1. JANET ARNOLD OT JULIE ROBERTS OT A Day in the Life

2. Currently there are two OT’s at NWBIS, one full time and one part time We cover the whole of North Wales within the BCUHB catchment area

3. Why is every day different? Extent of injury Location of injury Affect on physical and cognitive processes What is meaningful and purposeful to the patient What goals they wish to work on Other factors such as social or financial Other OT duties Geographical location

4. Common difficulties Poor memory Poor concentration and attention Poor problem solving ability Poor initiation Loss of function of upper or lower limbs Fatigue Epilepsy Lack of insight Speech and language problems Eyesight

5. Common goals Activities of daily living – working towards independence e.g., cooking or self care Using public transport Driving Returning to work Volunteering Community integration Developing/maintaining hobbies and interests Developing/maintaining role

6. Other OT duties Paperwork!!!! Attending meeting e..g, MDT, referral, safeguarding Admin – telephone calls, emails, monthly returns. CPD, supervision Mandatory Training

7. Skills needed for cooking  Physical  Cognitive  Time Management  Concentration  Attention  Memory

8. Skills gained from cooking Interpersonal  Self-Esteem  Insight

9. Kitchen Assessment & Intervention Initial Assessment Problems identified Problem solving strategies Compensation/Adaptation Suggestions and recommendations

10. Making a Cup of Tea Component parts MemoryAttentionSequencingProblem solving Physical Skills Risk assessment Fill Kettlexxxxxx Put kettle on to boil xxxxx Get cup /teaspoon xxxxx Put in tea bagxxxxx Wait for kettle to boil xxxxxx Fill Cup 3/4xxxxxx Top with milkxxxxxx Strain teabag and remove xxxxxx

11. The Challenge Accommodate each individuals aims and goals. Offer comprehensive intervention to rehabilitate back to purposeful activity. Utilise assistive technology to assist us with sustaining independence in cooking activities.

12. Questions?