While these assignments were not specifically giving back to the community, they were very fun and helped me gain a greater appreciation for the every day plight of our clients.
Reflection:
Athena and I had the goggles that simulated diabetic retinopathy. These severely limited visual acuity and contrast perception. This experience definitely taught me the importance of contrasting colors for people with visual impairments. Some areas were easier to navigate than others. For instance, the soft lighting in the hallways made other people at least perceptible as "blobs," but the harsh, forward-facing lighting in the library and atrium made it nearly impossible to distinguish between objects. I was shocked at my inability to read anything. I thought that if I held the paper close enough to my face I might be able to make out some letters, or at least distinguish between words, but the entire page was just a blur of black and white.
Working as Athena's distance guide was easier than I thought it would be. I was terrified of her running into something or someone, but we managed to accomplish the scavenger hunt safely. Honestly the hardest part for me was having the patience to walk slowly. Obviously, someone with a visual impairment is going to proceed cautiously throughout their environment, but I was surprised that I had to constantly remind myself to slow down and be patient with the pace. The hardest part was definitely guiding Athena through typing an email. With the goggles, it was impossible to see the cursor, and even my finger was hard to distinguish. I ended up having to give directions like "move the mouse really slowly to the right" then "just a tiny bit up." It took a while to say the least. If I could do it over I would give more constant directions and try to count steps/paces beforehand to give more precise directions
Reflection:
For this cooking experience I only had the use of my left arm, which is my non-dominant arm. This is the reality for a lot of potential clients who have had CVAs, amputations, or really limited ROM from arthritis or other impairments. One of my neighbors is recovering from a stroke and cannot currently move her arm. I wanted to experience a small sliver of what her life is like through this exercise.
Cooking with one arm wasn't quite as difficult as I thought it would be, but I think that's because I used a compensatory strategy of only choosing to cook something that seemed doable with one arm while avoiding the foods that seemed too difficult to pull off. Then, of course, I felt guilty for robbing myself of the opportunity to gain more empathy for future clients through my avoidance, so I chose to choose harder cleaning tasks. Talynn and I tag-teamed washing and drying dishes with each of us only using one arm.
Doing this made me wonder how somebody with this impairment would functionally do the dishes and wash their hand. I tried washing the bacon grease off my hand but failed. It also reminded me of the importance of energy conservation, particularly planning, posture, and permission. I could easily imagine traveling back and forth from the fridge to the stove to the pantry to the cabinets getting old very quickly. Planning out all the ingredients, materials, and steps of the task would have made it much easier. I also realized how important it would be to stand/sit up straight so as to avoid overcompensating and tiring out the muscles on the unaffected side.
If I were setting up a treatment session for a client with only the use of one hand, I would pull out the dycem mats and peg cutting boards and educate/demonstrate to the client how to use them. I would also show them where the built up utensils are if their unaffected arm is their non-dominant arm. I found the built-up utensils made eating easier with my left hand. I would teach them about energy conservation, especially giving themselves permission to take longer than they used to in the kitchen. Lastly, I would get out the vacuum so the client wouldn't stress about making messes and having to try to sweep one-handed.
In sum, the experience was difficult but not impossible. I realized how easy it is to "cheat" through avoidance of difficult things. Energy conservation would make cooking with one arm much easier and would encourage someone with this impairment to not avoid. The OT kitchen is amazing with all of the adapted equipment it has, and if I were planning an intervention with a client, I would use the equipment to its fullest. This helped me understand what potential clients are going through and increased my empathy greatly
Reflection:
1. Before this class, I never really thought to put the concept of cognitive levels into numerical categories. I have worked with individuals with intellectual disabilities for a long time, and I understood that there were varying degrees of cognition, but it is nice to have an actual screen for cognition and understand not just the various levels but also the functional implications of those levels.
2. Understanding cognitive levels as an OTA helps us better understand our clients' functional capabilities. Knowing their cognitive level before we begin interventions can save us a lot of trial and error, or else we might try something far too advanced or underwhelming for a client.
3. Understanding cognition is especially important when we have clients who have dementia, TBIs, or intellectual disabilities. We want to treat each of our clients in a way that they will understand and help them adapt ADLs and IADLs appropriately as well.
4. I got to work with 3 different individuals at Ability IS. The first client was so sweet and so proud of her ability to put the lace through the holes, even though she was skipping holes and looping the lace around the whole board. I determined her ACL to be 3.2. I was blown away by the next client. When I asked if he wanted to sit down, he just smiled and nodded and walked over. Not once did he speak a single word. I wasn't sure if he even understood what I was saying because he only ever smiled and nodded. However, he was able to accomplish all the stitches. He needed two demonstrations before completing the cordovan stitch and was again so proud of his work. I scored him as a 5.6.
5. With the second client I worked with, my visual judgment of his cognition was completely wrong. Had I not performed an ACL screen with him, I would have underestimated his cognitive and functional capabilities by a landslide. Screening helps us understand our clients better and I have a greater appreciation for ACLs after this.
6. Having planned and carried out a specific ACL screening, I now better understand the challenges involved. I didn't foresee the challenges of going "off script" when clients got sidetracked or couldn't speak or flat-out rejected my presence. In the future, I would want to familiarize myself with the script more, especially when to offer praise and when to let them struggle via trial and error. This experience helped me learn the importance of planning but also of being adaptable. It also helped me recognize that the types of feedback we give differ based on the client
We drove out the National Ability Center in Park City to learn about how they adapt various recreatoinal activities to meet the needs of all individuals with disabilites. Their moto is "all ages, all abilities." We got to try out their different types of adaptive bikes. Pictured is me riding the hand-operated, recumbent mountain tricycle.
For this assignment, we worked in partnerships to design a sensory-based intervention for a real child. Our group worked with my upstairs neighbor's daughter, a four year old. It was really fun to see her smile and want to engage in the sensory activities we had planned.
Andrew Bracken, OTR/L guest lectured and taught us how to fabricate both a forearm thumb spica and an ulnar gutter splint for pediatric clients. Real children came in for us to practice on. It was a really neat experience!
Each of us designed an aquatic therapy intervention based on a sepcific population. I designed mine around people recovering from recent strokes.
I worked with EJ, a classmate, to research all about a common pediatric condition. We were assigned to research Duchenne Muscular Dystrophy. This is the presentation we gave.