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Occupational Therapy & Public Health: Interdisciplinary
Community Health Projects
June 13, 2012
Digital Storytelling
Digital storytelling was final project for a service learning course incorporating photos with narration:-Youth Day Fair at the Yale Bowl-North Haven Fire Department Bike Safety Day-International Walk To School Day -St. Andrews Children Fair-Halloween Safety at Keefe Centerhttp://www.youtube.com/watch?v=mUK2PMFOjHg
Photovoice
• Photovoice was a grant funded project to capture images and narration from the child’s perspective to assess a need for change of the environment in Hamden, CT.
“I saw a crack in the sidewalk and someone might trip”
Environmental Modifications to Enhance Bathing
and Aging in Place in the Elderly
Cherie MacriTracy Van OssCeleste Yanni
Quinnipiac University
Overview of Project
Occupational therapy students worked collaboratively with nursing students at an independent living environment to enhance safety and independence for older adults in the bathroom.
A $2,000 interprofessional education grant was secured for a total of $500.00 per study participant (4 total) to purchase items as needed.
Items included a tub seat, combo hand held shower with shower head, non slip bath strips, shampoo/soap dispensers, long handle sponge, commode, lighted mirror, versa frame, bathrobe, raised toilet seat, touch censored lamp, shelving
Community Partners
Preparation to work with the nursing department began 6 months prior to the class.
Preparation to work with the community partner required flexibility and networking. Participants were not in place until the week prior to the student’s arrival.
OT and RN faculty felt it was important for students and faculty to learn and understand the roles and responsibilities of each discipline and how those roles can complement each other.
This collaborative effort led to positive attitudes and sharing of skills to facilitate effective team work and leadership.
Getting Started
Visit OneConsent Form Interview Mini Mental State Exam TVO Bathroom Assessment Photographs
Visit TwoBerg Balance Scale Modified I HOPE Discuss possible adaptive equipment
Visit ThreeImplementation of adaptive equipmentClient education and demonstration
Visit FourPost survey for client & nursing studentFollow up on appropriate use of equipment
OT Student Outcomes
A satisfaction follow-up assessment was performed after the purchase and installation of the environmental modification(s).
A follow up with the study participants will occur 4-6 weeks after visit 4 either via phone or a planned visit.
The research question was: What are the most effective environmental modifications for the bathroom to reduce the risk of injury and enhance bathing in the home bathroom for older adults 65 years of age or older?
In addition, pre and post surveys from the nursing perspective on the role of OT will be analyzed.
Nursing Student Outcomes
• Themes, Journal Entries, Visits 1-4– Differences in Focus on Communication with Client – Sharing of Roles and Specialized Knowledge
• Exposure to Discipline Specific Tools
– Respect for the Complementary Skills of OT and Nursing
– Enhanced Benefit to Client– “Our” Way vs The Client’s Way-Resistance– Scheduling of Joint Visits
Lessons Learned
Plan early and be flexible
Network – it is all about who you know
Multi-professional vs Intraprofessional intervention
Understand the needs of the client in their home
Be realistic about the time and attention of the client
Building rapport prior to making a change
Consider adherence to new routines
Article to be published in OT Practice in September 2012
