18 @carrieba2000 Like the idea of having champions I might suggest this in our teams #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT @SarahSharland19 In my setting, probably just informal testing. That info can be helpful for develop appropriate goals and plan of care. If I really want to do more during the course of plan of care to further my understanding of the patient, I can though. #otalk | |
Holly Flintoff @hollyflintoff @PaulaOtter1 @gemOT18 @OTalk_ @OT_rach Agree with this massively. Hospitalised patients can have apparent no capacity but if they were in their own home then they are safe and do have capacity——need to recognise this! #otalk | |
#OTalk @OTalk_ Hi @iDashItAll - just one t in the hashtag. It’s #OTalk said O talk ( not OT talk). https://t.co/ouKNRUlar5 | |
Bill Wong, OTD, OTR/L @BillWongOT @SarahSharland19 If it is the US equivalent, I am learning on the fly actually. Don’t have to deal with it that much in my setting. #otalk | |
Paula Otter @PaulaOtter1 Yes I am involved with MCA assessments.... we look at who is best placed in the team to complete an individual assessment. OT's often involved together with SALT as often a combination of aphasia and ⬇️cognition on our stroke unit #otalk https://t.co/XW0Hqu0f3Q | |
Jo OT 💙 @LDOTJo @SarahSharland19 I am very confident due to my day to day work, additional training I have pursued and also keeping up to date with caselaw... although that can be confusing! #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT RT @FlintoffHolly: @PaulaOtter1 @gemOT18 @OTalk_ @OT_rach Agree with this massively. Hospitalised patients can have apparent no capacity but if they were in their own home then they are safe and do have capacity——need to recognise this! #otalk | |
Bill Wong, OTD, OTR/L @BillWongOT @FlintoffHolly @PaulaOtter1 @gemOT18 @OTalk_ @OT_rach Thing is though- are they able to live at their home environments safely? #otalk | |
Bill Wong, OTD, OTR/L @BillWongOT RT @SultanaBhatti1: | |
Paula Otter @PaulaOtter1 Yes there are IMCAs who will help but only if no family or friends willing to support patient and act in best interests if found to not have capacity regarding a specific decision #otalk https://t.co/DkKxhrLi8e | |
Bill Wong, OTD, OTR/L @BillWongOT RT @carrieba2000: | |
Jo OT 💙 @LDOTJo @Lauren_OT @SarahSharland19 There is also case law that says it’s not all about keeping people safe and so people who might lack capacity might also be supported to continue to make ‘unwise’ choices #OTalk | |
Holly Flintoff @hollyflintoff @BillWongOT @PaulaOtter1 @gemOT18 @OTalk_ @OT_rach Well that’s the magic question @BillWongOT, and our clinical reasoning I guess answers that #Otalk | |
#OTalk @OTalk_ Over half way through our hour now. #OTalk | |
#OTalk @OTalk_ Great answer!! #OTalk every one will be different. Our assessment will help us determined this. https://t.co/zWGzHsdBN7 | |
#OTalk @OTalk_ Question 4 #OTalk https://t.co/wEqddN5DDD | |
Gemma P @gemOT18 @SarahSharland19 Assessments often go to the doctor or social worker. I’m in older peoples mental health & feel confident when I know a patient well and have been specific about what the decision is to assess capacity #OTalk | |
Jo OT 💙 @LDOTJo @SarahSharland19 @Lauren_OT Yes....One judge simply said that being happy was also important #OTalk | |
Holly Flintoff @hollyflintoff @OTalk_ I feel it’s only through experience with a couple of patients that my knowledge of mca is ok. Since I’m returning to OT my working knowledge of this isn’t what it was but the training isn’t there to correct this #OTalk | |
#OTalk @OTalk_ @iDashItAll Your getting the hashtag wrong just 1 T #OTalk | |
Gemma P @gemOT18 @SarahSharland19 Not confident at all I’m afraid! I think I would be able to identify a situation where a DoLs needed to be applied for but unsure of all the process #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT RT @ClaireBellNYPOT: | |
Paula Otter @PaulaOtter1 Yes confident. We have good training in place. Our nursing team tend to complete the paperwork but this is changing as we are taking an improved MDT approach. Also important to talk about POA and check if this is in place and for which area - health/ wealth or both #otalk https://t.co/0hsQ3hNMv5 | |
