An Occupational Therapy Essays

An Occupational Therapy Essays An Occupational Therapy Paper An Occupational Therapy Paper An occupational therapist is a trained and licensed health care professional who can make a complete evaluation of the impact of disease on the activities of the patient at home and in work situations. Hobbies and recreational activities are considered when an assessment is made. The most generally accepted definition of occupational therapy is that it is an activity, physical or mental, that aids in a patient’s recovery from disease or injury. The Occupational therapist takes a history from the patient by conducting a thorough interview. Questions are asked about hygiene, eating, dressing, getting in and out of bed, driving, cleaning, working and the patients sex life. A physical examination is conducted extensively concentrating on range of motion. Observations of deformities are noted because they may hinder the performance of the patient. The therapist assesses the need for splints or supports which might benefit the patient and helps design specific assistive devices. â€Å"It is the job of the occupational therapist to innovate plans to overcome the imposed limitations while helping the patient reduce strain and prevent further damage by teaching techniques that conserve energy† (Sasser 75). There are numerous ways to make daily living easier. The most crucial part of therapy is assessing the patient’s environment. All the people, cultural conditions and physical objects that are around them, create their environment. The behavior and development of people is a direct result of the interaction between them and their surroundings. A patient’s behavior is greatly effected when they are mismatched with their environment. â€Å"A persons environment match is present when the persons level of competence matches the demands of the environment† (Cole 75). Full participation by the patient is required to make it practicable. The importance of occupational therapy is to help the patient use what they have to the fullest. Therapists know that in this particular field there will not be a dramatic improvement, but there will be a better quality of life lived by the patient. In today’s world, it is extremely important to keep accurate records on all aspects of care giving. According to Sladyk, â€Å"Documentation is one of the most important duties an occupational therapist can have aside from treating the patient† (191). As occupational therapy students, it is imperative that we develop these skills and become proficient in the art of technical writing. As technical writers, we will use evaluation reports, daily progress notes, summary reports and discharge plans. Accuracy and attention to detail in the content of these reports is essential in treating and determining the progress of our patients. Documentation is the means by which we communicate our treatment to other health professionals and third party payers. In most cases, it is necessary to communicate effectively to others, orally and in writing the status of the patient. In addition, documentation is an important aspect of our field because it conveys the status and condition of the patient and our plan and evaluation of said condition to other caregivers. Medical records will be read by the doctors, nurses and in some cases by those submitting payment to the insurance companies. It is important that as occupational therapy students we develop documentation skills early and continue to refine these skills throughout our careers. In order to implement the guidelines for excellent technical communication, we need to remember the three major reasons to be honest as a communicator. First, we must keep in mind that technical communication is not about using words and pictures to mislead or lie to people. It is about helping people understand how to make wise choices. â€Å"If you lie or mislead, people can be hurt† (Markell 12). Secondly, a patient can worsen in condition if we fail to honestly report our findings. Thirdly, our organization could get into serious legal trouble if we are dishonest. This can lead to lawsuits and malpractice. A treatment plan is likely to be the first formal piece of documentation an occupational therapy student is likely to write. â€Å"Both the Certified Occupational Therapy Assistant (COTA) and the Occupational Therapist-Registered (OTR) participate in the treatment evaluation and the resulting treatment plan† (Early 94). The OTR is ultimately responsible for the treatment plan. The COTA implements the plan and delivers treatment. After the evaluations have been completed, a comprehensive treatment plan must be documented. This documentation is done by the COTA and later reviewed and checked for accuracy by the OTR. Each facility has established it’s own method for documenting a treatment plan. Some facilities have developed critical pathways that dictate the treatment plan, reducing the paperwork. Generally, a treatment plan includes problems, assets, goals/objectives, treatments, and outcomes/discharge criteria. Accuracy is paramount in all medical records. Inaccurate writing causes many problems as unclear writing. Therefore, it is key to be accurate as well as neat and understandable. The slightest