Occupational Therapy

7 Oct 2013

AnonymousOT – love her blog

I was searching the Internet for something I had written about a child’s handwriting progress as I wanted to bring up the picture for his upcoming IEP meeting – essentially when we started together, it was some of the worst I had seen – I had all these papers with a single line or two on them with pencil, then red marker scribbles on the rest. Now the handwriting is so amazing.

Anyway, as I searched, I came across a mention of my name and it was in this post, 
Now that I link it, it sounds like maybe AnonymousOT was talking about burnout for us, but actually she was talking about the challenges of burnout in general and referenced several “OT superheroes”, I am proud to say I was included in her list. I’ve had a hard time reading blogs this summer between a lot of distraction in personal life AND, most importantly of all, the sad demise of Google Reader which is how I did all my blog perusals. 
ANYWAY, I wanted to share this post because I know many of us have struggled with these burn-out feelings, or will struggle, or currently struggle. I’m currently in a great place where I LOVE LOVE LOVE what I am doing with the kids and need to write more soon as well as make more videos, but I have definitely been in dark places OT-wise. Not so much literal burnout so much as feeling like I wasn’t doing as good of a job as I should be able to. But here’s the thing about burnout.
The question that is so important.
Is it really burnout of OCCUPATIONAL THERAPY or is it burn out from your JOB? Because I can’t fathom a day, even on its worst day, that I wasn’t absolutely passionately madly in love about the theoretical tenets of OT, even if I’m upset or seriously burnt out based on job issues, insurance issues, etc. How can anybody not love a job where we look at any person in any situation and figure out how to make their life easier?
I can honestly say I have not learned a single fact or theory in at least 7 years that I don’t immediately apply to OT in some way. Okay fine, I guess if I learn about chloropyll or something I’d struggle to make the leap unless I could go into “reaching for the sun” or something. But you get the point. Nothing I learn goes to waste if it has even the slightest, tiniest, seed, that could be used to further OT development. 
And everything I learn I then think of how I want to best share it with others, because learning to me is most valuable when others can learn too, reflect, grow new branches, share, critique, whatever. Help further AOTA’s Centennial Vision for occupational therapy. I take pictures of things all day every day I want to share. Unfortunately I run around so much I don’t always get to post most of them, considering if I posted as often as I would like to with new information/ideas, I would post forty thousand times a day with only the TEENIEST bit of exaggeration. 
I now tell my kids that my job is to make their lives easier. Of course go into more detail after that to clarify what that means (ie I’m not implying they will get to sit and eat bonbons all day because of a decree I make). But essentially, after years of still struggling to come up with an “elevator” definition that is fast yet all encompassing yet not too vague, I’ve found that “making lives easier” is the easiest way to get it across to my kids and even a lot of adults if I only have a second. I give a few examples of how it can apply from age zero to two hundred in any setting and what “occupation” refers to, etc, if I have time. But if I only have one second? We make lives easier. 
Maybe AOTA’s headquarters peeps are reading this (hi everyone) although probably their eyeballs declared revolt years ago since they’ve known for a long time I don’t know how to shut up. But anyway if they are, they may be banging their collective heads against a wall for perhaps using a definition they don’t fully agree with (???), but I like to think it’s the awesomest definition of all. It’s such a comforting idea – we look at the world in the way that allows us to make lives easier for anybody and everybody and then everyone wins, and then everybody ideally gets to “live life to its fullest” due to helping learn “skills for the job of living” due to wanting to make lives easier. Occupational therapists, woo woo. 
WIN WIN GUYS! WIN WIN!!! Sis boom bah rah rah rah 2 4 6 8 who do we appreciate…OT OT OT….flashback to my classmate Stephanie from OT school doing a cheerleader OT chant for us in our Miss OTPF video 🙂 Oh the memories. Speaking of memories, she just had her first baby. So many of my OT classmates are on their first, second, or even third or fourth??? babies. Mostly firsts and a few seconds. I feel so old. 
I’ve got to say I have no idea I went from searching for a kid’s handwriting to burn out to ending with a cheerleader flashback, but it’s why I’m good at improv… 😉
Category: Occupational Therapy | Comments: 2

7 Oct 2013

"Learning Out Loud"

I loved this article as it really speaks to what I appreciate and what I strive for – a constant transparency to a process from beginner to expert and all the problems along the way that have to be solved, as well as true curiosity about experiences for all, thinking outside the box, etc etc. 

Category: Occupational Therapy | Comments: none

3 Oct 2013

Resonating words for me and hopefully my OT kids

I’m trying extra extra hard this year to remember that LEADERS MAKE LEADERS, NOT FOLLOWERS. 

