OT Practice November 12 Issue

reg

for Seating and Positioning

Tiers3A Model for Acute Rehab Settings

AOTA T H E A M E R I C A N O C C U P A T I O N A L T H E R A P Y A S S O C I A T I O N

NOVEMBER 12 2012

PLUSOT on Display at MuseumsOT Leadership PhilosophyFieldwork IssuesNews Capital Briefing amp More

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P-6205

1

AOTA bull THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATIONV O L U M E 1 7 bull I S S U E 2 0 bull N O V E M B E R 1 2 2 0 1 2

FEATURES

Three Tiers for 8 Seating and PositioningA Model for Acute Rehabilitation SettingsNettie Capasso and Elizabeth Kloczko describe a three-tiered model for providing seating and positioning during the acute phase of the rehabilitation process

Occupational Therapy 13 on Display at Museums Andrew Waite reports on how occupational therapy practitioners are using their skills to facilitate more meaningful interactions in childrenrsquos exhibits in museums around the country

DEPARTMENTSNews 3

Capital Briefing 7QAPI Is Coming to Nursing Homes Occupational Therapyrsquos Role

Fieldwork Issues 18Benefits for Fieldwork Educators in Working With Students

Careers 19Defining Reality The Importance of Articulating a Leadership Philosophy

Calendar 21Continuing Education Opportunities

Employment Opportunities 26

Research Update 33Trauma Patientsrsquo Outcomes Constraint- Induced Therapy With Trunk Restraint and Handwriting Programrsquos Effectiveness

OT PRACTICE bull NOVEMBER 12 2012

bull Discuss OT Practice articles at wwwOTConnectionsorg in the OT Practice Magazine Public Forumbull Send e-mail regarding editorial content to otpracticeaotaorg bull Go to wwwaotaorgotpractice to read OT Practice online bull Visit our Web site at wwwaotaorg for contributor guidelines and additional news and information

OT Practice serves as a comprehensive source for practical information to help occupational therapists and occupational therapy assistants to succeed professionally OT Practice encourages a dialogue among members on professional concerns and views The opinions and positions expressed by contributors are their own and not necessarily those of OT Practicersquos editors or AOTA

Advertising is accepted on the basis of conformity with AOTA standards AOTA is not responsible for statements made by advertisers nor does acceptance of advertising imply endorsement official attitude or position of OT Practicersquos editors Advisory Board or The American Occupational Therapy Association Inc For inquiries contact the advertising department at 800-877-1383 ext 2715

Changes of address need to be reported to AOTA at least 6 weeks in advance Members and subscribers should notify the Membership department Copies not delivered because of address changes will not be replaced Replacements for copies that were damaged in the mail must be requested within 2 months of the date of issue for domestic subscribers and within 4 months of the date of issue for foreign subscribers Send notice of address change to AOTA 4720 Montgomery Lane Suite 200 Bethesda MD 20814-3449 e-mail to membersaotaorg or make the change at our Web site at wwwaotaorg

Back issues are available prepaid from AOTArsquos Membership department for $16 each for AOTA members and $2475 each for nonmembers (US and Canada) while supplies last

Chief Operating Officer Christopher Bluhm

Director of Communications Laura Collins

Director of Marketing Beth Ledford

Editor Ted McKenna

Associate Editor Andrew Waite

CE Articles Editor Maria Elena E Louch

Art Director Carol Strauch

Production Manager Sarah Ely

Director of Sales amp Corporate Relations Jeffrey A Casper

Sales Manager Tracy Hammond

Advertising Assistant Clark Collins

Ad inquiries 800-877-1383 ext 2715 or e-mail salesaotaorg

OT Practice External Advisory Board

Donna Costa Chairperson Education Special Interest Section

Michael J Gerg Chairperson Work amp Industry Special Interest Section

Dottie Handley-More Chairperson Early Intervention amp School Special Interest Section

Kim Hartmann Chairperson Special Interest Sections Council

Gavin Jenkins Chairperson Technology Special Interest Section

Tracy Lynn Jirikowic Chairperson Developmental Disabilities Special Interest Section

Sharon Kurfuerst Interim Chairperson Admin-istration amp Management Special Interest Section

Teresa A May-Benson Chairperson Sensory Integration Special Interest Section

Lauro A Munoz Chairperson Physical Disabilities Special Interest Section

Linda M Olson Chairperson Mental Health Special Interest Section

Regula Robnett Chairperson Gerontology Special Interest Section

Tracy Van Oss Chairperson Home amp Community Health Special Interest Section

AOTA President Florence Clark

Executive Director Frederick P Somers

Chief Public Affairs Officer Christina Metzler

Chief Financial Officer Chuck Partridge

Chief Professional Affairs Officer Maureen Peterson

copy 2012 by The American Occupational Therapy Association Inc

OT Practice (ISSN 1084-4902) is published 22 times a year semimonthly except only once in January and December by The American Occupational Therapy Association Inc 4720 Montgomery Lane Suite 200 Bethesda MD 20814-3449 301-652-2682 Periodical postage is paid at Bethesda MD and at additional mailing offices

US Postmaster Send address changes to OT Practice AOTA 4720 Montgomery Lane Suite 200 Bethesda MD 20814-3449

Canadian Publications Mail Agreement No 41071009 Return Undeliverable Canadian Addresses to PO Box 503 RPO West Beaver Creek Richmond Hill ON L4B 4R6

Mission statement The American Occupational Therapy Asso-ciation advances the quality availability use and support of occupational therapy through standard-setting advocacy edu-cation and research on behalf of its members and the public

Annual membership dues are $225 for OTs $131 for OTAs and $75 for student members of which $14 is allocated to the subscription to this publication Subscriptions in the US are $14250 for individuals and $21650 for institutions Subscrip-tions in Canada are $20525 for individuals and $26250 for institutions Subscriptions outside the US and Canada are $310 for individuals and $365 for institutions Allow 4 to 6 weeks for delivery of the first issue

Copyright of OT Practice is held by The American Occupational Therapy Association Inc Written permission must be obtained from the Copyright Clearance Center to reproduce or photo-copy material appearing in this magazine Direct all requests and inquiries regarding reprinting or photocopying material from OT Practice to wwwcopyrightcom

COVER PHOTOGRAPH copy JACOB WACKERHAUSEN ISTOCKPHOTO

P-6131

3OT PRACTICE bull NOVEMBER 12 2012

N e w sAssociation updatesprofession and industry news

AOTA News

AOTArsquos Evidence- Based Practice Guidelines Win Award

The American Occupa-tional Therapy Association (AOTA) has received a

2012 Power of A Silver Award from the American Society of Association Executives (ASAE) for its evidence-based practice guidelines which were devel-oped as a way to ensure that occupational therapy practi-tioners and external audiences have access to the best available evidence and recommendations from clinical experts

ASAErsquos Power of A Awards honor associations that engage in activities and initiatives that benefit America and the world For more visit wwwaotaorgnewscentennialasae-award

State Affairs Talks Health Care Implementation

AOTA State Affairs Group staff recently held two conference calls for state

occupational therapy associa-tion leaders to discuss health care reform implementation at the state level More than 35 people from more than 25 states partici pated in discussions about state implementation of health care reform with a focus on essential health benefits (EHBs) EHBs are important to occupational therapy because they will define the benefits covered by health insurance policies offered in the small group and individual insurance markets including on the health insurance exchanges AOTA

and state occupational therapy associations have been working together to advocate for the pro-fession The calls are a follow up to the State Health Care Reform Symposium that was held during AOTArsquos Annual Conference amp Expo in Indianapolis To listen to the chats visit wwwtalkshoecomtc28233

AOTA Drafting Bylaws Amendments

AOTA is in the process of drafting amendments to our Bylaws to ensure compli-

ance with the DC incorporation law affecting nonprofit organi-zations Watch the presentation (httpvimeocom50682405) for more information about AOTA governance changes that will occur as a result of the law

Call for Spring RA Motions

Become an active participant in your ldquoCongressrdquo the Representative Assembly

(RA) Give thought to the pro-fessional issues you encounter and draft motions that you would like to be considered by the RA at its spring meeting in San Diego California Specific instructions on how to write motions are found at wwwaotaorggovernancera Contact any of the RA officials or your representative(s) for advice on whether your idea should be a motion and to discuss appropri-ate topics and issues for policy changes For the names(s) of the officials or your represen-tative(s) go to the Members section of AOTArsquos Web site and click on Get InvolvedGover-nance then Representative Assembly for the RA Roster Alternatively you can call AOTA

at 800-SAY-AOTA (729-2682) ext 2103 or contact Laurel Radley at lradleyaotaorg for assistance The deadline for sub-mitting motions to be consid-ered at the RA Spring Meeting is January 1 2013

Accreditation Visits Scheduled for WinterSpringSummer 2013

A s required by the US Department of Education this serves as notice to the

public of upcoming accredita-tion visits and the opportunity for written third-party comment Written comment concerning accreditation qualifications for the following institutions or pro-grams listed (ie determining whether a program appears to be in compliance with Accredi-tation Council for Occupational Therapy Education [ACOTEreg] accreditation standards or ACOTE accreditation policy) may be submitted no later than 20 days prior to the programrsquos

scheduled on-site evaluation to Sue Graves assistant director of Accreditation AOTA 4720 Montgomery Lane Suite 200 Bethesda MD 20814-3449

Receipt of the third-party comment will be acknowledged and processed according to ACOTErsquos Policy on Third-Party Comment which includes sending a copy of the comment letter to the director of the occupational therapy or occupa-tional therapy assistant program named in the letter

The following programs are scheduled for on-site eval-uations in winter spring or summer 2013 Unless other-wise noted programs will be evaluated under the current 2006 ACOTE Accreditation Standards Programs noted with an asterisk () have opted to be evaluated under the new 2011 ACOTE Accreditation Standards January 14 to 16 2013Adventist University of Health

Sciences (formerly Florida Hospital College of Health Sciences) (OTM) Orlando

Donrsquot Miss AOTArsquos Stroke Specialty Conference

I f you work with older adults be sure to attend the AOTA Adults With Stroke Specialty Conference to be held from November 30 to December 1 in Baltimore Maryland

An estimated 54 million people in Ameri-ca live with the disabling effects of stroke and that number is predicted to increase as the population ages Occupational therapy helps those recovering from a stroke resume valued activities through a holistic approach to intervention Join speakers Carolyn Baum PhD OTRL FAOTA Glen Gillen EdD OTR FAOTA Jan Davis MS OTRL and other experts offering comprehensive sessions while earning up to 13 contact hours (13 CEUs13 NBCOT PDUs) Register now at wwwaotaorgconfandeventsstroke

4 NOVEMBER 12 2012 bull WWWAOTAORG

Floridamdashinitial on-site evaluation

Inter American University of Puerto Rico-Ponce Campus (OTA) Mercedita Puerto Ricomdashinitial on-site evaluation

January 28 to 30 2013Chattahoochee Technical College

(OTA) Austell Georgiamdashinitial on-site evaluation

Newman University (OTA) Wich-ita Kansas

Weatherford College (OTA) Min-eral Wells Texasmdashinitial on-site evaluation

February 4 to 6 2013Lewis amp Clark Community College

(OTA) Godfrey IllinoisFebruary 11 to 13 2013California State University

Dominguez Hills (OTM) Carson California

Spokane Falls Community College (OTA) Spokane Washingtonmdashinitial on-site evaluation

February 25 to 27 2013James Madison University

(OTM) Harrisonburg Virginia

Kaplan Career InstitutendashPitts-burgh (OTA) Pittsburgh Pennsylvania

March 4 to 6 2013Louisiana State University Health

Sciences Center New Orleans Campus (OTM) New Orle-ans Louisiana

March 11 to 13 2013Columbia University (OTM) New

York New YorkSt Catherine University (OTM)