inaccuracy will confuse the reader. A major inaccuracy, naturally, can be dangerous and expensive. Markell states, â€Å"Accuracy is a question of ethics so our communication must be as objective as possible and free of bias† (13). Documentation that is understandable is legible, easy to read, and void of jargon. The occupational therapy practitioner should remember that others will be reading his or her documentation, and they might not understand the jargon familiar in OT. Documentation that is concise and free of spelling and grammatical errors is understandable. As occupational therapists we must follow our code of ethics which places the patient in the highest standard of quality care. This care involves everything from the evaluation to the treatment. A discharge plan includes instructions for the patient and their family. This plan requires accurate technical communication skills. Precision in our instructions can lead to easier implementation of a follow-up plan. â€Å"The follow-up plan is important in maintaining the patient at his or her current level of improvement while not under the supervision of the therapist† (Sladyk 79). This is critical in the patients overall recovery. Technical writing skills such as creating progress reports and developing status reports are needed in building a strong occupational therapy treatment plan. It is also useful in evaluating patients and documenting their abilities in the beginning of treatment and progress at the end of treatment. These reports are read by all those involved in the treatment and recovery of the patient. A progress report communicates to a supervisor and/or organization the current status of patient. The status report keeps them informed of changes, setbacks or progress. The tone should always be objective, neither defensive nor casual. It should be professional and clearly detailed. A time pattern is used in all of the documentation we will be writing. Dates are crucial in showing the time frame that a therapist has implemented. Aside from documenting the progress of a patient, dates are also used as evidence of treatment in order to allocate further funds from insurance companies to continue rehabilitation. The first step in writing a therapy treatment plan, Aquaviva states, â€Å"is to establish a list of problems that the patient is facing and show behavioral evidence that these are problems affecting their daily life† (52). To do this, the therapist should review uniform terminology and make a written list of problems. Activities of daily living (ADL’s), must be evaluated and listed. Problems are stated and the behavioral indicators for each problem are noted. With many patients, the occupational therapist is likely to identify more problems that can realistically be addressed during treatment. Therefore, the therapist must set a priority list of problems to be addressed. Identifying patient assets can help prioritize treatment problems. The use of lists, another technical writing aspect, is helpful. Using lists can be useful in structuring a treatment plan for a patient. The therapist may want to begin a patient on a certain task. Using a list can clearly allow the therapist to prioritize the treatment plan. Less important items can be left for last or eliminated. Sometimes, a few tasks can be grouped together, allowing room for other tasks to be added to the treatment plan. The greatest strength of an occupational therapy plan is the use of functional activities. â€Å"Through functional activities, the therapist provides treatment that is relevant to the patient, which will promote independence† (Okeema 77). Functional activity promotes repetition and maintains interest. Listing these activities for the patient promotes utilization of a task and encourages the patient to remain focused and active in their rehabilitation. Therefore, an effective use of lists can facilitate the treatment process. Critical thinking skills as well as technical writing skills are essential to becoming a competent occupational therapy practitioner. These skills include information gathering, organizing, analyzing, generating, integrating and evaluating. It is essential that as occupational therapy students we become self-determining, independent thinkers. Technical writing skills will be used throughout our career. Mastering technical writing will come with practice and will prove to be one of the most instrumental elements we have learned in our curriculum. Aquaviva, J. D. Effective Documentation for Occupational Therapy. Bethesda, MD: American Occupational Therapy Association, 1992. Early, M. B. Mental Health Concepts and Techniques for the Occupational Therapist Assistant. 2nd ed. New York, NY: Raven Press, 1993. Markell, Mike. Technical Communication: Situations and Strategies. 5th ed. Boston, MA: Bedford/St. Martin’s Press, 1998. Okeema, Kathleen. Cognition and Perception in Occupational Therapy. Gaithsburg, MD: Aspen Publishing, 1993. Reed, K. L. Quick Reference to Occupational Therapy. Gaithersburg, MD: Aspen Publications, 1991. Sasser, Martha. The Practice of Occupational Therapy. 2nd ed. St. Louis, MO: Mosby- Year Book, Inc, 1998. Sladyk, Karen. OT Student Primer: A Guide to College Success. Thorofare, NJ: SLACK Incorporated, 1997.

