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An evidence-based guide to combining interventions with sensory integration in pediatric practice: A book review

An evidence-based guide to combining interventions with sensory integration in pediatric practice: A book review

by: Gustavo Reinoso, Ph.D., OTR/L and Thomas J. Decker, Ed.D. OTD, OTR/L

Because of the complexity of the clients we assess and treat utilizing sensory integration, we often wonder about how we can best address a family’s needs by incorporating other approaches during our busy practices. The concept of combining and blending approaches is not new. In 1995, Blanche, Botticelli and Hallway published a textbook “Combining Neuro-Developmental Treatment and Sensory Integration principles: An Approach to Pediatric Practice.” The textbook was well-received among clinicians

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Wake up to the occupation of sleep: Its importance in the older adult

Wake up to the occupation of sleep: Its importance in the older adult

by: Anette Bullard, MEd, COTA/L and Anjali Parti, OTD, OTR/L 

WAKE UP TO THE OCCUPATION OF SLEEPEveryone has experienced having to power through the day after a night of not sleeping well with every aspect of the day feeling more challenging due to your lack of sleep. The National Institute of Health (2017) identifies sleep as one of the most important occupations for maintaining all aspects of health. In fact, the Centers for Disease Control and Prevention (2018) has recognized sleep deprivation as a public health problem with broad, negative effects on safe occupational performance. For the older adults the challenges brought on by age compounded with a lack of sleep can further decrease successful occupational performance. Many age-related changes tend to disturb patterns of sleep and the myth that older adults need less sleep is actually incorrect (Suni, 2022b). The older adult is confronted with additional sleep obstacles such as, chronic conditions, medications, diminished physical activity, and decreased cognitive exercise, all of which have all been associated with decreases in sleep satisfaction. The resulting downward spiral of poor sleep results in less successful occupational engagement. The Occupational Therapy Practice Framework includes ‘rest and sleep’ as an area of occupation and defining occupational therapy practitioners as qualified professionals to assist clients with the occupation of rest and sleep (American Occupational Therapy Association, 2020). This brief article seeks to assist practitioners with identifying resources and awareness for more consistently addressing the occupation of sleep in the older adults. 

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Lymphedema Basics: Increasing Client Occupations

Lymphedema BasicsLymphedema Basics: Increasing Client Occupations

by: Candice D. Young E.d.S., COTA/L, CLT

Increasing independence in occupations is what occupational practitioners are known for. For many experienced clinicians, it is a daily routine recognized through experience through evidence-based practices. However, many clients suffer from diseases uncontrolled by either primary or secondary causes resulting in delayed healing or ongoing therapy services. The growing anxieties of past medical history, congenital conditions, or surgeries are not always straightforward nor understandable, and the complications may be unknown. Lymphedema could be lurking in the foreseeable future for many with no current cure and awaiting breakthrough treatments (Schaverien and Aldrich (2018).  

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The pelvic floor: The muscle group we all should know more about

The pelvic floor: The muscle group we all should know more about

by: Sujata Martins, MS, OTR/L, CD

Out of sight, out of mind is a common saying for most and unfortunately tends to be applied to the pelvic floor. By learning to take care of our pelvic floor, most of us can avoid embarrassing accidents, as well as spending money on incontinence products, medications, and even surgery. It is also extremely valuable for pregnant women in order to prepare for delivery and postpartum healing, and plays an important role in intimacy. 

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Integrating research into fieldwork experiences: Benefits for practitioners, students, and faculty

Integrating research into fieldwork experiences: Benefits for practitioners, students, and faculty

by: Annemarie Connor, PhD, OTR/L, Sarah Fabrizi PhD, OTR/L, and Adrienne Yaryan, OT-S, and Kevin Ortiz, OT-S

As new occupational therapy programs continue to develop, it has become more difficult to find fieldwork (FW) sites for students since practitioners are less willing to supervise students due to the lack of resources, limited time, and questions of student preparedness (Varland et al., 2017). Unfortunately, this predicament is now exacerbated in the era of COVID-19. Emerging practice fieldwork sites, largely focused on prevention and health promotion in community-based practice, have been one mechanism for creating meaningful and productive fieldwork sites during this increasingly challenging landscape (Clarke et al., 2015; Dancza et al., 2013). 