St Paul MinnesotaSt Catherine UniversityndashMinne-

apolis (OTA) Minneapolis Minnesota

March 18 to 20 2013Jefferson College of Health

Sciences (OTA) Roanoke Virginia

University of the Sciences (OTD) Philadelphia Pennsylvaniamdashinitial on-site evaluation

March 25 to 27 2013Cuyahoga Community College

(OTA) Cleveland Ohio

April 1 to 3 2013Arkansas Tech UniversityndashOzark

Campus (OTA) Ozark Arkansasmdashinitial on-site evaluation

April 2 to 4 2013Western Technical College

(OTA) LaCrosse WisconsinApril 8 to 10 2013Keiser University Fort Myers

(OTA) Fort Myers Floridamdashinitial on-site evaluation

Lake Area Technical Institute (OTA) Watertown South Dakota

Loma Linda University (OTM) Loma Linda California

Touro College (OTM) Bay Shore New York and

Touro College Manhattan (OTM) New York New York (an additional location of Touro College Bay Shore NY)

May 6 to 8 2013East Arkansas Community

College (OTA) Forrest City Arkansasmdashinitial on-site evaluation

McHenry County College (OTA) Crystal Lake Illinoismdashinitial on-site evaluation

Panola College (OTA) Carthage Texas

Stony Brook University (OTM) Stony Brook New York

May 13 to 15 2013Jefferson College-Hillsboro

(OTA) Hillsboro Missourimdashinitial on-site evaluation

Medical University of South Carolina (OTM) Charleston South Carolina

June 3 to 5 2013University of Tennessee Health

Science Center (OTM) Mem-phis Tennessee

June 10 to 12 2013Eastwick College (OTA) Ramsey

New Jerseymdashinitial on-site evaluation

Tidewater Community College Virginia Beach Campus (OTA) Virginia Beach Virginia

June 17 to 19 2013Brown Mackie CollegendashBirming-

ham (OTA) Birmingham Alabamamdashinitial on-site evaluation

A O T A B u l l e T I N B O A r d

Ready to order Call 877-404-AOTA or go to httpstoreaotaorgEnter Promo Code BB

Questions Call 800-SAY-AOTA (members) 301-652-AOTA (nonmembers and local callers) TDD 800-377-8555

Occupational Therapy in Acute CareH S Gabai

This text provides a detailed look at what occupational therapy

practitioners need to know about how diseases and trauma affect the human body Chapters review the evaluation process includ-

ing chart review measures and interpretations and recommenda-tions for intervention to ensure the ultimate level of independence for each client$109 for members $154 for nonmembers Order 1258 httpstoreaotaorgviewSKU=1258

Autism A Comprehensive Occupational Therapy Approach 3rd EditionH M Kuhaneck amp R Watling

Using the Occupational Therapy Practice Framework Domain

and Process 2nd Edition as a guide this book discusses the

client-centered occupation-based interventions occupational therapy practition-ers can provide to individuals with

an autism spectrum disorder (ASD) Highlights include an introduction to ASD common strengths and challenges for individuals with an ASD occupational therapy evaluation and intervention and occupational therapy practice contexts and use of evidence$69 for members $98 for nonmembers Order 1213B httpstoreaotaorgview SKU=1213B

Understanding the Assistive Technology Process to Promote School-Based Occupation Outcomes(ONLINE COURSE)B Goodrich L Gitlow amp J SchoonoverEarn 1 AOTA CEU (125 NBCOT PDUs10 contact hours)

This six-lesson course provides case examples for experiential

learning activities enables match-ing of technology to desired school-based outcomes distinguishes occupational therapy skills on a school-based assistive technology (AT) team and explores the rising role of AT in successful interven-tions with children$225 for members $320 for nonmembers Order OL31 httpstoreaotaorgviewSKU=OL31

Seating and Positioning for Productive Aging An Occupation-Based Approach(CEonCDtrade)F Chew amp V PiermanEarn 4 AOTA CEU (5 NBCOT PDUs4 contact hours)

Enhance the lives of your clients through this important course

The content reviews seating and positioning from evaluation to outcome with a concentration on interventions and primarily ad-dresses manual wheelchair mobility$97 for members $138 for nonmembers Order 4831 httpstoreaotaorgviewSKU=4831

Bulletin Board is written by Amanda Fogle AOTA marketing specialist

OUTSTANDINGRESOURCES

FROM

ContinuingEducation

Linking Research Education amp Practice


June 24 to 26 2013Laredo Community College

(OTA) Laredo TexasSouthwest Virginia Community

College (OTA) Richlands Virginia and

Southwest Virginia Community College at Virginia Highlands Community College (OTA) Abingdon Virginia (an addi-tional location of Southwest Virginia Community College Richlands Virginia)

Upcoming Chat

AOTA will host a pediatric virtual chat on Common Core Standards Role

for Occupational Therapy on December 10 2012 at 1100 am EST To participate and view chat archives visit wwwtalkshoecomtc73733

AOTA Hosts Largest Hill Day

with 514 registered attend-ees AOTArsquos 2012 Capitol Hill Day was the largest

Hill Day in AOTA history best-ing last yearrsquos record of 400-plus attendees In addition AOTA members participating in Virtual Hill Day sent more than 2000 messages to Congress in sup-port of their colleagues on the Hill For more on the effort visit wwwaotaorgnewscentennialhill-day-2012

Call for Papers Issued for AOTArsquos Education Summit

AOTA has issued a call for papers for its upcoming Education Summit to be

held October 4 to 5 2013 in Atlanta Submissions are due January 15 2013 For additional information e-mail specialty-conferenceaotaorg

Resource

RtI Available

A new AOTA Practice Advisory on Response to Intervention (RtI) is

now available on the AOTA Web site at wwwaotaorgPractitioners-SectionChildren-and-YouthBrowseSchoolRtIPractice-AdvisoryaspxFT=pdf

Intersections

n Anne E Dickerson PhD OTRL FAOTA professor in the Department of Occupa-tional Therapy at East Carolina University in Greenville North Carolina Elizabeth Green OTRL CDRS executive director of The Association for Driver Rehabilitation Specialists and Elin Schold Davis OTRL CDRS project coordinator of AOTArsquos Older Driver Initiative recently participated on a team of experts assembled by the MIT AgeLab that conducted research to better understand which technologies can improve safety and comfort for older drivers Joseph Coughlin the keynote speaker at AOTArsquos 2012 Annual Conference amp Expo in Indianapolis is the director of MIT AgeLab n Deborah Yarett Slater MS OTL FAOTA AOTArsquos staff liai-son to the Ethics Commission amp the Bylaws Policies and Proce-dures Committee Judy Thomas AOTArsquos Senior Policy manager Tim Nanof AOTArsquos director of Federal Affairs Mary Foto OT CCM FAOTA AOTArsquos advisor on the RUC HCPAC Review Board Mary Jo McGuire MS OTRL OTPP FAOTA Doris Shriver OTR FAOTA QRC CLCP and Leslie Davidson PhD OTRL FAOTA recently attended the Common Procedure Termi-nology (CPT)Relative Value Update Committee meeting in Memphis Tennessee to share the AOTA proposal about revi-sions to the CPT codes

Practitioners in the News

n Peggy Boineau OTR CHT a senior occupational therapist at Methodist Sugar Land Hospi-tal in Sugar Land Texas was recently elected treasurer of the International Federation of Societies for Hand Therapy n Ellen S Cohn ScD OTRL FAOTA has been appointed as program director for the Master of Science in Occupational Ther-apy Program at Boston Univer-sity Sargent College of Health and Rehabilitation Sciences Cohn also recently presented Autism A Unique Museum and Theater Experience at the Lead-ership Exchange in Arts and Disability Conference in Boston n Mary Foto OT CCM FAOTA has been selected to serve on the California Division of Work-ersrsquo Compensationrsquos Medical Evidence Evaluation Advisory Committee which develops guidelines for workersrsquo compen-

sation policies Fotorsquos presence on the board will help ensure that the group has a more com-plete understanding of occupa-tional therapy services

ldquoTo be able to talk about what occupational therapy can do in the face of instances like back or neck problems that are preventing people from working is very valuablerdquo Foto says ldquoI am able to contribute to their subject matter how occupational therapy has the skills to return injured people to their jobsrdquo n Stacey Lehrer MEd OTRL ATP was named Big Sister of the Year for 2012 by Big Brothers Big Sisters of the Ocean State (Rhode Island) She has been matched for 3 12 years with a girl with significant emotional and behavioral needs providing one-on-one mentoringn Kathleen Matuska PhD OTRL has been awarded the 2012 Bonnie Jean Kelly and Joan Kelly Faculty Excellence

P-6188


Award the highest faculty honor at St Catherine Univer-sity in Minneapolis Minnesotan Claire Morress MEd OTRL ATP a clinical faculty member of the Department of Occu-pational Therapy at Xavier University in Cincinnati Ohio co-presented an instructional course at the 2012 conference of the American Academy of Cerebral Palsy and Develop-mental Medicine in Toronto Canada The 2-hour course Clinical Practice Points for Therapists Infants and Toddlers with Motor Disabil-ities included key concepts evidence and therapeutic interventions that support crit-ical outcomes for infants and toddlers with cerebral palsyn Marnie Renda MEd OTRL CAPS ECHM won the National Association of Home Buildersrsquo Homes for Life award for a project remodeling a 30-year-old bathroom The Homes for

Life awards recognize Certi-fied Aging in Place Specialists designees for excellence in aging-in-place design and accessible home modifications in remodeled homes n Theresa Marie Smith PhD OTRL CLVT recently became a co-principal investigator on an R01 grant from the National Eye Institute of the National Institutes of Health investi-gating low vision rehabilitation outcome measuresn Leonard G Trujillo PhD OTRL FAOTA associate professor and chair of the Department of Occupational Therapy at East Carolina University (ECU) in Greenville North Carolina exhibited his collection of relief carvings (Artistry in Wood Reflections of Past and Present Preserved Forever) at the Laupus Health Sciences Library located on the ECU west campus

n Laura Vogtle PhD OTRL FAOTA has been elected as director at large of the Amer-ican Academy for Cerebral Palsy and Developmental Med-icine Her 3-year term began September 15 n Mary Warren PhD OTRL SCLV FAOTA associate professor in the Department of Occupational Therapy and director of Low Vision Reha-bilitation Graduate Certificate at the University of Alabama at Birmingham has been selected by a panel of her peers to receive Envisionrsquos ldquoExcellence in Educationrdquo Award for 2012 n Debra Young MEd OTRL SCEM ATP CAPS presented on Technology for Aging in Place at the 2012 Remodeling Show in Baltimore Young also participated in a panel presen-tation Complete Communities and Aging in Place at the MarylandDelaware Chapter of the American Planning Associ-ation Conference in Columbia Maryland

In Memoriam

Mariacutea del Pilar Christian Mariani MA OTRL FAOTA professor emeritus of the School of Health Professions Medical Sciences Campus University of Puerto Rico passed away on August 28 2012 in San Juan Puerto Rico

Del Pilar Christian Mariani was a key person in the 1976 development of a new aca-demic unit within the Medical Sciences campus the College of Health Related Profes-sions for which she served as chairperson of the Department of Physical and Occupational Therapy until 1990 1 year before retirement In addition Del Pilar Christian Mariani helped develop and implement grants for establishing clinical services and community out-reach projects As a professor in occupational therapy she was a pioneer in the inclusion

of perceptual motor and later sensory integration theory within the curriculum

Among other accomplish-ments del Pilar Christian Mariani was instrumental in the development of the Puerto Rico Occupational Therapy Associa-tion and served as its president twice and she was the first occupational therapist in Puerto Rico to be appointed to AOTArsquos Roster of Fellows mdashDyhalma Irizarry PhD OTRL FAOTA

