#OTalk Transcript

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

ProfileTweet
#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.