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Telehealth value and future considerations in pediatric occupational therapy practice to support innovation and healthcare equity

Telehealth value and future considerations in pediatric occupational therapy practice to support innovation and healthcare equity

by: Elizabeth Morejon, OTD, OTR/L, CSIPT,  and Evelyn Terrell, OTD, MS/HAS, OT/L

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(DOH) issued a press release last week containing guidelines related to the Treatment of Gender Dysphoria for Children and Adolescents.

As you may know, the Florida Department of Health (DOH) issued a press release last week containing guidelines related to the Treatment of Gender Dysphoria for Children and Adolescents
 
As stated, the press release is guidance and does not create a requirement for health care practitioners.
 
According to our practice framework, and regardless of condition or diagnosis, occupational therapy practitioners support clients by offering evidence-based treatments which affirm the lived experience, encourage exploration of identity, provide a safe and supportive environment, maximize strengths and resources, reflect on consequences of treatment approaches, facilitate participation in preferred roles, and prevent loss of engagement in meaningful occupations. 
 
Clinicians with specific questions regarding the guidance should contact the DOH directly. 
 
Clinicians should also feel free to reach out to [email protected] with comments, concerns or to speak with practitioners familiar with these topics. 
 
FOTA will continue to share information as it becomes available.
 
Sincerely,
 
Your Government Affairs Team"

Medicare OTA payment differential

The Medicare OTA payment differential went into effect on January 1, 2022 and many occupational therapy practitioners still have questions regarding what the policy means for OTAs. 
 
Additionally, AOTA has resources that are immediately available. Please feel free to share this recording of the Special OTA Confab: Legislative and Regulatory Changes with your membership. The recording provides both the legislative background of the policy and a detailed discussion of when the modifier should be applied. An article and video can also be found on the AOTA website on how to apply the modifier and an easy to read handout is linked here.

Contemplating the Capstone

Contemplating the Capstone

by Pamela Kasyan-Howe, OTD FOTA SIS Fieldwork

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Virtual Reality in Occupational Therapy

Virtual Reality in Occupational Therapy

By Jonathan E. Urrely, OT-S and Carlos Martoral

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ASSESSING STUDENTS’ CLINICAL REASONING ON FIELDWORK

ASSESSING STUDENTS’ CLINICAL REASONING ON FIELDWORK

By Maria A. Colmer, OTD, OTR/L, Associate Professor, Academic Fieldwork Coordinator, Florida Gulf Coast University, OT Program, FLOTEC

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Motivation: An important factor in adherence to home programs for patients with chronic conditions

Motivation: An important factor in adherence to home programs for patients with chronic conditions

By Kristin Domville, DrOT, OTR/L and  Kaye Rubio, Ph.D., MHS, OTR/L, CLT-LANA,

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Joint effort with the Agency for Health Care Administration (AHCA) and the Department of Elder affairs in a home modification program.

Joint effort with the Agency for Health Care Administration (AHCA) and the Department of Elder affairs in a home modification program.

Eligible providers will have 60 days to complete the application for funding. Providers must apply by February 14, 2022.

FOTA's Government Affairs is proud to announce a joint effort with the Agency for Health Care Administration (AHCA) and the Department of Elder affairs in a home modification program designed to enable older adults in Florida to remain in their homes, rather than move to nursing homes or other assisted care facilities. The goal of this program is to enable low-income elderly persons to remain in their homes through low-cost, low barrier, high impact home modifications to reduce older adults’ risk of falling, improve general safety, increase accessibility, and to improve their functional abilities in their home. The program requires that an occupational therapist play the lead role for the home modification team. 
 
Details are limited at this time. We anticipate the cap for home mods will be around $5,000 for each client, and are still working on identifying an appropriate reimbursement rate for clinician. The initiative will occur throughout Florida, so where ever you are, you are needed. We are encouraging OTs to register with AHCA as Medicaid providers to shore up our resources in prep for this influx of around $127 million dollars earmarked for this initiative.
Please review the following alert to learn more. 

