OT1601 Professional Development
Module Block Leader: Dr Kevin Cordingley
WEEK 4 FRIDAY
THEME: Health, illness, culture and leaflet planning
Students will consider the following:
1. Ethical aspects of occupational therapy, including the COT code of ethics.
2. Ways in which effective communication in health and social care may influence
clients’ coping and response to interventions.
3. Different models and approaches used to understand health, disability and
4. Some cultural and environmental factors that influence communication processes in
health and social care settings.
1. With tutor guidance, analyse and evaluate a range of research evidence and
narrative accounts relating to patients’ experiences of illness, rehabilitation and
communication in health care settings.
2. Be able to critique written and oral information intended for service users.
3. Contrast different models and approaches used to understand health, disability and
4. Reflectively appraise personal communication skills to evaluate self as a
professional and to identify future learning needs
1. Work effectively with others.
2. Present ideas coherently both audibly in a group setting and in writing.
3. Use a range of communication skills relevant to therapeutic practice.
4. Demonstrate acquisition of ethical and professional decision-making and behaviour
congruent with the requirements of COT and HPC in academic and practice setting
WEEK 4 DIRECTED LEARNING ACTIVITIES
To be completed before class please allow 3 hours to complete activities.
1 Culture lecture
Do the following exercises (A,B & C) by yourself, not with other students:
A) Personal reflections and discovery
B) Assumptions exercise
C) Breakfast exercise
2 A) Leaflet lecture –identify key aspects you need to consider when planning a
B) Familiarise yourself with the NHS Toolkit pdf on BBL
C) Read your allocated case study
Group A & B breakout group 1 case study A
Group A & B breakout group 2 case study B
Group A & B breakout group 3 case study C
Group A & B breakout group 4 case study D
Group A & B breakout group 5 case study E
Group A & B breakout group 6 case study F
CASE A: ADOLESCENT GIRL WITH JUVENILE CHRONIC ARTHRITIS
Helen is 14 years old. She lives with her mother, grandmother and younger
sister. Helen has experienced juvenile chronic arthritis (JCA) since the age of 6
years. Helen is generally a sociable, outgoing person, but in recent months,
she has become more irritable and moody. She complains of increasing pain,
especially in her hands, feet and knees. Increasing fatigue and difficulties in
concentration seem to be affecting her school-work. Helen used to swim
regularly but has now largely given up this activity. In the last academic year,
her attendance at school has decreased, and her grades have declined.
Helen’s school is a large comprehensive, spread over a considerable site. In
changing between lessons, Helen has to climb numerous staircases. She
travels by bus to/ from school.
At home, Helen is sulkier in mood than usual, and this has contributed to
arguments with her family. Her mother feels quite low and helpless in the face
of this long-term illness. Although Helen has numerous friends, her mother
does not think that she discusses her condition with anyone. Helen used to
experience a supportive relationship with her younger sister (aged 11years) but
they have grown apart during the past year. Despite the doctor’s
recommendation, Helen often decides not to take her medication.
CASE B: YOUNG MAN WITH BRACHIAL PLEXUS LESION
Paul Abbot is a self-employed painter and decorator. He is 26 years old. Three
months ago, he was involved in a motorbike accident when his bike skidded off
the road during heavy rain. He sustained a traction injury to his left arm. This
has resulted in a brachial plexus lesion. He is now experiencing severe pain in
his left arm, and there is motor impairment of all the muscles supplied by the
brachial plexus. He has some voluntary movement of the shoulder girdle
muscles, but there has been no return of active movement of any of the other
muscles in the left upper limb. He is left hand dominant. The consultant
neurologist expects some motor return in time, but current treatment is
hampered by the degree of pain that Paul is experiencing.
Paul reports difficulties with all his activities of daily living, and he is very
concerned because he is unable to continue his work. He was not insured
against injury and has no other source of income. He reports difficulties in
sleeping, which relate both to his pain and his worries about the future. His
main leisure interest is playing a guitar with a small folk band, which performs
in local venues. Since his injury, he has been unable to participate in this. As a
result, he feels rather isolated, and he is concerned that the band will soon
replace him. He lives in rented accommodation with two other young men and
the rest of his family live 200 miles away. Since his accident, his girlfriend has
been supportive but the relationship has become rather strained, and Paul is
uncertain about their future together.
