#OTalk Transcript

Healthcare social media transcript of the #OTalk hashtag.
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OTalk @OTalk_
Evening all! Welcome to tonights #OTalk. Its @Kirstie_OT on support tonight. Our chat topic is meaningful occupation within Dementia & our host is @MulryMary. Who’s out there this evening? Give us a hello! https://t.co/EGB5PBLIq9
OTalk @OTalk_
@thisisnix Great to have you with us Nix! #OTalk
Mary Rose Mulry @MulryMary
RT @OTalk_: Evening all! Welcome to tonights #OTalk. Its @Kirstie_OT on support tonight. Our chat topic is meaningful occupation within Dem…
Ellen 👩🏻‍🎓💚 @OTEllenUK
RT @OTalk_: Evening all! Welcome to tonights #OTalk. Its @Kirstie_OT on support tonight. Our chat topic is meaningful occupation within Dem…
Mary Rose Mulry @MulryMary
@OTalk lets get started!! Q1: What is meaningful occupation? and why is it important to consider meaningful occupation when working with those who have dementia? #OTalk
Rachel Corr @RachelCorrOT
@OTalk_ @Kirstie_OT @MulryMary Present and excited for tonight’s #OTalk !! 🙋🏽‍♀️💚
Lucy Pearce @LucyJPearce
@OTalk_ @Kirstie_OT @MulryMary Evening everyone! Looking forward to the next hour of #OTalk discussion!
OTalk @OTalk_
As always, a little bit of house keeping before we start tonights chat. Please remember that your professional codes of conduct still apply online as they do within practice. Please be professional & respectful of others views & experience. #OTalk https://t.co/FfLVl9Eu2m
Ellen Chisman @EllenChisman
Good evening all :-) newly qualified OT in Memory Services. Looking forward to tonight's talk! #otalk
OTalk @OTalk_
And now for the important bit... make sure you include the #OTalk hashtag in all your tweets to ensure others can your contributions & engage with you. https://t.co/T4y26Yt3dJ
OTalk @OTalk_
Right, lets crack on with tonights #OTalk chat. @MulryMary its over to you! https://t.co/8BlHgAbftt
OTalk @OTalk_
Question 1... #OTalk
Lucy Pearce @LucyJPearce
@MulryMary @otalk #OTalk I guess for me, meaningful occupation is something that gives purpose and value to a person’s life. Whether that be an activity, a role, a responsibility, it’s something that adds value to to life
Ellen Chisman @EllenChisman
Maybe something that is authentic to the individual. Is something they want to do, have an interest in. I think it's important for keeping those with dementia stimulated and a good quality of life. Connected and more satisfied #otalk
OTalk @OTalk_
@RRule_OT @Kirstie_OT @MulryMary Fab! Lurking is always welcome. If you do decide to participate dont forget to include the #OTalk hash tag in all your tweets 👍🏼
Shirley Pearce @shirleypearceot
@OTalk_ @Kirstie_OT @MulryMary Hi there #OTalk
OTalk @OTalk_
RT @LucyJPearce: @MulryMary @otalk #OTalk I guess for me, meaningful occupation is something that gives purpose and value to a person’s lif…
Rachel Corr @RachelCorrOT
@MulryMary @otalk Meaningful occupation is individual to everyone - it is whatever u spend your time doing that provides enjoyment, balance and purpose to your life. Those with dementia can sometimes be kept from their meaningful occupations so we are well placed to prevent this! #OTalk
Rebecca Colledge @ColledgeRebecca
@OTalk_ @Kirstie_OT @MulryMary Evening all. Lovely to join #OTalk for the first time😊
Mary Rose Mulry @MulryMary
@EllenChisman Absolutely! Stimulation is key when working with those with dementia. Meaningful occupation I feel is the key to this #OTalk
OTalk @OTalk_
@ColledgeRebecca @Kirstie_OT @MulryMary Welcome aboard boat #OTalk
Lucy Pearce @LucyJPearce
@MulryMary @otalk #OTalk and it’s important to remember, that ‘meaningful occupation’ for someone else might be something we have never previously considered, as it is such an individual and personal thing. Which is why it is so imperative we build rapport and invest in therapeutic relationships
Kim Willis @KimWillisOT
@MulryMary @otalk Seems like common sense to me, but meaningful occupation vital for both physical and mental well-being. Person-led goals essential as opposed to 'prescription' of #activity & exercise #OTalk
OTalk @OTalk_
@StricklandPaula @Kirstie_OT @MulryMary How brilliant! You will love the OT world! #OTalk
Rachel Corr @RachelCorrOT
@MulryMary @otalk Whether it is singing, baking or bowling, people with dementia will be able to do this - it just takes a good brainstorm into what equipment/support/technique can be utilised to work alongside the individual to participate in their meaningful occupation #OTalk
B2 @OTBrianNY
@RachelCorrOT @MulryMary @otalk I love this response #OTalk
Carol Duguid @CarolDuguid1
@OTalk_ @Kirstie_OT @MulryMary Hello everyone #OTalk
Paula Hooks @StricklandPaula
@OTalk_ @Kirstie_OT @MulryMary I hope so 😍 currently working a temporary OTA post over the summer for some experience #OTalk
Ellen 👩🏻‍🎓💚 @OTEllenUK
@LucyJPearce @MulryMary @otalk I agree! Difficult to define as it can be absolutely anything that an individual values. From my experience finding the meaningful occupations of those living with dementia is not straightforward! I’ve had to experiment with activities to find engaging activities. #OTalk
Carolina Cordero @colourful_ot
@MulryMary @otalk I think it's important for OTs to always consider it because it's the thing that we're specialised in! Other professions can support people with dementia in other very important ways but we're supposed to be the experts in meaningful occupation 😄 #OTalk
Shirley Pearce @shirleypearceot
@LucyJPearce @MulryMary @otalk I agree but it needs to be meaningful to the person concerned so it has to be what they view as valuable... #OTalk
Ellen Chisman @EllenChisman
I agree - it's hard to be stimulated in doing things you don't really want to do or don't find interesting. And things that seem too hard, too easy even? or irrelevant...#otalk
Kim Willis @KimWillisOT
@RachelCorrOT @MulryMary @otalk This goes for every condition and every occupation! #nailedit #OTalk
OTalk @OTalk_
@StricklandPaula @Kirstie_OT @MulryMary Thats a great way to tip your toes in. Sounds like you have a great approach to reading/doing as much prep as possible. Im sure youve discovered Twitter is a great place for that too #OTalk
sherlyn graham @sherlynmelody
I’m late but I’m here!! Howdy folks 👋🏾 #OTalk
Ellen Chisman @EllenChisman
Very true - I like how you included things other than activity - sometimes it's the role or responsibility you take within that that matters to people - good point! #otalk
Carolina Cordero @colourful_ot
@EllenChisman Finding the just-right challenge? #OTalk
OT Nix @thisisnix
@MulryMary @otalk #OTalk Q1. I find being able to tap into any long term memory from client’s own reminisce (a meaningful occupation for them) is a positive starting point we have to explore together & often what can motivate them to re-engage in an activity they enjoy or to try something similar.
Paula Hooks @StricklandPaula
@OTalk_ @Kirstie_OT @MulryMary Absolutely! So much to read and experience, so little time!.#OTalk
Kim Willis @KimWillisOT
@colourful_ot @MulryMary @otalk The challenge of balancing the goals of the organisation and those of the person (ie what is seen as a priority for discharge over what is a priority for the person). #thestruggleisreal #OTalk
Ellen Chisman @EllenChisman
Good term :-) #otalk I suppose that varies for someone too - sometimes we fancy a challenge and sometimes we want something easier to get into/pass the time!
sherlyn graham @sherlynmelody
@OTalk_ #OTalk meaningful activity, I think is what activities are important to a person and being able to take part in that activity be it passively or not. I think some ppl with dementia the activities may vary as the condition progresses.