Florida Agency for Health Care Administration Announces Application Period for Home and Community-Based Services Provider Funding

~The initial application period focuses on supporting providers with workforce recruitment and retention~
TALLAHASSEE, FL – Today, the Agency for Health Care Administration (Agency) announced the initial application period for three components of the Agency’s Home and Community-Based Services (HCBS) enhanced funding plan. Eligible providers will have 60 days to complete the application for funding. Providers must apply by February 14, 2022.
“Under Governor DeSantis’ leadership, taking care of Florida’s seniors and most vulnerable residents has been and continues to be a top priority,” said Agency Secretary Simone Marstiller. “The Agency is pleased to invest this enhanced funding in Florida’s home and community-based services providers to strengthen their ability to recruit and retain staff to care for the most vulnerable and enhance the ability of these Floridians to receive care in a community-based setting.”
The three components included in the initial application cycle include:
  • •One-time provider stipend payments to support HCBS providers;
  • One one-time payments to aid eligible HCBS providers in recruiting and retaining qualified staff; and
  • Funding to support the purchase of delayed egress systems for group homes and adult day training centers.
More information on the application process and a list of eligible provider types can be found HERE.
The application process for eligible providers is to ensure appropriate measures are put in place to prevent fraud, waste, and abuse. The Agency will announce additional application periods for remaining program components, which are expected to occur by April 2022.
Florida’s HCBS programs serve the state’s aging population, as well as individuals with physical, intellectual, and developmental disabilities. For more information about Florida’s strategy for administering the increased FMAP funding for HCBS providers and to apply or obtain updates on upcoming application cycles, please visit: https://ahca.myflorida.com/hcbsapplication.

What is an OT Compact and How Does it Apply to Me?


FOTA OT COMPAQ

FOTA OT COMPAQ2

FOTA21 Conference: Student Poster Submissions

FOTA21 Conference: Student Poster Submissions

Here are some tips to follow when completing your student poster submission:

  1. First and foremost, make sure you submit your poster under student and not professional. This will help to decrease any added stress closer to conference when you realize you may have been placed in the wrong group. The conference committee goes off what you submit and will place your poster in the group accordingly.

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FOTA HILL DAY 21' UPDATE

The Florida Occupational Therapy Association (FOTA) is proud to continue its service to members and consumers of OT during the 2021 Florida Legislative Session.  Thus far we have spoken to at least eight different legislators directly involved in the examination and vetting of our proposed updates to the Occupational Therapy Scope of Practice (Scope). Your FOTA representatives have also met with other relevant stakeholders such as The Florida Board of OT and the Florida Department of Health to solicit feedback and support of these essential updates to our Scope.

Now it’s your turn!

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FOCUS Quarterly Deadline Approaching

FOCUS quarterly
FOCUS QUARTERLY NEWSLETTER DEADLINE IS MARCH 15

FOTA Boosts Quarterly Publication 

In a persistent move towards meeting the needs of its membership and readers, FOCUS, the official publication of the Florida Occupational Therapy Association (FOTA) has been renamed The FOCUS Quarterly.  The Author’s Guidelines have been adapted to include formal review of submitted materials, and inclusion of a variety of opportunities for the novice and seasoned writers in the community of occupational therapy and collaborating partners.  

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Human Trafficking CE Requirement

Hello,

Just a reminder that there is now a requirement for a Human Trafficking CE

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Advocacy Request for Florida OTs

Florida OT's,
On August 3, 2020, the Centers for Medicare & Medicaid Services (CMS) released the proposed FY 2021 Medicare Physician Fee Schedule (MPFS) Rule and Fact Sheet. Despite previous collaborative advocacy efforts, the proposed rule contains a 9% cut to reimbursement for therapy services to offset the increases to the value of office visit evaluation and management (E&M) codes that primarily benefit primary care physicians. We believe therapy practitioners cannot withstand the cuts required to keep the budget increases neutral. Changes must be made to protect therapy services. 
As this is a Federal initiative, we are asking that you reach out to CMS and your congressional members directly to express your concerns. We have provided a template to help guide your discussion, attached here. Including your own personal and client stories in the letter will have the greatest impact on those voting for or against these measures. Also included here is a link to your Florida Congressional Members and a link to AOTA's stance on the matter. 
Your dedication to health and advocacy is why the profession continues to enjoy industry leading growth and increasing recognition in medicine. 
Thank you,
FOTA Governmental Affairs

questions? contact [email protected]

Update: Telemedicine Guidance for Early Intervention Services

Florida Medicaid Health Care Alert

April 27, 2020

Provider Type(s): 81, 82, and 83

Update: Telemedicine Guidance for Early Intervention Services

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