Practicing Occupation at a Senior Facility

October 5, 2010
by Carissa

Fieldwork What are OS/OT?

Occupation as a treatment modality.

During this past summer fieldwork at a senior facility, I found importance of putting into practice what all of our teachers have drilled into us — using meaningful activity not only as an ends for our treatment but as a means to get there. While this idea is easier to understand with kids, as play is meaningful to most children, it definitely takes a second or third thought when dealing with older adults. What is the individual’s goal? What motivates one person doesn’t necessarily motivate someone else. After using an interest checklist to see what mattered to my clients, I found that many of them loved to dance. Without a second thought, with the assistance of my clinical instructor, we set up an occupational therapy dance group. We tried to incorporated everyone who found dancing to be meaningful, including those who had experienced strokes, those with constant pain, those in wheelchairs, those with arthritis, those with Alzheimer’s, and those who just wanted to lose weight. The dance sessions consisted of mainly merengue and cumbia, with everyone voting for these latin beats. There was also opportunity for patients to bring in some of their own music and/or instruments. We found regulars in a group of people who did not regularly attend OT, people who attended mainly for a hot pack, or people with a tendency to be unmotivated for therapy. After about 5 weeks, with sessions 2x/week for 30 minutes, people were reporting decreased pain and losing weight (about 5 pounds!). Using occupation sets up for success. Not only did the clients enjoy themselves and benefit from treatment, but it was also therapeutic for me. I loved it! This made for an exciting summer far different from the typical 9-5 desk job.

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