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Holly and Monica in INDIA

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Holly and Monica in INDIA

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    1. Holly and Monica in INDIA

    2. Vellore, India

    3. CMC’s Mission To develop through education and training, compassionate, professionally excellent, ethically sound individuals who will go out as servant-leaders of health teams and healing communities Promotion, curative, rehabilitative, or palliative aspects of healthcare

    4. Christian Medical College Founded in the late 1800’s by Ida Scudder Average daily activity Outpatients 3727 Inpatients 1222 Clinics 76 Births 23

    5. Departments of Occupational Therapy Average yearly OT treatments: 81,133 Rehabilitation Institute Psychiatry Community Health and Development (CHAD) Pediatrics (Nambikkai Nilayam) Geriatric Center (“Day Care”) Hospital Leprosy Community

    6. Rehabilitation Institute Private and Public Wards 2-4 hrs OT/ day! Spinal Cord Injuries Transfers, mobility, Bilateral Coordination, Balance, Endurance, Wheelchair Propulsion Traumatic Brain Injuries Coma Stimulation Stroke Weight bearing, Balance, Bilateral Coordination, Transfers, Cognition, ROM/Strengthening

    7. Rehabilitation Institute Credit: Tremendous motivation/ hard work displayed by pts. & family interest/participation Family assistance with activities and choosing interventions “Floating” OTs Concern: Less holistic, individualized approach to therapy “OT is ‘Westernized’.”

    8. Psychiatry Instructions in three languages Schizophrenia, bipolar, family/marital problems, anger management, anxiety, etc. Interventions to address: planning, organization, initiation, participation, assertiveness, creativity, social skills, self-discipline, impulsivity management Age appropriate activities? Role playing, group problem solving Constructive feedback provided after each session Social/leisure recreational opportunities to promote healthy relationships

    9. CHAD Provided screenings, treatments, and educational seminars in the villages Adult “Day Care” centers Baby clinic every Wednesday Leprosy community

    10. Nambikkai Nilayam Child psych unit Average stay was 3 months Treatment all day- Morning-ADL training, PT/OT goals, Educated play Afternoon-Rounds, Parent education

    11. Contexts Physical Cultural Social Personal Spiritual Temporal Virtual

    12. Physical Dirty-dust/dirt, trash, animals roaming HOT!!! Many buildings open to the outside Small houses & little “accessibility” Many people walk or ride the bus Poor and rural communities; little resources for treatments and therapy services

    13. Physical

    19. Cultural Concept of time-much more laid back than in U.S. (2 hour lunch breaks) Strange to be women traveling alone Important to be contributing to the family (day care) CMC values "holistic" care No such thing as “personal space” Strangers openly ask you personal questions

    20. Social Division of family roles Family valued greatly Communication techniques and languages All members of family expected to contribute Distinction between economic classes Advised to avoid political or controversial discussions Individuals with disabilities not really integrated into society

    21. Personal Low socioeconomic status Many work laborious jobs for little pay Many have no education

    22. Spiritual Widespread belief in Karma Large percentage have Hindi beliefs time in the middle of the day to pray Heavier Christian population in Southern India than in other regions CMC weekly staff meetings included Christian reflection and prayer

    23. Temporal Progressive period of time in India for medical advances Take care of family members during the process of aging and associated complications Summer months hot and dry and desert- no air condition.  

    24. Virtual Written paperwork/documentation due to little use/availability of computers Land line phones to communicate within hospital departments Cell phones are less prevalent in India than here

    25. Where we stayed

    26. Where we traveled

    32. Questions???

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