Gemma P @gemOT18 @SarahSharland19 Case study examples, further training and possibly following a case of a DoLs if it came up for me on my caseload (which in my current role isn’t v often). I def want to improve my learning after this discussion though #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT RT @gemOT18: @SarahSharland19 Case study examples, further training and possibly following a case of a DoLs if it came up for me on my caseload (which in my current role isn’t v often). I def want to improve my learning after this discussion though #OTalk | |
Jo OT 💙 @LDOTJo @Lauren_OT @gemOT18 @OTalk_ I read something once that said ‘it’s not an exam to pass’ it’s a discussion about a specific issue at a point in time - which is what we do well #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT @gemOT18 @SarahSharland19 That’s the magic phrase- so that students can learn in their mental health courses. #otalk | |
#OTalk @OTalk_ Question 5 the last one!! #OTalk https://t.co/66bcbdedmT | |
Holly Flintoff @hollyflintoff @SarahSharland19 The holistic view point that ots take mean they should get a wide picture of a patient #otalk | |
#OTalk @OTalk_ #OTalk https://t.co/HlZ1m2JQnt | |
Bill Wong, OTD, OTR/L @BillWongOT @SarahSharland19 We are client centered and we have a holistic approach. #otalk | |
#OTalk @OTalk_ Lots of hashtags there, but not the one that ensures the tweet is seen. Remember #OTalk in all tweets. https://t.co/yw6894cDdS | |
Bill Wong, OTD, OTR/L @BillWongOT RT @carrieba2000: | |
Paula Otter @PaulaOtter1 I think we have a great skill set in identifying the best way to structure the questions for individual patients . Knowing how to adapt your approach to elicit the best possible response is so important in identifying capacity in any given area #otalk https://t.co/K7uVXhqnxQ | |
#OTalk @OTalk_ Wow time is going fast 10 mins left!! #OTalk | |
#OTalk @OTalk_ That’s what I’m here for. #OTalk 🤓 https://t.co/IPRkrT38bu | |
Gemma P @gemOT18 @SarahSharland19 Guess we have a lot to bring to these Ax. We have the skills to assess a patients level of function, maximise communication, being patient centred and allowing those unwise decisions by taking risks (positively of course!) #OTalk | |
#OTalk @OTalk_ Very important point!! #OTalk https://t.co/eog3BHm5LQ | |
Gemma P @gemOT18 @carrieba2000 No what is it? #OTalk | |
#OTalk @OTalk_ Everyone is welcome! #OTalk https://t.co/9at1DMwC9b | |
Holly Flintoff @hollyflintoff @ClaireBellNYPOT @BillWongOT @gemOT18 @SarahSharland19 Totally agree #otalk | |
#OTalk @OTalk_ 5mins left any finial thoughts? #OTalk https://t.co/HPCaLUHVZU | |
#OTalk @OTalk_ Don’t forget the # #OTalk https://t.co/T1GrzO2PD3 | |
Bill Wong, OTD, OTR/L @BillWongOT RT @ClaireBellNYPOT: | |
Holly Flintoff @hollyflintoff @OTalk_ I didn’t think I’d be able to contribute anything to this chat but I’ve learnt so much! Thanks all #otalk | |
#OTalk @OTalk_ Great to read!!!! #OTalk https://t.co/o1V4p7mBMz | |
#OTalk @OTalk_ #OTalk https://t.co/7k7F0DcTbi | |
Gemma P @gemOT18 @OTalk_ Really interesting topic tonight I have lots to take away. I often find that when someone does have capacity it can close some doors on accessing certain services. Know we need to support unwise decisions too #OTalk | |
Holly Flintoff @hollyflintoff @ClaireBellNYPOT Please share...#otalk | |
#OTalk @OTalk_ Times up, can we Thank @SarahSharland19 for hosting tonight, great job!! 👏🏽👏🏽👏🏽 #OTalk The transcript will be added to the blog for you to down load later in the week. https://t.co/nRryGC9yix | |
#OTalk @OTalk_ Enjoyed tonight’s chat? Why not host one of your own? #OTalk https://t.co/Kf8nFtq4Zi | |
#OTalk @OTalk_ Glad you enjoyed #OTalk https://t.co/5KyxDUCMXq | |
Gemma P @gemOT18 @FlintoffHolly @ClaireBellNYPOT No I wasn’t aware 😳 #OTalk | |
#OTalk @OTalk_ This is @OT_rach logging off, great chat tonight, and thanks for remembering the #OTalk 😜 https://t.co/wdk7YWecwf | |
Holly Flintoff @hollyflintoff @OTalk_ @SarahSharland19 Thanks @SarahSharland19 😻#otalk | |
Gemma P @gemOT18 @SarahSharland19 Well done that was a great #OTalk I have a lot to think about 🤔 |
#OTalk content from Twitter.