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Therapeutic Agent – Have You Got It ?. By Anna Nicholls Occupational Therapist / Ergonomist. Introduction. Practice Scholars Network. By Dunton 1919. Occupation is as necessary to life as food and drink. Every human being should have both physical and mental occupation

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therapeutic agent have you got it

Therapeutic Agent – Have You Got It ?


Anna Nicholls

Occupational Therapist / Ergonomist

by dunton 1919
By Dunton 1919
  • Occupation is as necessary to life as food and drink.
  • Every human being should have both physical and mental occupation
  • All should have occupations which they enjoy, or hobbies
  • Sick minds, sick bodies and sick souls may be healed through occupation
foundation of occupational therapy
Foundation of Occupational Therapy
  • Foundations of Occupational Therapy – “Human is an occupational being for whom occupation is a basic need”
  • Extending this, anything reducing a humans ability to engage in occupation has the potential to negatively affect the health and well being of the individual even to generate pathology
core of the model
Core of the Model
  • Knowing What
  • Knowing How
  • Therapeutic Agent
knowing what
Knowing What ?

Foundation Sciences

  • Anatomy
  • Physiology
  • Social Theories
  • Occupational therapy theories
  • Systems
  • Legal requirements
  • Research
knowing how
Knowing How ?
  • How to do a shower assessment
  • How to do a home visit
  • How to do a FCA
  • How do you measure a patient for a wheelchair
  • How to teach manual handling skills
  • How to do a worksite assessment
therapeutic agent
Therapeutic Agent
  • Clinical and professional reasoning for each situation
  • Targeted and individual problem solving
  • More effective personal skills and competencies
  • Useful professional power for individuals advocate for people, for systems to change
therapeutic use of self
Therapeutic Use of Self
  • The term “Therapeutic use of self” – it is defined as:
  • “The therapists conscious efforts to optimize their interaction with clients. It is the planned use of his or her personality, insights, perceptions and judgements as part of the therapeutic process. “
  • (Taylor, Lee, Kielhofner, Kelkar (2009) Therapeutic use of self: A nationwide survey of practitioners’ attitudes and experiences. AMOT 63: 198-207.
injury management

Injury Management

Adjusting the JCU Model to Injury Management Model

knowing what1
Knowing What
  • Health professionals
  • Legal professionals
  • Discrimination law
  • Legislation
knowing how1
Knowing How
  • How to write suitable duties programs
  • How to communicate with doctors
  • How to monitor an injured worker
  • How to complete the claim application
  • How to manage the cost of claims for a company
  • How to manage claims
therapeutic agents
Therapeutic Agents
  • Therapeutic Use of Self
  • Good communicator
  • Very patient
  • Empathetic
  • But still goal and outcome focused
  • Persistent
non therapeutic agents
Non – Therapeutic Agents
  • Burn out is common
  • Time limited
  • The wrong people doing the job
  • Qualified professionals are not immune to this
  • Collect data
  • Measure outcomes
  • Could a better outcome have been achieved with a different person involved in the case
so back to our model
So Back to our model
  • Knowing what
  • Knowing how
  • Therapeutic agents
  • Do you have all of these in place – are they the best for the job and giving you a holistic view to best support the person
  • Yvonne Thomas at the OT Department, James Cook University
  • Practice Scholars Network – all the therapists and academics involved
  • Staff at NQTS
  • My patients and customers over many years who have facilitated my learning
  • And Bill Neven
the end
The End

Thank You……..

…………………any questions?