Corrections

In the September 10 2012 issue of OT Practice the article ldquoPreparing Students for Ethical Practicerdquo mistakenly refers to a citation as ldquoNeil and Yourdquo instead of ldquoPenny and Yourdquo The correct citation should be ldquoPenny N H amp You D (2011) Preparing occupa-tional therapy students to make moral decisions Occupational Therapy in Health Care 25(2ndash3) 150ndash163rdquo

Also in that issue a Practi-tioners in the News item on an occupation-based mentorship program called PAR FORE mistakenly identified Alex Lopez JD OTL the creator of PAR FORE as an associate professor in the Department of Occupational Therapy at Kean University Lopez is currently an assistant professor in Touro Collegersquos Department of Occupational Therapy Jennifer Gardner OTD OTR is an assistant professor in the Department of Occupational Therapy at Kean University who oversees the New Jersey local chapter of PAR FORE The story that appeared on local television covered news about the PAR FORE NJ summer camp We apologize for the errors

Andrew Waite is the associate editor

of OT Practice He can be reached at

awaiteaotaorg

ASD Publishes First Newsletter

AOTArsquos Assembly of Student Delegates has published its first-ever student newsletter To read it go to wwwscribdcomdoc106420887AOTA-Student-Newsletter-Issue-1

Older Driver Safety Awareness Week Just Ahead

AOTArsquos upcoming Older Driver Safety Awareness Week (ODSAW) from December 3 to 7 promotes the

importance of safe mobility and transportation for ensuring that older adults remain active in the communitymdashshopping working or volunteeringmdashwith the confidence that transportation will not be a barrier to independence Throughout the week AOTA will bring attention to a different aspect of older driver safety Go to wwwaotaorgolder-driverawareness for more On November 8 AOTA hosted a virtual chat on Building Awareness During ODSAW An Opportunity for Easing Fears and Empowering Drivers and Thier Families To listen to the recorded chat go to wwwtalkshoecomtc124114

he Centers for Medicare amp Medicaid Services (CMS) in collaboration with the University of Minnesota and Stratis Health is developing tools resources and technical assistance for implement-ing Quality Assurance and Performance Improvement (QAPI) in nursing homes Section 6102(c) of the Affordable Care Act (ACA) requires CMS to establish QAPI standards and provide technical assistance to nursing homes on devel-oping best practices This provision greatly expands the level and scope of required QAPI activities by requiring facilities to identify and correct quality deficiencies while continuing to improve performance

BACKGROUNDIn 2011 CMS announced plans for a nursing home demonstration project to test a QAPI prototype CMS also announced that it would promulgate a new QAPI regulation in addition to the existing Quality Assessment and Assurance (QAA) regulation found at 42 CFR Part 48375(o) The QAA reg-ulation sets forth the QAA committee composition and frequency of meetings in nursing facilities and requires facil-ities to develop and implement plans of action to correct identified quality deficiencies The new regulation will provide more details about how this must be accomplished The new regu-lation will require all nursing homes to submit a plan to meet QAPI standards and implement QAPI best practices

On June 29 2012 CMS issued a memorandum providing a brief over-view of the initiatives to implement the ACA QAPI requirements including QAPI tools and resources a demon-stration project in 17 nursing homes in California Florida Massachusetts

and Minnesota a Web site containing resources and materials to help provid-ers prepare for QAPI a new regulation being drafted to require nursing homes to submit their QAPI plans to CMS 1 year after the regulation is promulgated and a questionnaire that was sent to a sample of nursing homes to identify baseline information related to quality systems and processes in nursing homes

STAKEHOLDER MEETINGAOTA was invited to attend a stake-holder meeting for QAPI at CMS headquarters on September 14 2012 AOTA reached out to members who are experts in skilled nursing facility issues and have expressed an interest in advocacy with AOTA in order to provide perspective from an occupational therapy practitioner who has expertise in the nursing home setting AOTA staff and AOTA member Elaine Adams OTR attended the meeting along with rep-resentatives from more than 30 other stakeholder organizations (For Adamsrsquo perspective see the Questions and Answers column in the next issue of OT Practice on November 26)

During the meeting 15 CMS staff representing five different CMS offices and the CMS QAPI contractors provided an update on QAPI They discussed the demonstration project steps that demo nursing homes are taking successes and challenges that some nursing homes in the demo are experiencing and tools that nursing homes have iden-tified as being the most useful for QAPI which will be available on the QAPI Web site at httpgocmsgovNhqapi They discussed Performance Improvement Projects (PIPs) as a way to address specific identified deficiencies and focus

areas They also discussed the role of Quality Improvement Organizations

OTrsquoS ROLE IN QAPIThe presenters emphasized that everyone in a nursing home makes a differencemdashstaff residents and resi-dentsrsquo families The QAPI Contractor specifically mentioned occupational therapists as part of the interdisciplin-ary team that can help successfully implement QAPI in their facilities CMS expects that every nursing home will develop their QAPI specific to their unique facility and resident population Occupational therapy practitioners are well positioned to help identify ways to change their facilityrsquos culture and improve quality Occupational therapy practitioners should seek out oppor-tunities to be part of their facilityrsquos QAPImdashspecifically by getting involved in PIPs This is your chance to work on a possible issue before a surveyor forces you to address it In the coming months before the final rule comes out learn more about QAPI and provide feedback to CMS about how occupational therapy practitioners can contribute

CMS indicated that the new reg-ulation will be proposed soon but did not provide a specific date or timeline except to say that the regulation is currently being drafted AOTA will continue to monitor developments related to QAPI in nursing homes the latest information will be available on our Web site at wwwaotaorg under the Advocacy Highlights section Questions or comments about Nursing Home QAPI may be submitted directly to CMS via e-mail to Nhqapicmshhsgov n

Jennifer Bogenrief is the manager of AOTArsquos Reim-

bursement and Regulatory Policy Department She

can be reached at jbogenriefaotaorg

TQAPI Is Coming to Nursing Homes

Occupational Therapyrsquos RoleJennifer Bogenrief


c A p I T A l B r I e f I N g


The average length of stay in acute rehabilita-tion facilities has been steadily decreasing in recent years due to rapidly shifting changes

in public and private payer policies and regulations In the past clients had sig-nificantly more time during the acute phase of the rehabilitation process to make desired functional and clinical improvements before discharge Per-haps more importantly occupational therapists had more time to determine the most appropriate future equipment needs Seating and positioning is a critical foundation for addressing the basic needs of clients with complex clinical needs Some clients are so physically andor perceptually involved that they are unable to sit at all unless they are provided with a seating system that provides the maximal amount of specialized support At times they may literally slide right out of their wheel-chairs unless appropriate accommoda-tions are made Therefore it is critical that interventions are implemented immediately upon admission

The Occupational Therapy Depart-ment at the Rusk Institute for Rehabili-tation Medicine NYU Langone Medical Center was challenged several years ago with an extremely diverse and involved client population that required highly specialized dynamic seating and positioning interventions Unfortu-nately the staff at that time had little knowledge or experience in providing these clients with effective seating

interventions Additionally there were a number of financial constraints that limited procurement of the necessary equipment that clients needed during their inpatient rehabilitation stay We realized that we not only needed to improve our clinical competence but that we also needed to develop an effi-cient and structured way of categoriz-ing (essentially ldquotriagingrdquo) our clientsrsquo needs and the urgency of their particu-lar situations We also needed to do this with a limited equipment budget This article describes our journey to meet this challenge

BUILDING THE STRUCTUREOn the inpatient unit occupational therapists are responsible for evaluat-ing and providing in-house seating and positioning equipment Currently there are 11 occupational therapists with a wide range of clinical experiences A seating and positioning clinical special-ist oversees staff clinical training and mentoring and manages complex client needs This organizational ladder was put into place to provide numerous onsite educational opportunities and to empower therapists at all levels of experience to become active partici-pants in their clinical growth It also

provides a structured and effective approach for addressing client needs

Our first significant task in this process was to better understand and determine a way of categorizing our clientsrsquo dynamic and complex seating needs Clients admitted to our facility present with a variety of conditions These include orthopedic injuries (eg joint replacements multiple upper- and lower-extremity fractures) spinal cord injuries and neurological conditions (eg stroke traumatic and nontraumatic brain injury multiple sclerosis Parkinsonrsquos disease) As expected adult clients also arrive at Rusk with various body shapes and sizes These may range from the 4 8 grandmother with osteoporosis who sustained a hip fracture to the 550-pound middle-aged office worker who underwent an elective total knee replacement to the 6 4 basketball player recovering from a stroke Our clients also present at various levels of mobility and clinical involvement from the client who is ambulating inde-pendently but cannot express his or her basic needs due to aphasia to the client who requires three therapists to transition from supine to a seated position at the edge of the bed

for Seating and PositioningTiers3NETTIE CAPASSO ELIzABETH KLOCzKO

A three-tiered model for providing seating and positioning during the acute phase of the rehabilitation process


PHO

TOG

RA

PHS

CO

UR

TESY

OF

HTE

AU

THO

RS

One of our first and most import-ant responsibilities as occupational therapists is to evaluate our clients and provide necessary and timely seating and positioning equipment Our clients need to be able to get out of bed perform their functional activities as independently and safely as possible and fully participate in the required 3 hours of daily therapy Additionally they need to be able to do all these things the day after they are admitted regardless of their body size or phys-ical cognitive perceptual or visual impairments

THREE TIERSWe decided to divide our clientsrsquo seat-ing and positioning needs into three categories (defined as ldquotiersrdquo) Specific responsibilities correspond with the tiers to empower all levels of therapists from the new graduate to the seasoned clinical specialist to adequately and efficiently provide seating equipment for any client Tier 1 addresses basic seating interventions such as a change in wheelchair dimensions (eg seat width seat depth seat-to-floor height) leg and arm rest style (eg elevat-ing desk length full length) residual limb supports for those who have had amputations and upper-extremity supports for clients with hemiparesis or hemiplegia Seating and positioning needs categorized in Tier 1 are minimal and include relative physical mobility (ie clients who require no more than supervision or minimal assistance to transition from sit to stand) and an

absence of pressure ulcers or significant postural asymmetries

Each new staff member takes part in a module that provides an overview of the seating program and levels of competency At a Tier 1 level of com-petence therapists have basic seating knowledge and are able to recognize that only simple changes are needed They are expected to take basic mea-surementsmdashhip width femur length lower leg length and shoulder heightmdashto determine corresponding wheelchair modifications These include but are not limited to wheelchair width seat depth seat-to-floor height wheel-chair style arm rests leg rests and necessary additional features such as residual limb supports or half lap trays Therapists who have achieved basic seating and positioning competence make these seating system modifica-tions independently and in a timely manner following occupational therapy evaluation

As an example of Tier 1 care Sam was a 70-year-old male admitted after undergoing an elective right total hip replacement During the initial occu-pational therapy evaluation it was determined that Sam would need a dif-ferent wheelchair to accommodate his size The therapist measured Samrsquos hip width and found it to be 20 (hip width is defined as the widest point between the hips when the client is in a seated position) Sam was currently sitting in an 18 wheelchair so his therapist was concerned that this was 2 too narrow Sitting in an 18 wheelchair could

Left Client unable to contact back support without reclining her body all the way back Thus it makes it difficult for her to complete her daily tasks

Right Specialty back allows her to sit more upright for better participation in daily tasks for Seating and Positioning

