Student Blog
Fieldwork

Feeling a little overwhelmed? ⟩
October 18, 2012, by Ricky

Fieldwork School/Life Balance What are OS/OT?

So I was looking at my calendar the other day. I got a lotta things on my plate right now. I am a full-time student, I have a part-time internship, I have a part-time job, and I’m planning a wedding. It also doesn’t help that I live in the Inland Empire, go to school in LA, intern in Whittier, and my fiancée lives in Bellflower. Each day is different and I have had to get creative with my commute to save time and money. But you know how they say, “there’s always gonna be someone who has it worse than you do.” Some people in my class have it pretty rough too. I know this woman who is a mother of 3 and commutes from South Orange County. The life of a grad student is no joke. I get angry when people look at me as if to think “oh, your life is cake,” when I tell them I’m a student. “Trust me, I’d much rather have a 9-5 schedule, buddy,” is what I’m thinking, haha. But anyhow, it begs the question, “why do we do it?” Well, as for me, it’s because I believe in OT. Each fieldwork experience, I meet individuals whose lives have been improved because of OT. They tell me themselves. Like the lady at the rehab hospital who leaned over to me during her OT session and said that in her eyes, her therapists were angels. Or all the parents at the SI clinic who keep telling me that their little one wasn’t able to do this or that, until he/she had started OT. This stuff changes lives. That’s my motivation. I want to be the best OT I can and help as many people as possible, but even if I just help one person in the profound manner that I have seen at fieldwork, that would be worth it.

I want to give a shout-out to the guy I met at the OTAC conference, who said he reads this blog to stay motivated as he completes his prereqs to get into OT school. Bro, I’ve been there, and that can be just as rough (or more). Trying to get the classes is a feat in itself. I’m sure many of you prospective students are juggling jobs, parenthood, and a whole variety of responsibilities. To all of you, stay up and keep at it. I am pretty busy right now, but I don’t regret it one bit. Being here feels right . . . like I’m supposed to be here. I love me some OT.

I say we all pat ourselves on the back.

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‘Real’ life as an OT ⟩
October 17, 2012, by Kendra

Fieldwork What are OS/OT?

Last week was our full week of fieldwork, and while difficult and overwhelming at times, I always find these full weeks invigorating and a well-timed reminder of why I’m going into occupational therapy at all. While in school our lives are determined by case studies, readings, and exams. Life between September and December depends on being able to stay afloat, manage the stress load, and make the grade. Essentially, each fall and spring our life is completely consumed with being a student.

What is especially exciting during these full week immersions, is the ability to play the part of worker, wife, mother, housekeeper, cook, and experience what life will be like outside of school!

When I was in theater school my life consisted of auditions and memorizing monologues for comedy or Shakespeare classes, and I thrived. But when I graduated and was released into the wild world of acting I felt unprepared and was disappointed by the stark contrast between school and the big bad real world. For the longest time I shook my fist at the establishment that trained me for helping me become a better artist but never preparing me for the business and self-promotion aspect that is just as important, if not more, to establishing a career as an actor. Basically no one ever told me what daily life would be like.

This is why experiences like last week are so very valuable, not just in gaining clinical experience, but in having the chance each semester to try on the role of pediatric OT, acute inpatient OT, and mental health OT. We can see how well we fit (or don’t fit) into the daily grind of working in each setting. We can learn first hand how work effects our relationships, coping skills and leisure time. We experience what the stress of one setting is like compared to others and build not just skills but a realistic understanding of what the job will be like.

So as I transition back to my role of stressed out student, I feel refreshed and confident knowing that all this hard work is leading me to a fulfilling and inspiring lifetime in occupational therapy.

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My first day of fieldwork ⟩
October 1, 2012, by Kendra

Fieldwork

I began my mental health fieldwork this week at AF Hawkins, the LA county psychiatric hospital. OTs got their start working with people with mental illness during the Progressive era in the early 20th century, but in an effort to define ourselves more medically, a lot of the arts and crafts aspect of our work was put aside for biomechanics and diagnostics. And here I was going back to our roots.

