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Level IIA Fieldwork: Pediatric School-based Occupational Therapy with Austill's Educational Rehabilitation Services
Level IIA Fieldwork: Pediatric School-based Occupational Therapy with Austill's Educational Rehabilitation Services
Population served:
Children aged 4-9 at Beaumont Elementary School (Devon, PA)
Diagnoses addressed:
Autism spectrum disorder, attention-deficit disorder, learning/intellectual disability, developmental disorder, obsessive-compulsive disorder, oppositional defiant disorder
Experience gained:
Evaluated and treated a caseload of elementary-aged students (Kindergarten -- 4th grade) presenting with various cognitive, psychosocial, and/or behavioral barriers to independent performance in school
Provided interventions to improve fine-motor skills, visual-motor skills, visual perceptual skills, primitive reflex integration, bilateral coordination skills, and sensory regulation skills needed for school tasks such as coloring, cutting, writing, typing, and classroom participation
Improved sensory regulation of students using interventions based on the Zones of Regulation curriculum
Taught Handwriting-Without-Tears lessons to 1st-grade classrooms and individual students
Contributed to the formation of student Individualized Education Plans and 504 Plans
Shadowed school physical therapist, middle school occupational therapist, and BCBAs (board certified behavioral specialists)
Assessments used:
Bruininks-Oseretsky Test of Motor Proficiency Second Edition
Beery-Buktenica Developmental Test of Visual-Motor Integration
Detailed Assessment of Speed of Handwriting
Sensory Profile 2
Examples of items I created to assist with interventions:
Sensory alphabets
Sensory alphabets
Container boards
Container boards
Pipe-cleaner pinch-and-pull
Pipe-cleaner pinch-and-pull
Grasping clothespins
Grasping clothespins
Level IIB Fieldwork: Acute Care Occupational Therapy at Paoli Hospital
Level IIB Fieldwork: Acute Care Occupational Therapy at Paoli Hospital
Population served:
Adults with a variety of acute health conditions impacting their independence with basic functional mobility and activities of daily living.
Diagnoses addressed:
Individuals in the post operative phase of spinal surgery, hip replacements, knee replacements, shoulder replacements, ankle replacements, amputations
Individuals in the early recovery phase of trauma, such as traumatic brain injuries, orthopedic fractures, gunshot wounds
Individuals admitted for stroke, transient ischemic attacks, or stroke-like symptoms
Individuals with exacerbations of cardiac and respiratory conditions (ex: chronic heart failure, COPD, myocardial infarction, coronary artery disease, emphysema)
Individuals admitted for oncology/chemotherapy-related conditions
Individuals with acute respiratory and/or GI infections (sepsis, influenza, RSV, COVID-19, c. difficile)
Other miscellaneous patient populations seen: patients in the post-operative phase of abominal surgeries and brain surgeries
Experience gained:
Evaluated and treated a daily caseload of patients within the acute care setting.
Worked for 8 weeks with the orthopedic patient population of the hospital .
Worked for 4 weeks with patients who were admitted for chronic conditions (cardiac, respiratory, and oncology-related conditions).
Intermittently evaluated/treated patients on the stroke/neuro floor and emergency department floor.
Became experienced in providing the following OT education to clients in the acute care setting: adaptive dressing equipment, adaptive toileting equipment, energy conservation, safe functional transfer techniques, spinal precautions, hip precautions, hemi/one-handed dressing techniques, proper wear of spinal and cervical braces, optimal home setup throughought recovery, and discharge planning.
Shadowed a variety of occupational therapists and physical therapists in addition to daily education from my clinical supervisor
Shadowed within the NICU, ICU, and PACU floors
Shadowed within the inpatient rehabilitation facility associated with Paoli Hospital (Bryn Mawr Rehab Hospital)
Assessments used/learned:
Functional Reach Test
9-hole peg test
Montreal Cognitive Assessment (MoCA)
Brief Interview of Mental Status (BIMS)
Rate of Percieved Exertion (RPE) scale
Informal screens of range of motion, muscle strength, cognition, coordination, stereognosis, proprioception, kinesthesia
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