Figure 1

Mat Evaluation Areas of Assessment1 Trunk (Sitting position) bull Kyphosis bull Lordosis bull Rotation bull Convexity

2 Pelvis (Sitting and Supine Position)

bull Anterior or posterior tilt bull Rotation bull Obliquity

3 Hip bull Range of motion limitations bull Flexion bull Abduction bull Adduction bull Internal rotation bull External rotation

4 Knee Range of motion limitations

with extension

5 Foot bull Neutral bull Plantarflexion bull Inverted bull Everted

6 Skin bull Area of pressure ulcer bull Size of pressure ulcer bull Stage of pressure ulcer bull Indication for pressure mapping

7 Measurements bull Hip width bull Sacrum to popliteal fossa bull Popliteal fossa to heel bull Chest width bull Length of trunk

(Height to top of the shoulder)

8 Summary and Recommendations for Wheelchair


Occ

upa

tional Therapy on Display at

PHO

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F IN

GR

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AN

ICS

t first Jacob didnrsquot realize that his favorite food was

right in front of him Jacob a 5-year-old

boy with autism was at A Hands-on Adventure (AHA) museum staring at an exhibit designed to let visitors make their own pizza from cardboard cutouts of pepperoni and various vegetables But Jacob didnrsquot get it right away his father Gary Sheldon recalls

ldquoHe looked at it and didnrsquot see the pizza He just saw the piecesrdquo Sheldon says ldquoBut then someone said lsquopizzarsquo and it clickedrdquo

After a while Jacob was pretending to bake his pizza in the oven before pantomiming eating his lunch

But it wasnrsquot just anyone who yelled ldquopizzardquo It was an occupational ther-apy assistant student from Zane State College in Zanesville Ohio

The occupational therapy assis-tant students were at the museum in Lancaster Ohio to facilitate greater

interactions between the exhibits and the dayrsquos special guests Sheldon helps put on the inclusion event at AHA and purposefully invited occupa-tional therapy practitioners because he recognized their skill at increasing participation Brenda George MS OTRL took control and coordinated between museum administrators and Zane State Collegersquos OTA program to give occupational therapy a presence at the event

In addition to staffing the exhibits occupational therapy assistant stu-dents and George modified some of the exhibits to make them more accessible to children with physical and cognitive disabilities They worked with museum administrators to gain early entrance into the building and apply some of their recommendations

ldquoFor example there were some high reaching surfaces or door handles that might not be accessible so I gave the suggestion of either using pull sticks or reachers or bringing surfaces downrdquo

George says ldquoSmall things can make big changes in how kids can interactrdquo

The result was a great day of inclu-sion and discovery at AHA

Jacob is a regular visitor at AHA but he typically only engages with a few of the exhibits

ldquoHaving OT there he ended up visiting all the stations when he other-wise might have only stopped at a half dozenrdquo Sheldon says ldquoIf he doesnrsquot get it at first he will usually move on but with the students giving that extra bit of encouragement and information it allowed him to take the time to see what it was all about

ldquoJacob is verbal but hersquos not all that talkative but after the museum I asked him lsquoHow did you like itrsquo and he said lsquoGood very goodrsquordquo Sheldon says ldquoSo I

ANDREW WAITE

Ingrid M Kanics OTRL above has consulted with more than 40 childrenrsquos museums on how to make the museum experience more meaningful to kids with disabilities

Occupational therapy practitioners are using their skills to facilitate more meaningful interactions in museums around the country

Museums

A


knew from his response that he had a good timerdquo

As universal design principles are embraced and inclusion becomes a priority occupational therapy practi-tioners have the chance to regularly provide important services to enhance the experience for all museum goers whether or not they have a physical or cognitive challenge Several occupa-tional therapy practitioners are already demonstrating that members of the profession can effectively facilitate greater participation in childrenrsquos museums

The Association of Childrenrsquos Muse-ums is so focused on making these facilities more accessible that it offers a Universal Design for Learning Award (wwwchildrensmuseumsorgprograms awardshtmuniversal) Its staff recognize that occupational science principles can lead to more inclusive facilities

ldquoA lot of our childrenrsquos museums are in the process of developing capital

campaigns for expansion and they are looking more at universal design within buildings now and not just the pro-grams and exhibitsrdquo says Korie Twiggs program officer of Education with the Association of Childrenrsquos Museums ldquoAccessibility in terms of what it means in childrenrsquos museums has stepped up Itrsquos not only the programming and the exhibits it really is that full-on expe-rience that children receive once they come into the buildingrdquo

In addition museum staff are learning that it makes financial sense to focus on inclusive design principles

ldquoAre we going to limit our customer base or does it make sense to expand into being accessible to the greatest number of people Itrsquos obvious what our answer isrdquo says Suzanne Barbati president of the Ohio World of Wonder (OH WOW) museum in Youngstown Barbati says her museum has seen 25 more yearly visitors since re-opening in 2011 with universal design princi-ples incorporated Thatrsquos good news

for occupational therapy practitioners because it means that the profes-sionrsquos services are not just valued on a personal level they are also seen as helping facilitiesrsquo bottom lines

DIGGINrsquo OUR DESIGNSIngrid M Kanics OTRL is at the forefront of this opportunity for occu-pational therapy She has consulted with more than 40 childrenrsquos museums nationwide and has been a regular speaker at the Association of Childrenrsquos Museumsrsquo annual conference

One of Kanicsrsquo earliest consulting jobs in this field was with the Chicago Childrenrsquos Museum which was look-ing into incorporating more universal design principles through a Play For All initiative in 2004

Kanicsrsquo work in Chicago began with an initial evaluation that focused on taking the Americans With Disabilities Act requirements1 a step further She advised staff trainings and encouraged museum leaders to re-examine some of their programming elements

ldquoIf they are doing a program that involves finger painting I wanted them to understand that different children like to finger paint in different waysrdquo Kanics explains ldquoItrsquos about being creative for the kids who donrsquot like to get too messy and giving the museum some strategies like putting plastic over the paint so the child can mix it but never has to touch it or allowing the child to use a tool like a piece of foam so they are comfortable with how dirty their fingers get For the kids who really want to get messy add things like the rice and the beans and all those other textures that those kids likerdquo

Many of Kanicsrsquo recommendations in Chicago were relatively simple such as installing stools of varying heights and sizes to accommodate people of differ-ent shapes and offering crayons and scissors of different weights lengths and sharpness

ldquoThen there were other areas where we did some concrete design workrdquo Kanics explains

Chicago Childrenrsquos Museum has an exhibit called ldquoDino Digrdquo which is a pit with a buried skeleton that allows visi-tors to simulate an archeological dig

ldquoGetting into it from a wheelchair was really complex The ramps actually

Ohio World of Wonder (OH WOW) museum in Youngstown has seen 25 more yearly visitors since re-opening in 2011 with universal desgn principles incorporated

PHO

TOG

RA

PHS

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UR

TESY

OF

ING

RID

KA

NIC

S A

ND

OH

IO W

OR

LD O

F W

ON

DER


put the person in the wheelchair much higher and not level with the pit So the person in the wheelchair would have to lower herself below the floor to get into the pitrdquo says Kanics who uses a wheelchair herself

Kanics advised installing a transfer station along one of the exhibitrsquos walls The station worked perfectly and it will soon open with a new design incor-porating Kanicsrsquo suggestions Kanics knows it works because she tested the exhibit herself

ldquoIt was simply a matter of leveling off part of the exhibit so I could hop up out of my chair onto the wall and then just drop into the pit For parents who have to help children thatrsquos also an eas-ier transferrdquo

The Chicago Childrenrsquos Museum leadership has embraced Kanicsrsquo exper-tise and is now considered a trendset-ter in the realm of inclusive museums The museum won the Association of Childrenrsquos Museumsrsquo Universal Design for Learning Award in 2009

ldquo[Kanics] opened our eyes to the fact that there is so much out there that we can be doing She really intro-duced us to the whole idea of universal designrdquo says Lynn Walsh manager of Guest Access and Inclusion at the Chicago Childrenrsquos Museum

One of the most affirming experi-ences Walsh has had since working with Kanics was observing a group of children playing in the Move exhibit The exhibit features play equipment

like plastic tunnels and climbing equipment meant to encourage fine and gross motor activity body move-ment and spatial awareness dramatic play language development problem solving critical thinking decision mak-ing and planning and teamwork and collaboration

ldquoI knew that morning we had a group of kids with disabilities in and I walked into the exhibit and the first thing I saw was a row of empty wheel-chairs I turned and looked into the exhibit and couldnrsquot identify who was who All the kids were able to get out of their chairs and experience the exhibit It was truly amazingrdquo Walsh recalls

Ingrid also provided beneficial staff trainings in Chicago to familiarize employees with engaging guests of all abilities Some of the sessions include universal design universal design for learning and sensory integration and the importance of sensory play

ldquoI know itrsquos working because every time after we have a training the first time new employees have any inter-action with someone with a disability they will come running to me and share what they were able to do to assist So thatrsquos been how we measure the successrdquo Walsh says

The museum also measures success based on how visitors respond

Easter Seals Metropolitan Chicago has been taking groups of kids on the autism spectrum to Saturday Play For

All events at the museum since 2008 Therersquos a reason they keep going back

Roberto is one of them The 9 year old with autism usually struggles with rules He has to be reminded not to run in the hallway and often has difficulty transitioning between activities and adjusting to changes in his schedule He also has trouble engaging with fellow classmates But at the Chicago Childrenrsquos Museum Roberto is differ-ent says Michelle Fieldman MEd

ldquoAt the museum he seems just to be a lot more confident in himself He tends to take on a leadership rolerdquo Fieldman says ldquoHe takes on the role of helping to guide others For children who have had a hard time leaving the museum we will use Roberto to help them get back on the bus Hersquoll walk with them and talk with them and ask lsquoOh what did you do at the museumrsquo He seems to stay engaged longer after his visitsrdquo

Fieldman believes the design of the museum has a lot to do with Robertorsquos positive attitude self-advocacy and socialization

ldquoHe is able to explore his environ-ment in a comfortable setting so he can be in charge for that little bit of time He can say lsquoIrsquom done playing by the water I want to do something elsersquo and he can He has control and can decide what he wants to dordquo she says ldquoThe exhibits are so hands on and so interactive that therersquos a lot of opportunity for sensory input Therersquos PH

OTO

GR

APH

S C

OU

RTE

SY O

F K

ATH

LEEN

SC

HR

AM

M O

TRL

Students from the University of Pittsburgh devised ways to make a Carnegie Museum of Natural History Exhibit on Human Ancestry more engaging Left The original exhibit Center the redesigned exhibit Right A visitor making use of the interactive features of the revised exhibit


a lot of opportunity for playing within your own interests Itrsquos built to accom-modate whatever it is you want to play with in whatever way the child wants to imagine itrdquo

Kanics had a similar impact at OH WOW There she made many recom-mendations including a way to improve access to a popular airplane exhibit

ldquoItrsquos one of their key exhibits and itrsquos elevated above the play area to give visitors the sense that they are in the air Initially the design called for a set of stairs leading to it But I led several different presentations and discussions and we turned the stairs into a ramp which is actually very aesthetically pleasing The way the plane is framed on the circular platform and the way the ramp wraps around it you wouldnrsquot think it was done for accessibility You look at it and think itrsquos some nice archi-tectural detailrdquo Kanics says

It seems Kanics really gave wings to inclusion principles at OH WOW

ldquoShe worked with us through the planning process and with the architec-tural team as well as with the exhibit designer She was involved at every juncture to help us understand how we could best embrace universal design principles both in the facility itself and in the exhibitsrdquo says museum president Barbati ldquoFor example our admissions desk has an area that allows people to roll up if they are in a wheelchair Itrsquos

of varying heights so everybody has an area that they would gravitate to based on their individual abilitiesrdquo