Mary Rose Mulry @MulryMary
I couldn't agree more. It can be challenging to balance both goals and not forgetting the goals of the family too #OTalk
Rachel Corr @RachelCorrOT
@colourful_ot @EllenChisman Nailing the just right challenge - absolutely essential with stimulating people with dementia but also when working alongside them to support them to be independent in their meaningful occupations #OTalk
Lucy Pearce @LucyJPearce
#OTalk I also think roles are a large contributor to meaningful occupation, and as OTs, we are a profession well placed to support people to explore and re-engage with their roles, as dementia can have such a massive impact on a person’s roles
Rach_OT @RachelOT7
@OTEllenUK @LucyJPearce @MulryMary @otalk Definitely agree that it can be difficult to define, I think it can be anything that makes a person living with dementia smile or brings them some joy even looking through photos and paintings ✨#OTalk
Mary Rose Mulry @MulryMary
@OTalk Time for Q2: How do you assess what is meaningful occupation for those who have a diagnosis of dementia? #OTalk
Carolina Cordero @colourful_ot
@EllenChisman I always come back to roles when I'm wondering if something is a meaningful occupation - I wouldn't normally describe an ADL like brushing my teeth as something that's "meaningful" but it could be part of an important role, like being someone who takes care of themselves #OTalk
Ellen Chisman @EllenChisman
True about progression, and people's personalities and preferences can change in some cases too #otalk
OTalk @OTalk_
Question 2... #OTalk
Shirley Pearce @shirleypearceot
@OTalk_ There is a lot of subtlety involved too. I had a client who irritated the staff as he was constantly sucking a sweet. He'd been a glass blower and had needed to keep his mouth moist so for him, sucking a sweet represented something not only meaningful but v important #OTalk
GCU OT @GcuOcc
Delighted that our very own @MulryMary is hosting #OTalk Get involved! Jx.
Mary Rose Mulry @MulryMary
RT @GcuOcc: Delighted that our very own @MulryMary is hosting #OTalk Get involved! Jx. https://t.co/PfsRfUvAui
Shirley Pearce @shirleypearceot
@OTalk_ You need to find out as much as you can about the person to know what's likely to be *meaningful* to that individual and prepare to use trial & error to get it right. #OTalk
sherlyn graham @sherlynmelody
@MulryMary @otalk #OTalk I think this is where their narrative is considered or simply listening to the Family who will tell you about the unusual things they have started to do...there’s often some reason behind this “unusual” behaviour
Rachel Corr @RachelCorrOT
@MulryMary @otalk ASK THEM!! It should never be assumed that someone with dementia is unable to communicate with you - even if they are not able to communicate verbally, some form of communication should be found! #OTalk
Lucy Pearce @LucyJPearce
@thisisnix @MulryMary @otalk #OTalk Very good point. As those stories and memories are what make the person. But unfortunately can be overlooked and undervalued
OT Nix @thisisnix
@shirleypearceot @OTalk_ Wow, what a unique story and finding for this individual 💚 #OTalk
Rebecca Colledge @ColledgeRebecca
@MulryMary @otalk Meaningful activity gives me purpose, motivation and get me out of bed every day. Occupational Therapists are the experts adapting activity to facilitate those living with Dementia to continue to do the same😊 #OTalk
Rachel Corr @RachelCorrOT
@MulryMary @otalk For example, the Activity Card Sort is a pictoral aid that can be used easily by an OT when asking people with dementia what they enjoy doing/how they enjoy spending their time #OTalk
Ellen Chisman @EllenChisman
I work with people usually in earlier stages of dementia. I talk with them and their family about how they spend their time, things they have liked in the past, but also using other information perhaps less explicit, considering religion for example #otalk
Mary Rose Mulry @MulryMary
@sherlynmelody @otalk A person's narrative is so important when identifying what is meaningful to them and how to get that narrative involves some creativity particularly in the more advanced stages of dementia #OTalk
Jamie McDermott @1JamieMcDermott
@MulryMary @otalk #OTalk I'm not sure we have cracked this https://t.co/JNopa5YYmF to this and to do it well requires time, skill, collaboration, communication, compassion...
Rach_OT @RachelOT7
RT @sherlynmelody: @MulryMary @otalk #OTalk I think this is where their narrative is considered or simply listening to the Family who will…
Kim Willis @KimWillisOT
Family and other carers are key. I also like to have meaningful conversations with the person in order to both build trust & rapport as well as ascertain what activities /roles are important to them #OTalk
Rach_OT @RachelOT7
RT @RachelCorrOT: @MulryMary @otalk ASK THEM!! It should never be assumed that someone with dementia is unable to communicate with you - ev…
Lucy Pearce @LucyJPearce
@MulryMary #OTalk this is very true. Whilst it can be challenging if we are faced with differing opinions between family and the individual, it is important we invest in both as a therapeutic relationship as it can truly guide us to better understand our clients
OT Nix @thisisnix
@RachelCorrOT @MulryMary @otalk Oh nice! 💚 Thanks for the recommendation *looking up activity card sort as we tweet* #OTalk
Mary Rose Mulry @MulryMary
@1JamieMcDermott @otalk Absolutely there is no key solution!! I feel it also requires creativity...particularly in the more advanced stages of dementia #OTalk
Shirley Pearce @shirleypearceot
@thisisnix @OTalk_ The other staff just found it irritating. But once I knew why he did it, it became not so much irritating as absolutely fascinating... #OTalk
Ellen 👩🏻‍🎓💚 @OTEllenUK
@shirleypearceot @OTalk_ 100% agree! As a student it is reassuring to see that trial and error is considered a vital part of practice. I’ve struggled with this, previously thinking that I should be able get it right straight away but I’ve since realised the importance of adapting as I go! #OTalk
Rach_OT @RachelOT7
Absolutely loving #OTalk tonight soo passionate about meaningful occupations especially with individuals with dementia after my final practice placement and also loving having an evening off to properly join in 😊😊
Annette McKinnon @anetto
RT @ColledgeRebecca: @MulryMary @otalk Meaningful activity gives me purpose, motivation and get me out of bed every day. Occupational Ther…
Rachel Corr @RachelCorrOT
@MulryMary @otalk Assessing what is meaningful for a person with dementia should be a vital part of your practice so a lot of effort should be used to spend time with the individual to learn about them and their life! This should involve discussion with the family too #OTalk
OTalk @OTalk_
Dont forget to include those #OTalk hashtags in ALL you tweets.
Mary Rose Mulry @MulryMary
@RachelCorrOT @otalk <3 this!!! Communication should be sought on some level...never ignored!! #OTalk
Shirley Pearce @shirleypearceot
@OTEllenUK @OTalk_ I certainly consider it essential in dementia especially. I'm doing an assessment tomorrow and I'll be dipping my toe in a number of different occupations to see what works and what doesn't. All part of the process as far as I'm concerned. #OTalk
Mary Rose Mulry @MulryMary
RT @RachelCorrOT: @MulryMary @otalk Assessing what is meaningful for a person with dementia should be a vital part of your practice so a lo…
Sophie Jenkins @SophieJenkinsOT
@MulryMary @otalk #OTalk
Kim Willis @KimWillisOT
#OTalk It is worth mentioning that what used to be meaningful for someone may not be the case presently, and care is required when teasing out goals without making assumptions based on history
Francesca S @OT_Francesca
RT @RachelCorrOT: @MulryMary @otalk ASK THEM!! It should never be assumed that someone with dementia is unable to communicate with you - ev…
Mary Rose Mulry @MulryMary
RT @RachelCorrOT: @MulryMary @otalk ASK THEM!! It should never be assumed that someone with dementia is unable to communicate with you - ev…
Lucy Pearce @LucyJPearce
@MulryMary @otalk #OTalk it is always important never to make assumptions or stereotype. It is vitally important to build a therapeutic relationship with the individual and their family. Ask them, and interpret non-verbal cues to determine this. Interaction is key
Mary Rose Mulry @MulryMary
RT @OTEllenUK: @shirleypearceot @OTalk_ 100% agree! As a student it is reassuring to see that trial and error is considered a vital part of…
Mary Rose Mulry @MulryMary
RT @EllenChisman: I work with people usually in earlier stages of dementia. I talk with them and their family about how they spend their ti…
Mary Rose Mulry @MulryMary
RT @LucyJPearce: @MulryMary @otalk #OTalk it is always important never to make assumptions or stereotype. It is vitally important to build…
A Welsh OT - Rupert @hoffiOT
@MulryMary @otalk The Who I Am project which @lynne31096889 developed has become a valuable tool for helping to capture and share the person's story and individuality in @bcuhb see more here https://t.co/7TMYF6hfCo #OTalk
Ellen 👩🏻‍🎓💚 @OTEllenUK
RT @KimWillisOT: #OTalk It is worth mentioning that what used to be meaningful for someone may not be the case presently, and care is requi…
Rebecca Colledge @ColledgeRebecca
@MulryMary @otalk #OTalk The person and their family know their story. Taking the time to listen and understand. There are tools that can inform you too like the Allen’s Cognitive Level Screen
Bethany Chitty @BethanyChitty
@MulryMary @1JamieMcDermott @otalk This! At that stage things that may have been meaningful previously may appropriate/engaging anymore but that doesn't mean that even in advanced stages participation can't be meaningful. Creativity and trial and error help. I've learnt often from what hasn't worked #otalk
OTalk @OTalk_
30 minutes gone already! Time flies when youre busy chatting OT! #OTalk https://t.co/zCnNUyeeoL
sherlyn graham @sherlynmelody
@KimWillisOT #OTalk I get this a lot with my service users. Families often say they used to live doing this that and the other but now they don’t do anything or vice versa. It’s difficult to teas it out sometimes it’s like they are a different person. But they would still have a narrative
Rachel Corr @RachelCorrOT
@OTEllenUK @shirleypearceot @OTalk_ I think this is where we truly understand the meaning of reflexivity and being flexible and reactive in practice - this is important in dementia care as it is important not to give up or stray from goals/meaningful occupations #OTalk
A Welsh OT - Rupert @hoffiOT
RT @LucyJPearce: @MulryMary @otalk #OTalk I guess for me, meaningful occupation is something that gives purpose and value to a person’s lif…
sherlyn graham @sherlynmelody
RT @hoffiOT: @MulryMary @otalk The Who I Am project which @lynne31096889 developed has become a valuable tool for helping to capture and sh…
Shirley Pearce @shirleypearceot
@OTalk_ I keep losing the #OTalk tweets again - grrr!
