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1
Q

what motivates to be OT?

A

Always wanted to work in healthcare, do something worthwhile
personal values - living not surviving?
personal qualities- problem solving, empathy, listening

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2
Q

something not gone to plan? used initiative

A

lady was set to go home with JCR support and stair rails
unfortunately patient transport cancelled
all would have fallen through
called crisis response team to take her home and all was saved

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3
Q

time I have accommodated for someone?

A

idk think?
sex
Visor??
communcation toosl on current placement

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4
Q

time i have advocated for OT

A

Barrier to fatigue management project

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5
Q

trust values

A

working together
improvement and development
respect and compassion
engagement and involvement

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6
Q

How would you deal with a confrontational patient?

A

Assessing the patient’s emotional and physical state
Maintaining clear communication and relaxed body language
Sharing your willingness to help the patient
Encouraging conversation to help diffuse the situation
ftg lady example

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7
Q

coping with a heavy caseload

A

keep calm
Give examples of times when you’ve handled heavy workloads, such as taking on the work of an absent colleague, and your coping mechanisms for stress during busy days.
prioritising cases?

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8
Q

nhs core values

A

working together
respect and dignity
commitment to quality of care.
compassion.
improving lives.
everyone counts.

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9
Q

why esht

A

In 2020 ESHT was rated as GOOD overall by the CQC, with a
rating of OUTSTANDING in our community services.

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10
Q

good qualities in an ot

A

communication
team worker
innovative
empathy
good listener
resilience
problem solving

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11
Q

difficult situation with a pt

A

glynde lady

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12
Q

unmotivated pt

A

puppy lady

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13
Q

made a difference

A

abby? current placement

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14
Q

meaningful experience with a pt?

A

glynde lady? current placement

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15
Q

working together

A

current MDT and leaflet

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16
Q

Respect and compassion

A

culture? kind, empathy, respect unwise decisions

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17
Q

engagement and involvement

A

collab goals, intervention, involve fam, decision making

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18
Q

improvement and development

A

reflexive, CPD, leaflet, current research based

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19
Q

pt fall

A

help, dont move, comfy, wait, help when ready, datix

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20
Q

difficult decision

A

not prescribing anything?

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21
Q

ensure client adheres to treatment plan?

A

involve them and make it meaningful and relevant
try to find why theyre not eg fatigue pill
encourage, provide resources and education, evidence, remind them to take ownership, adapt communication style

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22
Q

OT role

A

help engage in activity and ADLs, occ to support health and wellbeing. depends on clients goals. assess needs, physical cog moental etc, plan and implement a intrevention to meet these needs and evaluate. holistic and dual trained

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23
Q

culture/diversity awareness

A

recognise the importance of culture and try to adapt it into the intervention or assessments using cultural related activities such as a kitchen ax, tea might not be relevant so a different dish/drink. be respectful and ask patient if it is appropriate and effective

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24
Q

document progress/notes

A

legal document, didnt write = didnt happen. maintain records of all assessments, interventions, conversations, progress, changes in plan etc. track improvement and steps taken. informs others, keeps patient in the know. should be scuccient, legible, thorough, according to legislation

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25
Q

response to change

A

adapting to new placements, NHS vs Social care have different policys and also changes between trusts. Different forms, models, knowledge. mental vs physical. take intiative and be responsible for own learning, use supervision, identify gaps

26
Q

safe practice

A

appropriate equipment, condition of equipment, patients health and wellbeing, infection control, confidentiality, locking doors etc. dont go beyond remits of own practice

27
Q

professional development

A

aware of gaps in learning and address this. go to training, ask questions, reflect. seek feedback from team, patients and supervisor, families. stay up to date with current research and evidence, guidelines, conferences.b

28
Q

best care

A

up to date with latest evidence, evidence based. client centred - relevant and meaningful, individualised. effective interventions and evalute. collaborative with professioanls and pts. seek feedback. safe

29
Q

how do you collab with MDT

A

collaborative goals, discussing patients, referrals, be respectul and take feedback on board. apply to interventions.

