#OTalk Transcript
Healthcare social media transcript of the #OTalk hashtag.
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See #OTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | #OTalk @OTalk_ It's 8pm! That means one thing! It’s #OTalk time! @OT_rach on the @OTalk_ account tonight. Who's out there? Say hi, even if lurking! https://t.co/9KhdYkg4Nh |
 | Tracy Cook-Scowen @traceann321 RT @OTalk_: Have a good day everyone and remember to join in #OTalk tonight hosted by @RCOT_PLD looking at the STOMP campaign and the role of the OT, read the blog here https://t.co/4TPU4ILdv5 |
| #OTalk @OTalk_ Remember that professional codes including @The_HCPC apply online as well as off-. https://t.co/pUlLCtzBTs #OTalk https://t.co/QAiRvLyLnU |
| #OTalk @OTalk_ One of the most important rules of #OTalk is Remember the hashtag so we can all see your tweets in the conversation. If you forget the hashtag, or if your account is protected, your tweets wont show up in the chat/transcript. So remember to check. #OTalk https://t.co/nVg7ItBI5F |
| #OTalk @OTalk_ Think before you post! - Consider confidentiality when you post. - Be respectful of others and their opinions. #OTalk https://t.co/qmSJONes8c |
 | Dr Jenny Preston MBE @preston_jenny Hello everyone, I’m here #OTalk |
| #OTalk @OTalk_ If you are new to #OTalk... be sure to check out our guide of tweet chats & shout if you need a hand: https://t.co/15wM7tSnt6… I’m @OT_rach and I’m here to help |
| #OTalk @OTalk_ @ninafoxglove @OT_rach Welcome #OTalk |
| #OTalk @OTalk_ @BevTW @OT_rach Welcome #OTalk |
| #OTalk @OTalk_ @moira_scanlon @OT_rach Welcome #OTalk |
 | Ana Pires @anapire77988177 @OTalk_ @OT_rach Hi #OTalk |
| Dr Jenny Preston MBE @preston_jenny That’s a really good question #OTalk. I feel more comfortable discussing the more common drugs depending on the condition but not the less commonly used medications. https://t.co/dSVXS8r7ic |
| #OTalk @OTalk_ Any problems just ask - just remember the hashtag in ALL. Your tweets and don’t worry if you feel like your missing stuff just go with the flow #OTalk https://t.co/NgGkD2XNBk |
 | Debra Hughes @Debraj_OT #OTalk hi there x |
 | Bill Wong, OTD, OTR/L @BillWongOT Hello folks! #otalk |
| #OTalk @OTalk_ Don’t forget the #. In all your tweets see people can see your tweets!! #Otalk https://t.co/f0OVe1EQX3 |
 | Bev Taylor-Wade @OTBevTW @OTthoughts @RCOT_PLD @OT_rach Tend to glaze over in MDT meetings when meds are discussed in detail #OTalk |
| #OTalk @OTalk_ Don’t forget the #. In all your tweets see people can see your tweets!! #Otalk https://t.co/BFSBhg6ryt |
| #OTalk @OTalk_ Don’t forget the #. In all your tweets see people can see your tweets!! #Otalk https://t.co/TMGwHRwslA |
 | Nina Franziska (she/her) @ninafoxglove Probably not as confident as others in MDT @OTthoughts @RCOT_PLD @OT_rach #OTalk |
| #OTalk @OTalk_ @BethjmOT @OT_rach Welcome #OTalk |
| #OTalk @OTalk_ Right over to @OTthoughts from @RCOT_PLD for tonight’s questions! #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTthoughts @RCOT_PLD @OT_rach I think it depends on your setting you work with. A common issue in our setting is when patient has pain pill for the day. Next on the list will be BP medications. #otalk |
| #OTalk @OTalk_ RT @OTthoughts: |
| #OTalk @OTalk_ Question 1. #OTalk https://t.co/LPRSTO8fmo |
| Bill Wong, OTD, OTR/L @BillWongOT @OTthoughts @RCOT_PLD @OT_rach Timing of pain pills is probably the most important in my setting because it affects timing of when patients might like to be seen. #otalk |
 | Rebecca Crossley @RebeccaCrossle2 RT @OTthoughts: |
 | Holleigh Bryan 💚🏴 @HolleighLouise @BillWongOT @OTthoughts @RCOT_PLD @OT_rach I think medication is always difficult because its not really part of our learning cirriculum. In one of my placements they had drug of the week to help AHPs learn more about medication - super useful #OTALK |
| Nina Franziska (she/her) @ninafoxglove Learnt all from clinical practice and working alongside other MDT -little learnt on course @OTthoughts @Bsidebaby_ @RCOT_PLD @OT_rach #OTAlk |
 | grainne carley @gra_carley I feel confident bringing up issues with MDT if a client / patient raises something about meds but would always seek N.S. or Dr. advice on further deers #OTalk |
| Nina Franziska (she/her) @ninafoxglove same@moira_scanlon @OTthoughts @Bsidebaby_ @RCOT_PLD @OT_rach #OTalk |
| Rebecca Crossley @RebeccaCrossle2 RT @HolleighLouise: @BillWongOT @OTthoughts @RCOT_PLD @OT_rach I think medication is always difficult because its not really part of our learning cirriculum. In one of my placements they had drug of the week to help AHPs learn more about medication - super useful #OTALK |
 | Orla @orlatheot @OTalk_ @OT_rach Hello! #OTalk |
| Debra Hughes @Debraj_OT Q1... I am not qualified but from a personal point of view i believe that it is essential that medication issues should be discussed in MDT #OTalk |
| #OTalk @OTalk_ RT @OTthoughts: |
| Bev Taylor-Wade @OTBevTW Generally switch off when meds are discussed in MDT in detail #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @HolleighLouise @OTthoughts @RCOT_PLD @OT_rach One example will be when during our MH placements or jobs. We have to learn what medications our patients are taking. #otalk |
| Holleigh Bryan 💚🏴 @HolleighLouise @BillWongOT @OTthoughts @RCOT_PLD @OT_rach *Drug of the week sessions, where one person from the team each week would research and introduce a drug and talk about it during MDT meetings throughout the week. I love this idea #OTALK |
