How occupational therapy assistants’ practice in
current service delivery models and how to communicate and educate
others. This is important to develop a better understanding of the
profession and the individuals that OTAs serve.
Before beginning the
assignment, you may want to consider the following questions:
Where
would I locate resources to support my interventions?
What
would be the best way to communicate with others?
What
are the goals of the treatment?
Through
“learning by doing”, this assignment will engage students
in:
Researching
print and electronic sources and gather relevant information.
Understanding and discussing
roles, responsibilities, and characteristics of occupational therapy
in feeding programs.
Understanding social that
impact OT.
Organizing information in a
logical manner.
By accurately completing
this assignment you will have met the following course objective:
Explore
the roles and responsibilities of the occupational therapy assistant
in early intervention, school-based, residential, clinical,
transitional, and vocational settings.
Train
others in precautions and techniques that allow for safe and
effective feeding
Demonstrate
interventions that address dysphagia and disorders of feeding and
eating, and train others in precautions and techniques while
considering client and contextual factors
By accurately completing
this assignment you will have met the following student learning
outcome:
Demonstrate
the ability to deliver occupational therapy assistant services at
entry-level competency under the supervision of an occupational
therapist
Recognize the
importance of evidence in professional practice, and consistently
seek to improve therapeutic skills through professional development
activities.
By accurately completing
this assignment you will have met the following sub-concept:
Interpersonal
Processes; Humanistic interactions among individuals for the purpose
of promoting, understanding, and/or developing relationships.
OT Practice;
Utilization of the therapy process to assist clients in health
promotion, illness prevention, risk reduction strategies or
restorative care.
Instructions:
Case study-
Jenny is 3 ½ years old and was born with oxygen deprivation
due to a difficulty birth. Jenny does not have the ability to sit on
her own, communicate verbally or with a board or electric device, or
feed herself. She is dependent in all areas of self-care. She was
referred for additional home-based occupational therapy when she
turned 3 to address feeding issues. Her mother showed the
occupational therapy practitioner how she fed Jenny. Jenny was
positioned in a custom-fitted highchair with footrests and tray for
arm support. Back and side head supports were also used. The chair
was slightly reclined about 15 degrees to allow for more head
control. During mealtimes, Jenny moved her head from side to side
while her mother attempted, whenever possible, to get a spoonful of
food in her mouth. Jenny would accept some mouthfuls, but more
frequently closed her mouth or pushed the food back out with her
tongue. Her mother said she frequently held Jenny’s head still
with one hand while prying her mouth open with the other hand to get
a spoonful of food into her mouth. This made Jenny cry. The
consistency of Jenny’s food was soft ground, meaning there
were some lumps in it. It was apparent Jenny had no control over
when the food was presented to her.
Therapy
sessions began with finding a way for Jenny to tell her parents when
she was ready for the next bite. Foods were placed in the center of
the tray at mouth level for Jenny to first see and smell. As she
moved her head from side to side, Jenny began to brush her lips and
tongue against the spoon to taste the food being presented at the
center of the tray. Jenny had found a way to control when, what, and
how much she put in her mouth. In just a few weeks’ time, the
behaviors of closing her mouth and pushing the food out dramatically
decreased. Once Jenny was able to give signals that could be read by
her parents regarding when she wanted to eat, she began to make food
choices. Two different foods were presented at eye level, and Jenny
would look at the one she wanted. After 2 months of therapy, Jenny
began to accept more textures in her food. Now that the feeding
experience was more pleasant and she had some control, Jenny felt
safe and was calm enough to attempt more chewing.
2.
Utilize relevant resources to learn about a specific area of
occupational therapy practice. Refer to books, professional journals,
magazine articles, textbooks, web, and personal interviews.
3.
Answer the 4 questions below Prepare a written response to the following questions/prompts
1.
What interventions and treatment will you do for Jenny?
2.
Would you do additional studies and if so, what?
3.
Would you restrict or limit the type of food or fluid?
4.
How would you train the mother to feed Jenny?