CASE C: ADULT WOMAN WITH RHEUMATOID ARTHRITIS (Rheumatoid
arthritis is a long-term condition that causes pain, swelling and stiffness
in the joints. The condition usually affects the hands, feet and wrists.)
Rowena Gilbert is 38 years old, of African-Caribbean background. She has
chronic rheumatoid arthritis (RA) and consequently has had to adapt to many
changes in her life. She was diagnosed ten years ago and RA now affects her
hands, feet, elbows and knees. Anti-inflammatories have reduced the swelling
and associated pain in her hands and feet. The joints of her hands have been
pushed into a deformity with some swan-necking and swelling in the index and
middle fingers. She experiences constant ache in her hands. Resistive
movement is painful and pain increases throughout the day. Night splints help
to relieve this pain. There is no altered sensation or paraesthesia. In recent
months, Rowena is finding that walking for long periods is painful in both feet
and knees. Rowena works full-time as a nursery school teacher. Handling
small objects, sitting down at the small children’s tables, heavy lifting and
climbing stairs within the school building are now difficult.
Rowena lives with her husband and two sons, aged 10 and 12 years, in a
house with a toilet and bathroom upstairs. Her parents have retired to
Jamaica, but her sister lives nearby. She is an enthusiastic cook but is finding it
increasingly difficult to prepare food, particularly chopping meat or vegetables.
She is becoming increasingly depressed about her condition and reports often
feeling exhausted and irritable by the end of the day.
CASE D: OLDER MAN WITH LUMBAR SPONDYLOSIS.
James Thompson is 81 years old and has been overweight for many years. He
has lumbar spondylosis and X-rays show that he has severe degenerative
changes. He has experienced pain in his lumbar spine for many years and has
managed his pain with Paracetamol and by applying a hot water bottle to his
low back in the evenings.
Mr Thompson is a retired docker and describes himself as “strong and
hardworking”. He has cared for his wife for the last 3 years since she had a
stroke. Mrs Thompson needs help with all transfers and is unable to stand
independently. She spends most of the day in her wheelchair. They have only
one living relative, Mrs Thompson’s sister, who visits twice weekly so that Mr
Thompson can attend the local British Legion club. He enjoys the company of
some male friends at the club. The Thompsons live in a first floor Council flat
with no lifts. They have a toilet frame and one of their chairs is raised, but they
have no other specialist equipment. Mr Thompson refused help from Social
Services as he said he wanted to care for his wife himself.
Recently Mr Thompson presented at his local G.P. surgery with severe low
back pain. The severe pain began when he picked up his wife off the floor after
she had fallen whilst he was transferring her onto the toilet. He describes the
pain as worse on standing, walking and lifting and as eased by sitting, lying
and heat. He is finding walking to the local shops much more difficult. He has
become very worried about how he is going to continue caring for his wife, as
he says he “doesn’t want her being put away in a home”.
CASE E: OLDER WOMAN WITH CHRONIC OBSTRUCTIVE PULMONARY
Nora Smith is a 71 year old housewife. She has lived alone since her husband
died three years ago. Nora was diagnosed as having chronic obstructive
pulmonary disease 2 years ago. Nora has experienced recurrent chest
infections for many years but for the last 5-6 years they seem to be getting
much worse, leading to her present condition.
Nora has always been a very independent, sociable and chatty woman but with
increasing breathlessness she finds going out for shopping and meeting her
friends at the Bingo club more and more difficult. She gets tired quickly and
needs to use her reliever inhalers more often. Her GP, as well as the
respiratory physician at her local hospital, have advised her to use the
nebuliser but Nora is fearful that she may get “addicted” to this treatment.
Nora lives on her own in a house with upstairs bathroom and toilet. She has a
supportive son who visits her every fortnight, with his family. She used to baby-
sit her grand-daughter occasionally, but has recently felt unable to do this
because of her poor health. Nora has smoked a pack of cigarettes each day for
many years. Despite repeated warnings from her GP and practice nurse, she
finds it hard to give up cigarettes although she has cut down from 20-30/day to
10/day for the past 2 years.