Lucy Pearce @LucyJPearce
@colourful_ot @EllenChisman #OTalk Very true, but building on this... the simple act of cleaning the sink after brushing teeth, which we may overlook, may be incredibly meaningful and important for an individual. So it’s about all the actions that make up that ADL for that person
Mary Rose Mulry @MulryMary
RT @hoffiOT: @MulryMary @otalk The Who I Am project which @lynne31096889 developed has become a valuable tool for helping to capture and sh…
sherlyn graham @sherlynmelody
RT @ColledgeRebecca: @MulryMary @otalk #OTalk The person and their family know their story. Taking the time to listen and understand. There…
Ellen 👩🏻‍🎓💚 @OTEllenUK
@RachelCorrOT @shirleypearceot @OTalk_ Definitely! #OTalk
Ellen 👩🏻‍🎓💚 @OTEllenUK
RT @RachelCorrOT: @MulryMary @otalk ASK THEM!! It should never be assumed that someone with dementia is unable to communicate with you - ev…
Mary Rose Mulry @MulryMary
Only 30 minutes left @OTalk!!!! Q3: What are the facilitators and barriers in engaging people with dementia in the occupations that are meaningful to them? #OTalk
Francesca S @OT_Francesca
@MulryMary @1JamieMcDermott @otalk it is important to speak to individuals with dementia about what they enjoy. It's also important to get family involved. Id also say don't knock new or unusual occupations, I met a gentleman who'd never been into singing... Now he sings all the time! #OTalk
Shirley Pearce @shirleypearceot
@RachelCorrOT @OTEllenUK @OTalk_ Goals are good but in dementia we mustn't lose sight of the present moment. #OTalk
Bethany Chitty @BethanyChitty
@LucyJPearce @MulryMary @otalk I agree! Learning to interpret non-verbal cues and pick up on body language or behaviours is a big one, especially in later stages of dementia. Just they can't communicate verbally doesn't mean we should assume or stereotype or seek any less to understand their needs/wants #otalk
sherlyn graham @sherlynmelody
@LucyJPearce @colourful_ot @EllenChisman #OTalk yes that’s a really good one. Such fine detail but so important!
Mary Rose Mulry @MulryMary
RT @BethanyChitty: @LucyJPearce @MulryMary @otalk I agree! Learning to interpret non-verbal cues and pick up on body language or behaviours…
Alannah Marie @Alannah_OT
@MulryMary @otalk I work with people with very late stages of dementia. I am wondering how you would go about assessing and implementing meaningful occupations when communication and mental capacity is very limited? #otalk
Ellen Chisman @EllenChisman
Agreed, and thinking about someone I visited today, a couple of things had taken on so much meaning because they could still do it themselves when they felt like so much else they relied on others now #otalk
HSOT @hazysimpson551
@OTalk_ Twitter virgin here may lurk may join in when I can grasp how to do it enjoying the conversation so far. #otalk
sherlyn graham @sherlynmelody
@OT_Francesca @MulryMary @1JamieMcDermott @otalk #OTalk yes 👍🏾
Rachel Corr @RachelCorrOT
@MulryMary @otalk Once u have found a meaningful occupation, engaging an individual will be enjoyable as it can lead to you being creative and can lead to many other related activities and tasks #OTalk
OTalk @OTalk_
Question 3... #OTalk
sherlyn graham @sherlynmelody
@hazysimpson551 @OTalk_ #OTalk welcome 👋🏾
Kim Willis @KimWillisOT
@sherlynmelody Yes. Even if you have lots of information about historical occupations/roles it doesn't mean the person stills prioritises them. It's often family members that struggle with change in their relative. Remember we all change over time, dementia or not! #OTalk
Sheila Williams @budsmam
RT @thisisnix: #OTalk 14th August 2018 – Meaningful Occupation in Dementia. https://t.co/hrFhT5tSwZ… via @OTalk_ 👍 NICE!! It’s been a while…
Bethany Chitty @BethanyChitty
@OTEllenUK @shirleypearceot @OTalk_ Sometimes I've learnt more from something that doesn't go to plan than something that does, trial and error and reflexivity/creativity in practice are vital when working with people with dementia. #otalk
Ellen Chisman @EllenChisman
Probably loads to say... I'll start with a few that come to mind....risk as a barrier, and the perceptions of risk by people involved with them...but facilitators would then be OT and our strategies, also technology we can use to reduce risk so people can still engage! #otalk
sherlyn graham @sherlynmelody
@OTalk_ #OTalk lack of training, time, resources.....sometimes compassion ☹️
Rachel Corr @RachelCorrOT
@MulryMary @otalk Barriers may include environmental barriers such as places that are disturbing for individuals due to sensory overload for example, or other aspects that may cause confusion or upset - a comfortable environment is needed for people with dementia to feel calm and relaxed #OTalk
Bethany Chitty @BethanyChitty
@shirleypearceot @OTEllenUK @OTalk_ Agree with this 100%, this is a huge part of assessment process in the inpatient unit where I work, trying out a number of activities and occupations and observing the reactions and responses #otalk
Kim Willis @KimWillisOT
Family and carers can be both facilitators & barriers (in nicest possible way!). #OTalk
Mary Rose Mulry @MulryMary
I find the PAL a particularly good tool to inform what level the person it at first #OTalk
Carolina Cordero @colourful_ot
@OT_Francesca @MulryMary @1JamieMcDermott @otalk That's a good point - we're all always growing and picking up new things or leaving things behind as we go, that doesn't change when someone has dementia :) #OTalk
Ellen Chisman @EllenChisman
Also support, which could go both ways. Time for people to work with them to find out and plan ways for them to engage could be a challenge. Third sector organisations can be a big help in our city for support, but funding and services keep changing...#otalk
Shirley Pearce @shirleypearceot
@MulryMary @otalk Facilitator: the person with dementia leading me, not me leading them. Then I appreciate the subtlety - which type of art? fine art or other forms? Oil or watercolour? Watching or doing? or music? folk, jazz or sacred? listening or performing? #OTalk
Claire Farrant @clairefarrantot
@Alannah_OT @MulryMary @otalk Family/ friends: What did they enjoy? As their dementia progressed; what stayed an interest and what was no longer stimulating. Then it’s really a case of trial and error as has been said. I guess you’re looking for any reactions, not just verbal #OTalk
Ellen 👩🏻‍🎓💚 @OTEllenUK
RT @colourful_ot: @OT_Francesca @MulryMary @1JamieMcDermott @otalk That's a good point - we're all always growing and picking up new things…
sherlyn graham @sherlynmelody
RT @MulryMary: I find the PAL a particularly good tool to inform what level the person it at first #OTalk https://t.co/h83El5DckN
Mary Rose Mulry @MulryMary
@KimWillisOT I know!! Particularly the high expectations that can be often placed be on Occupational Therapy #OTalk
Claire Farrant @clairefarrantot
@Alannah_OT @MulryMary @otalk What do you do at the moment? #OTalk
Rach_OT @RachelOT7
RT @EllenChisman: Probably loads to say... I'll start with a few that come to mind....risk as a barrier, and the perceptions of risk by peo…
Rach_OT @RachelOT7
RT @BethanyChitty: @OTEllenUK @shirleypearceot @OTalk_ Sometimes I've learnt more from something that doesn't go to plan than something tha…
Lucy Pearce @LucyJPearce
@MulryMary @otalk #OTalk Communication is key. As a facilitator and barrier. Not just in reading the non-verbal behaviour of our clients, but also in how we present our own non-verbal behaviour. It is very easy to give mixed messages if you’re focused on the task in hand rather than its delivery
Rachel Corr @RachelCorrOT
@MulryMary @otalk I recently looked at a document about the difficulty of accessing public transport for people with dementia produced by @alzheimerssoc - a problem is often the general public who can cause distress due to a lack of understanding/awareness of dementia #OTalk
Bethany Chitty @BethanyChitty
@MulryMary We also use the PAL checklist where I work in an assessment and treatment unit for dementia and I have also found it to be very useful #otalk
Francesca S @OT_Francesca
@MulryMary @otalk What is a therapeutic environment for some, may not be for others. I have heard several elderly patients (both with and without diagnoses of dementia) report dislike of therapy/ social areas with wartime era decor as it was a traumatic time. It was an eye-opener for me #OTalk
Rebecca Colledge @ColledgeRebecca
#OTalk I have used sensory based activities successfully in the past linking to their life story 😊
Rach_OT @RachelOT7
RT @BethanyChitty: @LucyJPearce @MulryMary @otalk I agree! Learning to interpret non-verbal cues and pick up on body language or behaviours…
Susan Windeatt @mooartdotcom
#OTalk Maybe observing interaction with objects/activities? Had a patient once, non verbal, unable to engage or even eat independently, put a drawing board in front of him and he finger traced patterns intently for hours! No idea why but appeared meaningful.
