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Health management as an IADL

        The updated Florida Occupational Therapy Practice Act defines health management as “therapeutic services designed to develop, manage, and maintain health and wellness routines” (The Florida Legislature, 2022). The American Occupational Therapy Association also de- fines it as an instrumental activity of daily living (IADL) in the Occupational Therapy Practice Framework (American Occupational Therapy Association [AOTA], 2020). The goal of health management is to improve or maintain health to support participation in occupations. The categories of health and wellness can be broken down into the following categories (AOTA, 2022):

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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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CHILDREN AND COVID-19

CHILDREN AND COVID-19

by: Kimberly McKinney MOT, MPT, tDPT, PHC
FOTA SIS Early Intervention/School Systems Chair H2 Health at Georgia-Pacific Palatka

The news about the coronavirus is everywhere, but what effect is it having on kids? According to a new study from China’s Shenzhen province (led by scientists from the Johns Hopkins Bloomberg School of Public Health and the Shenzhen Center for Disease Control and Prevention) believes that although children do contract COVID-19 they do not get sick as quickly as adults. This is believed to be due to children having healthier lungs (from not smoking or fewer years of exposure to pollution) (Pappas, 2020).

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Social Disengagement and Isolation During a Global Pandemic: Occupational Therapy Strategies for You and Your Client

Social Disengagement and Isolation During a Global Pandemic: Occupational Therapy Strategies for You and Your Client 

by: Anjali K. Parti, OTD, OTR/L
Mental Health Special Interest Section FOTA

As you are all aware, the United States along with the global community is experiencing a period of social isolation, disengagement, social distancing, heightened public health precautions, and an overall sense of change in ‘normal’ due to a novel strain of the Coronavirus, COVID-19. Several countries are experiencing new social realities and limitations in order to prevent retrieving or spreading the virus. All Americans are encouraged to self-quarantine and limit exposure to gatherings or environments of a quantity of 10 or less people and implement 6-foot distance between one another. In short, Americans are discouraged from leaving their homes if possible. This is a significant societal shift which can yield many challenges to routine, personal and professional growth, emotional regulation, wellness, mental health, coping strategies stemming from a general feeling of ‘cabin fever’.

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TREATING ACROSS THE LIFE SPAN THROUGH 36 YEARS OF PRACTICE: EMBRACING CHALLENGES, ENHANCING LIVES 2020