Nora feels breathless on climbing one flight of stairs as well as during ADL’s
like bathing and making beds. Her respiratory consultant is considering further
input from the multidisciplinary pulmonary rehabilitation team. Repeated chest
infections, constant coughing, phlegm and breathlessness has made Nora very
lethargic, irritable and weak. Coughing also makes resting in bed unpleasant
and disrupts her sleep. She is finding it very difficult to come to terms with her
activity restrictions and is showing some signs of depression.
CASE F: ADULT MALE WITH BELOW KNEE AMPUTATION
David is 52 years old and lives with his wife. They have one adult child who
has Down’s Syndrome, who lives at the family home. David recently had to
have surgery of a below knee (left side) amputation due to complications
arising from a work accident and uncontrolled type 2 diabetes.
David is a lorry driver, delivering computer systems to various organisations.
He moves large, heavy and cumbersome objects on and off a lorry. He uses
various types of lifting equipment. He sometimes must physically carry these
objects with other workers, to access older buildings, with narrower doors and
corridors. David had an accident at work, where his toes were crushed. He
has medication for his Type 2 diabetes, but he is not controlling his diet, or his
alcohol intake and he is classified as obese. He has complications of
peripheral neuropathy in his left toes and foot. The combination of those
aspects, along with the damage caused by his accident, led to a below knee
(left side) amputation.
David is currently exploring whether he can take legal proceedings against his
employer. David lives in a three-bedroom house with his wife and adult child.
HIs wife does most of the caring of their child. David is due to be fitted for a
prosthetic leg and currently mobilising with crutches. He finds this very tiring,
but he is motivated to try his best in rehabilitation. David is worried about how
he will get back to work, because he knows he is the main financial support for
his wife and child.
3 Critique of source materials (in BBL week 4 folder in weekly learning materials)
This is advanced information, as you will need to consider critique more in
FHEQ 2 onwards. I include it here because some of you may be familiar with
critique and want to develop it further, some of you may want to start thinking
about it. So tI have created a list of questions from various sources about what
to think about when critiquing your source materials.
WEEK 4 FACE TO FACE LEARNING ACTIVITIES
1 Welcome & feedback 20 mins
2 Leaflet planning – 70 mins. In your small group:
A) Think about some specific problems that the client needs to manage more
effectively to perform an occupation or activity (for example, managing pain in
general or in specific situations such as cooking; sleep problems; nutrition;
physical activity; stigma or prejudice limiting access to occupations, depression
symptoms affecting activities). Select ONE issue for your information leaflet.
B) Find textbooks and research to inform your professional advice on your
C) Determine what a client in this situation needs to know more about and
consider how to communicate this in a written leaflet.
D) Plan your leaflet with your group. Divide the tasks between each other.
E) Prepare to informally present your leaflet in the week 10 seminar to the
larger group. You will provide a brief verbal resumé of the strengths and
limitations of your leaflet. You will organise and share out who will talk, to what
aspect, of the leaflet in the presentation. You will have up to 10 minutes per
group and will present using zoom share screen.
F) All students need to be prepared to provide constructive feedback to each
G) You may also have to meet outside of the planned seminar times
Guidelines for the Patient/Client Information Leaflet
1. Your leaflet should be 2 A4 pages long (you choose whether to
develop a folded leaflet or unfolded sheet)
2. You may use illustrations/ photographs if you think this will communicate
the information more clearly or catch the reader’s attention
3. Consider the style and complexity of the language used – it should
inform and motivate the client, but not be too complex/ overloaded with
4. When you refer to textbooks and research, you may indicate your
sources of information in broad terms but consider if the heavy use of
journal article references is likely to be off-putting to clients and may be
inaccessible to them.
5. You might suggest further accessible reading/support resources for the
client, if you think this appropriate – but do not cite technical journal
6. Do check spelling to ensure a professional standard of presentation
7. Above all, try to consider the client’s perspective – addressing their
needs for effective self-management of their selected health and
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