| Ana Pires @anapire77988177 @OTthoughts @RCOT_PLD @OT_rach In my setting we do have a medication policy in place and I do ask questions and I do research about if I feel the medication will impact the function of my clients #OTalk |
| Holleigh Bryan 💚🏴 @HolleighLouise @ChloeVincett @BillWongOT @OTthoughts @RCOT_PLD @OT_rach Its also a fantastic way to learn from each other too #OTALK |
| grainne carley @gra_carley I have learnt to pay attention to meds & especially note if there is changing happening or talk of change as it indicates a lot in terms of colleagues thinking on mental health progress/not #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @HolleighLouise @OTthoughts @RCOT_PLD @OT_rach I think it will work with a MDT team with consistent staff. My setting- sometimes with piecemeal staffs, that would not be very effective. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @gra_carley: I have learnt to pay attention to meds & especially note if there is changing happening or talk of change as it indicates a lot in terms of colleagues thinking on mental health progress/not #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @moira_scanlon: |
| #OTalk @OTalk_ RT @OTthoughts: |
| Orla @orlatheot @OTthoughts @RCOT_PLD @OT_rach As a student I don't feel I know enough about medication yet, it's something I should look into more #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @AnaPire77988177: @OTthoughts @RCOT_PLD @OT_rach In my setting we do have a medication policy in place and I do ask questions and I do research about if I feel the medication will impact the function of my clients #OTalk |
| Bev Taylor-Wade @OTBevTW I'm always willing to ask why and what alternatives have been explored however #OTalk |
| Holleigh Bryan 💚🏴 @HolleighLouise @OTthoughts @BillWongOT @RCOT_PLD @OT_rach Learning about side effects is really important because it can affect our clinical reasoning. Also useful to know how long side effects are likely to last and what are seen as acceptable side effects and what indicates a need for medication change, antidepressants espec. #OTALK |
| Bill Wong, OTD, OTR/L @BillWongOT @AWebster67 @Bsidebaby_ @OTthoughts @RCOT_PLD @OT_rach In my setting- that can be a dilemma. You want an active patient with frequent behavior outbursts, or an inactive patient who is sitting on a Geri chair or tilt n space wheelchair most of the day? #otalk |
| Bev Taylor-Wade @OTBevTW Not sure I know which ones might be most likely to have those side effects #OTalk |
| #OTalk @OTalk_ @EmmaOTstudent Don’t forget the #. In all your tweets see people can see your tweets!! #Otalk https://t.co/so7lJ9eMLX |
| grainne carley @gra_carley RT @OTthoughts: |
| Holleigh Bryan 💚🏴 @HolleighLouise @BillWongOT @OTthoughts @RCOT_PLD @OT_rach Sorry what do you mean by piecemeal staff? I think the same goes for bank staff and of course myour methods would have to adapted to your service - you might not have MDT meetings weekly to do it in the same way #OTALK |
| Bill Wong, OTD, OTR/L @BillWongOT @OTthoughts @HolleighLouise @RCOT_PLD @OT_rach Yes- that’s a difference between a hospital setting and say a nursing home setting in US sometimes. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @HolleighLouise @OTthoughts @RCOT_PLD @OT_rach Well- what I mean is different people almost all the time from all key rehab disciplines. There is no staff consistency in these instances. #otalk |
| #OTalk @OTalk_ Please remember to add the hashtag to all your tweets, we don’t want to miss anything off the transcript! #OTalk. And you don’t want to end up on my naughty step https://t.co/T3Yqe2Ci8A |
| grainne carley @gra_carley @MMShiells This is true Maureen, it's about the impact of changes on functioning, engagement, behavious etc #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @HolleighLouise @OTthoughts @RCOT_PLD @OT_rach And in my setting sometimes, that can mean people showing up at different parts of day due to low caseload. So the disciplines might not meet one another regularly, too. #otalk |
| Rebecca Crossley @RebeccaCrossle2 RT @AWebster67: |
 | Rachael S-P @RaiOT1114 @OTthoughts @RCOT_PLD @OT_rach I do more so now that we have a pharmacist that works with us in the community team at #teameaststaffs #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @pjmasonOT: |
| #OTalk @OTalk_ @SueYoun85961030 Don’t forget the #. In all your tweets see people can see your tweets!! #Otalk https://t.co/unNFI9ouph |
| Bill Wong, OTD, OTR/L @BillWongOT RT @BethjmOT: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Bsidebaby_: |
| Holleigh Bryan 💚🏴 @HolleighLouise @OTthoughts @AnaPire77988177 @RCOT_PLD @OT_rach I think this is super interesting, how meds can create or reduce occupational injustices #OTALK |
| grainne carley @gra_carley @ChloeVincett This is really interesting Chloe - I think we could do all the reading on side effects and impact, but actually seeing and noting it in someone we're working with is much more effective learning #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @RaiOT1114: @OTthoughts @RCOT_PLD @OT_rach I do more so now that we have a pharmacist that works with us in the community team at #teameaststaffs #OTalk |
| Dr Jenny Preston MBE @preston_jenny Really helpful to work with pharmacists for mutual understanding of impact of medication on everyday life #OTalk https://t.co/1a99h55JRl |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTthoughts: |
