Friday, September 14, 2012

Child amelioration Issues, Parenting and Occupational Therapy

No.1 Article of What Is Pre Occupational Therapy

Occupational therapy is one of those professions where the job report is hard to define. If you ask some habitancy what it is, a typical rejoinder would be that an occupational therapist is person who helps you get a job. Other base response is that O.T's help treat fine motor issues. Very few habitancy well understand the nature of occupational therapy.

The profession well began when Eleanor Clark Slagel, a communal worker, began treating patients who were veterans of World War I. We would say today that they had post traumatic stress disorder. Ms. Slagel found that if you kept the outpatient engaged in meaningful activity, their reasoning condition improved. Their minds were kept occupied in this manner. Activities such as basket weaving, leather lacing and lamp manufacture were introduced. Thus we have the blurring over fine motor skills. It was not the skill per se she was working on, but a way of eliciting best reasoning health. Today the goal of occupational therapy is to optimize the patient's activities of daily living (Adl's). This necessitates working with patients with reasoning condition problems, patients with physical disabilities, and patients with sensory processing problems. A baby or child's job is to play, and go to school, as well as to socialize. Anyone qoute might affect those issues is the domain of the occupational therapist. An adult needs to manage their personal life as well as perform on the job. If Anyone impairs these abilities, it is also the domain of an occupational therapist.

What Is Pre Occupational Therapy

O.T. Study programs are divided into reasoning condition and physical disabilities. The reasoning condition curriculum includes information about all diagnoses covered by the Dsm Iv (Diagnostic and Statistical Manual). Classes include information about medications and their side effects, and about which medications benefit which condition. The physical disabilities Study curriculum includes anatomy (dissecting a cadaver), physiology, neurology, kinesiology, spinal cord injury and cognitive dysfunction. Many courses are taught by physicians. Once class studies have ended, the therapist needs to do an internship in both reasoning condition and physical disabilities settings. Employment depends on passing a certification exam.

Child amelioration Issues, Parenting and Occupational Therapy

What all this means is that the occupational therapist is highly trained in many areas. Because O.T. Is so broad based, it might seem a wee confusing to habitancy not in the healing field. The best way to understand the scope of occupational therapy is to understand how problems can impact activities of daily living. For example, if you injure your arm, how does that affect your Adl's? Well, if you can't put on or take off your clothes, or can't brush your hair, or can't get ready food, it is a qoute that needs to be treated by an O.T. The therapist's job would be to rehabilitate the arm via exercise, and to retrain the muscles so that Adl skills can be restored to the pre-injured level.

So this is a long introduction to the real topic, which is about parenting a child who needs O.T. Services. Over the years I have had the chance to treat very rare conditions and severely complex babies and children. I have probably treated hundreds of patients. What I found is that often times one of the biggest issues in the success of the therapy was in the behavior of the parent. For many years, I worked with a Pt who was very good. We shared a case with a very complex baby who had Acc (agenesis of the corpus collosum). The disorder essentially meant that brain function was impaired. She also had myelination problems, which meant that her muscles were very weak. From day one the Pt and I had a pretty good idea of what was wrong with this child. And for over a year, the mom insisted that the doctors said she was going to be okay. One day, while I was in the bathroom, I saw a healing report that had been forgotten on the sink. Of course it described in detail the lawful analysis - which is exactly what we had opinion all along. Whether the mom didn't think we could frame out ourselves what was wrong, or she was in denial, but her refusal to discuss openly what was wrong affected the therapy sessions. We couldn't treat her daughter as aggressively as we opinion she needed, because the mom refused to admit Anyone was seriously wrong. Every time we broached the subject, the mom dismissed the conversation.

Conversely, I have had cases where the child had no marked issues and the parent was "over-treating". The mom would insist that there was something seriously wrong with her child, and she would spend time and money visiting doctors and specialists in an exertion to validate her beliefs. All the attention and healing intervention made the child nervous and high strung, which added to the mom's convictions.

Having a child with a problem, albeit large or small, can bring out a lot of personal issues with a parent. House dynamics and unresolved emotional issues are entwined with the child's condition. If a parent is in denial, the child doesn't get acceptable treatment. If the parent "needs" to make the qoute bigger than it is, such as the case in Munchausen by proxy, then the child is at risk as well. This is a condition whereby a parent well makes their child sick in order to gain attention from the healing society and others. Parents whose attitudes are "what did I do to deserve this" can manifest in oppositional behaviors from a child who otherwise might be "normal". Moms or Dads who get frustrated or angry with their child because of their child's physical or emotional problems only serve to exacerbate the problems. Labeling a child who is not Adhd, but has hyperactive and inattention symptoms, into the Adhd category can stigmatize the child and cause self-esteem issues.

The overarching point I am trying to make is that an occupational therapist's training is adequate for them to sift through all the extraneous issues and identify the true nature of any child improvement problem. I have never treated based on verbal report by family. I will listen to what they say, and discover the House interactions with the patient, but my medicine is solely based on symptoms and clinical observation. If there has been a conclusive analysis by a specialist based on quantitative information, rather than qualitative, I will use that as well to guide treatment. But I have learned that parents can be too emotionally tied in to be able to give correct advice. I listen to their concerns, and I empathize with their situation, but my accountability is to my patient, and to administer acceptable care. My Study gave me the tools that I need to be confident in my treatment.

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