Student Blog

Childhood Occupations In Summer ⟩
July 20, 2020, by Bethany

Life Hacks

For part of the summer, my brother and I went to stay with our cousins. It was the perfect time to go. Our parents wanted to remodel the kitchen, which would frustrate my brother and I, as we are stuck taking online classes from home, and my aunt and uncle needed to entertain their three kids who were also stuck at home. So we moved to Hawaii for six weeks, continuing online classes, which now started at 6am instead of 9am for me, and spending our afternoons with the cousins.

Having not been out of the house for a while, I loved observing the occupations that people chose during an encouraged stay-at-home time. I was in a unique position to be able to see others’ occupations, not just my family’s. I especially loved the fact that I had an excuse to engage once again in childhood occupations. It’s harder to find reasons to have random water balloon fights when all of your friends are over twenty and everyone is being encouraged to stay away from one another. But now under the same roof with three younger cousins, I had the chance to observe, relearn, and engage in some of the most exciting childhood occupations.

One of my cousins fell in love with baking. He had already loved the culinary arts before the safer at home order, and then as his free time expanded, so did his passion for baking. My brother and I were a new audience to wow with the recipes he had perfected for his own family, and we helped him concoct new ways to get creative, too. The second we arrived, he showed us his first creation: a red velvet cake decorated with green lemon-flavored icing. The red was for my love for USC, and the green for my brother’s school. The cake was gone all too soon, but my cousin was quick to create an entire baking schedule with things we had to try while we were here, including a double-layer carrot cake. My brother and I helped him come up with ways to make use of extra pie crust, like making cinnamon-roll-like creations topped with blueberry compote.

The youngest cousins showed me the garden. Many different potted plants stood out in the front of their house. She took care to water the garden daily and to check to see if things were growing. In contrast, the oldest cousin’s most common occupations were playing video games with my brother and self-learning riffs on guitar or piano to famous songs like “Piano Man.” And although the cousins engaged in occupations I was used to, such as going to walk the dog and watching TV shows, my favorite occupations to witness and join in on were self-made entertainment.

The cousins could entertain themselves, and me, by turning anything into a game. For example, my brother started showing them a magic trick, having them pick a card from the deck and finding it again. Once he got tired of that, somehow, the game instead turned into “randomly guess the card.” The entire 5-cousin group would randomly shout cards (“Ace of spades!”), someone would turn the next one in the deck over, and you would either hear shouts of disbelief and excitement, groans of frustration if the number was only one off, or more commonly small sighs and next guesses. The game took up at least ten minutes. Ten minutes of random card guessing, and I had fun with it. I guess the anticipation in the occupation and the people with whom I was participating made the occupation increasingly engaging.

On a socially-distanced beach trip, I stayed in the shallow water with the younger cousins, jumping waves. Then the youngest dived down and grabbed a rock. We spent the next twenty minutes using the rock as if it were a pool dive toy, where I’d throw it and she’d get it, over and over again. That day, we also dug a giant hole. And then right after, we filled it in before leaving to make sure no one would fall into it. But I was struck by the short-lived nature of these occupations, how it seemed so necessary and important to frantically dig water out of the hole as the waves rolled in so that the hole would not fill up, but then we filled it up ourselves an hour later. And yet, these became some of the most fun moments.

It’s the small daily activities of entertainment like making toys act out a play, trying to mimic how Han Solo runs, or trying to bounce a ping pong ball into a cup that become memorable, silly moments. It’s not just the activity, but the context, the place, the people, and the purpose, that make them meaningful occupations. In one of the books I was able to pick up this summer, Liturgy of the Ordinary, by Tish Warren (2016), I read that “Children never tire of beauty and pleasure. They embrace enjoyment with abandon. They don’t feel guilty about taking time to search for feathers, invent a game, or enjoy a treat” (p. 132). And getting to participate in these activities with my cousins has helped me begin to rediscover my own wonder with the world.

Reference

Warren, T. H. (2016). Liturgy of the ordinary: Sacred practices in everyday life. InterVarsity Press.

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A 30 Minute Phone Call Became 6 Hours ⟩
July 17, 2020, by Lamoni

Life Hacks

Due to my super tight schedule of balancing five classes, a job, research, and sleep (because sleep is my best friend and I am adamant about making time for it!), I do not call my friends as often as I would like. In the past, spontaneous phone calls were an easy and quick way to check in. Now? I pretty much rely on everything being planned on a To-Do list. Once upon a time, spontaneity was fun and refreshing. But now it throws me off schedule and leads to feelings of chaos. None of that, please!