OT IN SUPPORTING ROLEBut occupational therapy practitioners can also positively influence childrenrsquos museum visits without actually altering any of the exhibits Roger Ideishi JD OTL FAOTA an associate professor of occupational therapy at the Univer-sity of the Sciencesrsquo Samson College of Health Sciences Department of Occupational Therapy in Philadelphia

has focused his attention on better preparing families and children before going to a museum His work began as a student project focused on increasing accessibility for children on the autism spectrum at the Adventure Aquarium in Camden New Jersey

ldquoWe started with traditional strate-gies that we use with kids with autism like picture schedules or picture cards social stories and other sensory and motor experiences to help these children understand the experience of the aquarium We wanted them to have a sense of what they were going to see what it would feel like and try to feed them as much information as possible so they could process it before we took them to the actual aquariumrdquo Ideishi says

He encouraged families to take virtual tours of the building and he col-lected attendance data to help families plan visits at the least busy times

That project garnered attention Other museums and theaters in the region became interested in Ideishirsquos work and wanted his advice on how to increase accessibility within their facilities

ldquoThe work that I have done is not to go in and change the museum or change the exhibits or change the the-ater experience but really to support

the family support the institutional staff support the child support the teachers so that we can help the child build skills to foster experiences going out in the communityrdquo Ideishi says ldquoThen hopefully as the children grow older they will be able to do this more and morerdquo

Ideishirsquos work at the local level led to an appointment on the advisory board of the Smithsonian Institution and Ken-nedy Center for the Performing Arts as an advisor on autism accessibility He is currently drafting a guidebook with Ellen Cohn ScD OTRL FAOTA and Gael Orsmond PhD at Boston Univer-sity to help cultural arts administrators implement accessibility programming for people with sensory social and cognitive challenges

ldquoMuseum staff donrsquot always know about autism and they donrsquot always know the strategies that we employ So as they start to develop programming and exhibits I am there to say lsquoOh kids with autism often respond in these various ways so we need to take X into considerationrsquordquo he says

MAKING IT INTERESTINGOf course accessibility doesnrsquot just apply to people with physical and cog-nitive disabilities Occupational therapy practitioners are also in a position to simply help museums make their exhibits more interesting

Thatrsquos what Nancy Baker ScD MPH OTRL an associate professor in the Department of Occupational Therapy at the University of Pittsburgh and her students did at the Carnegie Museum of Natural History in Pittsburgh

An exhibit at the Chicago Childrenrsquos Museum before (left) and after (right) accessibility recommendations were implemented

PHO

TOG

RA

PHS

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TESY

OF

ING

RID

KA

NIC

S A

ND

CH

ICA

GO

CH

ILD

REN

rsquoS M

USE

UM

ldquo The work that I have done is to support the family support the institutional staff support the child support the teachers so that we can help the child build skills to foster experiences going out in the communityrdquo mdashRoger Ideishi JD OTL FAOTA


Museum leaders were worried that some of their exhibits in the ldquoDiscov-ery Roomrdquo were not as engaging as possible The room is aimed at younger children and includes a lot of hands-on exhibits So Baker did an initial evaluation

ldquoThe main thing that I talked about was the idea of accessibility and making museums as open and as available to as many patrons as possible with the idea that the museum is a community place and that we are talking about a wide range of peoplerdquo Baker says

She brought her students back to the museum for a more detailed evaluation of the Discovery Room specifically to focus on the Human Ancestry exhibit which consisted of six skulls representing different human ancestors

ldquoWe sat in the corner of the room and observed every person that came in and interacted with the exhibit We noted the length of their interaction the quality of their interactionmdashwhether they just viewed it or whether they took the time to read any infor-mationrdquo says Kate Schramm MOT OTRL who is currently a staff occu-pational therapist at UPMC Centers for Rehab Services and was one of the University of Pittsburgh occupational therapy students who participated in this project ldquoWhat we found was that they werenrsquot really doing that A lot of times it was just purely a motor action They were looking at the skull and turning it They were not delving into the information availablerdquo

Schramm says the exhibit was confusing and difficult to engage with properly

ldquoThe information was on these books that were posted on a bottom shelf which made the exhibit difficult to access and text heavyrdquo Schramm says

So Baker and her students devised ways to make the display more appealing

ldquoWe wanted to create something that was more visually attractive to get people interested in the exhibit The whole thing was a neutral tone Noth-ing stood outrdquo Schramm says ldquoSo we increased the color We also decided to direct the play to a specific age group We developed information cards geared

specifically at age groups which was important because it matched the per-son to the environment and activityrdquo

Additionally the group developed masks that showed the faces of the human ancestor represented by the skulls These masks humanized the skulls Patrons put them on to see how they would look as a human species from long ago

After the University of Pittsburgh group incorporated their changes they observed the exhibit again

ldquoI think one of the most important observations was what people werenrsquot doingrdquo Baker says ldquoInitially the skulls were in drawers that slid in and out The first time we observed the exhibit the interaction consisted of somebody pulling one of the drawers out spin-ning the skull around and pushing it back in again When we went back and observed with all the changes we maybe saw one person do that but it wasnrsquot the [typical] mode of interaction anymore The interaction was much more playful much more fun People would see the mask and say lsquoCome over here and see thisrsquo We engaged people in a way that they had not been engaging with that exhibit beforerdquo

The Carnegie Museum continues to partner with Baker because leaders saw value in occupational therapyrsquos services in increasing visitor participation in the Discovery Room

ldquoWhile their staff is incredibly skilled at developing interesting fact-filled exhibits they have not been trained in human development and matching the

task to people We as OTs might not know the facts and history in depth but we know what needs to be done there to make it engaging We under-stand task environment and people so our skills really fit in nicelyrdquo Baker says

Now Baker is helping museum leaders develop an interactive forest environment geared toward young chil-dren The idea is to build a complete sensory experience and also facilitate more meaningful interactions between parents and children in the exhibit But much like occupational therapy practitioners consulting with museums the exhibit is an evolving process So perhaps itrsquos fitting that the new exhibit will involve trees and plant life

ldquoIt grewrdquo Baker says of the pro-fessionrsquos influence at the Carnegie Museum ldquoWhen we came in it was a very small thing that we did for them Now itrsquos becoming much largerrdquo n

Reference1 Americans with Disabilities Act of 1990 Pub L

101-336 42 USC sect 12101

Andrew Waite is the associate editor of OT Practice

He can be reached at awaiteaotaorg

f O r M O r e I N f O r M A T I O NFact Sheet Occupational Therapy and Universal Design for LearningwwwaotaorgPractitioners-SectionChildren-and-YouthRole-of-OTaspx

Autism A Comprehensive Occupational Therapy Approach 3rd EditionBy H M Kuhaneck 2010 Bethesda MD AOTA Press ($69 for members $98 for nonmembers To order call toll free 877-404-AOTA or shop online at httpstoreaotaorgviewSKU=1213B Order 1213B Promo code MI)

Occupational Therapy Practice Guidelines for Children and Adolescents With AutismBy S D Tomchek amp J Case-Smith 2009 Bethes-da MD AOTA Press ($69 for members $98 for nonmembers To order call toll free 877-404-AOTA or shop online at httpstoreaotaorgview SKU=2212 Order 2212 Promo code MI)

Activity Analysis Creativity and Playfulness in Pediatric Occupational Therapy Making Play Just RightBy H M Kuhaneck S L Spitzer amp E Miller 2010 Boston Jones amp Bartlett ($7695 for members $10950 for nonmembers To order call toll free 877-404-AOTA or shop online at httpstoreaotaorgviewSKU=1444 Order 1444 Promo code MI)

Sensational Kids Hope and Help for Children With Sensory Processing DisorderBy L Miller 2006 New York Perigree ($16 for members $23 for nonmembers To order call toll free 877-404-AOTA or shop online at httpstoreaotaorgviewSKU=1403A Order 1403A Promo code MI)

Authors Wanted

Are you interested in writing for OT Practice See our guidelines at wwwaotaorg


C a r e e r s

s with workplace leaders in any profession managers of occupa-tional therapy practitioners able to articulate their leadership philosophy better help employ-ees understand how they are expected to work together effectively and collegially to achieve their organizationsrsquo

common goals Organizational lead-ers should have a vision supported by a strategic plan with measurable objectives When leaders take the time to write down their values and share how those values can be integrated into the work setting employees learn more about their leaders and how to relate to them They also learn how their leaders can best help them achieve both their individual and organizational goals

Conversely when occupational therapy leaders neglect to write a leadership philosophy their employees may make inappropriate use of organi-zational resources or jump to the wrong conclusions about the direction their leaders want to go A philosophy gives leaders an opportunity to learn more about what they truly stand for how their values support their beliefs and what actions need to be taken to turn those beliefs into reality

For occupational therapy managers who have not yet articulated a leader-ship philosophy the leadership develop-ment philosophy of the US Army for which I serve as an occupational ther-apist might be helpful as a model for development The army stresses seven basic values loyalty duty respect selfless service integrity honor and personal courage Along with these val-ues my leadership philosophy is based on discipline motivation and altruism As an example of what other occupa-

tional therapy managers can craft the following is an abridged version of my own leadership philosophy

1 Discipline is a virtue that one can cultivate in order to grow as a

clinician worker or soldier Each of us should have the common goal of learn-ing how to improve job performance in order to maximize the effectiveness of our service Discipline can be practiced in everyday living with a set of behav-ioral patterns that promote a strong work ethic and military bearing For example every day I ask myself ldquoWhat do I hope to accomplishrdquo and ldquoAm I practicing behaviors that are focused on mission-oriented tasksrdquo

2 Motivation is an internal force that one can use to perform to the best

of his or her ability I continually set short- and long-range goals that can clarify the objectives that lead to a productive lifestyle In setting goals I actively seek out the advice of those with whom I work

3 Altruism is a virtue that guides the self toward working to improve

the welfare of others I work on trying to enhance my own altruistic frame of mind by taking a clientcolleague-first perspective when approaching my daily tasks Altruism is contagious it will per-meate through the unit if every soldier actively practices with the welfare of others in mind

4 Physical fitness is an important part of my daily living routine Maintain-

ing a high level of physical fitness helps me to cope with daily life stressors manage my weight responsibly and meet the basic army requirements to carry out physically challenging duties in garrison or abroad I encourage everyone on my staff to familiarize themselves with the Army Physical Fitness Standards to coordinate exer-cise routines that will support a good performance at the next Army Physical Fitness Test

Defining RealityThe Importance of Articulating

a Leadership PhilosophyJim Burns

ASGT Willie Linson MAJ Larissa Coon MAJ Jim Burns SSG Matthew Greniger and SPC Della Hokett in front of the Army values sign at Fort Carson Colorado

continued


5 Throughout my career I have con-tinued to take professional training

courses to maintain my professional skills I am committed to providing Level II fieldwork opportunities for occupational therapy and certified occupational therapy assistant students to teach the future gen-eration of our profession

6 I learned to think critically or think outside of the box as a graduate stu-

dent to solve problems logically and take a pragmatic and efficient approach to meet-ing the demands of client care Creativity with new treatment interventions is key to maintaining a thought-provoking and men-tally stimulating clinical environment

7 I treat others as I would like to be treated I promise to give each and

every one of you the dignity and respect fellow soldiers deserve in order to thrive in a cohesive working environment Become familiar with the phrases ldquoHow can I help yourdquo or ldquoWhat can I do for yourdquo Make clients feel welcome and at ease within the clinic to promote a heal-ing environment