TREATING ACROSS THE LIFE SPAN THROUGH 36 YEARS OF PRACTICE: EMBRACING CHALLENGES, ENHANCING LIVES 2020

By: Nancy Marin OTR/L, C-NDT, IYT
“What is your conceptual model of OT?” I will never forget this first question by the dean of OT upon entering into OT school. I believe my answer at the time was “Helping individuals function as independently as possible regardless of disability.” I almost failed my first semester, crying over having to learn and remember 52 origins and insertions in neuroanatomy to understanding physics from my professor whose primary language was Chinese.
Thirty six years later, after working in a variety of settings to include nursing and rehab center, school system, private outpatient clinic to owner of a small private practice, who would have ever imagined that this ‘ol’ time therapist would be providing Telehealth services, learning and understanding the lingo, technology, screen sharing, various platforms, and understanding the laws and regulations for insurances and what is or isn’t a HIPPA compliant platform. My mind continues to race, but as a seasoned therapist, an OT all the way down through to my very core, I’m working hard to keep a balance of work, play and rest. I share what knowledge I think I have with others so we can remain healthy and whole.
One of my favorite shows WAY back in the day was the Jetsons. I feel as if I am now the main character in this cartoon (except without Elroy), only now living this is in real time. Who would have ever imagined thirty six years later in my career, that I would be treating children of all ages and disabilities through a computer? After these past three weeks, I am getting into some kind of routine. I am teaching yoga to adults through Zoom, helping my 91 year old mother stretch and keep her brain active through Alexa, and a variety of therapeutic activities to my clients through a HIPPA compliant platform. I am reflecting on my past life as an OT to what is now the new norm of treating. However, as a certified NDT therapist, who is used to handling and facilitation of babies, toddlers, children and teens to adult CVA’s, I am having to figure out how to be creative (although I have to believe I’ve been a fairly creative OT) and let me tell you, it’s exhausting.
Emotionally and spiritually, my heart is aching for every single citizen. Missing out on major milestones, life’s events, graduations, weddings, travel, conferences, seeing grandchildren be born and celebration of birthdays. For our senior citizens who are isolated in nursing homes and ALF’s. For all staff members who are trying to stay afloat and care for our seniors including my own 91 year old mother who I cannot see, other than through a small little box named ‘Alexa’; which in my mother’s own words is our life line!!! For the grocery store workers, truck drivers and sanitation workers. My prayers are incessant for those that are suffering from this horrible virus, for the physicians, nurses and other essential workers who care for them and us, while putting their own life at risk.
For all of us therapists who are trying to maintain some kind of normalcy for our families we serve, who are barely surviving with home who are barely surviving with home schooling, on line learning, running their own business or trying to keep their job in some way, shape or form. To be able to pay their bills and still manage to sit there with their child while I guide them to do therapy.
I am just a mother of 2 grown children, a grandmother to 2 beautiful grandsons, an aunt, a great aunt, a sister, a daughter, a wife and friend to many. I feel that my life as a pediatric OT has come full circle, allowing me to truly treat across the life span.
Nancy Marin, OTR/L, C-NDT, IYT, a graduate of FIU, is a pediatric OT with over 36 years’experience is originally from South Florida with a career spanning from senior rehab, to school system and pediatric outpatient center (Pediatric Therapy Associates in Plantation) where she developed a strong foundation and love of NDT (from great mentors). Nancy relocated in 2001 when she began a private pediatric practice, Occuplay, Inc. in Ponte Vedra Beach Florida. Nancy is certified in NDT, Baby treatment, Integrative Yoga Therapy and The Listening Program-with Bone Conduction and teaches an Adaptive Yoga/ NDT course extensively through the United States with Ciao Seminars. Nancy incorporates evidence Nancy incorporates evidence based practice utilizing NDT, Yoga and other holistic approaches both within the clinic and natural environment settings. She is passionate about individuals with neurological differences and always ‘Presumes Competence’ with each and every individual she works with. In addition to her full time pediatric practice, Nancy teaches adult yoga class and see’s the ‘Oh-mazing’ benefits across the life span. 

The Role of Occupational Therapy: Providing Care in a Pandemic

From AOTA

The Role of Occupational Therapy: Providing Care in a Pandemic

This is an unprecedented time in health care that is evolving every day. Due to the outbreak of COVID-19, many organizations and occupational therapy practitioners are struggling with the question, “what is the appropriate role of occupational therapy during a pandemic?” Guidance from federal agencies is continually shared as the status of the pandemic within the United States is evolving on a daily basis. AOTA urges occupational therapy practitioners to continue to check guidance from the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS) for the most up-to-date information. More

Trauma and TraumaInformed (TI) Approaches to Care: Applications to Occupational Therapy Practice

Trauma and Trauma Informed (TI) Approaches to Care: Applications to Occupational Therapy Practice

Trauma is widespread and has profound effects that can lead to emotional and physical distress throughout the lifespan. Statistics from the Center for Disease Control and Prevention (CDC) on abuse and violence in the United States indicate the following:

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Wellness & Health Promotion is Center Stage

Wellness & Health Promotion is Center Stage

Wellness and health promotion efforts appear to be at center stage, as the society becomes more aware about the burden of chronic diseases over the lifespan. This knowledge fosters the understanding that lifestyle choices can have a significant impact on prevalence of chronic diseases (Snelling, 2014). The American Occupational Therapy Association (AOTA) has identified Health and Wellness as a key practice area in the 21st century (AOTA, 2015). According to AOTA, “factors that will drive an increasing need for wellness-related services are based on an accumulating body of scientific evidence that an individual’s health is directly related to physical as well as emotional well-being” (AOTA, 2015) . To support practice, AOTA provides extensive resources for Health and Wellness practice embedded within occupational therapy, including evidence-based literature, technology applications to support domains of health, and professional development opportunities.

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