LEGAL ENVIRONMENT 5 Essay Example | Topics and Well Written Essays - 1000 words

LEGAL ENVIRONMENT 5 - Essay Example The law which would be discussed is that of Equal Employment opportunity. It has been pointed out that under the traditional principles of international law the activities of an overseas subsidiary which had been incorporated according to the laws of another were not subject to US legal regulation; the main reason for this being the fact that the nationality of a business entity was dependent on the country in which it had been incorporated.2 This has been boycotted by the Congress. In context of employment there have been introduced various civil law rights which include Title VII, the Age Discrimination Employment Act (ADEA) and the Americans With Disabilities Act (ADA). Extraterritorial effect has been given to these rights. It has been said that this had been provided so as to extend the reach of US employment laws which was as a result of the Supreme Court decision in Boureslan case in which Title VII to protect US citizens who were working abroad was refused, due to the international jurisdiction principle.3 The problems that tend to arise with regards to foreign company constantly insisting to hire its own nationals in US, and the main reason for this being the general knowledge which is possessed by them with regards to matters of the company. Thus there have been many claims of discrimination on the basis of national origin.4 The courts has acknowledge the FCN treaty which allows for hiring of nationals in the subsidiary of the parent company, only on certain designations5. However it has been stated by the Supreme Court that a subsidiary of a Japanese company does not come under the FCN treaty since it has been established in the US.6 By the analysis it has been clearly verified that US discrimination laws apply to foreign employers operating inside the US.7 Further it has been stated that even though the FCN treaty right allows for the hiring of nationals of parent company, there is no justification in FCN for dismissal of a US citizen because of age, which would be a discrimination.8 The courts have illustrated that right to prefer a citizen does not allow the employers to discriminate on other grounds.9 Further the right of FCN given to corporation to favor its own citizens does not make allow sexual harassment.10 However it can be clearly seen that the citizenship and national origin are in conflict, thus the right to discriminate based on FCN treaty is in conflict with discrimination on national origin which is prohibited under Title VII.11 The risks that a company takes when establishing business globally include among other things the different customs and laws, the cost of labor, taxes and other variant factors depending from country to country. The laws as have been pointed are mainly focused upon discrimination, equal pay and labor laws. The most important factor that should be taken into account by the company is to carefully research the legal position of their establishment in the country and to act accordingly. Further a company should take into minimum wages and the taxation process within the country. The possibilities of negotiation with the State are possible if it is a large corporation. The possible treaties that have been signed between the countries can be looked

Corporate Governance Essay Example | Topics and Well Written Essays - 2000 words

Corporate Governance - Essay Example Must have the capability and is responsible for individual decision-making Each director must execute calculated and independent judgment in his or her decision making process. Must be able to exercise concern, meticulousness and dexterity In the duties executed by the directors, the directors have the responsibility of exercising significant concern, dexterity and meticulousness. The aspects of ‘significant concern, dexterity and meticulousness’ are weighed according to what is generally expected from a person performing the role of a director. It is also weighed as per the experience, skill and general knowledge of the individual director (Mallin, 2010). Must never accept benefits from third parties. Benefits from third parties can give rise to conflict of interest and make an impact (or affect) on the company. Therefore, Directors must never accept such benefits. Must declare interest in proposed transaction. If a director has a personal interest in the companyâ€℠¢s proposed transaction, then the details of the particular of the interest must be declared to the other directors before the transaction or arrangement takes place. Must act honestly towards the company and must act only within the powers sanctioned to him and use the same only for purposes which would be beneficial to the organisation. Must take charge of all meetings of the Board when a Chairman is not present, and review plans, agendas and information that are sent to the Board for Board meetings and check on the meeting schedules to assure that there is enough time for discussion of all agenda items. Must serve as liaison between the independent Directors and the Chairman of the Board. Must monitor the self evaluations of the Directors in coordination with the Nominating and Corporate Governance Committee. Rights and Responsibilities of the board of directors at the Collective level Primary decision-making body of the company are the board of directors (Hopt & Wymeersch, 1997) . The collective responsibility of all aspects of the company is on the board of directors. The various activities of the company that the board of directors are responsible are: To establish and maintain the company’s motto that can otherwise be categorised as vision, mission, and values. To have full and effective control of the company To establish its structure, strategy, and risk profile by identifying and monitoring key risks and making sure that the company has the necessary control systems to manage risk within permissible levels. To ensure compliance by the company with all laws and regulations and must delegate authority to management, and monitor the execution of the company’s plans – strategic, tactical and operational moves. To responsible and accountable to all the stakeholders of the company which include, shareholder, employees, customers, clients, etc. Be transparent while communicating to the shareholders and explain on the details of resolutio ns that are to be passed at the