My goals for my kids this year that really resonate are to teach them the following vocabulary words in relation to our sessions together…I can use simpler words as necessary or just the concept, but to reinforce the ideas that each kid can think these things on varying levels of understanding – I only do elementary schools and most of my kids are K-4 as I have a high functioning caseload, so some of this is lofty, but I think awesome and helpful and possible to help think of themselves differently even at a very young age. 
“I AM EMPOWERED. I AM POWERFUL.”
“I CAN BE A SELF-ADVOCATE. IE, WHEN I KNOW I DO BETTER WITH A BINDER AS A SLANT BOARD AND A SHORT PENCIL, AND I GO INTO A CLASSROOM AND NOBODY OFFERS IT TO ME, I CAN ASK BECAUSE I KNOW IT MAKES MY LIFE EASIER.”
“I KNOW THAT LEARNING TO BE EFFICIENT AND ORGANIZED MAKES LIFE WAY EASIER” 
“THE MORE I LEARN HOW TO DO THINGS, THE MORE INDEPENDENT I CAN BE”
The key words: Empowered, Self-Advocate, Efficiency, Organization, Independence. My words of the year.
Some of the things I’ve done lately…have them come in, pull out their personal folders, sign in on special lined paper with full name and date, get out their reinforcing “dollar” and write their name on it and hand it to me as they may get it back at the end (after a few sessions they may earn enough for a few minutes of free choice, depending on the kid…), then for example…
1. Give them a bunch of scratch paper and have them follow my directions on labelling in a certain spot their initials and page numbers, ie 1-7 pages. Demonstrating how OOPS I FELL and throw everything into the air. Have them pick it back up and sequence it which will require some rotations and stacking. Surprisingly shockingly hard, you won’t even believe it. Most common issue is doing it backwards, ie 7 6 5 4 3 2 1 rather than 1 2 3…and then trouble with changing the sequence if so. 
2. Have them put things in sheet protectors and into a binder, in correct orientation…
3. Have them staple paper in the correct way and strategies to make it easier when it’s hard, such as pulling the stapler much closer to the edge of the surface closer to them, making sure its facing them with its teeth, and using both hands to push down hard on the stapler long enough to feel it really click…
4. Have them accidentally rip a piece of paper in half and then use tape to fix it. Focusing on strategies of where to hold the tape to most efficiently/easily/least frustratingly tear it off,  etc etc
5. Throw a bunch of stuff all over the table. A lot of stuff. A ton of papers and flat stuff all over, some pencils, a few pouches and random toys, etc. Ask them to take it all into another room. Then watching what ensues – wow. Some kids have a better intuitive grasp than others but all needed coaching on problem solving, knowing what goes on the bottom, etc. Then some need help understanding how to slide one hand underneath and clutching it to the chest for support while trying to open a door with their other hand, etc. Teaching problem solving, strategies, etc. 
In each case, we are working on functional classroom skills that they struggle with, ie rubber bands, hole punches, putting papers into folders, sorting, etc – to make their lives easier by showing them simple methods that give them a sense of power – wow, I can do this. I am powerful. I am a problem solver. I don’t need help. I am independent. Etc
Plus the more they can pay attention to learning versus slamming down a tape dispenser with frustration, the more we all win. 
These skills have almost immediate functional carry over into the classroom, especially with reinforcement and a follow up whole class-instruction on it, and ideally that child even teaching others the skills. 
I’m going to start doing a series of short videos I can send onto parents/teachers as sort of an informal RTI – maybe they already exist but I bet they aren’t quite what I have in mind. I need to go to bed now!! 
I’ve been taking amazing pictures lately of things my kids are doing (the picture in itself is not exceptional in its like, i dont know, high definition resolution, but the concept is cool)….now it’s just finding time to post about all these things. I’ve been in the process of moving so things are more hectic than even normal. But I’m happy. And have so much to share!!!
And by the way, my Pinterest has almost a 1,000 followers, 900 something……must throw a party when I hit that number. 

Use at your own risk! I haven’t tried a lot of what I post (unless of course the picture and description came from my blog, haha), just seems cool!
Okay BEDTIME FOR REALS THIS TIME. I don’t think I have EVER managed to stop writing right after I say that. 
Category: Occupational Therapy | Comments: 1

3 Oct 2013

Blowing gum bubbles and teaching how to do a ponytail, OT style

I work in elementary schools and obviously we work on functional classroom based tasks. But sometimes, for example, I’m asking a little girl to show me how to wrap a rubber band around a pile of popsicle sticks the way they sometimes do in class, working on basic functional utensils exposure, etc. I volunteer the information it’s like doing a ponytail. She says she doesn’t know how (and is way old enough to be capable). I promptly ripped the ponytail holder out of my hair to have her watch me slowly and carefully go through the steps, then helped her. We had just done a lot of challenging work writing and focusing, so our “break” was still OT but in a more personal way, ie not something that ends up in an IEP goal. 

