Tuesday, February 11, 2020

Potential OT Settings For Me

   Whenever I am asked what my dream job is in OT and ultimately where I want to end up after I graduate, I really do not have an answer. I have always been passionate about OT and the variety of services that can be provided, but not sure where I want to end up. However, a couple of settings really have sparked my interest throughout shadowing and our first month of school. First is acute care in the hospital setting. This is where I completed the majority of my shadowing hours and at first hated thought that I would never want to end up there. But after the initial shock that the hospital and acute care can give you, I really enjoyed my days working there. I liked the aspect of teamwork that is used in acute care between OT, PT, Speech, doctors and other professionals in the hospital. You get the opportunity to work with others and share ideas and techniques which is a great way to build your skills and increase your knowledge. No two days in acute care will ever be the same. Meaning, you will constantly be seeing new cases and new diagnosis's and will never get in a set routine of clients and treatments.
   Another setting that has recently caught my attention during this first month at UTHSC is working in the school system. I have never been familiar with the work of OT's in school until just recently and I feel like to is something that I would really enjoy. I believe it would be such a fulfilling setting being able to impact children at a young age and make a difference in their lives. This setting would also allow me to work with a wide variety of kids with multiple levels of needs. Working in the school system would also allow you to spread the word about OT to the parents, teachers and other members of the school system that may not be aware of our profession. Overall, I am enjoying learning more in depth about each role that an OT can have in a variety of different and am excited to see where my passion ends up being!

Thursday, February 6, 2020

Interesting Facts on Era Presentations

   This past week our class presented our Era Presentations from the 1940's through the 2010's. Each group was assigned one decade to research what was taking place in different aspects of life during that time period. It was exciting to see how much we have grown not only as OT's but in all other parts of life as well throughout these time periods. The first point that really sparked my interest during these presentations was from the 1940's. The 1940's were all about World War II and how the nation was involved and helping in the war efforts. As the war went on, it became extremely obvious that more OT's were needed to help with the high demands from war injuries obtained by soldiers. However, it took 18 months to become and OT and that simply was not fast enough. To help with this problem the U.S. Army War Emergency Courses were made. This turned the 18 month program into only a 2 week program under direct supervision of an experienced OT. This was extremely interesting to me because that was such an extreme time difference and I could not imagine being in school for only 2 weeks and then going out and practicing on clients! It also makes me wonder how the services were and if they were successful on the clients they worked with.
   Another point that was mentioned and I found interesting and still active today was the Education of all Handicapped Children Act of 1975 and the Handicapped Infants and Toddlers Act of 1986. Even though these happened in different decades, they are both based on the same premise and made a huge change in children's life. It allowed for children with disabilities to obtain a fair and free education in the public schools system and introduced early intervention and least restrictive environments. This was not only important for kids with disabilities put was also a big turning point for OT's because they were becoming more prominent in settings other than hospitals like schools and started to gain awareness of services provided to a wider range of the population.
   Another fact that I found interesting was in the 2000's decade and it was actually a person named, Carolyn Baum. She was the person who shifted OT away from the medical model and moved towards a client-centered model that used a top-down, holistic, individualist approach to OT services. I though this was so important because this approach is what OT is all about today and what we pride ourselves on but it just happened so recently! This approach is the only way I have ever known OT to be, but it was so shocking to me that this change has happened so recently and it was not always like this. Without this woman and her changes to OT, the profession would be extremely different with how it is practiced and taught today.

Tuesday, January 28, 2020

The History of Disabilities by Bruce Keisling

   Recently we have been taking time to discuss the history of occupational therapy including how it started, the role of the government and specific laws and acts that has shaped what the profession is today. Learning all of this information can be an overwhelming task with all of the different dates, names and explanations. However, today a new spin was put on why learning history is so important for us to be successful OT's. Our class had the opportunity to listen to Dr. Bruce Keisling about the history of disabilities and just why it is so important to us.
   Dr. Keisling challenged our class by asking, "why do we REALLY need to review history?". Personally, I just thought that learning the history of OT was a standard for our boards and it was just something we had to do. After the presentation today, I think differently. Knowing the history of OT, and specifically disabilities, is important because we need to know the history of the people we are helping. We need to know where they came from and what they possible have been through to get that deeper connection between therapist and client and get the best results possible.
   When I was growing up accessibility and inclusion seemed to be the norm and I really didn't know that it was ever any different until today. It all started in the early 20th Century. People with disabilities were known as feeble-minded, criminals, violent and they needed to be taken out of society. There was a push for involuntary sterilization of people with disabilities so that in 3 generations these "types" of people would be gone. People with disabilities would be taken out of society and put in institutions for a variety of conditions including: low vision, loss of hearing, seizures and imperfect gait. These institutions quickly became over crowded and conditions were sickening for the patients. This part was extremely shocking for me because first the qualifications to be put in an institution are all very common in today's society and second because of the conditions that the patients were living in. They were not even treated like humans and it was hard to even listen to stories and see pictures.
   This inhumane treatment in institutions did start to turn around with the election of John F. Kennedy. This was so interesting to me because Kennedy's sister had an intellectual disability and had been a victim of un unsuccessful lobotomy. This was kept a secret for many many years, until finally in the famous Saturday Evening Post "Hope for Retarded Children". This sparked the start of a positive and still ongoing change for society and the equal treatment of people with disabilities. Today, after many new laws and countless number of people fighting for rights and never giving up, people with disabilities are getting the same opportunities as everyone else including schooling, jobs and other daily activities. It still is not perfect but it is continually improving. It is important as an OT to give all people hope and determination that whatever dreams they have, they CAN be achieved with effort and determination!

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