Developing Financial Literacy Skills for a Secondary Transition Program for Students with Learning Differences
Rose Marie Borillo, Becki Cohill, and Susan MacDermott
Under the Individuals with Disabilities Education Act (IDEA), schools are required to provide transition planning for students with disabilities and mental illness by age 16 (Eismann et al, 2017). Occupational therapists have been underutilized in secondary transition planning, despite their expertise in targeting functional abilities, comprehension, and health using activity analysis to promote skill attainment and achieve independence (Mankey 2012; Eismann et al, 2017).
At the Winston School, there was no formal transition program aside from the individual college counseling provided by a staff member. A coordinated transition program was indicated to prepare students for life after high school to include college and career readiness, and independent living skills, especially financial literacy. Financial literacy has become a priority not just for Winston, but globally as a lack of financial planning has been linked to greater rates of dropping out of college (Blue et al, 2014; Poynton et al, 2014). The purpose of this project is to develop the financial literacy component as a part of a coordinated, comprehensive transition program that addresses the specific skills and needs of diploma bound students with learning differences to transition into post-secondary education and work using an occupational therapy lens. A total of ten students participated in the pilot program. Needs were assessed using informal assessments including interviews, surveys, and reflection. As a result, a total of 20 lessons were created for financial literacy using multimodal presentations to meet individual needs. Students expressed their growth in knowledge through the meaningful activities they participated in throughout the course.
With the use of occupation-based activity analysis, curriculum development for financial literacy resulted in meaningful, experiential learning opportunities with appropriate modifications to meet student learning needs and preferences. School-based occupational therapists can expand their role in the classroom in supporting students to develop the necessary skills to prepare them for independent living.
Victoria Briltz, Becki Cohill, and Susan MacDermott
The purpose of this capstone project is to identify OT’s role in maternal mental health following the transition home from a NICU setting. This capstone project focused on mothers’ roles, routines, and environment during the transition from the NICU to home. Mothers may feel unprepared for the discharge home when their babies are ready to leave the NICU (Boykova, 2016). Occupational therapists address occupational performance through skilled interventions for women during the perinatal period; however, there is a lack of evidence guiding occupational therapy for providing services for maternal wellness (Slootjes, 2016). This capstone project will help share information, ideas, and resources for occupational therapists providing services in maternal wellness.
This exhibition project addresses the central question: How can we creatively transform academic library spaces to support and engage students in critical information literacy? The project used physical library space to install a series of exhibitions at the San Marcos Campus Library of the University of St. Augustine for Health Sciences. Guided by the theoretical frameworks of Foucauldian perspective on knowledge and discourse, Falk and Dierking’s Contextual Model of Learning, and critical librarianship, the exhibit series engages students in a self-guided journey to discover and evaluate how knowledge is constructed, produced, and disseminated. Particular focus is directed to the Fall 2019 Theatre of the Body exhibit, in which Renaissance-era anatomical illustrations are displayed in the library accompanied with information about the socio-cultural history of human anatomy as a legitimized medical and academic practice. Students, faculty, and staff learned about the history of ethics concerning the use of cadavers, the technological advancements and educational power of anatomical illustration, the overlooked gaps in history regarding anatomists of color, and other topics of human anatomy. Preliminary qualitative data showed a positive reception to this exhibition by students, faculty, and staff as an engaging, critical discourse about human anatomy.
An estimated 80% of clubfoot cases occur in low to middle-income countries. Incidence of clubfoot is estimated to be 1-1.5 per 1000 births, and male to female occurrence is 3:1. (1) Left untreated, this congenital anomaly becomes a “neglected clubfoot” and can result in lifelong hardships including limited ambulation related to gait deviations, pain, foot deformities and an inability to wear shoes. Without treatment, this health condition can lead to functional limitations with limited independence in activities of daily living and participation restrictions within the family and community related to decreased mobility. (2)
The intervention presented is the main components of the Ponseti approach which consists of a defined sequence of manipulation of the foot followed by a period of casting and, in approximately 90% of the cases, an Achilles tenotomy. Long term follow-up is bracing which continues for 3-5 years after the initial treatment period of manipulation. A comparison of Ponseti and conservative non-Ponseti methods achieved a good to excellent prognosis in an average of 91.6 % vs 76.6% of patients. (3)(4)
Margaux Mariano, Becki Cohill, and Susan MacDermott
Human trafficking involves sex trafficking, labor trafficking, and trafficking of children. The needs of survivors of human trafficking are widespread due to the traumatic experiences they face. Concerns that may arise include decreased participation in meaningful activities in an individual's life, possibly due to anxiety, depression, suicidal ideation, memory loss, posttraumatic stress disorder, and social isolation. Individuals who have been subjected to human trafficking often experience occupational deprivation and occupational therapy has yet to establish its role in the recovery process for survivors. This poster presents a capstone project consisting of the process towards the development of an occupation-based, trauma-informed, evidence-based, and survivor-centered program that focuses on facilitating community integration and independent living skills for survivors of human trafficking.