My close friend from college and I have a semi-regular schedule for when we talk. We try to check in every two weeks around the same time (8:30 CST for me, 9:30 EST for her). However, I had to stay up late to finish an assignment on one of our scheduled nights and asked my friend if we could chat another time. Then the next week rolled by in what felt like a flash. The following week, I had one day in my schedule that was pretty open. I thought “Great, I can call my friend!” Too bad that when I reached out, she said that that day did not work for her. Another week went by. I was out of our routine and sort of stopped looking for time to chat. Finally, after 5 weeks, we both had an empty slot on the same day. I actually wrote her name in my planner with a “30m” next to it, which meant that I allotted thirty minutes to the call. I intended to complete several tasks once off the phone. I always looked forward to our biweekly check-ins but because I had not done it in a while, I was still in the mode of work work work. I viewed the call as an assignment that needed to get done efficiently.

When I answered the phone, I was greeted with “Hey, MONI!” It was one of those greetings where you could hear the smile on someone’s face. Her voice was lifted, warm, and welcoming. It was like a hug through the screen. Her positive energy transferred to me and I instantly felt at ease. The built-up stress had calmed down. The constant thoughts about the tasks I needed to complete had gone quiet. We talked about TV shows, future vacations that we want to take together, our families, what we ate, old college memories, relationships, jokes we heard throughout the weeks, and even outrageous what-would-you-do scenarios. Less than five minutes were spent talking about work or school. That was where all of our time went throughout the week. This was our time to focus on something else. Thirty minutes came and went. Then it was two hours. By the time we chose to end the call, it was 2AM and nearly six hours had passed! You know how the saying goes—“time flies when you’re having fun!” That could not have been more true. Even after all of those hours, I did not want the call to end. If my body had not needed sleep (my other best friend), we probably could have spent an additional six hours together. I woke up the next morning feeling restored.

I am someone that loves solitude. My time alone is very special to me. I am also naturally more introverted. All that is to say that I am very comfortable with being by myself. But pair that with a heavy workload and I can close myself off for too long. So long that I forget the beauty of friendship. Spending time with or talking to someone that loves you is like a natural healer - a remedy for stress. (Side note: shout out to OT534 and the professors, Kelcie Kadowaki and Laura Marie Cox, who work for the Faculty Practice because I learned that this is a fact. As part of our stress response, the parasympathetic nervous system aka “Tend and Befriend” releases oxytocin which then urges us to engage in positive social interactions. This leads to stress reduction). Being with people that care about you increases your health and wellness!

Next time you want to cancel plans with your friends or family because of a high workload or increased stress, don’t. They are your stress remedy. I bet that after spending time with the people that you love, you will feel refreshed and better prepared to finish your work. Health comes first, always. Everything else comes later.

Sometimes you do not realize what you need until you get it. But once you have that realization, get more of it. Get it not only when it is desperately needed but also as a preventative measure. Stay safe and stay healthy ✌️

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Let’s Talk About Mental Health! ⟩
July 16, 2020, by Nmachi

Diversity Life Hacks

As you may or may not know, July is BIPOC Mental Health Month! This month is dedicated to recognizing the specific struggles that Black, Indigenous, and People of Color face regarding mental health.

Personally, BIPOC mental health means taking the time to recognize that prioritizing my mental health is just as (or even more so) important as all the other goals in my life. Growing up in an immigrant household, I was told from a young age that I was to do my best in school and be the best person I could be so that I could make my family proud. Even though this notion is very much still important to me, I had to learn on my own that mental health is just as important as physical health and should be placed at a higher value in my life. Throughout my middle school and high school years, I was faced with the dilemma of consistently getting straight A’s in my classes or putting my mental health first. I know that a lot of people in my community, especially those from immigrant households, are faced with this issue constantly. The biggest thing I’ve learned overtime is that in order to succeed in all areas of my life, it is crucial that I spend time with myself and learn about things I need to do daily to relieve unnecessary stress and anxiety.

Another key reason why July is recognized as BIPOC Mental Health Month is because of the unique type of trauma that the people of this community may face: racial trauma. Racial trauma, or race-based traumatic stress, refers to how racial biases and discrimination can affect mental health. I would highly suggest reading more about this here.

With all of this being said, there are many things that I do to cope with feelings of self-doubt and unhealthy perfectionism. Here are a few occupations that help me alleviate stressors in my daily life:

Consuming music regularly
Music is a form of therapy in my life. Whenever I feel overwhelmed for whatever reason (academic/personal stress) I continue to turn toward all forms of enjoying the beauty of music. Playing acoustic guitar, singing, and dancing to music are ways that I deal with my positive and negative emotions that naturally come and go.

