Therapeutic Agent – Have You Got It ?

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

Therapeutic Agent – Have You Got It ?

By Anna Nicholls

Occupational Therapist / Ergonomist

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

Introduction

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

Practice Scholars Network

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

By Dunton 1919• Occupation is as necessary to life as

food and drink.• Every human being should have both

physical and mental occupation• All should have occupations which

they enjoy, or hobbies• Sick minds, sick bodies and sick souls

may be healed through occupation

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

Foundation of Occupational Therapy

• Foundations of Occupational Therapy – “Human is an occupational being for whom occupation is a basic need”

• Extending this, anything reducing a humans ability to engage in occupation has the potential to negatively affect the health and well being of the individual even to generate pathology

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

Core of the Model

•Knowing What•Knowing How•Therapeutic Agent

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

Knowing What ?Foundation Sciences• Anatomy• Physiology• Social Theories• Occupational therapy theories• Systems• Legal requirements• Research

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

Knowing How ?• How to do a shower assessment• How to do a home visit• How to do a FCA• How do you measure a patient for a

wheelchair• How to teach manual handling skills• How to do a worksite assessment

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

Therapeutic Agent• Clinical and professional reasoning for

each situation• Targeted and individual problem solving• More effective personal skills and

competencies• Useful professional power for individuals

advocate for people, for systems to change

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

Therapeutic Use of Self

• The term “Therapeutic use of self” – it is defined as:

• “The therapists conscious efforts to optimize their interaction with clients. It is the planned use of his or her personality, insights, perceptions and judgements as part of the therapeutic process. “

• (Taylor, Lee, Kielhofner, Kelkar (2009) Therapeutic use of self: A nationwide survey of practitioners’ attitudes and experiences. AMOT 63: 198-207.

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

re

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

Injury ManagementAdjusting the JCU Model to Injury Management Model

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

Knowing What

• Health professionals• Legal professionals• Discrimination law• Legislation

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

Knowing How• How to write suitable duties programs• How to communicate with doctors• How to monitor an injured worker• How to complete the claim application• How to manage the cost of claims for a

company• How to manage claims

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

Therapeutic Agents• Therapeutic Use of Self• Good communicator• Very patient• Empathetic• But still goal and outcome focused• Persistent

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

Non – Therapeutic Agents

• Burn out is common• Time limited • The wrong people doing the job• Qualified professionals are not immune to this• Collect data • Measure outcomes• Could a better outcome have been achieved

with a different person involved in the case

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

Are you a Therapeutic Agent

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

So Back to our model

• Knowing what• Knowing how• Therapeutic agents• Do you have all of these in place –

are they the best for the job and giving you a holistic view to best support the person

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

re

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

Acknowledgements

• Yvonne Thomas at the OT Department, James Cook University

• Practice Scholars Network – all the therapists and academics involved

• Staff at NQTS• My patients and customers over many years

who have facilitated my learning• And Bill Neven

©2013 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 2013

©2010 North Queensland Therapy Services Pty Ltd. Not to be copied or reproduced without consent. 201

The End

Thank You……..

…………………any questions?