Wednesday, September 17, 2008

So it begins!

Year 2 has begun!

Today was my first day of adult fieldwork Level I. I am at an outpatient hand surgery and rehab hospital. It's incredible, fast-pasted, and exciting. The morning started out with an inservice about iontophoresis (read more about it here http://en.wikipedia.org/wiki/Iontophoresis). I was able to try on a patch (saline solution rather than dextro or other meds)... Anyway, it's sort of a combo of a portable TENS that delivers medication trans-dermally. It's used for a variety of purposes, ie- contractures, pain and scars. Very interesting!

I saw a variety of modalities today including ultrasound, heat, contrast bath, fluidotherapy, iontophoresis, vibration, etc... I was also able to assist a patient with his BTE program, which was awesome! Their BTE is computerized and customized for each client. I saw quite a few dx's today including carpal tunnel release, ulnar nerve translocation and a variety of fractures/ ORIF's. In a few weeks I'll probably get to observe a surgery!

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I'm also elected the secretary of our Student OT Association. Woo!


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This weekend I'm presenting at the NJOTA (New Jersey Occupational Therapy Association) conference. I'll be discussing the benefits of a social skills group for pre-school children with autism. We're discussing the research we've done about social skills, and the structure of our program so that other people can run it. This year I'm running three autism groups in three different towns, and it's really incredible how fast we're expanding. We're in the process of publishing a manual.

That's it for now..... things are good and busy. : )

3 comments:

Anonymous said...
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Patti Henk said...

Hi Nivea! : )

Time really does fly... I hope you're loving OT school as much as I am. It goes so fast and as hectic as it can be, it's equally fun. Wait till you start fieldwork and everything falls in place, it's a great feeling.

For my assertiveness activity I showed clips from the movie "Office Space" and had the group determine what type of assertiveness the character was displaying (ie aggressive, passive or appropriate).

I also had the group break up into smaller groups and gave them index cards with different scenarios. They had to act out a solution to them by being assertive in an appropriate way, and being assertive in a passive or aggressive way. That way we can look at the difference and talk about why it's a lot better to be assertive without being hostile, etc.


Below is my group plan.....


Purpose of Group:

To understand the importance of assertive behavior in accomplishing goals and to be confident in their ability to do so.



Theoretical Frame of Reference:

Behaviorism or behavioralism's theoretical assumption is that environmental cues, habits, and reinforcement history influences behavior. Such behavior will be repeated if they are reinforced, or come with successful outcomes. Additionally, maladaptive behaviors have the ability to be unlearned and replaced with adaptive ones. A strength in this frame of reference is that it can be utilized with individuals who may have impaired intelligence.



Goals of the Group:

1 To understand and distinguish between passive, assertive, and aggressive behavior.

2 To recognize where assertive behaviors are necessary to goal accomplishment.

3 To aid the individual in developing and implementing assertive behaviors.



Description of the Activity:

The group activity is broken up into two distinct parts. To begin, the group members will watch three scenes from the movie Office Space and decide what kind of behavior the main character exhibits for each clip, being either passive, assertive, or aggressive. In order to facilitate the individual's ability to develop assertive behaviors, the leader will then role play with each member a line from the movie clip where the group member has to respond in an assertive and appropriate way. After each clip is played, discussed, and re-enacted, the members will then be divided into two groups. The leader will hand each group a piece of paper with a real-life scenario listed as well two behaviors that they will try to exemplify. The groups will create two short skits to the scenario, one responding in either a passive or aggressive way and the other in an assertive manner.



Supplies:

1 Movie clips from the film Office Space

2 Laptop computer

3 Paper stars

4 pens/pencils

5 real-life scenario description



Introduction:

The group leaders will begin the session by first introducing themselves and thanking the members for coming. The group members will then state their names, so that everyone has a sense of the people around them. Next, the leaders will reinstate the definition of self advocacy and explain the purpose of the group as well as the expectations and time frame for the meeting. The leaders will then field any questions that the group might have. Lastly, the group will participate in a short warm up activity where they will identify and write down five personal traits that makes them unique on a star that the group leaders will provide them with.



Activity:

The members will watch three scenes from the movie Office Space. Between each clip they will decide what kind of behavior the main character exhibits and describe why they feel that way. The leaders will then role play with each member lines from each scene, where the group member has to correct the character's behavior and respond in an assertive way that would help the character get what they wanted or needed. Next, they will be divided into two groups and create two skits in response to a real-life situation. One group will first act passively to the situation and then correct it with assertive behaviors and the other group will first act aggressively, then correct it with assertive behaviors as well.



Sharing:

Each member will be asked to share their feelings about acting assertively, passively, and/or aggressively. A slight emphasis will be placed on whether or not the members felt it was easier to act out their skit in either a passive or aggressive way as opposed to an assertive way.



Processing:

1 How did you feel when we had to come up with your own assertive response to the characters situation after the movie clips?

2 Do you think you would have been able to handle their situations better if you were in their place?

3 Which situation would have been the most difficult?

4 Did you all work well with each other in creating your skits? Did you find yourself acting either assertively, passively, or aggressively when trying to complete the task?

5 How did you feel acting passively or aggressively?

6 Was it easier than acting assertively?



Generalizing:

The group leaders will state the main principles learned in regards to the goals that the leader's had previously explained. They will also point out both similar and contrasting responses to the activity and to the group member's response to the activity and meeting.



Application:

The group leaders will first explain the importance of assertiveness in order for effective self advocacy. Leaders will also explain situations where in which being assertive is necessary in everyday life by using concrete examples that could help with the problems or issues that the members are faced with.



Summary

The group leaders will once again inform the members of the main principles they have learned in the group. They will also acknowledge the member's hard work and contributions, while emphasizing progress. They will remind the members to utilize their strengths and unique traits that they identified earlier in the session, then thank them for their participation and briefly inform them about the upcoming session.





Good luck!

9ja's OT said...

hey, wassup. i just joined OT school in GA, and i would like to know more about the whole school years tru you. i am doing MHSOT in ga. Thanks.