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Type and Title of Submission


Title:

Occupational therapy and the promotion of mental wellbeing.

Description:

Using the NICE public health guidelines 16 as a framework, occupational therapy staff have used specific knowledge and experience to deliver creative solutions to complex occupational problems arising through mental illness. This has been delivered through individual and groupwork interventions, to promote mental wellbeing.

Category:

Health and wellbeing

Does the submission relate to the general implementation of all NICE guidance?

No

Does the submission relate to the implementation of a specific piece of NICE guidance?

Yes

Full title of NICE guidance:

PH16 - Occupational therapy intervention and physical activity interventions to promote the mental well being of older people in primary care and residential care.

Category(s) that most closely reflects the nature of the submission:

Implementation policy

Is the submission industry-sponsored in any way?

No


Description of submission


Aim

As the Occupational therapist on Cove ward, initially I will complete both standardised and non standardised assessments. Individual and group treatment plans are developed with the patient and/or carer to meet patient assessed needs in physical as well as mental health, aiming to promote independence and mental wellbeing.

Objectives

1. To maintain and improve functioning in activities of daily living. 2. To maintain and improve physical abilities including mobility (e.g. gait, balance, stamina, range of movement, falls prevention). 3. Providing highly individualised care plans which promote personal identity ( i.e. meaningful occupations, roles and routines)

Context

Baseline assessments include: 1. Interest checklist - this is from the Model of Human Occupation and provides the OT with an understanding of personal identity. 2. Mobility Assessment 3. Kitchen Assessment 4. Personal care assessment 5.Observation of function These assessments and individualised plans encourage older people to identify, construct, rehearse and carry out daily routines. Following these assessments the OT's are able to offer structured and graded interventions.

Methods

1. Individual and groupwork including preparation of meals (e.g. breakfast group) and facilitating independence in personal care activities. 2. Individual and groupwork including music and movement group, indoor and outdoor walks. A rehabilitation model is utilised within these sessions. 3. Person centred care plans are produced and followed to include hobbies and interests which are meaningful to the individual.

Results and evaluation

A variety of outcome measures are used to monitor and evaluate progress. With re-assessment and continual evaluation of group dynamics and individual abilities. This is documented using the client and group progress record sheet, which is a quality measure. Audits are undertaken regularly.

Key learning points

Ensure a comprehensive assessment process is undertaken to implement person centred care. This will ensure maintenance of a satisfying routine of activities that have personal meaning and value gives a structure and creates a sense of purpose and direction to life.

View the supporting material

Contact Details

Name:Tamsin Jones
Job Title:Specialist Occupational therapist
Organisation:Cornwall Partnership Trust
Address:Cove ward, Longreach House, Camborne & Redruth Community Hospital Site, Barncoose Terrace
Town:Redruth
County:Cornwall
Postcode:TR15 3ER
Phone:01209881819
Email:Tamsin.Jones@cpt.cornwall.nhs.uk

 

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This page was last updated: 29 September 2009

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Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.