A case study on the effects of functional exercises in improving quality of life (QOL) in a patient diagnosed with glioblastoma multiforme (GBM)
Kathy Nguyen, Savonna Reed, Sepehr Rezaei, Vanessa Rindge-Silvas, and Brianne Bozzella
Background and Purpose: The estimated prevalence of primary brain tumors in the US population is 14 per 100,000. GBM accounts for 50% of primary central nerve tumors in people older than 15 years old. Approximately 12,820 deaths each year are due to primary and nervous system tumors. There is limited research on the optimal interventions and effects of physical therapy on individuals diagnosed with GBM.1 The purpose of this case report was to determine which aspects of the International Classification of Functioning, Disability, and Health model are the most important to consider during physical rehabilitation and possible interventions that can be beneficial for patients diagnosed with GBM.
Case Description: The patient, a 50 y.o. male, was diagnosed GBM 8 mos prior. He had a history of falls that resulted in a visit to the Emergency Room which lead to the discovery of his medical diagnosis. The patient’s primary impairments include impaired balance, coordination deficits, right-sided muscle weakness, dysarthria, hyperreflexia, and decreased endurance. These impairments and activity limitations make it difficult for the patient to work and participate in community activities. Interventions were chosen to improve coordination, balance, and ambulation to reach his goals to increase independence and safety for activities of daily living (ADL).
Outcomes: The patient demonstrated improvements in mental/physical health as measured by the HRQOL-4 and BBS. During the initial evaluation, the patient indicated on the HRQOL-4 that within the last 30 days, he felt that his physical health was not good on 30 of those days and that his mental health was not good on 5 of those days. He reduced that number to 0 days at discharge. He also reported that within the last 30 days, 0 of those days he felt very healthy and full of energy. Upon discharge, he increased that number to 25. He also improved his BBS score from 18/56 to 26/56 to demonstrate a decreased risk for falls. With the 5xSTS, he improved from 46s to 19.5s. He also achieved his goal of ambulating 25 feet with FWW on level surfaces in order to improve his independence with household ambulation. The patient was discharged with the plan to continue coordination, balance, and endurance exercises at home.
Discussion: Functional Exercises were found to be more beneficial in managing musculoskeletal symptoms and activity/participation restrictions in people diagnosed with GBM. Those diagnosed with GBM have a high mortality rate with a life expectancy of only two years. There is a lack of research that has been conducted to establish the best rehabilitation practices. Therefore, the clinical decision making for the plan of care (POC) has to take into consideration the patient’s goal and maintaining/improving their QOL. In this case study, the patient’s goal was to increase independence, endurance, and efficiency with daily tasks. Our team utilized evidence-based research to create a POC that was “individualized, achievable, time-based, functional, and goal-oriented.”2 The interventions also challenged the patient’s cognitive abilities by dual-tasking for neural overlap.3 Research studies have found that functional therapeutic activities such as STS, balance, music with movement, and gait training are more beneficial in improving postural control, precise coordination, and performance of ADLs.6 Within three treatment sessions, the patient was more engaged in the exercises and optimistic about his outcome, QOL, and capabilities. Thus, the case study demonstrates the importance of physical activity in improving the QOL in patients with GBM.
Weight-Bearing Interventions to Decrease Spasticity and Improve Gait in Stroke Patients: A Case Report
Melin Nguyen, Shelby Peterson, Jessika Sun, Irene Taing, and Faris Alshammari
The purpose of this case report was to determine the success of weight-bearing interventions on spasticity reduction and improved gait patterns in a 61 year-old-male patient recovering from a chronic left hemorrhagic CVA. The patient’s primary impairments included right upper and lower extremity spasticity, circumduction gait, weakness and decreased range of motion of right extremities.
The interventions included in this patient’s treatment program included standing calf stretches, toe raises, ankle range of motion and gait training for 1 hour once a week for 4 weeks. This case report supports the application of weight-bearing through the paretic limb, which has been proven to be beneficial for reducing spasticity and increasing ROM to improve gait patterns for a patient recovering from a CVA.
Michelle Pock, Becki Cohill, and Susan MacDermott
Individuals with vestibular disorders have concerns that impact lifestyle including limiting activities of daily living, limiting participation in social events, difficulty driving, and difficulty working (Cohen, 2014). Occupational therapists are able to help individuals with vestibular disorders by task analyzing symptom provoking activities, assessing the impact of symptoms on occupations, providing adaptations, and providing ways to modify environments (Gronski, Neville, Kannenberg, & Cohen, 2017). While occupational therapists are qualified to provide services to sustain and improve the occupational performance of individuals with vestibular disorders, occupational therapy is not well represented in this area particularly in addressing lifestyle components for vestibular disorders.
The purpose of this capstone project was identify common lifestyle factors that impact vestibular symptoms and can support management of symptoms, develop and propose a program that addresses and promotes lifestyle modification, assess opportunities and barriers for current occupational therapy role in vestibular settings, and advocate for occupational therapy role in prevention and management of lifestyle concerns for vestibular populations.
Individuals with vestibular disorders and practitioners working with these individuals were interviewed at RISE Physical Therapy and an otoneurology practice. Patient appointments were observed using field notes. Individuals from an online vestibular support group were also surveyed. Responses were recorded and analyzed for themes. The findings were used to develop and propose an occupation-based lifestyle modification program for individuals with vestibular disorders.
The findings from this capstone project support previous research on the impact vestibular disorders have on daily life and the need for an increased role for occupational therapy in providing lifestyle-based intervention for the population. Occupational therapy can provide a unique contribution to the interdisciplinary healthcare team working with individuals with vestibular disorders.
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