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Olive the OSA and The OT

Using the OSA in Adult MH
by

Peter Varey

on 20 June 2013

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Transcript of Olive the OSA and The OT

Olive
Occupational Self Assessment (OSA)
Lets Look at this another way

60 Year Old lady
lives with daughter - she does ADL's
Husband died 20 years ago
socially isolated
feels people staring in public
prefers to stay in bedroom where she sees husband
Previously very active
raised children Independently
Well orientated
Introduction
Peer review presentation on a client

Consent and ethics
Introduce Olive
Occupational Self Assessment (OSA)
Occupational Performance Areas
Interventions
Group Discussion
Questions
Olive The OSA and the OT
By Peter Varey
Wednesday 12.10.2011
Self-Care
Productivity
Leisure
Thanks
Everyone!

Consent and Ethics
Pseudonym provided
location etc. ommitted
Olive consented
Daughter prepares food
Doesn't change her clothes regularly
Doesn't leave the house (no exercise)
washing up
cleaning
Reduced motivation
Reduced Socialisation
Loss of Purpose/meaning
Loss of roles
Reduced apetite
c/o dizziness
Pre-occupation - ? bereavement
? memory problems
Effects of Depression
shopping
housework
gardening
laundry
?
Then
Now
Gardening
Meeting Friends
shopping in town
Walking
Then
Now
?
Interventions
Vast scope for future OT interventions:
control of life
role deprivation
socialisation
Self Care
Gardening
Occupational Performance Areas
This morning we'd like to explain what we've been doing and hopefully you can help too.
my name is Olive and over the last few weeks i've been working with Peter.
Hi,
Change clothes regularly
Graded Approach to Socialisation
Home maintenance
Referral for counselling
What other strategies/interventions could i employ?

How would you have done it differently?

Have you had similar experiences?
What i have learned?
Discussion
Fear of detention
Difficult to engage with staff
No previous MH admissions
Drinks occasionally
Found wandering outside in underwear shouting out
CT scan found no evidence of dementia
Depression diagnosis
? pseudo dementia
Full transcript