For all occupational therapy managers whether in the military or not the follow-ing are some suggestions for articulating a leadership philosophyn Decide on and write down the top

three work-related values that motivate you to achieve the outcomes neces-sary for organizational success (eg selfless service promptness effective communication)

n Write attainable short- and long-range organizational goals

n Share your priorities as a worker and as a leader so your staff can understand what you intend to focus on in your daily business

n Make it clear what you expect of others and what others can expect of you so people know you better and how you plan to contribute to your organization

n Allow a mentor to review your leader-ship philosophy so you can receive hon-est feedback to make any adjustments before you share it with your staff

Anyone can write a leadership philos-ophy regardless of the stage of his or her career In fact the crafting of a leadership

philosophy should be a continual process as onersquos potential to lead will change over time as one accumulates new knowledge and experiences Occupational therapy practitioners must look at themselves and articulate how they will provide the lead-ership and direction necessary to sustain the profession A leadership philosophy should be a working document inviting open feedback for improvement But I think some aspects of leadership remain constant regardless of time place or indi-vidual A quote by business executive Max DePree illustrates what I believe is a key aspect of leadershipmdashselfless service ldquoThe first responsibility of a leader is to define reality the last is to say lsquoThank yoursquo In between the two the leader must become a servantrdquo (p 9)1 n

Reference1 DePree M (1989) Leadership is an art New York

Doubleday

Jim Burns MOT OTRL CHT a major in the US

Army is chief of occupational therapy at Evans Army

Community Hospital in Fort Carson Colorado He can

be reached at jimburnsusarmymil

8006277271 | | PsychCorpcom

BRUININKS MOTOR ABILITY TEST

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Inc

or it

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(s) A

ll righ

ts re

serv

ed B

OT A

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s Le

arnin

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arso

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sign f

or Ps

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Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

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ntrie

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Pear

son E

duca

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In

c or

its a

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C A L E N D A RTo advertise your upcoming event contact the OT Practice advertising department at 800-877-1383 301-652-6611 or otpracadsaotaorg Listings are $99 per insertion and may be up to 15 lines long Multiple listings may be eligible for discount Please call for details Listings in the Calendar section do not signify AOTA endorsement of content unless otherwise specified

Look for the AOTA Approved Provider Program (APP) logos on continuing edu-cation promotional materials The APP logo indicates the organization has met the requirements of the full AOTA APP and can award AOTA CEUs to OT relevant

courses The APP-C logo indicates that an individual course has met the APP requirements and has been awarded AOTA CEUs

January

Palm Beach Gardens FL Jan 12ndash22Lymphedema Management Certification courses in Complete Decongestive Therapy (135 hours) Lymphedema Management Seminars (31 hours) Coursework includes anatomy physiology and pathology of the lymphatic system basic and ad-vanced techniques of MLD and bandaging for primarysecondary UE and LE lymphedema (incl pediatric care) and other conditions Insurance and billing issues certification for compression-garment fitting included Certification course meets LANA re-quirements Also in Phoenix AZ Jan 26ndashFeb 5 2013 AOTA Approved Provider For more informa-tion and additional class dateslocations or to order a free brochure please call 800-863-5935 or log on to wwwacolscom

February

Jackson MS Feb 16ndash17 2013Evaluation and Intervention for Visual Processing Deficits in Adult Acquired Brain Injury Part I Fac-ulty Mary Warren PhD OTRL SCLV FAOTA This updated course has the latest evidence based re-search Participants learn a practical functional re-imbursable approach to evaluation intervention and documentation of visual processing deficits in adults with acquired brain injury from CVA and TBI Topics include hemianopsia visual neglect eye movement disorders and reduced acuity Also New Orleans LA March 9ndash10 2013 Contact wwwvisabilitiescom call 888-752-4364 of fax 205-823-6657

March

New York City Mar 16ndash20 2013A-ONE CERTIFICATION Assessing Cognitive- Perceptual Dysfunction Through ADL and Mobility This course is designed to train OTs in objectively assessing the impact of cognitive perceptual im-pairments (eg neglect agnosias spatial dysfunc-tion apraxia body scheme disorders) on ADLs and mobility highlighting our unique contribution to this practice area Limited enrollment AOTA CEUs Contact Glen Gillen at 212-305-1648 or GG50Columbiaedu

April

The Philadelphia Meeting Apr 6ndash9 2013Surgery and Rehabilitation of the Hand With Emphasis on the Wrist Sponsored by Hand Reha-bilitation Foundation and Jefferson Health System Hands-on workshops panel discussions surgery demos and anatomy labs compliment didactic ses-sions Pre-conference 3-day tutorial new 1-day pediatric pre-course available Honored Professors Pat McKee MSc OT Reg(Ont) OT(C) William W Walsh MBA MHA OTRL CHT Gregory I Bain FRACS PhD Elisabet Hagert MD PhD John D Lubahn MD Alexander Y Shin MD Scott W Wolfe

MD For info contact HRF at 6107685958 or hrfhandfoundationorg or visit our website at wwwhandfoundationorg

Ongoing

Clinicianrsquos View Offers Unlimited CEUs Two great options $177 for 7 months or $199 for 1-Full Year of unlimited access to over 640 contact hours and over 90 courses Take as many courses as you want Approved for AOTA and BOC CEUs and NBCOT for PDUs wwwclinicians-viewcom 575-526-0012

Internet amp 2-Day On-Site Training Become an Accessibility Home Modifications amp Ergonomic Jobsite Consultant Instructor Shoshana Shamberg OTRL MS FAOTA Over 22 years specializing in designbuild services tech-nologies injury prevention and ADA504 consult-ing for homesjobsites Start a private practice or add to existing services Extensive manual AOTA APP+NBCOT CE Registry Contact Abilities OT Services Inc 410-358-7269 or infoaotsscom Group COMBO personal mentoring and 2 for 1 discounts Calendarinfo at wwwAOTSScom Seminar sponsorships available nationally

Self-Paced Distance Learning Course Improving Function for Those Living With Cogni-tive amp Perceptual Impairments This self-paced distance learning course is designed for those working with individuals who present with limi-tations in daily function due to visualcognitiveperceptual impairment Specific topics related to evaluation and interventions include poor aware-ness visuospatial deficits apraxia neglect mem-ory loss attention deficits executive dysfunction agnosia etc See wwwcolumbiaotorg for more information Instructor Glen Gillen GG50Colum-biaedu

Self-Paced Clinical CourseNEW Driving and Community Mobility Occupa-tional Therapy Strategies Across the Lifespan edited by Mary Jo McGuire MS OTRL FAOTA and Elin Schold Davis OTRL CDRS Driving and community mobility issues are complex and chang-es in independence are life-altering This compre-hensive SPCC gathers researchers and clinicians in a team effort to offer expert guidance in this devel-oping practice area Earn 2 AOTA CEUs (25 NB-COT PDUs20 contact hours) Order 3031 AOTA Members $259 Nonmembers $359 httpstoreaotaorgviewSKU=3031

CEonCDtradeOT Manager Topics by Denise Chisholm Penelope Moyers Cleveland Steven Eyler Jim Hinojosa Kristie Kapusta Shawn Phipps and Pat Precin Supplementary content from chapters in The Occupational Therapy Manager 5th Edition with additional applications relevant to selected is-sues on management Earn 7 CEU (875 NBCOT PDUs7 contact hours) Order 4880 AOTA Mem-bers $194 Nonmembers $277 httpstoreaotaorgviewSKU=4880

CEonCDtradeEveryday Ethics Core Knowledge for Occupa-tional Therapy Practitioners and Educators 2nd Edition by AOTA Ethics Commission and present-ed by Deborah Yarett Slater Foundation in basic ethics information that gives context and assistance with application to daily practice and rationale for changes in the Occupational Therapy Code of Eth-ics and Ethics Standards 2010 Earn 3 AOTA CEU (375 NBCOT PDUs3 contact hours) Order 4846 AOTA Members $105 Nonmembers $150 httpstoreaotaorgviewSKU=4846

CEonCDtradeEthics TopicmdashDuty to Warn An Ethical Respon-sibility for All Practitioners by Deborah Yarett Slater Staff Liaison to the Ethics Commission Professional ethical and legal responsibilities in the identification of safety issues in ADLs and IADLs as they evaluate and provide interven-tion to clients Earn 1 AOTA CEU (125 NBCOT PDUs1 contact hour) Order 4882 AOTA Mem-bers $45 Nonmembers $65 httpstoreaotaorgviewSKU=4882

CEonCDtradeEthics TopicsmdashOrganizational Ethics Occupa-tional Therapy Practice In a Complex Health Envi-ronment by Lea Cheyney Brandt Issues that can influence ethical decision making and strategies for addressing pressure from administration on servic-es in conflict with code of ethics Earn 1 AOTA CEU (125 NBCOT PDUs1 contact hour) Order 4841 AOTA Members $45 Nonmembers $65 httpstore aotaorgviewSKU=4841

CEonCDtradeEthics TopicsmdashMoral Distress Surviving Clinical Chaos by Lea Cheyney Brandt Complex nature of todayrsquos health care environment and results in increased moral distress for occupational therapy practitioners Earn 1 AOTA CEU (125 NBCOT PDUs1 contact hour) Order 4840 AOTA Mem-bers $45 Nonmembers $65 httpstoreaotaorgviewSKU=4840

CEonCDtradeLetrsquos Think Big About Wellness by Winnie Dunn Official documents and materials that support OT concept of wellness interdisciplinary literature and models from other disciplines Earn 25 CEU (313 NBCOT PDUs25 contact hours) Order 4879 AOTA Members $68 Nonmembers $97 httpstore aotaorgviewSKU=4879

CEonCDtradeExploring the Domain and Process of Occupa-tional Therapy Using the Occupational Therapy Practice Framework 2nd Edition by Susanne Smith Roley and Janet V DeLany Ways in which Framework supports practitioners by providing a holistic view of the profession Earn 3 AOTA CEU (375 NBCOT PDUs3 contact hours) Order 4829 AOTA Members $73 Nonmembers $10350 httpstoreaotaorgviewSKU=4829

Online CourseOccupational Therapy in Action Using the Lens of the Occupational Therapy Practice Frame-work Domain and Process 2nd Edition by Susanne Smith Roley and Janet DeLany Occupa-tional therapy and the occupational therapy process as described in the 2008 second edition of Frame-work Earn 6 AOTA CEU (75 NBCOT PDUs6 con-tact hours) Order OL32 AOTA Members $180 Nonmembers $255 httpstoreaotaorgviewSKU =OL32

ASSESSMENT amp EvAlUATIONSelf-Paced Clinical Course Occupational Therapy and Home Modification Promoting Safety and Supporting Participation edited by Margaret Christenson and Carla Chase


C A L E N D A REducation on home modification for OT profession-als and an overview of evaluation and intervention and detailed descriptions of assessment tools Earn 2 AOTA CEUs (25 NBCOT PDUs20 contact hours) Order 3029 AOTA Members $259 Non-members $359 httpstoreaotaorgviewSKU =3029

CEonCDtradeThe Short Child Occupational Profile (SCOPE) by Patricia Bowyer Hany Ngo and Jessica Kramer Introduction of SCOPE assessment tool and de-scription of documenting child motivation for occu-pations habits and roles skills and environmental supports and barriers Earn 6 AOTA CEU (75 NB-COT PDUs6 contact hours) Order 4847 AOTA Members $210 Nonmembers $299 httpstoreaotaorgviewSKU=4847