30
Q

teamwork example

A

leaflet and current MDT referral

31
Q

good MDT

A

responsible and accountable, effective and efficient with lots of professioanls and knowledge, open and honest, listen and communicate, team work skills, understanding of other roles

32
Q

skills of an OT

A

eager to learn, adaptable, reliable, listen, communication, initiative, flexible, teamworker, resilient, kind, empathy, problem solving,

33
Q

my skills

A

resilience award, attendance award, good listener, caring, empatthy, patient, teamworker, iniatitive and organised

34
Q

transferable skills

A

school - resilience, problem solving, organised, comms, leadership
ESHT- trust vaues, medical terminology, notes, teamwork, fast learner especially with IT
Placements- flexible, knowledge, reflexive, use of supervision, client centred, rapport building

35
Q

ethics

A

consent, fully informed in simple language, confidentiality,

36
Q

rapport

A

listening, empathy, take time and effort to udnerstand and ask questons, involve them

37
Q

time you have improved a service

A

fatigue leaflet

38
Q

goal setting

A

assess and evalaute, strengths, challenges, needs, ability, identify goals. work with pt to make relevant and meaningful SMART goals. individualised and achieveable

39
Q

positive risk taking

A

enables choice, balance risk vs positives, for example, accessing the community has risks but opposite side is that they may be depressed if you dont and risk to health and wellbeing

also activity analysis of cooking with slime girl?

40
Q

operational risks

A

staff absense, number of staff, new policies, cybercrime or systems crash, political change, natural disasters

41
Q

challenges to service delivery

A

staff numbers, ot role unknown, less efficent and effective MDT, funding esp MH, beds - pressure to discharge, conflict

42
Q

advocate for pt

A

cypress referal

43
Q

advocate for ot

A

leaflet and presentation

44
Q

motivating clients

A

encourage and support small achievable goals, celebrate all success, motivation techniques such as reflective listening and affirming statements, find route cause - anxiety, depressed, PJ paralysis, not relevant or engaging, e.g puppy lady and fatigue lady,

45
Q

community dangerous situation

A

run and call 999, put self first, follow trust policy, diffuse if possible, raise to safeguarding andor police

46
Q

safeguarding

A

protecting rights health and wellbeing of pts in home and hospital, review and follow safeguarding procedures, monitor and look for signs, evaluate and take the time to assess and be confident about appropriate path to take, raise to appropriate authority, question if unsure,

47
Q

disclosures

A

dont ask leading questions, listen. dont promise confidentiality, calm and non judgemental questions, raise to safeguarding lead or authorities

48
Q

equipment risk assess

A

bed levers, weighted blankets,

49
Q

evaluate intervention and outcome measures

A

reports from client, non standarised eg crowborough, rehab goals have been set - GAS goals or TOMS, standardised tools eg fatigue screening toolc

50
Q

client centred practice

A

involve patients in discussions and goals, decision making, make it relevant and meaningful, language used, explain, ask about them and their interests, rapport, eg dementia ward, cycle

51
Q

effective and efficient interventions

A

relevant, SMART goals, evidence based, evaluate and improve

52
Q

prioritising

A

assess urgerncy, situation, timeline of each ckient. individual needs? new patients first or close to discharge? are they medically fit - o2, dizzy, ill, uti etc

53
Q

new patient

A

are they fir for referal and service and ot? consent? why referred? ot process- evaluate ability and challenges, goals, use models and ot ax tools. gather info from pt, fam, mdt etc. collab on goals and design intervention. evaluate to see if worked

54
Q

how to resolve conflict/ethical situation

A

student on placement had different work ethic and different styles, tried different things to engage them, asked for advice from supervisor.
generic- ask them if theyre ok, stay calm, listen, compromise, do it in a private place, if youre in the wrong then admit and apologise, learn from the incident and move on. dont hold a grduge.

55
Q

someone doing something wrong / alzy

A

ask if theyre ok, try and offer advice in private, if i felt that it was putting clients at risk or the service efficiency at risk i would raise it to my supervisor.

56
Q

how would you deal with a disgreement

A

talk about reasoning for each side and then compromise and make a decisionh

57
Q

how to intergrate evidence based practice

A

consider: pt values and needs, clinical expertise, research evidence and practice guidelines. use clinical reasoning and above to intergrate evidence into intervention

58
Q

disadvantages and advantages of MDT

A

lack of staff/professionals, knowledge of OT, frequency = efficiency but not always possibl and time consuming, conflict

diverse perspectives improves problem solving and innovation, knowledge sharing improves everyones expertise, different view points broadens udnerstanding and imprve adaptability

59
Q

how do you use frames of reference

A

biomechanical - physical impairment
cog behavioural - theraeupetuic rest, activity diaries, grading
compensatory - equipment
rehab - retain strengths and comepensatae with equipment or env adaptations
sensory intergration
client centred

60
Q

PEOP MODEL

A

person, occupation, performance, environment
person - internal eg physio (sleep, sores, eat), cog, spitiruial, neurobehavioural (balance, coordination) psychology (motivated, engaged etc)
env - built and natural, culture, social norms,

61
Q

cmop e

A

phsyical cog affective (emotions)

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