Occupational Therapy with patient in Physical dysfunction

Hello the reader. I've a chance to participate in seminar that one of subject in Occupational therapy division, Faculty of Physical Therapy, Mahidol University. That class about knowledge translation in Occupational therapy(OT) in patient who have physical dysfunction by Dr.Anuchart Kheannil who have experienced in OT about physical dysfunction come to share knowledge and ideas and Dr.Supalak Khemthong who is moderator in this class .

Below is questions in this knowledge translation

 

>> 1. What is the key mission of the occupational therapist in physical rehabilitation?

Occupational therapy in physical dysfunction, we need to work with Frame of reference (FoR), a basic frame and theoritical framework may be like Domain and process, but it has a lot of look like concept. Choose for the right people, choose the right way, it may be combine and it depend on individual case in physical rehabilitation. If stroke people come to you will know what do you do. Compensation even though use assistive technology think about framework first after that put the best. Vocational rehabilitation to help to their career. Think about function of physical and think about their occupation.

 

>> 2. How does the OTs ensure quality of intervention for physical dysfunction clients?

When the patient come to the ward. they didn’t to do something. The key area is one day is a quickly time to bring them to generate.The Quality time to treat and collaborative goal setting, because their life not your life. you need to gain information to caregiver about food, lifestyle or something like that. Don’t think by yourself. They can talk and know what they want to do. Bring information like core generate what is Occupational therapist to do, how to use this device, how to transfer in activity daily living (ADL), work, leisure. You can set up environment and bring them to reliable with you. Set collaborative goal, action plan. Check with them to make them satisfaction.

 

>> 3. What are the Thai OTs in physical rehabilitation’s strengths, weakness, threats and opportunities?     

We (Occupational therapist) expert in occupation and do together

Strength is bring not just only like tools such as sliding board or something in many region got unique. If people want ball, you can adapt ball to a real situation to them, make a basket from real situation from coconut or banana leaf or tare mint leaf. you can go to home and do at their home and their community. Such as E-san (Northern-East region) has a several intervention therapeutic media for example putty to change from sticky rice. Got many resources and therapeutic media to purposeful activity.   

 

>> 4. What have you learned about CMU-OT leading to build/create MU-OT?

Chiang Mai University (CMU) lack of patients in physical dysfunction not same in Bangkok, is the best area to everyone. If you go to Chiang Mai, they are local people, you learn Northern style. We learn from license. We learn don’t do like this. OT-CMU help us to taught you already and expand to other country. We grow slowly but sure. Human capitalization need to bring something in your head. How to use occupation in your region. Contextualization to adapt person any where, break a routine need more creative intervention.

 

>> 5. What do you see in the future as an OTs in physical rehabilitation and how is this led to success? 

They can do like skill to grasp on glass of some water, put something back to his/her context. If they can use chopstick, will practice them is a good outcome. Attack struct of number and think much more information to create idea collaboration together and action them. Put a real context will be to good outcomes. Performance outcome brings to quality of life skill much more client-centered and about religion.

 

>> 6.What do you see Thai OTs in physical rehabilitaion five/ten years from now?

Electrical stimulation is very expensive . We are OT can bring them to their occupation in real situation. What is the next to bring a real to integrate them, bring them to the real instrument help you to make comfort. Some people don’t have money and Thailand isn’t rich country. Every stuff and tool much more from abroad so it isn’t necessary doing in real life activity.  Buy many thing but can’t support with context and real life activity.

 

>> 7. In 2015, Thailand as a member of Asian community. What do you think that AEC is positive or negative impacts for Thai OTs in physical rehabilitation?

Positive is we are not alone. Regulation, you can receive money, you can learn much more culture from Malaysia, Singapore or another country. ASEAN not whole Asia, we have many resource. Need to accept our culture like to occupation. And can flow staff and people need to interest with the patient. 

Negative is language barrier. And someone can’t open to AEC. They concern about multi-culture, need your heart, your love, more knowledge not only clinical.

 

Finally, Thanks to 

- Dr.Anuchart Kheannil

- Dr.Supalak Khemthong 

To shared your experiences and many idea about occupational therapy.

sincerely thank you very much.

 

If you want to read in Thai language, please click this link: http://www.gotoknow.org/posts/563901