| Bev Taylor-Wade @OTBevTW @OTalk_ @SueYoun85961030 Come back soon or you will miss the fun #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @BevTW: Not sure I know which ones might be most likely to have those side effects #OTalk |
| Holleigh Bryan 💚🏴 @HolleighLouise @BillWongOT @OTthoughts @RCOT_PLD @OT_rach So do you think introducing something like posters about drug of the week would work? People may be reluctant to read them, however, if people are interested they could attend? Or an email once a week about information about a medication? #OTALK |
 | Stephanie Lancaster @TheOutLoudOT Excellent topic! There are open-access (free) courses on sites like Coursera on topics related to this such as neuropharmacology that are great! I feel comfortable talking many (but not all) meds. #OTalk |
| Rachael S-P @RaiOT1114 @OTthoughts @RCOT_PLD @OT_rach I find that a meds list will help to understand PMH when patients are poor historians #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @HolleighLouise @OTthoughts @RCOT_PLD @OT_rach In my setting, if a team is consists of fill-in or locum staff, they would care more about getting their jobs done for the day than care about these big picture things. #otalk |
| #OTalk @OTalk_ Question 2 #OTalk https://t.co/i4UmGLp5ca |
| grainne carley @gra_carley @pjmasonOT @OTthoughts @RCOT_PLD @OT_rach Hmmm, excellent question! From my experience it was quite meaningful to many patients, and a large part of inpatient routine! Seems like we need to be talking more about this #OTalk |
| Stephanie Lancaster @TheOutLoudOT #OTalk TBH some of what I know about medications and how they affect occupational performance has come from serving as a caregiver in personal situations rather than in a professional context. |
| Bill Wong, OTD, OTR/L @BillWongOT @OTthoughts This one I will answer from patient perspective. I would say it was important for me to update my OT about my response to these medications whenever I felt it was important to talk about it. #otalk |
| Holleigh Bryan 💚🏴 @HolleighLouise @OTthoughts Yes! By working on strategies to manage anxiety or ways to reduce challenging behaviour through sensory/communication strategies etc. we can reduce the need of anxiety meds and lorazapam #OTALK |
| Bev Taylor-Wade @OTBevTW @OTthoughts #OTalk absolutely. Why on meds in first place? What is the cause of distress? Lack of occupation? |
 | Kwaku Agyemang @KwakuOT @OTthoughts @RCOT_PLD @OT_rach #OTalk Probably The Same As Others Have Said, I Don’t Really Feel Confident About Asking About/ Discussing Medication. Deep Down I Probably Feel It Is Not My Place To Ask/Discuss This...😕 |
| Holleigh Bryan 💚🏴 @HolleighLouise @OTthoughts Building client resillience and working on coping skills, strategies and WRAP plans we can reduce the need for antidepressants '#OTALK |
| Rachael S-P @RaiOT1114 @preston_jenny @PaulCooperOT Indeed! I have found it really improved my practice. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTthoughts When I had my medications in the beginning, we talked about strategies on when to take medications vs. side effects. When I used to take meds, side effect is that I get tired after 8 hours or so. #otalk |
| Holleigh Bryan 💚🏴 @HolleighLouise RT @TheOutLoudOT: Excellent topic! There are open-access (free) courses on sites like Coursera on topics related to this such as neuropharmacology that are great! I feel comfortable talking many (but not all) meds. #OTalk |
 | Jo OT 💙 @LDOTJo @OTthoughts Yes yes yes! #OTalk understanding the behaviour differently and using activity and ‘doing’ for positive outcomes |
| Rachael S-P @RaiOT1114 @OTthoughts Identifying potential overmedication and liaising with GP/Nurse/Pharmacists #weAHPs #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTthoughts So we talked about some energy conservation techniques... since I still had to drive an hour or so home from placement during those days. #otalk |
| Debra Hughes @Debraj_OT @OTthoughts Not only as a student but havibg a personal interest, i am keen to here qualified OTs outlook on this question x If i had to answer is believe we as OT's could have a role in reduction management #OTalk |
| Holleigh Bryan 💚🏴 @HolleighLouise @BillWongOT @OTthoughts @RCOT_PLD @OT_rach I feel that is such a shame. I'm not sure how Locuming works is there anyway you could get their employer/agency involved? #OTALK |
| Bill Wong, OTD, OTR/L @BillWongOT @OTthoughts Now I didn’t need meds because I found a setting that suits my strengths better. After getting used to the setting, I don’t have as much anxiety as my other job. #otalk |
| #OTalk @OTalk_ @Stellawellawoo Don’t forget the # in all your tweets so people can see your tweets!! #Otalk https://t.co/A5IQ2F1oTp |
| Bill Wong, OTD, OTR/L @BillWongOT @HolleighLouise @OTthoughts @RCOT_PLD @OT_rach In my setting, they care more about day to day in terms of how businesses are run. And for some buildings... there is nothing you can do with staffing situations. #otalk |
| Jo OT 💙 @LDOTJo @christiephysio @AWebster67 @OTthoughts @RCOT_PLD @OT_rach I agree. Also medication regimes can be long standing and nobody quite remembers why they were commenced #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @YelizPrior: |
| Kwaku Agyemang @KwakuOT I Think So Occupational Therapists Can Have A Role In This. If Medication Is Being Prescribed For Behaviour Management, Then Occupational Therapists Can Perhaps Explore Alternative Ways Behaviours Can Be Managed During Function. #OTalk https://t.co/aoABPiFATn |
