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Occupational Therapy Profession

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While shadowing occupational therapy professionals at Montgomery General Hospital, I gained much insight into the profession and the day-to-day duties and responsibilities of a COTA. The entire facility caseload consisted of geriatric patients, and many of the diagnoses were due to cognitive deficits or recent falls due to weak lower extremities. Diagnoses observed were dementia, CVA, a hip fracture, a total knee replacement, osteoarthritis of the shoulder, bilateral upper extremity/lower extremity weakness, and total blindness. Several patients suffered from dementia and some had accompanying diagnoses, such as hip fracture from falling or upper and lower extremity weakness. Dementia is a decline in memory and greatly affects how activities …show more content…

A bed mobility assessment was completed upon arrival of a new patient. She was asked to turn over on each of her sides as far as she could and lift her hips off the bed while lying down and pushing off with her feet. A graphesthesia assessment was given to a patient with a CVA who showed decreased sensation as evidenced by not differentiating the letter, number, or shape drawn on her hand. Range of motion assessments were also completed for many of the …show more content…

This course most prepared me for the actual work setting. There were many treatment interventions that were practiced that I would not have known if it were not for the training in the physical dysfunction course. Transfer safety, assessments, and various treatments were used on a daily basis in the hospital facility, and I felt as prepared as I possibly could be due to the physical dysfunction course. Throughout fieldwork, I felt mostly prepared, but I also learned a lot of new information and new techniques that will be useful out in the field as a licensed COTA. The only suggestion I would make would be to include hands-on experience with more modalities such as, paraffin wax, ultrasound therapy, and electrical nerve stimulation. Before the fieldwork experience, I was rather unfamiliar with the ultrasound therapy and electrical nerve stimulation, and it was very interesting to learn and have hands-on experience with these treatment modalities. Overall, level one fieldwork was an excellent experience. In only a week, I feel that I have learned immense amounts of information that I will apply to a clinical setting. Not only was fieldwork a learning experience, but I learned that I thoroughly enjoy the profession and enjoy working with the geriatric population. After the experience, I feel much more reassured that I chose the profession that I am meant to

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