Speaking with people I trust about my struggles
I find that expressing what I’m feeling and discovering the reasons why I am feeling that way is crucial when attempting to resolve inner conflicts. Thankfully, I was able to find those people who I can confide in and who will keep me accountable at USC. Having a strong support system outside of my family was very important to me. I am forever grateful to those friends, who I now call family, that continue to be there for me and understand my unique struggles as a young Black woman.

Daily affirmations
I started to incorporate affirmations into my daily routine fairly recently. As I began to make reading affirmations a habit, I noticed a difference in the way I view myself as an individual. When I would consistently tell myself that I am worthy of love and happiness, it allowed me to not let the negative thoughts and comments of others truly affect me. Don’t get me wrong, not giving in to others’ predisposed thoughts about me as a Black woman is a daily battle. It is very difficult to maintain confidence in who you are as a person when society and peers overlook you and your community all the time! Despite this, I know now that I don’t need to feel like I have to prove myself to everyone. I don’t need to be perfect. I am perfectly fine right now, just as I am.

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Communication is Key!!! Especially in Telehealth! ⟩
July 15, 2020, by Daniel

Fieldwork

Good communication is an important skill that all occupational therapists need to develop and continue to improve as they continue to practice. As a student completing my final level-2 fieldwork at LAC+USC Adult West Primary Care Clinic, I’ve had the opportunity to practice my communication skills every day. Especially now that most settings are providing telehealth, communication is vital to making things work! The most difficult part about working remotely and communicating is that you may have never actually met the person you are talking to. My time at fieldwork this summer has consisted of communicating with patients over the phone, and communicating with the primary care team via phone, email, video camera, and messages.

Communicating with patients:
One of the hardest things I’ve had to do as an occupational therapy (OT) student is facilitate a one on one, 1-hour appointment over the phone with someone I have never met before. Whether it’s an initial evaluation, progress phone visit, or discharge, asking someone to answer all your questions and trust you over the phone is a lot to ask! Furthermore, if patients have had previous negative experiences in the healthcare system, they may be reluctant to opening up to you. Neither of you are able to see each other’s body language or pick up on cues that people rely on when having a conversation. The way you frame questions, your tone of voice, and your ability to listen will be key to communicate effectively! When I think back to all of the courses I have taken at USC, I have to say that OT 578 Therapeutic Communication: Facilitating Change in Clients (Motivational Interviewing) with Dr. Diaz is one of the most valuable courses I have taken in my entire college career. This class taught me the importance of simply listening to someone and showing them that you care by using reflections, affirmations, summaries, etc. in order to build that trusting relationship with your patient. This may be the first time a healthcare provider is actually taking the time to listen to them and agreeing with a lot of the frustrations they may be expressing. Additionally, the structure in the primary care clinic allows OT to spend up to an hour talking about making lifestyle changes with a patient. This client-centered approach of focusing on the patient’s needs and wants is the unique value of OT. The reality is that motivational interviewing may not work for every single one of your patients, but it is an evidence-based approach that I have personally found valuable during my time in primary care. 

Communicating with your team:
Again, communication, communication! At the clinic our interdisciplinary team consists of primary care providers (medical doctors, physician assistants, nurse practitioners), clinical pharmacists, certified medical assistants (CMAs) community health workers (CHWs), care managers, nurses, medical case workers (MCWs), 1 occupational therapist, and 1 occupational therapy student (me). Working within an interdisciplinary team can be challenging at first. My first couple of weeks in fieldwork I spent learning how to use the communication systems used by LAC+USC County, which was frustrating at times with IT or technology issues. In the beginning, every electronic medical record (EMR) message or email I would send to a patient’s primary care provider (PCP) would make me nervous because I would be talking to doctors or specialists that have been practicing for a long time. Furthermore, I am communicating sensitive information that can affect the patient if it’s not communicated properly. Once I became more comfortable and got over my fear of “messing up”, I was able to better understand the value of OT and how to effectively communicate patient concerns with the interdisciplinary team. For example, while working with patients diagnosed with uncontrolled diabetes and/or uncontrolled hypertension, we may communicate patient concerns such as hypoglycemia episodes (really low blood sugar levels), not taking medications, reported pain that is limiting their function, and needed support for food and/or housing insecurity as well as financial support. This communication allows us to catch things that the patient may not have reported during their appointments with other providers and help the team provide the best possible care to the patient.