| Bill Wong, OTD, OTR/L @BillWongOT RT @LDOTJo: @christiephysio @AWebster67 @OTthoughts @RCOT_PLD @OT_rach I agree. Also medication regimes can be long standing and nobody quite remembers why they were commenced #OTalk |
| Bev Taylor-Wade @OTBevTW #OTalk however, decisions re; meds are not taken lightly where I work and always involve a detailed MDT discussion. |
| Holleigh Bryan 💚🏴 @HolleighLouise @Bsidebaby_ @OTthoughts Also some medications have some pretty nasty/dangerous side effects that we may need to be aware of - such as increased suicidal feelings in some antidepressants #OTALK |
| Bill Wong, OTD, OTR/L @BillWongOT @LDOTJo @christiephysio @AWebster67 @OTthoughts @RCOT_PLD @OT_rach I still keep my no caffeine rule on most days that I am working... since it can trigger side effects on the days when I had to take meds. #otalk |
| Jo OT 💙 @LDOTJo @Stellawellawoo @MMShiells @OTthoughts @OTalk_ @BevTW @RCOT_PLD @OT_rach I have worked with some great psychiatrists who have been glad to talk me through what meds do what and why #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @LDOTJo @christiephysio @AWebster67 @OTthoughts @RCOT_PLD @OT_rach I also keep the no caffeine rule when I know I have to do an important presentation. #otalk |
| Holleigh Bryan 💚🏴 @HolleighLouise @KwakuOT Also, helping clients to reduce the need for medications - will not only reduce any unwanted side effects but also save them some money to spend on the occupations which are meaningful to them - which is important in OT #OTALK #EverythingIsOccupation |
| Bill Wong, OTD, OTR/L @BillWongOT RT @pjmasonOT: |
| Holleigh Bryan 💚🏴 @HolleighLouise RT @OTthoughts: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @HolleighLouise: @KwakuOT Also, helping clients to reduce the need for medications - will not only reduce any unwanted side effects but also save them some money to spend on the occupations which are meaningful to them - which is important in OT #OTALK #EverythingIsOccupation |
 | Venthan Mailoo @VenthanMailoo @BevTW @OTthoughts An inadvertent advert' for #OccupationalTherapy from: https://t.co/KlaZaDpY47 #PreventionIsBetterThanCure #HealthPromotion #LifestyleChanges #Polypharmacy #OTalk @Jeremy_Hunt @SNewtonUK @Autism @OTalk_ https://t.co/ZuGht6mfVN |
| Holleigh Bryan 💚🏴 @HolleighLouise @OTthoughts @LaurenHoynes @AnaPire77988177 @RCOT_PLD @OT_rach Think I'm going to write a reflection tonight! #OTALK |
| #OTalk @OTalk_ 30 minute left folks... be sure to remember the #OTalk in all your tweets!! |
 | #HelloMyNameIs Laura @laurareidOT @OTthoughts Yes definitely e.g rather than using medications to increase sleep, can we provide practical support to improve nighttime routine/sleep hygiene or provide sensory strategies where appropriate instead of relying on medication #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTthoughts @KwakuOT In kids, I would say yes. In seniors I am working with now, all I can do is hope for no behavior outbursts during my treatment time. #otalk |
| Debra Hughes @Debraj_OT @OTthoughts @KwakuOT Absolutely..... there is always a reason for a behaviour. So digging down to find the hypothesis is key. Somwthing that Ots do as second nature. #OTalk |
| #OTalk @OTalk_ @EmmaOTstudent Don’t forget the #. In all your tweets so people can see your tweets!! #Otalk https://t.co/cW6mo89du0 |
| Rachael Daniels @rachael61611010 @OTthoughts We play a important role at working proactively to reduce meds, ensure basic occupational needs are in place #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @laurareidOT: @OTthoughts Yes definitely e.g rather than using medications to increase sleep, can we provide practical support to improve nighttime routine/sleep hygiene or provide sensory strategies where appropriate instead of relying on medication #OTalk |
| Jo OT 💙 @LDOTJo @philking53 @OTthoughts I think OT is key to a good PBS plan #OTalk |
| #OTalk @OTalk_ Just a heads up: If your twitter account is protected (has the little black padlock next to your name) others will not see your contributions if they don’t follow you. This also means that your tweets won’t show up in the #OTalk transcript. |
| #OTalk @OTalk_ Remember the Hashtag is only one T. #OTalk |
 | Becci Williams @WilliamsBecci @OTthoughts Within my current role increase in meaningful activity and engagement leads to less challenging behaviour which=meds reduction #OTalk |
| #OTalk @OTalk_ We now have 280 characters to tweet with, how will you use your extra allowance of space… #OTalk |
| Dr Jenny Preston MBE @preston_jenny @RaiOT1114 @PaulCooperOT Mine too #OTalk |
| Holleigh Bryan 💚🏴 @HolleighLouise @laurareidOT @OTthoughts Also medications for sleep are known to actually reduce sleep quality but increase sleep length - so OT is a massive role here! Medication is actually contributing to sleep issues #OTALK |
| Bill Wong, OTD, OTR/L @BillWongOT RT @WilliamsBecci: @OTthoughts Within my current role increase in meaningful activity and engagement leads to less challenging behaviour which=meds reduction #OTalk |
| Debra Hughes @Debraj_OT @OTthoughts @KwakuOT Absolutely..... there is always a reason behind a behaviour. So digging down to find the hypothesis is key. Somwthing that Ots do as second nature. #OTalk |
| Rachael S-P @RaiOT1114 @OTalk_ Not having to abbreviate all of my messages… #otalk I like the challenge of keeping the message/thought concise |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Rachael61611010: @OTthoughts We play a important role at working proactively to reduce meds, ensure basic occupational needs are in place #OTalk |