Mary Rose Mulry @MulryMary
RT @OT_Francesca: @MulryMary @otalk What is a therapeutic environment for some, may not be for others. I have heard several elderly patient…
Sophie Jenkins @SophieJenkinsOT
@MulryMary @sherlynmelody @otalk Previously I have used the knowledge a patient was a music teacher to improve their fine motor skills. They used to play the saxophone to a high standard prior to a stroke, they became rengaged in playing when they felt they were teaching me a skill through demonstration #OTalk
Mary Rose Mulry @MulryMary
RT @shirleypearceot: @MulryMary @otalk Facilitator: the person with dementia leading me, not me leading them. Then I appreciate the subtlet…
Rachel Corr @RachelCorrOT
@MulryMary @otalk @alzheimerssoc Surely one of the biggest facilitators is having the correct knowledge and training and being able to understand why a PwD may do something such as shout or become distressed/clap or scream #OTalk
Bethany Chitty @BethanyChitty
@MulryMary @otalk All such good responses! Grading as well is very important and remembering that participation doesn't necessarily have to mean active involvement. Someone may get just as much meaning from watching or passively engaging within an occupation at times #otalk
Shirley Pearce @shirleypearceot
@MulryMary @otalk Barriers: communication difficulties. Learn how to *ask* without posing a question. Eg wonder aloud, muse, witter on, always listening for them to latch on to a topic and go with it. @Understandingdm #OTalk
Kim Willis @KimWillisOT
However, I do feel family engagement is part of our role. They usually are struggling or have grave concerns or up upset about their loved ones. We can provide much needed support here #OTalk
Ellen 👩🏻‍🎓💚 @OTEllenUK
RT @BethanyChitty: @OTEllenUK @shirleypearceot @OTalk_ Sometimes I've learnt more from something that doesn't go to plan than something tha…
OTalk @OTalk_
Doesnt it go quick! #OTalk
Mary Rose Mulry @MulryMary
Fantastic responses to #OTalk!! Great to hear everyone's experience and perceptions!
Mary Rose Mulry @MulryMary
@OTalk_ Too quickly!! I'm struggling to keep up with all the responses!! #OTalk
Bethany Chitty @BethanyChitty
RT @shirleypearceot: @MulryMary @otalk Facilitator: the person with dementia leading me, not me leading them. Then I appreciate the subtlet…
Claire Farrant @clairefarrantot
@MulryMary I learned about this as a band 5, found it so useful to help me understand and assess. I really like the levels and find them incredibly useful when engaging people with dementia. The usual independent/ Ao1 just doesn’t compare #OTalk
sherlyn graham @sherlynmelody
@MulryMary #OTalk yes this is great! I’m loving it https://t.co/vWSvo8fD4R
Katherine Swithenbank @katy_maggi
@MulryMary @otalk Environment is a key barrier/facilitator, I know the hospital I work in is working hard to make wards more ‘dementia friendly’ with reminiscence areas, space for group activities etc #OTalk
Jamie McDermott @1JamieMcDermott
@MulryMary @otalk #OTalk controversial.'service land' &professionals can be the main barrier.Facilitators always the person & network. S'times that's missed
Shirley Pearce @shirleypearceot
A great shorthand way is to note down the best and worst moments after each encounter, then you can analyse & reflect later when you've got more time #OTalk
Mary Rose Mulry @MulryMary
RT @shirleypearceot: @MulryMary @otalk Barriers: communication difficulties. Learn how to *ask* without posing a question. Eg wonder aloud,…
Ellen 👩🏻‍🎓💚 @OTEllenUK
@BethanyChitty @shirleypearceot @OTalk_ Me too! Although sometimes stressful at the time, the opportunity to reflect on events that have not gone as I imagined has been invaluable! The more things that don’t go to plan, the more creative I become! #OTalk
OTalk @OTalk_
@MulryMary Dont worry, you can continue responding after the offical hours, we dont grab the transcript for a few days 👍🏼 #OTalk
Susan Windeatt @mooartdotcom
#OTalk Absolutely, I had someone who used to be a librarian, could no longer read but loved just sitting quietly beside bookshelves looking through books as someone turned the pages. :-)
Keir Harding @Keirwales
@RRule_OT @OTalk_ @Kirstie_OT @MulryMary Take that! Only standing on the periphery and you get spanked for not using the hashtag! #OTalk
Lucy Pearce @LucyJPearce
@shirleypearceot @MulryMary @otalk @Understandingdm #OTalk this is a really good point. I found Sohlberg and Mateer offered a really good insight into the grading of prompts and questions when working with clients with memory impairment. Really made me think about how I communicate
Carolina Cordero @colourful_ot
@OT_Francesca @MulryMary @otalk I think in general, any kind of one-size-fits-all approach is going to be a big barrier when it comes to environments or group interventions - a group of people with dementia could be very varied in terms of interests, people being more introverted or extroverted, etc #OTalk
Francesca S @OT_Francesca
@mooartdotcom I love this! My granny is 91 and has dementia. She used to be a bookbinder so loves being around books and reading aloud even if she doesn't always follow the thread of the story the whole way. #OTalk #Booklover
Mary Rose Mulry @MulryMary
Final question of the evening @OTalk!! Q4. We too often consider the physical risk of certain occupations. Do you consider the emotional risk of not engaging in meaningful occupations for those with dementia? #OTalk
Rachel Corr @RachelCorrOT
@MulryMary @otalk @alzheimerssoc My dissertation was on working together with PwD - having someone there can be a huge facilitator for an individual as they can assist when needed, instruct/prompt, work to the individual’s strengths and simplify small tasks to suit the individual #OTalk
OTalk @OTalk_
@Keirwales @RRule_OT @Kirstie_OT @MulryMary Just wanna draw her in really...You can keep your spanking Mr Harding! 😂 #OTalk
OTalk @OTalk_
4th and Last question... #OTalk
Shirley Pearce @shirleypearceot
@MulryMary @otalk Facilitator: learn to get on their wavelength - they can't be expected to find yours. Once you've found where they're at, get properly alongside as equals or even look up to them as the expert (they always know something you don't) don't talk down to them #OTalk
Mary Rose Mulry @MulryMary
RT @OTalk_: 4th and Last question... #OTalk https://t.co/rgI35Y4DmI
Alannah Marie @Alannah_OT
@clairefarrantot @MulryMary @otalk I work in residential care as an HCA but don’t work with the same individuals each time. I try to base my activities with individuals around what I have read or from talking to other staff. #otalk
Bethany Chitty @BethanyChitty
@MulryMary @otalk It can be hard to balance risk, but I think as a profession we often try to engage in positive risk taking where possible as we do consider what the result of occupational deprivation or an inability to engage in previously valued activities may do. #otalk
sherlyn graham @sherlynmelody
@MulryMary @otalk #OTalk ooh! That’s a good one, I think it depends on how risky it is, I mean real danger to ones self. But people should be allowed to take +ve risks.