CEonCDtradeStrategic Evidence-Based Interviewing in Occu-pational Therapy presented by Reneacutee R Taylor Structured semi-structured and general clinical interviewing and set of norms and communication strategies that can maximize accurate relevant and detailed information Earn 2 AOTA CEU (25 NBCOT PDUs2 contact hours) Order 4844 AOTA Members $68 Nonmembers $97 httpstoreaotaorgviewSKU=4844

CEonCDtradeModel of Human Occupation Screening Tool (MO-HOST) Theory Content and Purpose by Gary Kielhofner Lisa Castle Supriya Sen and Sarah Skinner Information from observation interview chart review and proxy reports to complete the MO-HOST occupation-focused assessment tool Earn 4 AOTA CEU (5 NBCOT PDUs4 contact hours) Order 4838 AOTA Members $125 Nonmembers $180 httpstoreaotaorgviewSKU=4838

BRAIN amp COGNITIONSelf-Paced Clinical CourseNeurorehabilitation Self-Paced Clinical Course Series by Gordon Muir Giles Kathleen Golisz Margaret Newsham Beckley and Mary A Corco-ran Includes 4 componentsmdashthe Core SPCC and 3 Diagnosis-Specific SPCCs Core SPCC Core Concepts in Neurorehabilitation Earn 7 AOTA CEU (875 NBCOT PDUs 7 contact hours) Order 3019 AOTA Members $91 Nonmembers $12880 http storeaotaorgviewSKU=3019 Diagnosis-Specific SPCCs Neurorehabilitation for Dementia-Relat-ed Diseases (Order 3022 httpstoreaotaorgviewSKU=3022) Neurorehabilitation for Stroke (Order 3021 httpstoreaotaorgviewSKU=3021) and Neurorehabilitation for Traumatic Brain Injury (Order 3020 httpstoreaotaorgviewSKU=3020) Each 1 AOTA CEU (125 NBCOT PDUs10 contact hours) AOTA Members $12950 Nonmembers $18410

CEonCDtrade Using the Occupational Therapy Practice Guide-lines for Adults with Alzheimerrsquos Disease and Related Disorders (ADRD) To Enhance Your Practice by Patricia Schaber Evidence-based perspective in defining the process and nature frequency and duration of interventions and case studies of adults at different stages of Alzheimerrsquos disease Earn 2 AOTA CEU (25 NBCOT PDUs2 contact hours) Order 4883 AOTA Members $68 Nonmembers $97 httpstoreaotaorgview SKU=4883

ADED Approved CEonCDtradeDetermining Capacity to Drive for Drivers with Dementia Using Research Ethics and Profes-sional Reasoning The Responsibility of All Occupational Therapists by Linda A Hunt Re-quired professional reasoning and ethics for making

final recommendations about the capacity for older adults with dementia to drive or not Earn 2 AOTA CEU (25 NBCOT PDUs2 contact hours) Order 4842 AOTA Members $68 Nonmembers $97 httpstoreaotaorgviewSKU=4842

ChIlDREN amp YOUThSelf-Paced Clinical CourseEarly Childhood Occupational Therapy Services for Children Birth to Five edited by Barbara E Chandler Federal legislation in OT practice and public awareness strategies on expertise in transi-tioning early childhood development into occupa-tional engagement in natural environments Earn 2 AOTA CEUs (25 NBCOT PDUs20 contact hours) Order 3026 AOTA Members $259 Nonmembers $359 httpstoreaotaorgviewSKU=3026

Self-Paced Clinical CourseCollaborating for Student Success A Guide for School-Based Occupational Therapy edited by Barbara Hanft and Jayne Shepherd OT collab-orative practice with education teams using profes-sional knowledge and interpersonal skills to blend hands-on services for students and system sup-ports for families and educators Earn 2 AOTA CEUs (25 NBCOT PDUs20 contact hours) Order 3023 AOTA Members $259 Nonmembers $359 httpstoreaotaorgviewSKU=3023

CEonCDtradeAutism Topics Part I Relationship Building Evaluation Strategies and Sensory Integration and Praxis edited by Renee Watling Content from Autism 3rd Edition to expand OT practice with children through building the intentional re-lationship using evaluation strategies address-ing sensory integration challenges and planning intervention for praxis Earn 6 CEU (75 NBCOT PDUs6 contact hours) Order 4848 AOTA Mem-

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D-4410


Los Angeles CA Starting January 25 2013Sensory Integration Certification Program Sponsored by USCWPSCourse 1 Jan 25ndash27 amp Feb 2 3 Course 2 Mar 1ndash3 amp 16 17 Course 3 May 3ndash5 amp 11 12 Course 4 Aug 23ndash25 amp Sept 7 8For additional sites and dates or to register visit wwwwpspublishcom or call 800-648-8857

D-5795


Assessment and Intervention2-day hands-on workshop (16 CEU)

2008 Conference Schedule

San Antonio TX Apr 19-20Charleston SC Apr 25-26

Tampa FL May 2-3Manhattan NY Jul 17-18

Virginia Beach VA Sep 20-21Morganton NC Sep 25-26

Chicago IL Oct 10-11Columbia SC Oct 16-17

Sacramento CA Oct 24-25Orlando FL Nov 14-15

For additional info and to register visitwwwbeckmanoralmotorcom

Host a Beckman Oral Motor Conference in 2009For Hosting info call (407) 590-4852 or email infobeckmanoralmotorcom

San Francisco CA Feb 29-Mar 1Burlington NC Mar 14-15

Houston TX Mar 28-29

Chicago IL Apr 11-12McAllen TX Apr 4-5

Assessment amp Intervention TrainingTwo Days of Hands-On Learning (16 CEU)

Upcoming Locations amp DatesFayetteville AR January 11ndash12 2013

Stafford TX January 18ndash19 2013Mobile AL February 22ndash23 2013

Atlanta GA March 1ndash2 2013Lexington KY March 8ndash9 2013

Morganton NC March 21ndash22 2013Peck MI April 11ndash12 2013

San Antonio TX May 23ndash24 2013Houston TX August 16ndash17 2013

San Antonio TX October 24ndash25 2013Columbia TN November 1ndash2 2013

For complete training schedule amp information visit wwwbeckmanoralmotorcom

Host a Beckman Oral Motor SeminarHost info (407) 590-4852 or

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Hand Rehabilitation

FoundationPresents

_____________________________________The Philadelphia Meeting 2013

Surgery and Rehabilitation of the Hand with Emphasis on the Wrist

Honored ProfessorsPat McKee MSc OT Reg(Ont)

OT(c)William W Walsh MBA MHA OTRL

CHTGregory I Bain FRACS PhD

Elisabet Hagert MD PhDJohn D Lubahn MD

Alexander Y Shin MDScott W Wolfe MD

1-Day Pediatric Pre-course available

Sponsored by theHand Rehabilitation Foundation

Supported by theJefferson Health System

For information please contact us6107685958

hrfhandfoundationorgwwwhandfoundationorg

April 6ndash9 2013

4513

D-6188


e M p l O Y M e N T O p p O r T u N I T I e sFaculty

Search For(occupational Therapy Fulltime Tenure Track Faculty)

(assistant or associate Professor)DeParTMeNT oF occUPaTIoNaL TheraPY

SchooL oF heaLTh ScIeNceS

Winston-Salem State University one of the 17 constituent institutions of the University of North Carolina system occupies a picturesque 110-acre campus overlooking the woodlands of Salem Lake in the heart of Winston-Salem This Masterrsquos Level I university enrolls approximately 6000 diverse students and offers more than 40 bachelorrsquos programs ten masterrsquos programs through the universityrsquos School of Graduate Studies and Research and one certificate program in computer science

The School of Health Sciences at Winston-Salem State University produces clinically and cultur-ally competent undergraduate and graduate health care students with a framework of altruistic values who are dedicated to serving the best health interest of society The schoolrsquos focus is to also produce pragmatic field-relevant research that advances both health care practice and knowledge in improving the availability accessibility acceptability and quality of health services particularly for the medically underserved experiencing health care disparities

General responsibilitiesbull assist in occupational therapy programcurriculum development and evaluations at

graduate levelbull teach 18 semester hours annuallybull maintain office hours consistent with faculty guidelines bull advise students and guide student researchbull supervise students in Level I Fieldworkbull develop research agenda and maintain research skills and interest consistent with OT

department and university policiesbull assist in departmental administrative tasksbull serve on university School of Health Sciences and departmental committees bull serve in community or civic organizations or activities as specified by university guide-

linesbull maintain active membership in state and national associations

education PhD or EdD from a regionally accredited college or university and eligibil-ity for North Carolina licensure as a practicing occupational therapist required Prefer-ence given to candidates who possess experience in occupational therapy education including mental health physical rehabilitation andor research

experience Two years or more fulltime or part-time teaching experience in a college or university Five years or more clinical experience Two years supervising students

Scholarly Production Should have record of scholarship at state national or interna-tional level

Salary Commensurate with education and experience Position open until filled

For immediate consideration please visit httpsjobswssuedu applicants will be asked to attach a letter of interest curriculum vita names of three refer-ences and unofficial transcripts official transcripts will be required for the successful candidate No applications will be accepted by mail Serious appli-cants must complete their application by January 15 2013

For Inquiry about program contact

Dr Dorothy P BetheaChair amp ProfessorOccupational Therapy Department432 FL Atkins BuildingWinston-Salem NC 27110Phone 336-750-3170 betheadpwssuedu

F-6209

Faculty

Department of Occupational Therapy

OPEN POSITION ASSISTANT PROFESSOR

The Department of Occupational Therapy at Tufts University is seeking applicants for a tenure-track position at the rank of assistant professor to begin September 2013 Required concentration is research focused on promot-ing activity and participation in the homes and communities of people living with or at risk of disability This position holds a primary appointment in the Department of Occupa-tional Therapy a graduate department in the School of Arts and Sciences (httpasetuftsedubsotfacultyhtm) There is a secondary appointment in the undergraduate Commu-nity Health Program (httpasetuftseducommhealth) Responsibilities include 50 teaching in occupational therapy and 50 in community health The Community Health Program focuses on the social determinants of health and well-being including the policy environment

Faculty have the opportunity to develop col-laborations with researchers in other programs in the arts and sciences health and medical sciences and engineering Tufts University overlooks the city of Boston in an intellectu-ally and culturally vibrant and diverse envi-ronment with endless prospects for research in the community and in clinical sites around the Boston area

The candidate must hold a research doctoral degree by May 2013 (PhD or equivalent) in occupational therapy public health public policy or other relevant discipline The appli-cant should discuss his or her research agenda the target population (eg type of disability chronicity age race ethnicity sexual orienta-tion socioeconomic status) and the personal social and environmental factors that im-pact activity and participation The focus of research can be anywhere along the lifespan Cross-cultural and interdisciplinary exper-tise and graduate-level teaching experience strengthen the application The position re-quires a blend of scholarship teaching advis-ing and service activities

Send an electronic copy of CV statement of research interests and teaching experience and a list of the names e-mail addresses and phone numbers of three references to Occu-pational Therapy Department Administrator Michelle Molle at MichelleMolletuftsedu Review of applications will begin November 15 2012 and continue until the position is filled Tufts University is an Affirmative Ac-tionEqual Opportunity employer We are committed to increasing the diversity of our faculty Members of underrepresented groups are encouraged to apply

F-6193

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1


FEATURES



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Coming December

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P-6181





January


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April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180

1


FEATURES



DEPARTMENTSNews 3
















Editor Ted McKenna



































P-6131



AOTA News































































































FROM

ContinuingEducation







Upcoming Chat









Resource

RtI Available



Intersections






P-6188





In Memoriam





Corrections





awaiteaotaorg

































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Coming December

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P-6181





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March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180