| #OTalk @OTalk_ @glenn_westrop You need the # In all your tweets so people can see what your saying - so put #Otalk - after everything you write. https://t.co/Tyu9CcBUls |
| Holleigh Bryan 💚🏴 @HolleighLouise @Rachael61611010 @OTthoughts Also its probably worth mentioning that even when on medications - this may reduce the health problem/challenging behaviour etc. but not stop it! Because its not always hitting the root of the problem, by getting to the root and dealing with the problem - we can help this #OTALK |
| Bill Wong, OTD, OTR/L @BillWongOT @philking53 @OTthoughts My mom is also anti medication. So I had to convince her about meds during the times I needed them. #otalk |
| Kwaku Agyemang @KwakuOT Well...We Have To Also Ask The Question...”What Is Challenging Behaviour?” All Behaviours Have Function And Reasoning Behind It. If Occupational Therapists Can Understand The Functional Purpose Of The Behaviour Then Strategies Can Be Put In Place. #OTalk https://t.co/CYOXFLlTtw |
| #OTalk @OTalk_ It’s my job to keep you right #otalk 😋 https://t.co/204RI1U42F |
| Holleigh Bryan 💚🏴 @HolleighLouise RT @Debraj_OT: @OTthoughts @KwakuOT Absolutely..... there is always a reason behind a behaviour. So digging down to find the hypothesis is key. Somwthing that Ots do as second nature. #OTalk |
| Jo OT 💙 @LDOTJo @Debraj_OT @OTthoughts @KwakuOT Agree completely! I think when working within MDT OT has a key role in formulation and PBS plans #OTalk |
| Stephanie Lancaster @TheOutLoudOT @Rachael61611010 @BillWongOT @OTthoughts Rather than aiming to reduce meds which shines a very negative light on pharmacological management of disease, it's within the scope of practice for OT practitioners to observe and communicate objective information that may help the team to find a good therapeutic dosage. #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @HolleighLouise @Rachael61611010 @OTthoughts That sounds like occupation as means, isn’t it? After all, medication management can be important for our patients to perform well in meaningful occupations. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @TheOutLoudOT: @Rachael61611010 @BillWongOT @OTthoughts Rather than aiming to reduce meds which shines a very negative light on pharmacological management of disease, it's within the scope of practice for OT practitioners to observe and communicate objective information that may help the team to find a good therapeutic dosage. #Otalk |
| #OTalk @OTalk_ @MMShiells 👩🏼✈️ that’s me #OTalk |
| Bev Taylor-Wade @OTBevTW @OTthoughts @KwakuOT #OTalk meaningful occupation underpins much of Positive Behaviour Support and this is our core business. |
| Becci Williams @WilliamsBecci @OTthoughts @KwakuOT A very big role. Knowing someone’s sensory profile and increasing activity is a massive part of PBS and reducing challenging behaviour. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @TheOutLoudOT @Rachael61611010 @OTthoughts When I used to have my meds, I remembered my psychologist and OT reminded me to touch base about the effects of dosage in case the initial amount is not effective. #otalk |
| Stephanie Lancaster @TheOutLoudOT @BillWongOT @OTthoughts @KwakuOT Does anyone on your team do a behavioral assessment and/or functional intervention plan with regards to behaviors that contribute to challenges in occupational performance? I have participated in that in SNF facilities as well as schools and hospitals. #Otalk |
| Rachael Daniels @rachael61611010 @philking53 @OTthoughts #OTalk medication has it's place at times when therapeutic doses are required to support recovery or support therapeutic intervention, but I feel that is when everything else has been tried |
| Becci Williams @WilliamsBecci RT @LDOTJo: @Debraj_OT @OTthoughts @KwakuOT Agree completely! I think when working within MDT OT has a key role in formulation and PBS plans #OTalk |
| #OTalk @OTalk_ Question 3 #OTalk https://t.co/BjvRCxElus |
| Orla @orlatheot @OTthoughts @KwakuOT I enjoyed seeing on placement how developing a sensory diet in collaboration helped adults with LD cope and enjoy their environment #OTalk |
| Nina Franziska (she/her) @ninafoxglove me too-@LDOTJo @Stellawellawoo @MMShiells @OTthoughts @OTalk_ @BevTW @RCOT_PLD @OT_rach #OTalk |
| Kwaku Agyemang @KwakuOT It Is Fascinating How At Times Occupational Therapists/ HCAs/Activity Coordinators Get Forgotten About When PBS Plans Are Being Formulated...#OTalk https://t.co/pvcSQkkZpG |
| Jo OT 💙 @LDOTJo @BillWongOT @philking53 @OTthoughts I’m not anti medication, but I am anti over medication and medication without wider thinking and proper review #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @TheOutLoudOT @OTthoughts @KwakuOT I think it will be easier with a team of consistent staff than inconsistent staff. Considering I go around A LOT in the SNF setting, it will be hard for me to start one if I were to do one... as who knows if there is follow through. #otalk |
| Nina Franziska (she/her) @ninafoxglove Well said!&agree@moira_scanlon @OTthoughts @KwakuOT #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @LDOTJo @philking53 @OTthoughts I think that is a classic issue with pediatric setting. Parents definitely come in with lots of concerns and questions. #otalk |
| #OTalk @OTalk_ RT @AWebster67: |