Claire Farrant @clairefarrantot
@MulryMary @otalk Knowledge and understanding is key, it brakes my heart remembering back to a person I saw with ‘challenging behaviour’. They wanted something so simple and the clues were there, seemingly so obvious but the 1:1 with him just didn’t see it #OTalk
Rachel Corr @RachelCorrOT
@MulryMary @otalk Positive risk taking was a huge part of my dementia placement - the benefits of a PwD engaging in a meaningful game of boules is huge. The physical risk should be managed to enable this participation, as the risk of occupational deprivation is also huge. #OTalk
Ellen Chisman @EllenChisman
Oooo great question! Sometimes I think OTs do consider this, yes, but some other professionals consider the emotional consequence of not engaging less. It seems like in my limited experience so far anyway...#otalk
Shirley Pearce @shirleypearceot
@LucyJPearce @MulryMary @otalk @Understandingdm We use Qs all the time in daily life but in dementia, if their memory hasn't stored what you've said they may only have a vague feeling you're waiting for an A. Disconcerting to say the least... #OTalk
Bethany Chitty @BethanyChitty
@MulryMary @otalk It can mean taking time to get other MDT members on board, but where we can find a way to minimise (not eliminate) risks relating to a specific activity as a team we try to, even if engagement may not be to the extent it was previously. #otalk
Lucy Pearce @LucyJPearce
@MulryMary @otalk #OTalk good question! Personally, I think perhaps nowhere near as much as we should. Although that’s not a conscious decision, but perhaps more due to the demands placed upon services. Because the physical risks are easier to see and address.
Carolina Cordero @colourful_ot
@BethanyChitty @MulryMary @otalk Not dementia-related but I found the same thing when I volunteered with adults with ID and complex needs; it was hard to find arts & crafts that they could actively do, but they seemed to enjoy just having company and watching and touching the materials and so on #OTalk
Kim Willis @KimWillisOT
Again this is relevant for any condition & occupation. Noticing the dramatic difference when people are engaged in meaningful activities as opposed to prescribed activities/exercise says it all. It's why #OccupationalTherapyrules #OTalk
OT Nix @thisisnix
@shirleypearceot What a great idea💡 this is! 🙏Thanks @shirleypearceot It’s so simple and effective- it has me questioning why on earth have I not even tried this before?! Love it! Great tip 💚 #OTalk
Rebecca Colledge @ColledgeRebecca
@MulryMary @otalk Family and carers can be great facilitators. At times they can also be a barrier for the person living with Dementia engaging in meaningful occupation. As Occupational Therapists we are ideally placed to enhance this positive outcome #OTalk
OTalk @OTalk_
And we are just heading into the last 10 minutes of tonights chat! #OTalk https://t.co/56XLFB7poK
Ellen Chisman @EllenChisman
And measure...? #otalk
Mary Rose Mulry @MulryMary
@clairefarrantot @otalk Yes too often I have seen this "challenging behaviour" over the PwD wanting to something relatively low risk yet not enabled #OTalk
Shirley Pearce @shirleypearceot
@MulryMary @otalk YES - emotional risk is terribly important. Risk of disengagement, loss of social skills, loss of confidence, risk to psychological well-being are huge. Even safety measures can have emotional risk attached... @Understandingdm #OTalk
Kim Willis @KimWillisOT
@colourful_ot @BethanyChitty @MulryMary @otalk Always wondered why arts and crafts used nationally in LD & MH settings? Are these activities universally understood as meaningful in this setting?! Probably for another day lol #OTalk
OT Nix @thisisnix
@mooartdotcom Aww what a lovely story, I wanna be friends with this person! I love 📚! 💚#DewyDecimalReminiscence 👍#OTalk
Bethany Chitty @BethanyChitty
Promoting meaningful occupation when working with those with dementia #OTalk
sherlyn graham @sherlynmelody
RT @shirleypearceot: @MulryMary @otalk YES - emotional risk is terribly important. Risk of disengagement, loss of social skills, loss of co…
Mary Rose Mulry @MulryMary
RT @LucyJPearce: @MulryMary @otalk #OTalk good question! Personally, I think perhaps nowhere near as much as we should. Although that’s not…
Francesca S @OT_Francesca
@sherlynmelody @MulryMary @1JamieMcDermott @otalk I guess in the same train of thought, it is important that we consider the impact of this on people from other countries, certainly as we grow more of a ageing population globally. #OTalk
Claire Farrant @clairefarrantot
@MulryMary @otalk I agree it’s a difficult one, we used to speak with loved ones before doing reminisce groups and found that families may say the person would find it upsetting to talk about a certain topic.#OTalk
Claire Farrant @clairefarrantot
@MulryMary @otalk We later realised that this was often just the relative/ friends perception and that it was really important to speak with the individual and see if they’d be happy with that topic being raised. #OTalk
Carolina Cordero @colourful_ot
@MulryMary @otalk I think there are also situations where people don't consider the *physical* risk of not doing something, e.g. the risk of someone missing out on exercise because you're avoiding the risk of falling #OTalk
Kim Willis @KimWillisOT
RT @colourful_ot: @MulryMary @otalk I think there are also situations where people don't consider the *physical* risk of not doing somethin…
Rach_OT @RachelOT7
RT @LucyJPearce: #OTalk I also think roles are a large contributor to meaningful occupation, and as OTs, we are a profession well placed to…
Bethany Chitty @BethanyChitty
RT @LucyJPearce: @MulryMary @otalk #OTalk good question! Personally, I think perhaps nowhere near as much as we should. Although that’s not…
Mary Rose Mulry @MulryMary
@SophieJenkinsOT @otalk @theRCOT Yes there is a recent document and Dementia Matters have a tool that assess emotional risk #OTalk
Francesca S @OT_Francesca
@LucyJPearce @MulryMary @otalk I certainly feel that emotional risks of not engaging in occupations should be addressed. As others have said, it is easy to address physical risks but emotional risks may be more subtle and harder to see #OTalk
Rach_OT @RachelOT7
RT @KimWillisOT: #OTalk It is worth mentioning that what used to be meaningful for someone may not be the case presently, and care is requi…
sherlyn graham @sherlynmelody
RT @MulryMary: @SophieJenkinsOT @otalk @theRCOT Yes there is a recent document and Dementia Matters have a tool that assess emotional risk…
Lucy Pearce @LucyJPearce
@EllenChisman #OTalk exactly! I think as OTs, we are much better at considering the risks of a PwD not engaging in meaningful occupation than other healthcare professions. But when driven by targets and outcomes, physical risks are more tangible, and the emotional ones are not easily measured
Bethany Chitty @BethanyChitty
It is too easy to overlook the emotional risks of not engaging with meaningful activities if we look too deep into the physical risk. Social isolation, occupational deprivation and a sense of loss to name just a few. Positive risk taking where possible is important #OTalk
Shirley Pearce @shirleypearceot
@LucyJPearce @MulryMary @otalk @Understandingdm Dreadful Q! "What does she mean? Is she making polite conversation or asking how my piles are getting on?" So much better to say "It's lovely to see you!". And such a time saver in normal life too when you meet that chatterbox... #OTalk
Carolina Cordero @colourful_ot
@KimWillisOT @BethanyChitty @MulryMary @otalk Good point! I'd think more critically about that volunteer work now since starting to study OT; at the time I offered to do arts & crafts because I was good at it, and staff felt it was something the people they support would enjoy, but I'm not sure if it was meaningful? #OTalk
GCU Research @GCUResearch
RT @GcuOcc: Delighted that our very own @MulryMary is hosting #OTalk Get involved! Jx. https://t.co/PfsRfUvAui
Claire Farrant @clairefarrantot
@Alannah_OT @MulryMary @otalk For ADLs: have a look at the pool activity level. You could complete the assessment form when engaging in everyday tasks. That way you all know what a person can do and what they like #OTalk
Jamie McDermott @1JamieMcDermott
@MulryMary @otalk #OTalk could get better at considering risks V's opportunities.Risk assessments should enable not restrict and often lack emotional aspect.
Mary Rose Mulry @MulryMary
@colourful_ot @otalk Absolutely, too often the physical can be neglected too #OTalk
Sophie Jenkins @SophieJenkinsOT
@MulryMary @otalk @theRCOT Thank you! I shall look into that for a bit of additional reading! #OTalk Today I noticed the difference in a previously bed bound patient, when I hoisted them into a chair to drink a coffee that I made to their instruction. Change to a more normal routine/ habit ⬆️ mood!