P-6131



AOTA News































































































FROM

ContinuingEducation







Upcoming Chat









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Intersections






P-6188





In Memoriam





Corrections





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April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180



AOTA News































































































FROM

ContinuingEducation







Upcoming Chat









Resource

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Intersections






P-6188





In Memoriam





Corrections





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101-336 42 USC sect 12101








Authors Wanted



C a r e e r s

















continued

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

s affi

liate

(s) A

ll righ

ts re

serv

ed B

OT A

lway

s Le

arnin

g Pe

arso

n de

sign f

or Ps

i and

Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

r cou

ntrie

s of

Pear

son E

duca

tion

In

c or

its a

ffilia

te(s)

65

87 1

112

Coming December

2012














P-6181





January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180






































































FROM

ContinuingEducation







Upcoming Chat









Resource

RtI Available



Intersections






P-6188





In Memoriam





Corrections





awaiteaotaorg

































PHO

TOG

RA

PHS

CO

UR

TESY

OF

HTE

AU

THO

RS








Figure 1






with extension







Occ

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PHO

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PH C

OU

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SY O

F IN

GR

ID K

AN

ICS
















ANDREW WAITE



Museums

A



















PHO

TOG

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PHS

CO

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TESY

OF

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RID

KA

NIC

S A

ND

OH

IO W

OR

LD O

F W

ON

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OTO

GR

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AM

M O

TRL





















PHO

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RA

PHS

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OF

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KA

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ILD

REN

rsquoS M

USE

UM





















101-336 42 USC sect 12101








Authors Wanted



C a r e e r s

















continued

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

s affi

liate

(s) A

ll righ

ts re

serv

ed B

OT A

lway

s Le

arnin

g Pe

arso

n de

sign f

or Ps

i and

Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

r cou

ntrie

s of

Pear

son E

duca

tion

In

c or

its a

ffilia

te(s)

65

87 1

112

Coming December

2012














P-6181





January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180






Upcoming Chat









Resource

RtI Available



Intersections






P-6188





In Memoriam





Corrections





awaiteaotaorg

































PHO

TOG

RA

PHS

CO

UR

TESY

OF

HTE

AU

THO

RS








Figure 1






with extension







Occ

upa


PHO

TOG

RA

PH C

OU

RTE

SY O

F IN

GR

ID K

AN

ICS
















ANDREW WAITE



Museums

A



















PHO

TOG

RA

PHS

CO

UR

TESY

OF

ING

RID

KA

NIC

S A

ND

OH

IO W

OR

LD O

F W

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OTO

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PHO

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UM





















101-336 42 USC sect 12101








Authors Wanted



C a r e e r s

















continued

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

s affi

liate

(s) A

ll righ

ts re

serv

ed B

OT A

lway

s Le

arnin

g Pe

arso

n de

sign f

or Ps

i and

Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

r cou

ntrie

s of

Pear

son E

duca

tion

In

c or

its a

ffilia

te(s)

65

87 1

112

Coming December

2012














P-6181





January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180





In Memoriam





Corrections





awaiteaotaorg

































PHO

TOG

RA

PHS

CO

UR

TESY

OF

HTE

AU

THO

RS








Figure 1






with extension







Occ

upa


PHO

TOG

RA

PH C

OU

RTE

SY O

F IN

GR

ID K

AN

ICS
















ANDREW WAITE



Museums

A



















PHO

TOG

RA

PHS

CO

UR

TESY

OF

ING

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S A

ND

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PHO

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REN

rsquoS M

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101-336 42 USC sect 12101








Authors Wanted



C a r e e r s

















continued

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

s affi

liate

(s) A

ll righ

ts re

serv

ed B

OT A

lway

s Le

arnin

g Pe

arso

n de

sign f

or Ps

i and

Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

r cou

ntrie

s of

Pear

son E

duca

tion

In

c or

its a

ffilia

te(s)

65

87 1

112

Coming December

2012














P-6181





January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180




























PHO

TOG

RA

PHS

CO

UR

TESY

OF

HTE

AU

THO

RS








Figure 1






with extension







Occ

upa


PHO

TOG

RA

PH C

OU

RTE

SY O

F IN

GR

ID K

AN

ICS
















ANDREW WAITE



Museums

A



















PHO

TOG

RA

PHS

CO

UR

TESY

OF

ING

RID

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NIC

S A

ND

OH

IO W

OR

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OTO

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PHO

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UM





















101-336 42 USC sect 12101








Authors Wanted



C a r e e r s

















continued

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

s affi

liate

(s) A

ll righ

ts re

serv

ed B

OT A

lway

s Le

arnin

g Pe

arso

n de

sign f

or Ps

i and

Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

r cou

ntrie

s of

Pear

son E

duca

tion

In

c or

its a

ffilia

te(s)

65

87 1

112

Coming December

2012














P-6181





January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180












PHO

TOG

RA

PHS

CO

UR

TESY

OF

HTE

AU

THO

RS








Figure 1






with extension







Occ

upa


PHO

TOG

RA

PH C

OU

RTE

SY O

F IN

GR

ID K

AN

ICS
















ANDREW WAITE



Museums

A



















PHO

TOG

RA

PHS

CO

UR

TESY

OF

ING

RID

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NIC

S A

ND

OH

IO W

OR

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101-336 42 USC sect 12101








Authors Wanted



C a r e e r s

















continued

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

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liate

(s) A

ll righ

ts re

serv

ed B

OT A

lway

s Le

arnin

g Pe

arso

n de

sign f

or Ps

i and

Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

r cou

ntrie

s of

Pear

son E

duca

tion

In

c or

its a

ffilia

te(s)

65

87 1

112

Coming December

2012














P-6181





January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180


PHO

TOG

RA

PHS

CO

UR

TESY

OF

HTE

AU

THO

RS








Figure 1






with extension







Occ

upa


PHO

TOG

RA

PH C

OU

RTE

SY O

F IN

GR

ID K

AN

ICS
















ANDREW WAITE



Museums

A



















PHO

TOG

RA

PHS

CO

UR

TESY

OF

ING

RID

KA

NIC

S A

ND

OH

IO W

OR

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F W

ON

DER



















OTO

GR

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AM

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PHO

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TESY

OF

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KA

NIC

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CH

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REN

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USE

UM





















101-336 42 USC sect 12101








Authors Wanted



C a r e e r s

















continued

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

s affi

liate

(s) A

ll righ

ts re

serv

ed B

OT A

lway

s Le

arnin

g Pe

arso

n de

sign f

or Ps

i and

Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

r cou

ntrie

s of

Pear

son E

duca

tion

In

c or

its a

ffilia

te(s)

65

87 1

112

Coming December

2012














P-6181





January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180


Occ

upa


PHO

TOG

RA

PH C

OU

RTE

SY O

F IN

GR

ID K

AN

ICS
















ANDREW WAITE



Museums

A



















PHO

TOG

RA

PHS

CO

UR

TESY

OF

ING

RID

KA

NIC

S A

ND

OH

IO W

OR

LD O

F W

ON

DER



















OTO

GR

APH

S C

OU

RTE

SY O

F K

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SC

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AM

M O

TRL





















PHO

TOG

RA

PHS

CO

UR

TESY

OF

ING

RID

KA

NIC

S A

ND

CH

ICA

GO

CH

ILD

REN

rsquoS M

USE

UM





















101-336 42 USC sect 12101








Authors Wanted



C a r e e r s

















continued

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

s affi

liate

(s) A

ll righ

ts re

serv

ed B

OT A

lway

s Le

arnin

g Pe

arso

n de

sign f

or Ps

i and

Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

r cou

ntrie

s of

Pear

son E

duca

tion

In

c or

its a

ffilia

te(s)

65

87 1

112

Coming December

2012














P-6181





January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180



















PHO

TOG

RA

PHS

CO

UR

TESY

OF

ING

RID

KA

NIC

S A

ND

OH

IO W

OR

LD O

F W

ON

DER



















OTO

GR

APH

S C

OU

RTE

SY O

F K

ATH

LEEN

SC

HR

AM

M O

TRL





















PHO

TOG

RA

PHS

CO

UR

TESY

OF

ING

RID

KA

NIC

S A

ND

CH

ICA

GO

CH

ILD

REN

rsquoS M

USE

UM





















101-336 42 USC sect 12101








Authors Wanted



C a r e e r s

















continued

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

s affi

liate

(s) A

ll righ

ts re

serv

ed B

OT A

lway

s Le

arnin

g Pe

arso

n de

sign f

or Ps

i and

Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

r cou

ntrie

s of

Pear

son E

duca

tion

In

c or

its a

ffilia

te(s)

65

87 1

112

Coming December

2012














P-6181





January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180



















OTO

GR

APH

S C

OU

RTE

SY O

F K

ATH

LEEN

SC

HR

AM

M O

TRL





















PHO

TOG

RA

PHS

CO

UR

TESY

OF

ING

RID

KA

NIC

S A

ND

CH

ICA

GO

CH

ILD

REN

rsquoS M

USE

UM





















101-336 42 USC sect 12101








Authors Wanted



C a r e e r s

















continued

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

s affi

liate

(s) A

ll righ

ts re

serv

ed B

OT A

lway

s Le

arnin

g Pe

arso

n de

sign f

or Ps

i and

Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

r cou

ntrie

s of

Pear

son E

duca

tion

In

c or

its a

ffilia

te(s)

65

87 1

112

Coming December

2012














P-6181





January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180




















PHO

TOG

RA

PHS

CO

UR

TESY

OF

ING

RID

KA

NIC

S A

ND

CH

ICA

GO

CH

ILD

REN

rsquoS M

USE

UM





















101-336 42 USC sect 12101








Authors Wanted



C a r e e r s

















continued

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

s affi

liate

(s) A

ll righ

ts re

serv

ed B

OT A

lway

s Le

arnin

g Pe

arso

n de

sign f

or Ps

i and

Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

r cou

ntrie

s of

Pear

son E

duca

tion

In

c or

its a

ffilia

te(s)

65

87 1

112

Coming December

2012














P-6181





January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180




















101-336 42 USC sect 12101








Authors Wanted



C a r e e r s

















continued

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

s affi

liate

(s) A

ll righ

ts re

serv

ed B

OT A

lway

s Le

arnin

g Pe

arso

n de

sign f

or Ps

i and

Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

r cou

ntrie

s of

Pear

son E

duca

tion

In

c or

its a

ffilia

te(s)

65

87 1

112

Coming December

2012














P-6181





January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180


C a r e e r s

















continued

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

s affi

liate

(s) A

ll righ

ts re

serv

ed B

OT A

lway

s Le

arnin

g Pe

arso

n de

sign f

or Ps

i and

Psyc

hCor

p are

trad

emar

ks in

the U

S an

dor

othe

r cou

ntrie

s of

Pear

son E

duca

tion

In

c or

its a

ffilia

te(s)

65

87 1

112

Coming December

2012














P-6181





January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180

















Doubleday







TM

Pric

es in

creas

e Dec

embe

r 201

2 Co

pyrig

ht copy

2012

Pear

son E

duca

tion

Inc

or it

s affi

liate

(s) A

ll righ

ts re

serv

ed B

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Coming December

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January


February


March


April



Ongoing




































Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180























Only $54900c

D-4410



D-5795

























Hand Rehabilitation

FoundationPresents













April 6ndash9 2013

4513

D-6188



















F-6209

Faculty







F-6193








TRYtravel therapy






P-6172





















P-6180



















F-6209

Faculty







F-6193








TRYtravel therapy






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P-6180








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P-6180

OT Practice November 12 Issue

Documents

lea cheyney

deborah yarett

elin schold

residual limb

mary jo mcguire

promo code

visual processing

susanne smith