| Becci Williams @WilliamsBecci RT @BethjmOT: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTthoughts: |
| Stephanie Lancaster @TheOutLoudOT @BillWongOT @OTthoughts @KwakuOT Might be something to try to start a conversation about or to strive for long-term in that type of role, though. I would definitely include a write-up about behaviors I observe during eval and treatment sessions and encourage others working with the patient to do the same. #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @KwakuOT: It Is Fascinating How At Times Occupational Therapists/ HCAs/Activity Coordinators Get Forgotten About When PBS Plans Are Being Formulated...#OTalk https://t.co/pvcSQkkZpG |
| Bev Taylor-Wade @OTBevTW OT's need to be much more vocal in reclaiming many of the principles of PBS as we are experts in this field #OTalk |
 | Helen Laverty MBE @helen_laverty RT @AWebster67: |
| #OTalk @OTalk_ Please remember to add the #OTalk hashtag to ALL your tweets so they can be seen by other and get included in the transcript. |
| Kwaku Agyemang @KwakuOT RT @christiephysio: |
| Becci Williams @WilliamsBecci RT @OTthoughts: |
| Debra Hughes @Debraj_OT @OTthoughts Keen to hear views on this.... only thing i would like to know is in realtion to duel medication.? So one meds to treat maybe two things.... #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @yasmine_OT @OTthoughts In kids, I know OT’s are supposed to know about the ABC model of behavior- antecedent, behavior, and consequences. Changing the antecedent and/or consequences might change behavior according to that model. #otalk |
| #OTalk @OTalk_ 15 mins left! #OTalk |
| Kwaku Agyemang @KwakuOT “Exotic Communication”...Love It!! #OTalk https://t.co/3ngx1KvsLM |
| Stephanie Lancaster @TheOutLoudOT Yes - and I would say it's our ethical responsibility to do so. The best way we can play a role is through our skilled observations and communication skills, I think, and that's part of why documentation and communication are SO important. #OTalk https://t.co/M2PRNDkjmd |
| Holleigh Bryan 💚🏴 @HolleighLouise @BillWongOT @LDOTJo @philking53 @OTthoughts Also I think often it tends to depend on the reason for medication. A lot of people are anti-medication when it comes to antidepressants but will over use antibiotics unnecessarily! #OTALK |
| Venthan Mailoo @VenthanMailoo @RCOT_PLD @Rachael61611010 @OTthoughts @OT_rach No one clinician can know everything, but #InformationTechnology often offers us easy places to look. In the case of medications I have found @DrugBankDB is usually a good source. #OTalk @OTalk_ https://t.co/qx8cAFGErR |
| Bill Wong, OTD, OTR/L @BillWongOT @TheOutLoudOT @OTthoughts @KwakuOT I think it’s easier to do when you are full time and almost always at one building. Me- sometimes I don’t even know where I am going tomorrow a lot. And staffing changes at sister buildings can play a big role. #otalk |
| Holleigh Bryan 💚🏴 @HolleighLouise RT @VenthanMailoo: @RCOT_PLD @Rachael61611010 @OTthoughts @OT_rach No one clinician can know everything, but #InformationTechnology often offers us easy places to look. In the case of medications I have found @DrugBankDB is usually a good source. #OTalk @OTalk_ https://t.co/qx8cAFGErR |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTthoughts: |
| Orla @orlatheot RT @OTthoughts: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @VenthanMailoo: @RCOT_PLD @Rachael61611010 @OTthoughts @OT_rach No one clinician can know everything, but #InformationTechnology often offers us easy places to look. In the case of medications I have found @DrugBankDB is usually a good source. #OTalk @OTalk_ https://t.co/qx8cAFGErR |
| Becci Williams @WilliamsBecci @OTthoughts We can have an integral role in MDT discussion supporting psychiatrists decisions, helping create PBS plans and highlighting possible over medication when we notice it. #Otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @TheOutLoudOT: Yes - and I would say it's our ethical responsibility to do so. The best way we can play a role is through our skilled observations and communication skills, I think, and that's part of why documentation and communication are SO important. #OTalk https://t.co/M2PRNDkjmd |
| Jo OT 💙 @LDOTJo @OTthoughts #OTalk knowing about STOMP is the first step! Then taking time to think about it related to our practice and services |
| Becci Williams @WilliamsBecci RT @Bsidebaby_: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Bsidebaby_: |
| Stephanie Lancaster @TheOutLoudOT @BillWongOT @OTthoughts @KwakuOT Again, I think baby steps and doing what one can within reason is the most logical way to approach this as it is within our scope of practice and definitely impacts our clients' occupational performance and functional outcomes. #OTalk |
| Ana Pires @anapire77988177 @OTthoughts @KwakuOT I have been working with Applied Analysis Behaviour professionals and I found it super important in my daily practice to know more about how to deal with Challenging behaviours. I think we all benefit from know more and it should be a MDT work not only OT'S #OTalk |
| Bev Taylor-Wade @OTBevTW @HelenJusticeOT @OTthoughts @KwakuOT #OTalk we ran a study day about our role in CB work a few years ago - maybe time for an update? |
