Browsing by Author "Roscetti, Sally"

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    Occupation-Based Intervention Binder and Advanced Clinical Skills Within Hand Therapy: An Evidence Based Approach
    (2022-04-28) Richardson, Shelby; Albright, Megan; Department of Occupational Therapy, School of Health and Human Sciences; Roscetti, Sally
    Hand therapy is an area of practice occupational therapists can specialize in, where patients with injuries to the hand and upper extremity are treated. This area of practice receives criticism as the typical biomechanical approach to intervention is primarily used rather than occupation based. There is growing concern OTs are losing distinct value within this area of practice as their approach does not align with foundational principles. The purpose of the capstone project is to provide quality improvement to patients through the creation and implementation of an occupation-based intervention resource binder for clinical use. Seeking to further explore the discrepancy between literature and clinical practice, research suggests that a dual focused model in practice provides best patient outcomes. Obstacles like caseload demands, post-operative protocols, storage space and prioritizing therapeutics patients can only receive in the clinic are barriers to occupation-based treatment. The capstone student utilized knowledge gained from advanced clinical skills to guide the creation of an evidence-based resource binder to assuage identified obstacles in order to advocate for the profession and improve patient outcomes.
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    Occupational Therapy's Role in Hand Therapy: Approaches and Perspectives
    (2021-04) Shelton, Hayley; Albright, Megan; Department of Occupational Therapy, School of Health and Human Sciences; Roscetti, Sally
    Hand therapy is a practice area within occupational therapy. Occupational therapists have a unique skillset in which they are able to treat patients with upper extremity musculoskeletal injuries while realizing that each patient is an occupational being. The purpose of this capstone was to identify reasons occupational therapy practitioners lacked occupation-based interventions in treatment sessions, search the literature to find the best way to implement occupation-based interventions, and for the capstone student to utilize the findings from the research to provide the best possible patient care. Research suggests a combination of the biomechanical frame of reference and occupation focused frame of reference is the best approach to patient care in hand therapy. However, having the skillset to do that comes after months of experience. This capstone student identified the ways having a capstone in hand therapy in addition to a level II fieldwork in hand therapy advanced their skillset past that of an entry level practitioner. The capstone student implemented occupation-based interventions into treatment sessions and utilized advanced skills, such as provocative testing, to advance their skills beyond a level II fieldwork student. The student then created a table outlining the differences between a fieldwork student and a capstone student for future students and practitioners to use as a reference. Keywords: hand therapy, occupational therapy, occupation-based, capstone student, advanced clinical skill