But while prepping for my first day I became very nervous reading about ‘arm’s length’ rules and ‘locked wards’ and ‘involuntary commitment.’ So despite my desire to be open minded and calm about working in a psychiatric hospital, my mind was filled with media images of bars and vacant eyes and inhumane conditions. What I saw was very very different.

Yes the doors are locked and yes you must take certain precautions to ensure yours and the patient’s safety. But what I didn’t predict was the sincerity and kindness with which the practitioners treat their patients. I didn’t imagine the laughter of adolescents echoing through the halls. So much of what I’d heard about psychiatric inpatient care was regarding role strain and the way therapists and nurses have to ‘turn off’ their emotions in order to deal with the weight of working with so many sick people. When I talked to the OTs at AFH many have worked there for over 15 years and every one I spoke to loved their job and the work they do. What is it about this place that makes the relationship between therapist and patient so effective?

Introducing the Cognitive Disabilities Model. It was created by Claudia Allen in an effort to properly pair a person’s cognitive functioning with appropriate activities. People’s cognition is rated on a 1.0–6.0 scale as are certain crafts. What this allows the OT to do is then offer activities (e.g., a greeting card or a tiled box) that properly match what the person can actually do therefore increasing the likelihood of success and satisfaction in performing that occupation. There are a lot more details that go into than that, but it works. I see OTs that know their role in the hospital and know how to help people on an individualized basis. That is the most important part, at least to me, because what they are doing is preventing the glossed over effect in which practitioners fall into the trap as viewing every person with one diagnosis as the same. They see everyone differently and suit their treatment to meet their specific needs, so OT!

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First Day of Fieldwork ⟩
September 24, 2012, by Amber

Fieldwork What are OS/OT?

Last week I began my level one fieldwork experience at Rancho Los Amigos National Rehabilitation Center. Each semester, our courses are focused on a particular practice area of occupational therapy: adult physical rehabilitation, pediatrics, or mental health. To compliment this coursework, we have the opportunity to spend one day per week at a fieldwork site in that practice area. This semester I am in the adult physical rehabilitation immersion, and was lucky enough to be placed at the top rehabilitation hospital in the Western United States. Rancho Los Amigos is situated on a beautiful campus in Downey, and has a long history. In 1888, it was known as the Los Angeles County “Poor Farm.” In the 1950s, it was a respiratory center for polio patients. Today, the hospital helps patients with disabilities regain skills and learn techniques to accomplish basic activities of daily living, and return to work or school if possible.

I was placed in an outpatient unit that specializes in treating people who have sustained spinal cord injuries. My role was to observe an occupational therapist, and potentially do some hands-on interaction with the patients. The first patient of the day was a middle-aged man who had been injured in a fall at work. He used a wheelchair and had extreme weakness in his upper body. It was his third visit with the occupational therapist, and we worked on activities to strengthen his upper extremities. He really pushed himself, and it was wonderful to see the slow progress he was making. Later that day, I got to observe and use the driving rehabilitation equipment, and spend the afternoon in the stroke rehabilitation unit. I am very excited to continue my fieldwork and learning experience at Rancho Los Amigos.

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First day at Fieldwork ⟩
September 21, 2012, by Alisa

Fieldwork

This week I started my level I fieldwork in mental health. I am placed at Project 180, a forensic treatment agency, in downtown Los Angeles. Clients have a mental illness as well as a substance abuse issue. Programs include the re-entry program, where clients join Project 180 after serving their time in jail or the diversion program, where clients join Project 180 instead of going to jail. The 12-18 month programs are structured in phases, culminating with a graduation ceremony at the end. There have been instances where Project 180 staffs have worked directly with clients in jail. I was able to observe three group sessions: mental health, job skills, and thinking errors. It was eye-opening to be able to hear a lot of members share their stories openly. To actually be able to hear someone who has had first-hand experiences of what it’s like living with a mental illness was a very humbling experience. It made me realize to be thankful for what I have in my life and the support system and to have an attitude of gratitude wherever I go. I appreciate how committed the staffs at Project 180 are to their clients and to each other. I look forward to more group sessions with the clients and individual sessions, too. I learn a lot from just listening to them. So far, it’s been a wonderful experience, and I’ve also made a canine companion at fieldwork, too! Meet Indiana Jones.

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