You will make mistakes and that is totally okay! As a student, this is the time to learn from your mistakes and develop those skills that will help you become an amazing OT in the future! As students we are often too hard on ourselves and are afraid to mess up, but remember to take a step back and remind yourself that you are still learning! As long as you are following safety precautions and working with your team to improve your skills, you will become more comfortable communicating with your patients and your team. As many of you begin to go back to fieldwork in the Fall and then begin level-2 fieldwork next year, you will have the support you need from the fieldwork educators, your clinical instructor (CI), and the rest of the team (wherever your setting is) you are working with! I have been fortunate to have such a supportive team at the Adult West primary care clinic with helping me transition into working remotely and providing feedback to develop the necessary skills to work in this setting. I hope this provides some insight into the importance of communication in the world of telehealth! This is a skill that you will be able to develop during the Master’s program and further enhance if you choose to pursue the OTD as you will have additional mentorship from faculty! I hope that no matter what route you choose, that you feel competent when applying to jobs in the future that require great communication skills and telehealth experience.

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Calvin’s Declassified Chan Division Survival Guide ⟩
July 10, 2020, by Calvin

Life Hacks

As much as I’ve been enjoying my time spent in grad school so far, I confess that there have been, and definitely still are, moments when I struggle to keep up. Back when I had just started the program, I felt a daunting amount of pressure to be that student who had good grades, who was getting involved, and so on. I didn’t want my peers to think that I was falling behind or that I wasn’t as passionate as them. I had put up a front as if everything in my life was balancing out perfectly. In reality, though, all of my self-doubt and imposter feelings had knocked me down to a low point where I felt undeserving of being here.

I needed to pause and reflect in order to understand why I was experiencing these feelings. As I collected my thoughts, I realized that my reasons weren’t aligned with my values. I associated an “A” grade with the incentive of validation and I connected heavy involvement as the only method of gaining opportunities. However, the truth of the matter is that I don’t need to be reaffirmed by letter grades to know that I’ve worked hard, and there are multiple avenues to finding opportunities and getting involved. We’re all here to become occupational scientists and occupational therapists! How we get there is up to us, so let’s live our lives to our fullest!

I wish I had guidance on this earlier on, so I want to provide some tips and reminders that I think will help with treading the waters of graduate school:

Your health comes first:

• Being a student means keeping ourselves academically accountable, but we should also be prioritizing our wellness. I’ve found that setting boundaries and understanding my own mental and physical capacities have enabled me to excel in so many ways!

Get involved for you:

• Last week, I co-presented at the Student Organization Fair on behalf of the Occupational Therapy and Science Council (OTSC). During the Q&A portion, first-year students expressed their concerns about getting involved in terms of time management, overcommitment, and staying on top of school. In response, we second-year students, along with Dr. Rafeedie, echoed sentiments of doing what you can and how your experiences are what you make of it. However you choose to get involved will ultimately help you and respective organizations move forward in leadership!

It’s okay to say “no”:

• You may feel like turning down opportunities will hurt your chances of getting more in the future, but really, sometimes we just have to say “no”. There are moments when I feel so overwhelmed and unsure about taking on more responsibilities, that saying “yes” may only exacerbate the outcome. By giving myself options, I’ve become a more effective communicator and a better manager of my time.

Reach out and check in:

• Now more than ever, getting in touch with peers, faculty, and staff, has proven to be an essential aspect of my life. Feeling sensitive, vulnerable, and in need of support, is natural. When I allow myself to open up, I feel a sense of relief and find that others may even connect with my feelings on a mutual level.

You don’t have to have all the answers:

• As a second-year student, I’ve been feeling the pressure of having to provide the best responses to questions that come my way. Realistically though, I don’t know everything, and that’s okay. There is beauty in not knowing and even more so in the adventure of learning and being curious!

Embrace your qualities:

• I am a huge overthinker! I had always seen this as a weakness, but more recently, I’ve redefined it into a quality that I cherish. Now, I see it more like thinking thoughtfully and putting in the effort to understand. We all have our own unique set of qualities, so let’s appreciate and celebrate them!

Be real with yourself:

• I used to be such a people pleaser, but I realized that I can’t give everyone what they want. It’s still hard, but being more realistic with myself has helped me cope with my struggles and it’s reminded me that I should be doing things for me. Stay true to yourself because you are the only you and no one else knows you better than you do!

This journey of self-discovery is never-ending. I’m growing and learning more about myself every day and, although graduate school can get tough at times, it has taught me valuable lessons that I will carry on throughout life. So, to all of you prospective students, current students, and anyone else: we are in this together and you are not alone!

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