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Course Description
The course helps students develop a familiarity with wheelchair usage and various types of adaptive equipment/appliances; use of an industrial sewing machine to fabricate patient supplies/splints; role-playing and teaching strategies, techniques for treatment in activities of daily living and instrumental activities of daily living; functional transfers, and cognitive assessment.
Allen Cognitive Levels At the Work Activity Center
Allen Cognitive Levels At the Work Activity Center
My understanding of cognitive levels has changed as the way we keep practicing on real clients, I have learned that is more like things that the client is able to do. I think it is important to understand cognitive levels as an occupational therapist because it gives us a general idea of how much assistance the client needs. All the time, I think it is important to understand cognition levels in the way that it will help to create the "right challenge" for the client. At the Work Activity Center, I was able to use the ACL to screen a client with paralysis. It was a great experience because he wasn't able to use his hands, it makes think harder on how I was going to assess him, and it was most of verbal cueing. By not being able to use his hands that wasn't a barrier for him, I help him by placing the shoelace through the holes and then placing in between his fingers and moving the ACL towards me, making in if he was pulling the shoelace, every time he completes one, he got so excited, and I kept motivating him. He was able to get through the three stitches even if I was helping him, he said " I really enjoy this" that make me feel great, that was a sign that I was doing a great job guiding a client. However, because he was able to pull the shoelace and being able to see the holes and tried all the stiches, I did grade him as a 2.0. Using the ACL in a community setting was helpful with my understanding because it was a hands-on activity better than just watching someone doing it. Also, it helped me on how to run an ACL for a real client. Performing this activity in a group session allowed me to pay more attention to the client without worrying about taking notes. Something I would done differently is stop worrying about saying exactly what was on the book and making in more fun for the client.
Reflection
For this assignment I had the opportunity to go to the Work Activity Center with people with disabilities. I had a wonderful experience; I was able to screen a client using the ACL. By doing this assignment helped me to have a better understanding of the ACL by practicing and grading on a real client than just practicing with my own classmates. This assignment helped me to meet course learning outcomes. One of the learning outcomes is to have the ability to instruct the client on how to do the stiches. I decided to do one stich first and then let the client do the other ones. Another learning outcome is to have the ability to communicate with clients. I notice that by having clear communication and using understandable language the client was able to perform the activity. And by giving him motivational feedback it makes him like the activity and continue to do the three distinct types of stiches. Also, identifying strategies on how to collaborate with a client is a main point of the ACL screening. For example, my client was not able to use his hands, so I found a strategy by placing the shoelace between his fingers then he was able to pull the shoelace through the holes and was able to do the three types of stitches. This assignment would help me with my personal growth and clinical significance because it helped to develop my communication skills because explaining this activity was crucial for the client to be able to perform this activity.
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