Shirley Pearce @shirleypearceot
@BethanyChitty There can be emotional risks in *how* we do things too, it's not just what we do - ie.. our whole approach and demeanour can build up or break down someone's well-being. #OTalk
Kim Willis @KimWillisOT
@colourful_ot @BethanyChitty @MulryMary @otalk I was encouraged during a MH placement during training many moons ago. I don't recall the people I worked with telling me that making pots from clay was meaningful...#OTalk
Claire Farrant @clairefarrantot
@Alannah_OT @MulryMary @otalk Sounds like you’re doing a great job though, by learning what they enjoy/ respond to you will increase occupational performance and we all know how that will positively affect their engagement and overall health and well-being #OTalk
OTalk @OTalk_
Well thats our offical hour up but please keep chatting as we dont grab the transcript for a few days. Big thanks to everyone for joining in and to @MulryMary for a great topic & being an awesome #OTalk host! https://t.co/FHvgvDklvv
Rebecca Colledge @ColledgeRebecca
@SophieJenkinsOT @MulryMary @otalk @theRCOT Yes there is. It’s on the RCOT website😊 #OTalk https://t.co/DuD48pRLIj
OTalk @OTalk_
Dont forget hosting or participating in an #OTalk chat can contribute towards your CPD. Be sure to complete your reflection & download your certificate. https://t.co/Dnl21vqZqu
Bethany Chitty @BethanyChitty
@shirleypearceot Very true, it's important not to overlook this #OTalk
Mary Rose Mulry @MulryMary
Where did that hour go? That's all for this evening folks. Looking forward to reading through the transcript. Feel free to continue the conversation #OTalk
OTalk @OTalk_
We are all booked up for this year but why not think about the next the 12 months & your CPD Goal & apply to host an #OTalk chat in 2019? More info & sign up on the blog 👍🏼 https://t.co/Kf8nFtq4Zi
Shirley Pearce @shirleypearceot
@LucyJPearce @MulryMary @otalk @Understandingdm It's all too easy to cause distress accidentally and unknowingly. People with dementia often spend a lot of time & effort trying to avoid slip-ups and faux pas and that's very stressful! #OTalk
Mary Rose Mulry @MulryMary
Thank you to everyone who contributed to tonight's @OTalk!! Looking forward to reading through all the responses #OTalk
Carolina Cordero @colourful_ot
@KimWillisOT @BethanyChitty @MulryMary @otalk Yeah, there's definitely a time and place for crafts - on one hand it's nice to give people the chance to find creative outlets they might not have considered, on the other hand you have the risk of getting into pointless basket-weaving territory... 😂 #OTalk
Bethany Chitty @BethanyChitty
Brilliant #OTalk tonight on meaningful occupations in dementia. Thanks to @MulryMary for hosting. As always participating and reading others responses has given a lot of food for thought! @OTalk_
Kim Willis @KimWillisOT
@colourful_ot @BethanyChitty @MulryMary @otalk 😂 Exactly! #OTalk
OT Nix @thisisnix
Thanks 🙏 very much everyone on #OTalk tonight, and thanks to @OTalk_ team & @MulryMary for hosting it. Whoa, that hour went lightning quick?! ⚡️ Thankfully will check the #OTalk thread again soon to check out tweets I may have missed. 💚 https://t.co/SNzsbmgWA8
sherlyn graham @sherlynmelody
Yes it’s been super. Thanks all 👋🏾👋🏾 #OTalk
OTalk @OTalk_
RT @BethanyChitty: Brilliant #OTalk tonight on meaningful occupations in dementia. Thanks to @MulryMary for hosting. As always participatin…
Lucy Pearce @LucyJPearce
@shirleypearceot @MulryMary @otalk @Understandingdm #OTalk exactly. We must be vigilant to extend our understand that the ‘one size fits all approach’ doesn’t just relate to activity and intervention, but also to communication.
OTalk @OTalk_
RT @thisisnix: Thanks 🙏 very much everyone on #OTalk tonight, and thanks to @OTalk_ team & @MulryMary for hosting it. Whoa, that hour went…
Rebecca Colledge @ColledgeRebecca
Thank you so much for hosting an interesting discussion on meaningful activity in Dementia #OTalk #RCOT_OP
OTalk @OTalk_
Right, this is @Kirstie_OT signing off! Thanks again folks, tweet with you all soon! #OTalk https://t.co/AaoH9uiger
Lucy Pearce @LucyJPearce
Really enjoyable and thought provoking evening for this week’s #OTalk Massive thanks to @MulryMary and the @OTalk_ team. 👍
💚’Kweni @Kwen_B
Can’t believe I missed #OTalk 😒
Mary Rose Mulry @MulryMary
RT @thisisnix: Thanks 🙏 very much everyone on #OTalk tonight, and thanks to @OTalk_ team & @MulryMary for hosting it. Whoa, that hour went…
mazz @mhairi_hynie
RT @LucyJPearce: @MulryMary @otalk #OTalk I guess for me, meaningful occupation is something that gives purpose and value to a person’s lif…
OTalk @OTalk_
RT @LucyJPearce: Really enjoyable and thought provoking evening for this week’s #OTalk Massive thanks to @MulryMary and the @OTalk_ team. 👍
OTalk @OTalk_
RT @ColledgeRebecca: Thank you so much for hosting an interesting discussion on meaningful activity in Dementia #OTalk #RCOT_OP https://t.…
OTalk @OTalk_
#OTalk 28th August – Influencing Equipment Provision, It’s within our gift. https://t.co/UZxU5Sf4h4
Karen Erskine @monthebuddies
@MulryMary @otalk Meaningful occupation is what makes us individual and is what gives us purpose; lack of opportunity to engage in activities and roles important to us takes away our sense of self. Skills can be so easily maintained but so easily lost too #OTalk
Karen Erskine @monthebuddies
@KimWillisOT I agree, "getting to know me" documents and life stories are fantastic tools, but time spent and building therapeutic rapport, reading cues are so important too, not just for occupation but promoting comfort, preventing agitation, decreasing physical/emotional risk #OTalk
Karen Erskine @monthebuddies
@Alannah_OT @MulryMary @otalk Family/friends, life stories I don't think there's a substitute for observation. It helps to consider other reasons for verbal/non verbal cues; displeasure could be a result of pain, discomfort, hunger thirst etc, might not be a specific occupation that is the problem #OTalk
Karen Erskine @monthebuddies
RT @RachelCorrOT: @MulryMary @otalk ASK THEM!! It should never be assumed that someone with dementia is unable to communicate with you - ev…
Rachel Corr @RachelCorrOT
@OTalk_ Thank you so much to @MulryMary for a fantastic #OTalk - was really nice to think again into how meaningful occupation is vital for all, and how we can influence this for people with dementia as professionals! Thank you all for a lovely evening💚💚
Karen Erskine @monthebuddies
@SophieJenkinsOT @MulryMary @otalk #OTalk I work in acute medicine too and it can be a fraught time for PwD and family, and a busy, overstimulating environment as well. The PwD can be at a disadvantage before assessment has begun
Karen Erskine @monthebuddies
@BethanyChitty @MulryMary @otalk #OTalk this to me is where assessment in a person's own environment comes into it's own, risk taking in a strange environment raises concerns, but engaging in familiar activities in your own environment enables positive risk taking and maintains skills
Karen Erskine @monthebuddies
RT @LucyJPearce: @MulryMary @otalk #OTalk good question! Personally, I think perhaps nowhere near as much as we should. Although that’s not…
Becky Cooper @beckycooper___
Gutted about missing #OTalk tonight!! Looking forward to catching up with the transcript!