Same with bubbles – it may be a small break for a kid who never quite has self-awareness of their challenges, but has just volunteered they wish they knew how to blow bubbles. (Sometimes because I let my kids chew gum to help concentrate and I join them and absent-mindedly blow a bubble!) As soon as a kid can volunteer a wish for something they’d like to do, I want to reinforce it and help empower them and understand how our job is to make their lives easier/higher quality. So then our short break can consist of bubble tips for a few sessions or something.  What a great way to work on sequencing, motor planning, following directions, oral motor skills, etc, while the child thinks they are on “break”. 🙂 I love using breaks as a way to do more OT. AHAHAHAA
Category: Occupational Therapy | Comments: none

1 Oct 2013

Even hula hooping becomes occupational therapy :)

Tonight I was trying to help a friend/new hooper how to do the “snake” like moves where you hula hoop on your chest. She was struggling and as I watched to analyze the task and break down where the issue was, I realized that it was due to her stiffness in that she struggled with scapular retraction, bringing her scapulas together in the back – she tended to subtly compensate by leaning slightly backwards so it took a while to figure out. I put my hands solidly on her hips to isolate and began to work with her on isolating her upper body and circling with emphasis on scapular retraction- but she needed more assistance than I could provide with two hands, so I enlisted her husband. He took over solidly holding her hips for me and I took over guiding the circular movements and using my hand to help encourage her scapular retraction when the movement called for it.

After a few minutes of his hip holding and my scapular facilitation, we faded to me holding her hips and her doing the circular motions with occasional verbal cues. Then I held her hips less tightly and ultimately not at all, then gave her feedback solely verbally and had her watch herself sideways in the mirror, etc. I also showed her husband how to assist her/know what to look for, since she is super motivated to learn hooping and he is super motivated to help her! 😉
This, to me, is a perfect example of how OT works – breaking down a task into small pieces to find out where an issue is arising, then pinpointing it and how to potentially fix it, work on fix, fade away assistance, and reinforce using internal/external forces, ie mirror, motivation, husband, etc. And not just the breaking down of a task, but a task that is really meaningful and “occupying”. Of course this was a friend, but the same applies to all OT!
I know I’ve been quiet lately – I am in the process of moving and it’s a lot of work. Also, because of the death of Google Reader, I’ve stopped reading blogs because I imported to Feedly and do not have the patience, time, energy, whatever, to figure it out…so I feel guilty about not reading others – and I think it makes commenting/interacting much harder as I feel like I’ve lost all my blog communities with the shift. 🙁 Anybody have one they like??
Category: Occupational Therapy | Comments: 2

30 Sep 2013

OT Kids say the Best Things….

A little boy with a significant speech impediment corrected my speech today during our occupational therapy session. I told him to pass me a crayon which I have always said “crown” and never even realized was incorrect or that people might be confused. He looked at me and condescendingly said “It is CRAYon not CROWN”. He can’t say his R’s though, so it was “CWAYON not CWOWN.” Yep.

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I was walking up to our room with my two OT kids. The girl volunteered to me that she was Irish and German. The little boy piped up “I’m Irish because I like to dance like this,” and with a serious face, started bouncing up and down with his legs in a jig while his arms stayed by his side. Very Lord of the Dance. Loved it.
Love these stories…my kids make me laugh and teach me new things every day!
Category: laughs, Occupational Therapy | Comments: none

27 Sep 2013

OT kids say the awesomest things

One of my moms told me this story about our little OT boy. She was talking to her son about me and she referenced me as Miss Awesome. He (who is also in speech therapy) said indignantly to her, “It’s Miss AwesomeNESS, Mom. She’s a girl!”

 

Category: laughs, Occupational Therapy | Comments: none

27 Sep 2013

Antonyms, Ants, Aunts: How awesome our OT kids can be

A little boy (the same one who witheringly corrected my pronunciation of “crayons” while having his own “R” speech impediment) and an aide and I were working together on a worksheet as a form of us learning from each other – I needed to see the kinds of things they work on, and the aide needed to see ways to work with him from an OT standpoint.

The worksheet said “An aunt crawled up my arm” and the boy needed to figure out what was wrong.
Us, hinting: “There are two kinds of aunts…” (we pronounce both like the bug here!)
Him: Red and black?
Us: Yes, that’s true….how about one is a name starting with ant….
Him: Antonym???
The aide and I looked at each other and laughed. He was right each time. Finally we got into the description, but awesome the way his brain versus ours was working – such an insight into how all our brains perceive things so differently.
Category: laughs, Occupational Therapy | Comments: none

21 Sep 2013

Sweet moments even in frustrating therapy sessions…

Recently I had a 2nd grade boy who was reaching the limits of his and our patience at the end of a day. The speech therapist and I were checking in with him. 

He was stamping and the speech therapist asked him “Which stamp do you think is my favorite?’ He promptly handed her a butterfly. 
She asked him, “How did you guess it was my favorite?” He often has trouble expressing himself and using his words, but his answer was immediate: 
“Because it is beautiful.” 

Category: Occupational Therapy | Comments: none

19 Sep 2013

What’s the Magic Word? OT Kids Say Awesome Things :)

 
Being an OT can be so funny/fun sometimes. I’ve really been amused lately by the “magic word” answers I’ve been getting….I think I’m going to ask all my kids and write down their answers. Most know the answer is “please”, but the ones that don’t always crack me up.
 
Story 1, School Occupational Therapist and student. 

Young child, ie 6ish: Open this for me?

Me: What’s the magic word?
Child (tentatively): iPad?
Story 2: 

Young child, ie 5ish: Open this for me?

Me: What’s the magic word?
Child: Open?
Me: Not qui—-
Child: Open sesame?
Category: laughs, Occupational Therapy | Comments: none