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Trapped in Place – Wheelchair Ramp Medicare Coverage: Occupational Therapy Discharge Planning

The San Francisco Chronicle posted an article titled, “Stuck in place: How older adults end up trapped inside their own homes“. To give context to this article, one of the post’s image captions reads, “Betty Gray in the Berkeley apartment where she had been confined since taking a bad fall in February.” One of the […]

Assessment to Use for the Acceptance of Pain | Occupational Therapy

Pain Acceptance One of the ways to help patients manage their pain is to assess for their acceptance of pain. Chronic pain acceptance involves experiencing the ongoing pain without psychological or physical attempts to avoid, reduce, or control it.[1]McCracken LM, Carson JW, Eccleston C, Keefe FJ. Acceptance and change in the context of chronic pain. […]

Wheelchair Safety Fall and Injury Prevention Interventions | Occupational Therapy

Millions of Americans rely on wheelchairs for mobility and function after a physical disability.[1]National Center for Health Statistics. Number of persons using assistive technology devices by age of person and type of device: United States, 1994 [online]. Centers Dis Control. Available at: … Reference List Studies have shown that serious wheelchair-related accidents can result in fractures, […]

Blocked Practice vs Massed Practice in Occupational Therapy

In motor learning strategies, two terms that can be confusing are blocked practice and massed practice. Practice can be a very useful and empowering method to promote occupational performance and goals in occupational therapy. Blocked practice Both of these types of practice are types of motor learning strategies. Blocked practice can be thought of as the opposite of […]

Transfer of Learning in Occupational Therapy

What is Transfer of Learning? Occupational therapists promote learning using different strategies. One often used concept that clients learn is the transfer of learning. Transfer of learning concepts and its documentation is also used among the interdisciplinary team such as with speech-language pathologists and physical therapists. Transfer of learning is defined as the “generalization of […]

Personal Factors as Context | Occupational Therapy

When we think about context, the environment often comes to mind first. However, the personal context is also another thing that we should consider for our clients. In the Occupational Therapy Practice Framework (OTPF-4), context is “a broad construct defined as the environmental and personal factors specific to each client (person, group, population) that influence […]

States that Require or Don’t Require NBCOT Certification for Occupational Therapy License Renewal | Requirements List

Is NBCOT Renewal Required for Practice? One question that I have and I get asked is whether it is required for you to renew your NBCOT certification in order for states to continue to renew your OT license and to practice as an occupational therapist. For the OTR/L, the R is for registered and the […]

I Have Never Been This Excited to Share a Journal Article Before: Fifteen Years of Explaining Pain: The Past, Present, and Future [Critical Review]

Some Context Pain was always this thing that I had some interest in working as an OT in acute rehabilitation but I had so many things to focus on like function. The majority of the patients had a neurological condition such as stroke or TBI so pain often co-occurred with my patients. Much of my […]

Graded Sensory Motor Imagery for Chronic Low Back Pain Occupational Therapy Management

Introduction to GMI Graded motor imagery (GMI) has been used as a treatment for people with chronic low back pain.[1]Bowering KJ, O’Connell NE, Tabor A, et al. The effects of graded motor imagery and its components on chronic pain: a systematic review and meta-analysis. J Pain. 2013;14:3-13. … Reference List Chronic pain is pain that lasts […]

OT History Lesson: Why Did AOTA Sue NBCOT in 1998?

The following is the case between AOTA and NBCOT in 1998. It is a very interesting read as many are not aware of this case between the two major occupational therapy organizations in the US. The gist of it is that AOTA separated some of its responsibilities for what we know the NBCOT is responsible […]

History Lesson: How the Flexner Report Shaped Occupational Therapy Reimbursement in the United States

The Flexner Report had a large influence on the course of healthcare in the US despite being over 100 years old. In the early 1900s, education for physicians was less standardized. There were many for-profit schools with much lacking uniformity. Physicians in the 19th century attained their medical education in 3 possible systems: apprenticeship, proprietary schools […]

History of the Term ‘Occupation’ in Occupational Therapy

The profession of occupational therapy was influenced by the Moral Treatment movement in the second half of the 19th century and the Arts and Crafts Movement. Moral treatment was also called moral therapy in the domain of mental health and a form of psychotherapy, this was the belief that people should be treated with compassion, kindness, […]

Medicare Parts Explained | Occupational Therapy Reference

There are 4 parts to Medicare: Part A, Part B, Part C, and Part D. Part A (Hospital Insurance) Admitted starts with the letter A, as in admitted to the hospital, SNF, etc. Inpatient hospital care Skilled nursing facility care Hospice care Home health care Part B (Medical Insurance) Benefits starts with the letter B, […]

How to Practice Occupational Therapy in the United States as a Foreigner (Internationally Educated)

A common question that I get is from people overseas interested in practicing occupational therapy in the United States. Currently, occupational therapy assistants who are internationally educated are not recognized for certification and practice in the United States, only occupational therapists. These are the steps for how to practice as an occupational therapist in the […]

Occupational Therapist’s Thoughts on Bill to Expand Access to Occupational Therapy for Mental Health and Substance Use Disorders

Senators Hassan and Scott Introduce Bipartisan Bill to Expand Access to Occupational Therapy for Mental Health and Substance Use Disorders 8-17-2022 WASHINGTON – U.S. Senators Maggie Hassan (D-NH) and Tim Scott (R-SC) introduced a bipartisan bill to expand access to occupational therapy for patients being treated for mental health and substance misuse disorders. “Occupational therapists […]

Healthcare Funding in the United States: Things You Wish You Learned in Occupational Therapy School

You probably already know that the US healthcare system spends and burns through a lot of money. But just how is it funded in the first place? Does the president simply just write a check out for $X trillion of dollars? Or is it there that goes more into this? After reading this article, you […]

APA Quotations and Citations for Occupational Therapy Students & Researchers

Quotations are often misused in APA format, and for good reason – there are very specific rules. Here is a simple cheatsheet for you to use quotations and to cite them for your academic work and research capstone based on the APA format. Short Quotes A quote is considered a short quote it if contains less […]

Citing References: The Easy and Fast Way, Save Time

Cite as you write. Do not procrastinate and do this at the end. Cite as you write! Trust me, I’ve procrastinated and it is very tedious. Search for the same article (or start your search – highly recommended) on Google Scholar Click on the quote (“) button below the description of the search result (between […]