In Arthur Millers play the crucibl Essay Example for Free

In Arthur Millers play the crucibl Essay In Arthur Millers play the Crucible, Reverend Hale changes as the plot unfolds. When Reverend first arrives in Salem he is certain he will use scientific methods to find witches. As the court hearing begins to unfold, Reverend Hale opposes the actions being taken, thus begins using his own judgments. Hale attempts to save the guiltless when he realizes they were convicting innocent people. The plot takes place in 1619, in a small town named Salem. The town was young; being only 40 years old was very religiously strict. A group of teen girls were caught dancing naked in the woods. They started making accusations of witchcraft across the town. Reverend Hale, who was a witch expert, was called from a near by town to put a stop to the matter. One reason Reverend hale changed as the plot unfolds is because he at first believes that he will be using scientific methods to find witches. Hale firmly follows the law to sustain order. By keeping to his books he prepares himself to pay no heed to conclusions. He trusts his books to keep control over the problems arising in Salem. all the invisible world, caught defined, and calculated. In these no fear now-we shall find him out if he has come among us, and mean to crush him utterly if he has shown his face. (Miller, 39) One reason Reverend Hale changed as the plot unfolds is because he at first believes that he will be using scientific methods to find witches. Subsequently Reverend starts to evolve his thinking during the trail and starts going by his own judgment. He pleads with the judge to let Proctor return, only to be rejected by him. Hale fought against the judges verdict realizing it was unjust. Hale then decided to leave the court. I denounce these preceding. I quit the court. (Miller, 115) Subsequently Reverend starts to evolve his thinking during the court hearing and starts going by his own judgment. Then at the end, Reverend changes even more when he realizes they were accusing every one of witchcraft and tries to save the innocent. Reverend declares he will not take a life of an innocent person I am a minister of the Lord, and I dare not take a life without there be proof so immaculate no slightest qualm of conscious may doubt it. (Miller, 99) He realizes that it is not the convicted people, but that of a hunt to find a cause for there problems. He encourages Mr. proctor to confess to witchery. Also pleading with Procters wife, he protests the foolishness of admitting to something you did not do. Finally Reverend Changes for the better realizing that not everyone is a witch and attempts to save the innocent Hale changes from being in favor of the witch trails to opposing it due to the amount of unnecessary convictions with sentences of death. He finds that, when you stop accusing people every for every incident and mishaps, many of the folks are innocent. It is hard to believe that many innocent people were killed during the Salem witch trials. Certainly nothing like that will ever happen today. Reverend Hale changes as the scheme unfolds in Arthur millers play, the crucible. Work Cited Miller, Arthur. The Crucible. New York Penguin, 1952 Jonathan Schneider Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Arthur Miller section.

Brutus Cassius is the Hero in Shakespeares Julius Caesar :: essays research papers

