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Claire Ot

on 30 June 2013

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Transcript of #promOT


Like a River: My Journey

@ClaireOT 27/06/13
Meeting Michael Iwama at #COT2013
...got to use Kawa for my presentation, now! ;-)
My river begins...childhood
making things
I am...
I love...
I do...
write letters by hand
use the landline to make calls
have no computer
seperations & adjustment
Grandma emigrates, parents overseas
Boarding school
Seeing them infrequently
Communicating on phone and by writing letters
Computer lessons are *boring*
Young adult...
attend university
Southern Africa
First household computer: used to send email to family and friends
Job: Information Manager for Save the Children Fund (UK)
Riders for Health: health outcomes can depend on access to care
Computer use restricted to looking up paper references.
restricting activities
Lack of support
lack of motivation
change in life direction
Big experience:
being caught up in Bree Street Bombing
PTSD symptoms:
poor sleep
Mental health crisis
Occupational Therapist

learning about Claire's world, support, skills, expectations

What's most important for Claire to achieve?

How far off is Claire from where she wants to be?

Supporting Claire to achieve goals we set together

Claire has a balanced life with meaningful occupations!
KAWA Model:
OT intervention in MH Crisis
Community development
"The Great WorK"
Art and Craft Shop

Claire Jones
Complementary Therapies
Body Art
My clients want me to coach them:
I don't feel qualified
I'm ready for a new challenge
I'm no longer sufficiently challenged in my roles
Why not become an
I'm pregnant!
Communication has changed
Content on Blackboard
Submit via Turnitin
Check library catalogue online
Check online search libraries for relevant content
Social life:
Everyone uses Facebook
We all text each other
Communicating with teachers:
We all comfortably use email
“Occupational deprivation is...a state in which a person ...(is) unable to do what is necessary and meaningful in their lives due to external restrictions.

It is a state in which the opportunity to perform those occupations that have social, cultural and personal relevance is rendered difficult if not impossible.”

(Whiteford, 2000)

Occupational disruption

“Volition, habituation and performance capacity are maintained and changed through what one does and what one thinks and feels about doing” p.27

“A shift in volition, habituation, performance capacity or the environment can alter the overall dynamics, leading to the emergence of something new” p.28

Keilhofner, G. (2008) Model of Human Occupation, 4th ed.

My blog: OTonwheels.wordpress.com

Thank you for joining me!

Successful elective c-section

Celebration shared through Social Media- #clairesbaby is born!

Baby develops anaemia within first few hours of birth- soon becomes critically ill

#clairesbaby is born!

Side lying with knees gripping pillow is most comfortable position

It is surprisingly difficult to do things in this position!

Started to use painkillers and mindfulness to deal with pain

I didn’t miss my daughter’s Nativity- first Family outing!

Starting to accept my situation- assessing how I lived my life before and after disability

It’s not all bad, though!

Bathing baby in hospital breastfeeding room- partner needed to carry filled bath to table in order for me to participate in bathing

Looking after baby from my bed- all dressing, nappy changing and feeding done in the same way.

Where is the Pubic Symphasis?

Still in pain, but healing from the birth now
Still find side lying to be best relief from pain

Occupational Adjustment:
Recovering from the birth
#clairesbaby Tweets became huge source of support

#clairesbaby needs Phototherapy

Looking after baby from my bed- all dressing, nappy changing and feeding done in the same way.

Occupational Adjustment:
Adapting to parenthood with reduced mobility on the antenatal ward.

Bathing baby from my wheelchair
Looking after baby from my bed- all dressing, nappy changing and feeding done in the same way.

Growing Together
Sharepoint site on intranet
FlickR Group Photos
Facebook Page
Pregnant with #2
Occupational Deprivation
Online support networks become invaluable
Couldn’t get out to meet friends
Couldn’t get to school
Housebound, only going out for medical appts
What am I going to do for work?
Life in hospital

Start writing OTonWheels blog

OT24Vx 2011:
Global broadcast about becoming a disabled woman

Approached to present at 24OTVx 2011
@ClaireOT on Twitter, LinkedIn, Facebook
Learning through play!!
Trust Involvement Award 2009
"Growing Together"
Job: Acute Mental Health

Verbal Communications:

Written Communications:


Start my OTonWheel Blog

Lack of support
Keeping track of mental health
Communicating with family and friends
Finding some meaningful activity from limited choices
Technology enables me, and other disabled people, to keep in touch.
It offers me access to specialist advice, expertise to help me mange my health and care.

If I can't do my old job, could I use some of these skills to create a new job?
Could I use my OT skills to enable performance in the virtual world, even if I cant in the physical world?
Life flow: meaningful occupations competently performed
River sides: social and family supports, both created and reinforced through social networking
Prioritising specific issues: how to find reliable health information. Where to read other patients' views of services.
Intervention: practicing, playing and learning new skills. Exploring what boundaries are in social media.
KAWA of social media
Identify skills and experiences, the social milleau, cultural context of the choice
Did you grow up before computers?

Do you remember having a single land line into your home?
What daily verbal, written and e-communications do you do at work?
Talking and note taking at MDT, Ward Rounds, CPA meetings, Tribunals, with service users, carers and staff
OT Reports, Care Plans, FACE Risks, Business cases for new projects
Designing flyers and posters for groups
Developing WRAP Booklets
Co-writing DBT-Lite mnual
PARIS record keeping
emailing colleagues
ning network for peer support
Exercise: KAWA
Digital Skills Assessment
KAWA Model
Community development
Asset-based approaches
Wisdom of Crowds
Patient Voice
Its not about the tech, its about communities!
Guidance and Support
HCPC Guidelines
"we do not have any concerns about you using these sites, so long as you do so within the standards that we set"
best interests of service users
respect confidentiality
high standard of professional conduct
honesty and integrity
#OTalk and #Occhat communities
OT4OT Facebook Groups
Digital Training
Social Media Surgeries
Digital Health Conference and Hack, Leeds 2012
online peer support
recovery resources
personalised WRAP resources
Samaritans training in emotional resilience
OT Ax for vocational rehabilitation
#OTalk and #Occhat
Tuesday 8-9pm GMT/BST
Supportive online community for Occupational Therapists and people interested in occupation
Find us onine!
Twitter @OTalk_Occhat
Facebook Page
And we're on Pinterest, too!
Francis Report
The parable of the Blobs and Squares
Casson Memorial Lecture
Elaine Hunter @ElaineAHPMH
Following is a
leadership behaviour
Many, connections ensures sufficient knowledge within network
Weak ties ensure ability to curate many contacts
Network should be large, diverse, held with weak ties.
Leadership for Informed Practice
(DoH Clinical Division) led by Anne Cooper (@anniecoops) and Susan Hamer
HANDIhealth network:
tech entrepreneurs and developers network (@HANDIhealth) or see Sarah Amani!
EHI CCIO campaign:
Working to support current and aspiring clinical informatics leaders
Connectivism theory (talking about networks)
Iwama, Michael (2006) Culturally appropriate occupational therapy
[available at http://www.lavoisier.fr/livre/notice.asp?ouvrage=1327414]
Full transcript