Patricia Regan @PatriciaRegan
RT @KimWillisOT: #OTalk It is worth mentioning that what used to be meaningful for someone may not be the case presently, and care is requi…
OTalk @OTalk_
RT @RachelCorrOT: @OTalk_ Thank you so much to @MulryMary for a fantastic #OTalk - was really nice to think again into how meaningful occup…
OTalk @OTalk_
We shall be back again next week when our host shall be @AdamFerry3 #OTalk @TheOTShow
Mary Rose Mulry @MulryMary
RT @RachelCorrOT: @OTalk_ Thank you so much to @MulryMary for a fantastic #OTalk - was really nice to think again into how meaningful occup…
Bill Wong, OTD, OTR/L @BillWongOT
@MulryMary @otalk A1. A meaningful occupation- what it is depends on the person. Hence, what is a meaningful occupation for someone may not be so for another. In terms of the second half of this ?, it is because all individuals should have something that provides meaning for their lives. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @LucyJPearce: @MulryMary @otalk #OTalk I guess for me, meaningful occupation is something that gives purpose and value to a person’s lif…
Bill Wong, OTD, OTR/L @BillWongOT
RT @EllenChisman: Maybe something that is authentic to the individual. Is something they want to do, have an interest in. I think it's impo…
Bill Wong, OTD, OTR/L @BillWongOT
RT @RachelCorrOT: @MulryMary @otalk Meaningful occupation is individual to everyone - it is whatever u spend your time doing that provides…
Bill Wong, OTD, OTR/L @BillWongOT
RT @MulryMary: @EllenChisman Absolutely! Stimulation is key when working with those with dementia. Meaningful occupation I feel is the key…
Bill Wong, OTD, OTR/L @BillWongOT
RT @LucyJPearce: @MulryMary @otalk #OTalk and it’s important to remember, that ‘meaningful occupation’ for someone else might be something…
Bill Wong, OTD, OTR/L @BillWongOT
RT @KimWillisOT: @MulryMary @otalk Seems like common sense to me, but meaningful occupation vital for both physical and mental well-being.…
Bill Wong, OTD, OTR/L @BillWongOT
@KimWillisOT @MulryMary @otalk yes- reading a lot of elderly committing suicide on a regular basis in Hong Kong... made me wonder what were their meaningful occupations prior to heading to a road of no return. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @RachelCorrOT: @MulryMary @otalk Whether it is singing, baking or bowling, people with dementia will be able to do this - it just takes…
Bill Wong, OTD, OTR/L @BillWongOT
@RachelCorrOT @MulryMary @otalk and in my setting, that's very important. We shouldn't judge somebody just because their meaningful occupations look awkward- like picking up things on the floor. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @OTEllenUK: @LucyJPearce @MulryMary @otalk I agree! Difficult to define as it can be absolutely anything that an individual values. From…
Bill Wong, OTD, OTR/L @BillWongOT
RT @EllenChisman: I agree - it's hard to be stimulated in doing things you don't really want to do or don't find interesting. And things th…
Bill Wong, OTD, OTR/L @BillWongOT
RT @EllenChisman: Very true - I like how you included things other than activity - sometimes it's the role or responsibility you take withi…
Bill Wong, OTD, OTR/L @BillWongOT
RT @KimWillisOT: @colourful_ot @MulryMary @otalk The challenge of balancing the goals of the organisation and those of the person (ie what…
Bill Wong, OTD, OTR/L @BillWongOT
RT @sherlynmelody: @OTalk_ #OTalk meaningful activity, I think is what activities are important to a person and being able to take part in…
Bill Wong, OTD, OTR/L @BillWongOT
RT @MulryMary: I couldn't agree more. It can be challenging to balance both goals and not forgetting the goals of the family too #OTalk htt…
Bill Wong, OTD, OTR/L @BillWongOT
@RachelCorrOT @colourful_ot @EllenChisman yes- and also least restrictive environment. Some of the patients I worked with who have dementia are in locked units in nursing homes to prevent escaping out of the unit. Some have ankle devices to let people know that they are at risk of escaping. #otalk
kathy kastner @KathyKastner
RT @OTEllenUK: @LucyJPearce @MulryMary @otalk I agree! Difficult to define as it can be absolutely anything that an individual values. From…
Bill Wong, OTD, OTR/L @BillWongOT
@MulryMary @otalk A2. Observations and asking around staff/family, trial and error. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @colourful_ot: @EllenChisman I always come back to roles when I'm wondering if something is a meaningful occupation - I wouldn't normall…
Bill Wong, OTD, OTR/L @BillWongOT
RT @shirleypearceot: @OTalk_ There is a lot of subtlety involved too. I had a client who irritated the staff as he was constantly sucking a…
Bill Wong, OTD, OTR/L @BillWongOT
RT @sherlynmelody: @MulryMary @otalk #OTalk I think this is where their narrative is considered or simply listening to the Family who will…
Bill Wong, OTD, OTR/L @BillWongOT
@sherlynmelody @MulryMary @otalk when you are bouncing around different nursing homes like I do, sometimes you don't have the luxury to ask family. Asking staff what the patient has been up to prior to seeing the patient for the first time is usually my survival instinct. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @ColledgeRebecca: @MulryMary @otalk Meaningful activity gives me purpose, motivation and get me out of bed every day. Occupational Ther…
Bill Wong, OTD, OTR/L @BillWongOT
RT @RachelCorrOT: @MulryMary @otalk For example, the Activity Card Sort is a pictoral aid that can be used easily by an OT when asking peop…
Bill Wong, OTD, OTR/L @BillWongOT
RT @KimWillisOT: Family and other carers are key. I also like to have meaningful conversations with the person in order to both build trust…
Bill Wong, OTD, OTR/L @BillWongOT
RT @OTEllenUK: @shirleypearceot @OTalk_ 100% agree! As a student it is reassuring to see that trial and error is considered a vital part of…
Bill Wong, OTD, OTR/L @BillWongOT
RT @RachelOT7: Absolutely loving #OTalk tonight soo passionate about meaningful occupations especially with individuals with dementia after…
Bill Wong, OTD, OTR/L @BillWongOT
@RachelCorrOT @MulryMary @otalk sometimes that is hard when you are on a time crunch! Sometimes that is hard when all you can do is educated guess. #otalk
Rach_OT @RachelOT7
RT @RachelCorrOT: @MulryMary @otalk Whether it is singing, baking or bowling, people with dementia will be able to do this - it just takes…
Bill Wong, OTD, OTR/L @BillWongOT
RT @MulryMary: @RachelCorrOT @otalk <3 this!!! Communication should be sought on some level...never ignored!! #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @shirleypearceot: @OTEllenUK @OTalk_ I certainly consider it essential in dementia especially. I'm doing an assessment tomorrow and I'll…
Bill Wong, OTD, OTR/L @BillWongOT
@KimWillisOT yes... there was a legendary women college basketball coach in the US named Pat Summit had dementia before she passed away 2 years ago. Her occupation would most likely have been coaching basketball- since she used to eat, sleep, and breathe the sport. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @LucyJPearce: @MulryMary @otalk #OTalk it is always important never to make assumptions or stereotype. It is vitally important to build…
Bill Wong, OTD, OTR/L @BillWongOT
@LucyJPearce @MulryMary @otalk for someone like me who is #actuallyautistic, my compensation strategy is actually asking staff questions, since reading non-verbal cues would have been very difficult for me. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @sherlynmelody: @KimWillisOT #OTalk I get this a lot with my service users. Families often say they used to live doing this that and the…
Bill Wong, OTD, OTR/L @BillWongOT
RT @RachelCorrOT: @OTEllenUK @shirleypearceot @OTalk_ I think this is where we truly understand the meaning of reflexivity and being flexib…
Bill Wong, OTD, OTR/L @BillWongOT
@MulryMary @otalk Like the Pat Summit example I mentioned earlier, coaching a prestigious women college basketball program is not an easy occupation because the multiple aspects of coaching basketball requires strong cognition. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
@MulryMary @otalk and say a patient who used to love to play golf, facilitating such occupations realistically might be difficult, though it depends on the person. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @shirleypearceot: @RachelCorrOT @OTEllenUK @OTalk_ Goals are good but in dementia we mustn't lose sight of the present moment. #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @BethanyChitty: @LucyJPearce @MulryMary @otalk I agree! Learning to interpret non-verbal cues and pick up on body language or behaviours…
Bill Wong, OTD, OTR/L @BillWongOT
@BethanyChitty @LucyJPearce @MulryMary @otalk for someone like me, that will not be easy! So for me, I have to play conservative until I got a good sense of what such behaviors might look like. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
@Alannah_OT @MulryMary @otalk If family is around for evaluation (or you can contact them via phone), I would definitely do it. If you are stepping into treatment for the first time, ask staff for tips! #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @RachelCorrOT: @MulryMary @otalk Once u have found a meaningful occupation, engaging an individual will be enjoyable as it can lead to y…
