The Care for the Dying: A critical historical analysis of occupational therapy in hospice.

This paper presents an historical analysis of occupational therapy’s role in hospice care with relation to past and current hospice practices, as well as cultural forces that impact that role. Since the beginning of the movement, hospice has developed into a strong component of end-of-life care, and occupational therapy practice models and interventions are unique in addressing the occupational needs of clients during this stage of life. Despite compelling evidence of the positive impact of employing occupational therapists, there continue to be significant barriers to implementation of services. The author proposes that the concept of occupation, as experienced at the end-of-life stage, needs to be more clearly defined and occupational therapy’s role broadened in order to strengthen the profession’s presence in the hospice setting

A Preliminary Historical Report on Embracing Online Education in Occupational Therapy

The relevance and popularity of online occupational therapy education have been increasingly recognized. This paper describes the historical development of online occupational therapy education. Findings revealed three shifts in occupational therapy education, namely shifts in perception, in mode of instruction, and in the roles of teachers and students. The inception of online education in occupational therapy was a product of technological advancement and the demand for improved access to occupational therapy online education. The early phase of occupational therapy online education was confronted with challenges related to hesitance in the development and implementation of online programs and to negative perceptions about online education. The development and implementation of online occupational therapy programs were greatly shaped by factors such as technological tools, methods of teaching delivery, and the dynamics of teaching and learning processes. The potential of online occupational therapy education remains vast, but experts caution that quality should not be compromised

A Model for Interprofessional Education between Occupational Therapy and Accounting Students: A Mixed-Methods Study

This interprofessional education (IPE) project was designed to prepare students to work and lead in an increasingly complex healthcare environment. The purpose of this project is to describe and measure accounting and occupational therapy students’ perception and value of participating in an IPE learning activity and how the activity enriched the learning environment and identified gaps of knowledge to improve teaching. A mixed methods pre- post-survey design was used to collect quantitative data from a modified version of the Interprofessional Socialization and Valuing Scale (ISVS-9a) from 115 occupational therapy and 21 accounting students. Qualitative data was collected from a post-survey using open-ended questions and the accounting students’ consultation deliverable report to the occupational therapy students. Statistically significant improvements from pre- post-survey for all ISVS-9a items were found for the occupational therapy students (all

Professional Characteristic Development of Occupational Therapy Students in Traditional vs. Hybrid Pathways

The development of professional characteristics is crucial to becoming a well-rounded, competent occupational therapist. An exploratory sequential mixed method design was used to determine if there was a difference in the growth of professional characteristics of students in a three-year entry-level Doctor of Occupational Therapy (OTD) program who attended a traditional on-campus program compared to a hybrid program. Ten second and third-year occupational therapy students from the traditional and hybrid pathways participated in a focus group related to cultivating professional characteristics. The themes that evolved from the focus group included: teamwork/team player, time management, communication, self-awareness, critical thinking, and leadership. The themes were then used to create survey questions related to the development of professional characteristics. Twenty first-year, 23 second-year, and 25 third-year students completed the survey. Twenty-seven of the 68 survey participants attended the program in the traditional pathway, and 41 of the 68 survey participants attended the hybrid pathway. Outcomes from the survey data suggest that there are significant differences in professional characteristics between traditional and hybrid students in the areas of listening (p-value = 0.024) and assertive communication (p-value = 0.003), in which traditional students rated their agreement of the development of these characteristics higher than the hybrid students. The results of this study emphasize the importance of professional occupational therapy education regardless of the delivery model (hybrid or traditional) to help mature professional characteristics in students and prepare them for clinical practice

Retrospective Analysis of Graduates’ Outcomes in a Post-Professional Occupational Therapy Doctorate Program

There are limited studies within occupational therapy literature assessing the outcomes of advanced degrees. Specifically, there is a scarcity of literature about the benefits of completing a post-professional occupational therapy doctorate (POTD) program. The purpose of this study was to retrospectively examine graduates’ professional and personal outcomes at a midwestern university with an established POTD program. A total of 64 graduate exit surveys completed by POTD graduates between the years of 2008 and 2017 were analyzed using a mixed methods research design. Emergent categories from the data included a greater sense of self-empowerment and confidence, expanded career opportunities, and increased professional knowledge and skills. Quantitative data indicated new employment opportunities and increased pay. Overall, graduates reported increased personal and professional growth, however continued research regarding the benefits of completing a POTD is needed to help guide occupational therapists considering an advanced degree

Praxishandbuch Online-Fundraising

Die Tage der Spendenbüchsen sind gezählt. Immer mehr Vereine, soziale Initiativen, Projekte und Stiftungen möchten nicht mehr (nur) auf der Straße oder via Brief, sondern kostensparend und effektiv im Internet Spenden sammeln und Unterstützer mobilisieren. In diesem Buch lernen Sie, wie das geht. Anhand vieler Praxisbeispiele werden die Grundlagen für erfolgreiches Online-Fundraising erläutert: von der nutzerfreundlichen Website-Gestaltung über effizientes Social-Media-Management bis hin zur Planung und Evaluation von Fundraising-Kampagnen

Career Goals and Student Perceptions of a Post-Professional Occupational Therapy Doctoral Experiential Component