Julius Caesar is a liberal play, for it has three heroes, Caesar, Anthony and Brutus, of whom Brutus is the most large souled and sympathetic.(Mary McCarthy’s Theatre Chronicles 1937-1962) The play Julius Caesar by William Shakespeare focuses on two dimensions of Roman history. The first dimension focuses on Julius Caesar and his rise to dictatorship. The second dimension focuses on Julius Caesar’s assignation and the revenge that his taken to avenge his death. Most scholars and critics of the play have focused on Caesar or Brutus has the hero of the play. This is due to the fact that the events surrounding the play are centered on Caesar the great dictator, his assignation making him the hero. On the other hand the play could also be said to be centered on Brutus who is a character that is internal turmoil makes him the center of attraction torn between the love of a good friend and the love of Rome. Most persons however over look a very important character that one does not get to see his character and greatness until the last part of the play, this character is Anthony. Anthony could also be looked at has the plays hero. A hero can be defined has as a person admired for courage, nobility or a person who exploits especially in the case of a war. Caesar, Brutus and Anthony are heroes of the play Julius Caesar they are only, just given different moments to shine. Each character has a specific time in the play where they are highlighted and seen has a hero in some extent or form. In the book Shakespeare’s use of Learning by V.K. Whitaker what Shakespeare sources develop has fact he in his play develops a hypothesis. In righting the play Julius Caesar Shakespeare turned to many historical documents has his sources. However in the play out of attempt to make the characters not only great men and leaders of Rome but real people with weaknesses and strengths. He alters the recorded history and makes events and characters more enticing to the audience because they are characters, persons can relate to. This is why the image of large souled and sympathetic could be a characteristic derived form Brutus by writers such as Mary McCarty. Julius Caesar his held in very high esteems by Shakespeare. Brutus Cassius is the Hero in Shakespeare's Julius Caesar :: essays research papers Julius Caesar is a liberal play, for it has three heroes, Caesar, Anthony and Brutus, of whom Brutus is the most large souled and sympathetic.(Mary McCarthy’s Theatre Chronicles 1937-1962) The play Julius Caesar by William Shakespeare focuses on two dimensions of Roman history. The first dimension focuses on Julius Caesar and his rise to dictatorship. The second dimension focuses on Julius Caesar’s assignation and the revenge that his taken to avenge his death. Most scholars and critics of the play have focused on Caesar or Brutus has the hero of the play. This is due to the fact that the events surrounding the play are centered on Caesar the great dictator, his assignation making him the hero. On the other hand the play could also be said to be centered on Brutus who is a character that is internal turmoil makes him the center of attraction torn between the love of a good friend and the love of Rome. Most persons however over look a very important character that one does not get to see his character and greatness until the last part of the play, this character is Anthony. Anthony could also be looked at has the plays hero. A hero can be defined has as a person admired for courage, nobility or a person who exploits especially in the case of a war. Caesar, Brutus and Anthony are heroes of the play Julius Caesar they are only, just given different moments to shine. Each character has a specific time in the play where they are highlighted and seen has a hero in some extent or form. In the book Shakespeare’s use of Learning by V.K. Whitaker what Shakespeare sources develop has fact he in his play develops a hypothesis. In righting the play Julius Caesar Shakespeare turned to many historical documents has his sources. However in the play out of attempt to make the characters not only great men and leaders of Rome but real people with weaknesses and strengths. He alters the recorded history and makes events and characters more enticing to the audience because they are characters, persons can relate to. This is why the image of large souled and sympathetic could be a characteristic derived form Brutus by writers such as Mary McCarty. Julius Caesar his held in very high esteems by Shakespeare.

