Understanding Occupational Therapy

Much of what we know about proper practices and methodology in the world of occupational therapy is advanced by the American Occupational Therapy Association (AOTA). AOTA establishes the guidelines for practitioners in the United States. It publishes these guidelines, as well as general information about the practice, in their publication “Framework: Domain and Process.”

The most recent edition, the third edition, was released in 2008. The Framework is a guide for practitioners to assess patients’ needs and help them find better solutions to achieving their goals. It provides the structure for this assessment in three basic steps: Evaluation, Intervention, and Targeting of Outcomes.

Understanding the Framework will allow you to get the most out of your relationship with your medical professional and your treatment. By equipping yourself within the Framework, you can better achieve your goals.

Evaluation

Evaluation is the first part of the discovery process. On paper, the evaluation portion consists of finding out what a patient has done and is able to do. Your practitioner will want to find out what sorts of jobs you’ve held in the past, how you were able to perform those jobs, and whether or not your environment, coworkers, own work ethics, or outside factors contributed to your success or failure at that job. Your doctor might speak to you, people you’ve worked with, or family members to get a clearer picture of what is going to be suitable for you as a worker.

Intervention

According to the AOTA’s Framework, intervention is a collaborative process. After the interviews, you and your practitioner will work together to devise a plan that utilizes your personal strengths in the job market. Part of this plan is finding a compromise between your personal goals and the practical applications of this plan.

Intervention is an attempt to change some habit or action that previously kept you from success. Identifying unwanted or non-vital habits and replacing them with more desirable habits in a safe environment with lots of outside support helps increase the chances that these habits will be maintained as you move into the workforce.

Targeting of Outcomes

Occupational therapy acknowledges that adjusting to the workforce is an ongoing process. It might take multiple plans, or multiple attempts, before the original goals of the practitioner and client are met. This section of the Framework is meant to allow the doctor and patient to modify their approach and change any aspects of the evaluation or intervention plan.

For some people, occupational therapy is a single interaction between client and practitioner that creates a habit. For others, it is the beginning of a lifelong process, with doctor and patient constantly working in tandem to achieve ever-changing goals. In either situation, the hard work of both the specialist and patient leads to success. An understanding of this relationship can help navigate the varied decision-making involved in the day-to-day practice of occupational therapy. The Framework highlights the value of this relationship and can be a useful tool.

Spring Forward With Fruits and Vegetables

Now that you’ve finished up the big meal from the Spring holiday, let’s get the folks who strayed from their best laid “healthy” eating plan back on track. In this season of fresh tender vegetables and richly flavored fruits, these food groups come with plenty of the right stuff. Diets rich in fruits and vegetables are an aid in maintaining good health. A produce-filled diet can lower blood pressure, reduce the risk of heart disease and stroke, prevent some types of cancer, lower the risk of eye and digestive problems, and have a positive effect upon blood sugar which can help you monitor your appetite and avoid overeating.

According to research from the Centers for Disease Control and Prevention (CDC) only one out of ten Americans eats enough fruits and vegetables. Consumption varies throughout the country, however all regions fall short of recommended goals. The federal recommendation for fruit is 1-1/2 to 2 cups a day while vegetables weigh in at 2 to 3 cups daily. How much is enough? If you eat one banana and one-half apple, you’ve met your fruit goal. You can knock out the veggie recommendations by adding a side salad or slaw with lunch and two vegetables with dinner. It is easy and this is the season when we start to see more of the fresh items that have been out of season. Although most fresh produce can be found year ’round, the price is generally better when they’re in season. And remember you can use canned, frozen or dried produce e to eat the amounts recommended each day.

In addition to the perennial favorites of asparagus, artichokes, chives, strawberries and grapefruit, I’m sharing information on in-season choices that may not be top-of-mind. One of my goals is to share options and encourage you to eat from a variety of foods to make a colorful plate.

New Potatoes are often red-skinned, small and freshly harvested. You can find them in the market April to July. They retain their shape when cooking and are a sweeter potato because their sugar content is not converted to starch yet. They are a good source of Vitamin C, and low in fat and calories. They also contain antioxidants which can help prevent hypertension and protect against heart disease and cancer.

Snap Peas are in the legume family. They are in the market March to June. The crisp pea pods do not require shucking before cooking and are a wealth of vitamins and minerals that are beneficial to both bone and heart health. They contain Vitamins A, C, B6, folate and vitamin K. These peas are low in calories and are a source of fiber.

Cara Cara Oranges are available December through April. These sweet and tangy oranges are seedless which makes them very easy to use as a snack or in salads. They are high in vitamin C with a reddish-pink flesh. The flavor is similar to strawberries and cranberries.

Kumquats are miniature oval-shaped oranges, which have a thin sweet skin that can be eaten. They also contain seeds which you will want to avoid because they are bitter; remove them before eating or cooking. They’re available January to June and make a great snack or addition to breads and muffins. This bite-size citrus is a good source of dietary fiber; vitamins C and A. Eight whole kumquats contain just 18 calories.

As you increase the fruits and vegetables in your daily diet, consider these foods and try new varieties found at the supermarket. As you try new items, think of them as samples-you just may like them enough to add to your menu often.

The First Half 2016: Supply, Demand, and the Spiking Dollar on Brexit Fears

The rise in oil prices during the first half of 2016 was driven by two of the most basic economic forces: supply and demand.

First, in May, the price of both WTI and Brent hit a six-month peak when the International Energy Agency (IEA) forecasted a drop in production of 200,000 barrels daily during the last six months of this year.

Second, not only was expected supply dropping but expected demand was rising. Several months ago, the IEA reported demand projections rising in 2016. The IEA estimates that worldwide demand will increase by 100,000 barrels daily this year as well. The driver? Largely China and India, two robust emerging markets.

Falling supply and rising demand have been bullish for oil prices in 2016.

The first half also had the U.K.’s vote to leave the European Union in late June. Moors terms the Brexit decision “the biggest single event to jolt markets in decades.” Why? In the short term, it sent markets – oil, stock, and currency – down steeply on uncertainty fears.

In the case of oil specifically, though, the flight to a safe haven in the U.S. led to an increase in the U.S. dollar. Because oil is denominated in dollars, it becomes more expensive to overseas buyers when the dollar advances. That can restrict their demand going forward.

While Moors believes that the two-year negotiations between the U.K. and the EU will continue to exert a downward drag on oil prices, any weakness will be offset by bullish factors later in the year and into 2017.

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