Clinical doctoral education for occupational therapy includes the acquisition of advanced clinical reasoning skills, leadership capacity, and opportunities for professional development and career achievement. Post-professional students represent motivated individuals seeking to enhance their education, experiences, and explore professional growth opportunities. While not required, the final semester of a clinical doctoral program typically includes a doctoral experiential component (DEC), or culminating project. The purpose of this retrospective, mixed-methods study was to examine the DEC goals and experiences of post-professional occupational therapy doctoral (POTD) students. A total of 49 student DEC proposals, each including multiple personal goals, were categorized according to one or more POTD program goals. The most frequently selected long-term DEC goals by participants in this study were developing educative roles (n = 37, 27.30%), scholarly activities (n = 31, 22.96%), and advanced clinical skills (n = 31, 22.96). The DEC goals developed by the students were also categorized according to the experience as perceived by the students. Three primary areas of growth experienced by the students during their DEC were: (1) improved self-awareness and confidence through reflection, (2) a challenging, yet fulfilling, experience and (3) translation of new knowledge and skills to practice. The outcomes of this study may offer insight for administrators and prospective students of post-professional programs and align with the American Occupational Therapy Association’s Vision 2025 to produce effective and collaborative leaders capable of implementing evidence-based, client-centered, and cost-effective treatment to influence the complexities of healthcare

Prevalence of Hepatitis B and C virus infection among alcoholic individuals: importance of screening and vaccination

Drug users have been reported to have an increased risk for acquisition of viral hepatitis. This study aims to evaluate the prevalence of HBV and HCV infection and usefulness of saliva for HBsAg and anti-HCV detection in alcoholic patients.A total of 90 alcoholic patients were recruited in 2013. HBsAg and anti-HCV were tested in serum and saliva, anti-HBc and anti-HBs were tested in serum using commercial enzyme immunoassays (EIA).Using serum samples, anti-HCV, HBsAg, anti-HBc and anti-HBs prevalences were 5.6%, 0%, 15.7%, and 29.2%. HBsAg detection in saliva showed 100% of specificity and anti-HCV detection demonstrated 100% of sensitivity and 94.7% of specificity. Low prevalence of HBV and high prevalence of anti-HCV were found and reinforced the recommendation of HBV vaccination to avoid the acute and chronic cases and HCV screening in this group to identify cases for antiviral therapy. Saliva samples could be used for anti-HCV detection in this population, what could increase the diagnosis access

The Responses of Tissues from the Brain, Heart, Kidney, and Liver to Resuscitation following Prolonged Cardiac Arrest by Examining Mitochondrial Respiration in Rats

Cardiac arrest induces whole-body ischemia, which causes damage to multiple organs. Understanding how each organ responds to ischemia/reperfusion is important to develop better resuscitation strategies. Because direct measurement of organ function is not practicable in most animal models, we attempt to use mitochondrial respiration to test efficacy of resuscitation on the brain, heart, kidney, and liver following prolonged cardiac arrest. Male Sprague-Dawley rats are subjected to asphyxia-induced cardiac arrest for 30 min or 45 min, or 30 min cardiac arrest followed by 60 min cardiopulmonary bypass resuscitation. Mitochondria are isolated from brain, heart, kidney, and liver tissues and examined for respiration activity. Following cardiac arrest, a time-dependent decrease in state-3 respiration is observed in mitochondria from all four tissues. Following 60 min resuscitation, the respiration activity of brain mitochondria varies greatly in different animals. The activity after resuscitation remains the same in heart mitochondria and significantly increases in kidney and liver mitochondria. The result shows that inhibition of state-3 respiration is a good marker to evaluate the efficacy of resuscitation for each organ. The resulting state-3 respiration of brain and heart mitochondria following resuscitation reenforces the need for developing better strategies to resuscitate these critical organs following prolonged cardiac arrest

A cohort of 17 patients with kyphoscoliotic Ehlers-Danlos syndrome caused by biallelic mutations in FKBP14: expansion of the clinical and mutational spectrum and description of the natural history.

PurposeIn 2012 we reported in six individuals a clinical condition almost indistinguishable from PLOD1-kyphoscoliotic Ehlers-Danlos syndrome (PLOD1-kEDS), caused by biallelic mutations in FKBP14, and characterized by progressive kyphoscoliosis, myopathy, and hearing loss in addition to connective tissue abnormalities such as joint hypermobility and hyperelastic skin. FKBP14 is an ER-resident protein belonging to the family of FK506-binding peptidyl-prolyl cis-trans isomerases (PPIases); it catalyzes the folding of type III collagen and interacts with type III, type VI, and type X collagens. Only nine affected individuals have been reported to date.MethodsWe report on a cohort of 17 individuals with FKBP14-kEDS and the follow-up of three previously reported patients, and provide an extensive overview of the disorder and its natural history based on clinical, biochemical, and molecular genetics data.ResultsBased on the frequency of the clinical features of 23 patients from the present and previous cohorts, we define major and minor features of FKBP14-kEDS. We show that myopathy is confirmed by histology and muscle imaging only in some patients, and that hearing impairment is predominantly sensorineural and may not be present in all individuals.ConclusionOur data further support the extensive clinical overlap with PLOD1-kEDS and show that vascular complications are rare manifestations of FKBP14-kEDS