| Rachael Daniels @rachael61611010 @OTthoughts @AnaPire77988177 @RCOT_PLD @OT_rach I am working with people who are awakening comming off meds impacting on sensory processing but after some basic input they are doing really well #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @ljx_01 @OTthoughts @RCOT_PLD @OT_rach Yes- when I had to take mine. I consulted my psychologist for sure about the idea before she decided what might be right for me at the time. We tried 2, but it was because my needs both of these times were different. #otalk |
| Jo OT 💙 @LDOTJo @BevTW Totally agree! I’m sure my colleagues are bored of me banging on about this, but it’s so important #OTalk @RCOT_PLD |
| #OTalk @OTalk_ Question 4 - the last one! #OTalk https://t.co/ZBJ9r0HAEy |
| Bill Wong, OTD, OTR/L @BillWongOT @TheOutLoudOT @OTthoughts @KwakuOT Definitely- it’s different when you do an evaluation on the weekend at a place you don’t know well vs. an evaluation at a place you are familiar on a weekday. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @pjmasonOT: |
| Bill Wong, OTD, OTR/L @BillWongOT RT @Rachael61611010: @OTthoughts @AnaPire77988177 @RCOT_PLD @OT_rach I am working with people who are awakening comming off meds impacting on sensory processing but after some basic input they are doing really well #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @AnaPire77988177: @OTthoughts @KwakuOT I have been working with Applied Analysis Behaviour professionals and I found it super important in my daily practice to know more about how to deal with Challenging behaviours. I think we all benefit from know more and it should be a MDT work not only OT'S #OTalk |
| Bev Taylor-Wade @OTBevTW @OTthoughts @HelenJusticeOT @KwakuOT #OTalk Loads of fab work being done out there - need to publish it! |
| Jo OT 💙 @LDOTJo @philking53 @ChloeVincett @OTthoughts @KwakuOT When behaviours are long standing and sadly often define the person it takes time... but we usually get there #OTalk |
| Rachael S-P @RaiOT1114 @OTthoughts I need to know more about the interactions - learning slowly but surely #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @WilliamsBecci: @OTthoughts We can have an integral role in MDT discussion supporting psychiatrists decisions, helping create PBS plans and highlighting possible over medication when we notice it. #Otalk |
| Ana Pires @anapire77988177 @OTthoughts @KwakuOT It is also crucial for us to be able to answer the question is it sensory or is it behaviour? Meaningful occupations and improved communication are in my point of view the key for sucess decreasing challenge behaviours. #OTalk |
| Kwaku Agyemang @KwakuOT @OTthoughts I Think Occupational Therapists Need To Have Better Understanding Of Some Of The Common Medication Prescribed To This Client Group And Be Confident & Show Assertiveness When Speaking About What Impact Their Role Can Have On Reducing These Medications. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @WilliamsBecci @OTthoughts In my setting, that is so important to coordinate with nursing about meds. If they are over medicated, we definitely have to communicate on what is best for the patients. #otalk |
| Jo OT 💙 @LDOTJo @OTthoughts @AWebster67 @BevTW @RCOT_PLD We collected ideas at our recent conference. On our agenda for 7th Dec #OTalk |
| Rachael Daniels @rachael61611010 @OTthoughts Yes totally it sits so perfectly with our core role, working proactively with our MDT, we have a clinic purely for meds reduction so we have the PBSP in place and reviewed prior to reduction, IT has a key role #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @KwakuOT: @OTthoughts I Think Occupational Therapists Need To Have Better Understanding Of Some Of The Common Medication Prescribed To This Client Group And Be Confident & Show Assertiveness When Speaking About What Impact Their Role Can Have On Reducing These Medications. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @AnaPire77988177: @OTthoughts @KwakuOT It is also crucial for us to be able to answer the question is it sensory or is it behaviour? Meaningful occupations and improved communication are in my point of view the key for sucess decreasing challenge behaviours. #OTalk |
| Rachael S-P @RaiOT1114 @OTthoughts Patients and family often know if they are taking something that it not aggreeing with them. #otalk |
| Bev Taylor-Wade @OTBevTW @AWebster67 @OTthoughts @RCOT_PLD #OTalk that would be brilliant - a real opportunity to demonstrate the power of meaningful occupation and roles. |
| Becci Williams @WilliamsBecci RT @BillWongOT: @WilliamsBecci @OTthoughts In my setting, that is so important to coordinate with nursing about meds. If they are over medicated, we definitely have to communicate on what is best for the patients. #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @AnaPire77988177 @OTthoughts @KwakuOT In senior sense, that might be... is it because of meds side effects, is it just the patient him/herself? #otalk |
| #OTalk @OTalk_ it’s the last 5 mins of tonight’s #OTalk. Any take home thoughts? or final questions. |
| Bill Wong, OTD, OTR/L @BillWongOT RT @RaiOT1114: @OTthoughts Patients and family often know if they are taking something that it not aggreeing with them. #otalk |
| Bev Taylor-Wade @OTBevTW @OTthoughts @HelenJusticeOT @KwakuOT @RCOT_PLD #OTalk if any of you have good case studies etc. please forward to us. |
| Debra Hughes @Debraj_OT @OTalk_ It's been brilliant thank you #OTalk |
| Debra Hughes @Debraj_OT @BethjmOT I agree with you Beth.... certainly something I will keep an eye. Really interesting #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @OTalk_ I think meds management comes in different shapes and forms across different settings. We all have a role... just depends on what setting we are in. #otalk |