Bill Wong, OTD, OTR/L @BillWongOT
RT @KimWillisOT: @sherlynmelody Yes. Even if you have lots of information about historical occupations/roles it doesn't mean the person sti…
Bill Wong, OTD, OTR/L @BillWongOT
RT @RachelCorrOT: @MulryMary @otalk Barriers may include environmental barriers such as places that are disturbing for individuals due to s…
Bill Wong, OTD, OTR/L @BillWongOT
@sherlynmelody @OTalk_ in my setting in the US, I will also add different staff treating the patient during their plan of care. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @colourful_ot: @OT_Francesca @MulryMary @1JamieMcDermott @otalk That's a good point - we're all always growing and picking up new things…
Bill Wong, OTD, OTR/L @BillWongOT
RT @shirleypearceot: @MulryMary @otalk Facilitator: the person with dementia leading me, not me leading them. Then I appreciate the subtlet…
Bill Wong, OTD, OTR/L @BillWongOT
RT @clairefarrantot: @Alannah_OT @MulryMary @otalk Family/ friends: What did they enjoy? As their dementia progressed; what stayed an inter…
Bill Wong, OTD, OTR/L @BillWongOT
RT @LucyJPearce: @MulryMary @otalk #OTalk Communication is key. As a facilitator and barrier. Not just in reading the non-verbal behaviour…
Bill Wong, OTD, OTR/L @BillWongOT
RT @OT_Francesca: @MulryMary @otalk What is a therapeutic environment for some, may not be for others. I have heard several elderly patient…
Bill Wong, OTD, OTR/L @BillWongOT
@OT_Francesca @MulryMary @otalk and sometimes the choice of words when approaching patients are also key. Sometimes such patients don't like the word "therapy". It might be better to use words like "hang out", "dance", etc. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @RachelCorrOT: @MulryMary @otalk @alzheimerssoc Surely one of the biggest facilitators is having the correct knowledge and training and…
Bill Wong, OTD, OTR/L @BillWongOT
RT @BethanyChitty: @MulryMary @otalk All such good responses! Grading as well is very important and remembering that participation doesn't…
Bill Wong, OTD, OTR/L @BillWongOT
RT @KimWillisOT: However, I do feel family engagement is part of our role. They usually are struggling or have grave concerns or up upset a…
Kevin Breitman @kbreitman27
RT @RachelCorrOT: @MulryMary @otalk Whether it is singing, baking or bowling, people with dementia will be able to do this - it just takes…
Kevin Breitman @kbreitman27
RT @EllenChisman: Very true - I like how you included things other than activity - sometimes it's the role or responsibility you take withi…
Bill Wong, OTD, OTR/L @BillWongOT
@KimWillisOT true... but in reality in some nursing homes, it just beyond amazement that family involvement are minimal. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @katy_maggi: @MulryMary @otalk Environment is a key barrier/facilitator, I know the hospital I work in is working hard to make wards mor…
Bill Wong, OTD, OTR/L @BillWongOT
RT @mooartdotcom: #OTalk Absolutely, I had someone who used to be a librarian, could no longer read but loved just sitting quietly beside b…
Bill Wong, OTD, OTR/L @BillWongOT
RT @shirleypearceot: @MulryMary @otalk Facilitator: learn to get on their wavelength - they can't be expected to find yours. Once you've fo…
Bill Wong, OTD, OTR/L @BillWongOT
RT @Alannah_OT: @clairefarrantot @MulryMary @otalk I work in residential care as an HCA but don’t work with the same individuals each time.…
Bill Wong, OTD, OTR/L @BillWongOT
RT @shirleypearceot: @LucyJPearce @MulryMary @otalk @Understandingdm We use Qs all the time in daily life but in dementia, if their memory…
Bill Wong, OTD, OTR/L @BillWongOT
RT @LucyJPearce: @MulryMary @otalk #OTalk good question! Personally, I think perhaps nowhere near as much as we should. Although that’s not…
Bill Wong, OTD, OTR/L @BillWongOT
RT @colourful_ot: @BethanyChitty @MulryMary @otalk Not dementia-related but I found the same thing when I volunteered with adults with ID a…
Bill Wong, OTD, OTR/L @BillWongOT
RT @MulryMary: @clairefarrantot @otalk Yes too often I have seen this "challenging behaviour" over the PwD wanting to something relatively…
Bill Wong, OTD, OTR/L @BillWongOT
@MulryMary @clairefarrantot @otalk in my work setting in the US, that is definitely a common trap! #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @shirleypearceot: @MulryMary @otalk YES - emotional risk is terribly important. Risk of disengagement, loss of social skills, loss of co…
Bill Wong, OTD, OTR/L @BillWongOT
RT @BethanyChitty: Promoting meaningful occupation when working with those with dementia #OTalk https://t.co/mz2zHifhP8
Bill Wong, OTD, OTR/L @BillWongOT
RT @clairefarrantot: @MulryMary @otalk I agree it’s a difficult one, we used to speak with loved ones before doing reminisce groups and fou…
Bill Wong, OTD, OTR/L @BillWongOT
RT @clairefarrantot: @MulryMary @otalk We later realised that this was often just the relative/ friends perception and that it was really i…
Bill Wong, OTD, OTR/L @BillWongOT
RT @colourful_ot: @MulryMary @otalk I think there are also situations where people don't consider the *physical* risk of not doing somethin…
Bill Wong, OTD, OTR/L @BillWongOT
RT @OT_Francesca: @LucyJPearce @MulryMary @otalk I certainly feel that emotional risks of not engaging in occupations should be addressed.…
Bill Wong, OTD, OTR/L @BillWongOT
RT @BethanyChitty: It is too easy to overlook the emotional risks of not engaging with meaningful activities if we look too deep into the p…
Bill Wong, OTD, OTR/L @BillWongOT
@BethanyChitty or sometimes if they are long term residents at nursing home, the prospect of not being able to return home for the rest of their lives can also cause such. Sometimes it can be as overlooked as being able to sleep at own bed at home! #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @clairefarrantot: @Alannah_OT @MulryMary @otalk For ADLs: have a look at the pool activity level. You could complete the assessment form…
Bill Wong, OTD, OTR/L @BillWongOT
RT @SophieJenkinsOT: @MulryMary @otalk @theRCOT Thank you! I shall look into that for a bit of additional reading! #OTalk Today I noti…
Kevin Breitman @kbreitman27
RT @katy_maggi: @MulryMary @otalk Environment is a key barrier/facilitator, I know the hospital I work in is working hard to make wards mor…
Kevin Breitman @kbreitman27
RT @OT_Francesca: @MulryMary @otalk What is a therapeutic environment for some, may not be for others. I have heard several elderly patient…
Sophie Jenkins @SophieJenkinsOT
RT @ColledgeRebecca: @MulryMary @otalk Meaningful activity gives me purpose, motivation and get me out of bed every day. Occupational Ther…
Rach_OT @RachelOT7
RT @RachelOT7: @OTEllenUK @LucyJPearce @MulryMary @otalk Definitely agree that it can be difficult to define, I think it can be anything th…
LLRTherapy @LlrTherapy
RT @OTalk_: #OTalk 28th August – Influencing Equipment Provision, It’s within our gift. https://t.co/UZxU5Sf4h4
Jolien Houten v.d. @houtvinck
RT @ColledgeRebecca: @MulryMary @otalk Meaningful activity gives me purpose, motivation and get me out of bed every day. Occupational Ther…
The OT Show @TheOTShow
RT @OTalk_: We shall be back again next week when our host shall be @AdamFerry3 #OTalk @TheOTShow https://t.co/ehqWcOETeP
The OT Magazine @ot_magazine
RT @OTalk_: We shall be back again next week when our host shall be @AdamFerry3 #OTalk @TheOTShow https://t.co/ehqWcOETeP
Betsi Cadwaladr UHB @BCUHB
RT @hoffiOT: @MulryMary @otalk The Who I Am project which @lynne31096889 developed has become a valuable tool for helping to capture and sh…
Annica Lindhe @annicalindhe
RT @ColledgeRebecca: @MulryMary @otalk Meaningful activity gives me purpose, motivation and get me out of bed every day. Occupational Ther…
#Hellomynameis Sarah @SLawsonOT
Occupational Therapy tweeps, i have a quick query, something that came up in all my reading for my literature review, does anyone work, or know of any occupational therapists in any setting, who work night shifts? @theRCOT @EnquiriesRCOT @OTalk_ #otalk
OTalk @OTalk_
RT @SLawsonOT: Occupational Therapy tweeps, i have a quick query, something that came up in all my reading for my literature review, does a…
Penny petrie @petrie_penny
RT @OT_Francesca: @mooartdotcom I love this! My granny is 91 and has dementia. She used to be a bookbinder so loves being around books and…
melanie faulkner @melf74
RT @soleinj_: Thrilled to have the last slot of 2018! Looking forward to hosting #OTalk on the 18th December to discuss therapist self-disc…
Rebecca Crouch, Occupational Therapist @RebeccaCrouch
RT @LucyJPearce: @MulryMary @otalk #OTalk I guess for me, meaningful occupation is something that gives purpose and value to a person’s lif…
The OT Service @theotservice
RT @OTalk_: We shall be back again next week when our host shall be @AdamFerry3 #OTalk @TheOTShow https://t.co/ehqWcOETeP
kerriephipps @kerriephipps1
RT @KimWillisOT: Again this is relevant for any condition & occupation. Noticing the dramatic difference when people are engaged in meaning…
Kim Willis @KimWillisOT
RT @KimWillisOT: #OTalk It is worth mentioning that what used to be meaningful for someone may not be the case presently, and care is requi…
#OTalk content from Twitter.