Do’s and Dont’s About French Culture

* When you are invited somewhere, DO give a gift that shows that you are intellectual, such a gift of books or music. * DO bring a gift for the hostess if invited to a French person's house. Good host gift ideas include flowers and wine or dessert (if you are invited for a dinner). However, keep in mind that France is known for its wine, so it is better to do some research before and bring a nice bottle of wine! As a tourist from another country, a gift from your native country is also really appreciated. * DO expect a glass of wine with dinner. Wine glasses are filled only three-quarters of the way. DO be careful when picking out flowers as a gift. Indeed, white flowers are typically only used during weddings, white lilies and chrysanthemums are flowers for funerals, and red carnations stand for bad will. * DO maintain eye contact: it shows that you are interested in the conversation and your full attention is to them. * DO shake hands when you meet someone you don’t know for both male and female. * DO address people with the titles â€Å"Monsieur† (Mister) and â€Å"Madame† (Mrs. ) when meeting someone for the first time, or in a business meeting. Use â€Å"Mademoiselle† when greeting a young, unmarried woman or girl and â€Å"Madame† for older and married women. * DO wear what you normally wear, but keep in mind that attire such as baseball caps, flip-flops, and white sneakers are not traditionally worn by French people. It is fine to wear it, but you will probably be labeled as a tourist. * DO be polite. French people all the time say â€Å"Bonjour† (Hello), â€Å"Aurevoir† (Goodbye), â€Å"excusez moi, pardon†(excuse me, sorry) if you touch someone in the street or even if you just brush past the person! * DO apologize for your lack of knowledge if you do not speak French. Don’ts * DON'T eat with your fingers. You should always use your place setting; however you can use your fingers at a fast food restaurant. * DON'T eat on the street because it can be seen as unsophisticated. * DON'T start eating immediately after being served, you have to wait for everyone to have their meal and only after you say â€Å"Bon appetit† and you can start. It seems as really impolite to start without waiting for others. * DON'T put your arms on your lap during dinner but don’t put them above the table either. * DON'T give an even number of flowers as a gift. Flowers should always be given in odd numbers, except for thirteen, as that is an unlucky number. * DON'T expect the people you are meeting with to be on time. People in France are not often punctual: â€Å"le quart d’heure francais† (the french quarter). However, be careful if it is a business meeting you have to be on time! Without any good reason people will not be happy at all. * DON'T show any impatience or a confrontational attitude in a business meeting, it can be seen as a sign of being unprofessional. * DON'T take a bite from a whole piece of bread. Instead, tear your bread into a bite-sized piece and then eat it.

Empire of the Summer Moon Essay - 965 Words

Noah Ford Mr. Works English 11, E Period August 18th, 2012 The Sun Rises and so does Chaos The protagonist in Ernest Hemmingway’s The Sun Also Rises, Jacob Barnes, is a down on his luck war veteran living in France. Jake is characterized by his experiences prior to the events of the book and he narrates the story from a quiet observer’s third person perspective, often times quite cynically, exemplified when he tells his friend Robert Cohn, â€Å"You can’t get away from yourself by moving from one place to another.†Although never openly stating it, Jake on several occasions implies that due to a war injury he has lost the ability to have sex which leaves him feeling very insecure about his own masculinity, likely contributing to his†¦show more content†¦Jake is consciously aware that there is a problem, which is more than can be said about his friends. Perhaps the people that surround Jake are the issue, though. His close friends and the people whom he travels with include Lady Brett Ashley, Robert Cohn, Bill, and Mike. Brett, the target of Jake’s unrequited affections, is likely someone whom he should stop spending time with; however, it seems that he just can’t get away from her. She is a very strong and independent woman who isn’t known to behave in a traditionally feminine way. Jakes does remark that although she is very independent, â€Å"She can’t go anywhere alone.† Robert Cohn is a Jewish, wealthy expatriate; but unlike many of his friends, did not spend any time in the war. Cohn also falls head over heels in love with Brett, who soon rejects his affections as well. As a wealthy, Jewish, non war veteran Cohn stands out in the group and his fumbling attempts to court Brett are the source of much mockery and leads to many fights. Bill is also an American veteran who seems to be always drinking. He tends to use humor to try and deal with the emotional scars of war; however, is not immune to the immaturity and cruelty sometimes characterized by Jake and his friends. Fina lly, Mike is a very heavy drinking Scottish war veteran who is completely bankrupt. He is seen to have a terrible temper, which most often displays while he is drunk. Mike is also not comfortable with theShow MoreRelatedOrigin ( E.g Time, Place Of Beginnings )1688 Words   |  7 PagesOrigin (e.g time, place of beginnings): The Inca was also known as Tawantinsuyu, first appeared in the Andes region of South America throughout the 12th century A.D, the heterogeneous empire quickly flourished through the military power of their emperors. They had their own culture and pantheist beliefs up until 1438, however, the influences of past settlements and the following ninety-five years of expansion caused religious beliefs to change and develop significantly. 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