| Debra Hughes @Debraj_OT RT @BillWongOT: @OTalk_ I think meds management comes in different shapes and forms across different settings. We all have a role... just depends on what setting we are in. #otalk |
| Jo OT 💙 @LDOTJo @BevTW @AWebster67 @OTthoughts @RCOT_PLD We may have some as part of the DEMOnstrate campaign #OTalk @GenevieveSmyth @theRCOT |
| Bev Taylor-Wade @OTBevTW #OTalk so your @RCOT_PLD committee want case studies, examples etc. of your OT interventions to reduce behaviours that challenge and therefore the need for meds. Simple! |
| Bill Wong, OTD, OTR/L @BillWongOT @OTalk_ And with medications, sometimes they can present some dilemmas for us in our practice- in terms of which version of the patient do we want? #otalk |
| Ana Pires @anapire77988177 @OTalk_ Great to see other colleagues opinions about a matter that I have been dealing at my work place #OTalk great work. |
| Kwaku Agyemang @KwakuOT So so true!! #OTalk https://t.co/Nfdd34g13g |
| Bill Wong, OTD, OTR/L @BillWongOT RT @pjmasonOT: |
| Jo OT 💙 @LDOTJo @AnaPire77988177 @BillWongOT @OTthoughts @KwakuOT Or is it both? #OTalk |
| Bev Taylor-Wade @OTBevTW RT @BevTW: #OTalk so your @RCOT_PLD committee want case studies, examples etc. of your OT interventions to reduce behaviours that challenge and therefore the need for meds. Simple! |
| #OTalk @OTalk_ Remember #OTalk can count as #CPD… https://t.co/Dnl21vIAi2 |
| Becci Williams @WilliamsBecci RT @KwakuOT: So so true!! #OTalk https://t.co/Nfdd34g13g |
| Bill Wong, OTD, OTR/L @BillWongOT @pjmasonOT @OTthoughts I think it will be good if you have privilege to track patient progress week to week in person. But if you just make cameo appearances to provide treatment, that will be a lot more difficult. #otalk |
| Becci Williams @WilliamsBecci RT @AWebster67: |
| Becci Williams @WilliamsBecci RT @OTthoughts: |
| Kwaku Agyemang @KwakuOT I Can Sense That Some Other Professions Are Trying To Hijack And Monopolise It Though...🙃🤨😏😕 #OTalk https://t.co/M6Cwspi28c |
| Bev Taylor-Wade @OTBevTW @Rachael61611010 @OTthoughts @KwakuOT Hello Rachael - lovely to hear from you at #OTalk |
| Jo OT 💙 @LDOTJo @OTthoughts @Stellawellawoo @BevTW @KwakuOT Yes yes yes! I’m always saying PBS is Giod MDT work between OT, SLT and behaviour support specialists #OTalk |
| #OTalk @OTalk_ That's officially the end of #OTalk tonight, but keep chatting! I’ll post the transcript after 24hrs. Thank you to @RCOT_PLD hosting. https://t.co/2YJQZRmCih |
| Ana Pires @anapire77988177 @BillWongOT @OTthoughts @KwakuOT Yees. Agree #OTalk mine was more for children thank you for adding this |
| Bill Wong, OTD, OTR/L @BillWongOT @OTalk_ And lastly- whether it’s for pain, anxiety, stress, or behavior management, we should give as much autonomy to patients as possible with medications. But if they are not able to for whatever reason, we must use our best clinical judgment. #otalk |
| Debra Hughes @Debraj_OT @OTalk_ @OTthoughts @RCOT_PLD @OT_rach Night and thank you #Otalk |
 | kags76 ☕🏡💚🏞️ @kagz76 #otalk I maybe too late but I ve found medication is used in lieu of gd. Detective work of what the persons unmet need is |
| Holleigh Bryan 💚🏴 @HolleighLouise @EmmaOT2B @BillWongOT @OTthoughts @RCOT_PLD @OT_rach I think its a super good idea, because it benefits everyone and its easy to do. #OTALK |
| Ana Pires @anapire77988177 @OTalk_ @OTthoughts @RCOT_PLD @OT_rach Thank you so much #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @pjmasonOT @OTthoughts The only catch of this is- you can’t be with the patient for just a day during the POC and then you have to work elsewhere because of work related needs. #otalk |
| Nina Franziska (she/her) @ninafoxglove thank you and enjoyed thinking and reading about STOMP with you all @OTalk_ @RCOT_PLD @OTthoughts #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT RT @karen_geraghty: #otalk I maybe too late but I ve found medication is used in lieu of gd. Detective work of what the persons unmet need is |
| Debra Hughes @Debraj_OT @OTthoughts @AWebster67 @OT_rach @RCOT_PLD Thank you for an insight tgats very interesting both as a student but on a personal level too x #OTalk |
| Rachael Daniels @rachael61611010 @BevTW @OTthoughts @KwakuOT HI Bev, a complete novice so not sure where I have tweeted but it was good to be here at #OTalk |
| Venthan Mailoo @VenthanMailoo @LDOTJo @christiephysio @AWebster67 @OTthoughts @RCOT_PLD @OT_rach It is not uncommon to meet patients that don't know why they are taking medications. Some really don't want to know, but this presents problems during hospital admission. I have known occasions when nobody in the #MultiDisciplinaryTeam knew! @OTalk_ #OTalk https://t.co/RDlwOeNJkP https://t.co/IHubmopOy4 |
| Bev Taylor-Wade @OTBevTW @OTthoughts #OTalk thanks to everyone who joined in tonight - great discussion. Well done @OTthoughts Hayley and Karen @RCOT_PLD for organising. |
| grainne carley @gra_carley @OTthoughts @AWebster67 @OT_rach @RCOT_PLD Thanks @OTthoughts for stimulating questions and keeping us on our toes with the discussion! I need to catch up now on the last 20mins as had to take a phone call. #otalk |
| Nina Franziska (she/her) @ninafoxglove Multitasking whilst breastfeeding my 4month old teething baby girl made it hard to type-& felt like #OTalk was over too quickly! https://t.co/8BIUZg5iq1 |
| Ian hubbard od @Ianhubbardod1 RT @AWebster67: |
#OTalk content from Twitter.