Clinical Practice Topic Discussion 1

Description: This open ended discussion challenges you to apply the information you learned from the lectures and reading about the occupational therapy role and approach to low vision rehabilitation to addressing the needs of client in clinical practice. You will review a scenario of a client who needs low vision rehabilitation services and address questions that arise from the case.

Due Date:

If you anticipate that you will have difficulty fully participating in the discussion during the allotted time frame, contact the instructor by email to explain your challenge.

Maximum Points for the Assignment: 25 points

Objectives Addressed in the Assignment: Course Objective 1 and Module Objectives 1-5

Instructions:

Review the Guidelines for Practice Topic Discussion Leaders and Participants before beginning the discussion. The guideline describes the role and expectations for the discussion leader and participants and provides examples of an acceptable and unacceptable post.
The discussion will be conducted on the Clinical Practice Topic Discussion 1 board.
You have been assigned a group for the discussion and all discussion takes place in your group's discussion board.
The leader’s role is to make sure all group members participate in the discussion by posting questions or comments to facilitate conversation. All participants are required to post an initial statement and at least one follow-up statement related to a fellow student’s comments.
Your position on the topic should be justified with statements that show reflection and sound clinical reasoning. There are no right or wrong responses but it is expected the information learned from the assigned readings, and activities will be integrated into your posts. Strive to provide factual evidence in addition to clinical experience to justify your statements. Use non commercial and/or evidence based, educational internet sources (such as the National Eye Institute website) - such internet sources end in .org or .edu or .gov. DO NOT use .com sources. If possible, locate and reference research articles published in peer-reviewed journals, AOTA and national OT association official documents, and so on to support your viewpoint. Use your access to Lister Hill Library and PubMed (located under Quick Links on the LHL home page) to search for related articles and cite them.
Consistently responding to a fellow student's postings or sharing additional resources during the discussion is considered superior participation and additional points will be awarded.
On conclusion of the discussion, the leader summarizes the main points discussed and posts the summary to the Clinical Practice Topic Discussion 1- Summaries board within one week after the conclusion of the discussion.

Grading Criteria

The Practice Topic Case

You work in an outpatient medically based low vision rehabilitation program that consists of a low vision optometrist and you. The program receives a referral from a local ophthalmologist to evaluate and provide intervention to a 20 year old male client. The client sustained lower extremity fractures and a significant bilateral optic nerve injury from a 10 foot fall onto a concrete floor (he landed on his feet and fell backward onto his head). He is completely blind in his right eye and has only a small island of vision and 20/400 visual acuity in his left eye. His fractures have mostly healed and he walks with a slight limp and a cane. His cognition is intact.

The client dropped out of college after his sophomore year and was working several minimum wage jobs while trying to figure out what to do with his life. His parents are divorced and he was discharged to his father’s home. His father works 60-80 hours a week at two different jobs. The client is independent in basic ADLs, but dependent with IADL’s. He reports feeling sad because he cannot do “much for himself” around the house-his father leaves take out food in the refrigerator and money to order pizza. The client wants to return to school, graduate and become gainfully employed. He asks questions about learning Braille and use of computer technology. The client is on a waiting list to receive intensive rehab services from a residential blindness program funded by a private agency in his city but the estimated wait is 4 to 6 months. The client’s father worries that the client will become clinically depressed and lose motivation if he waits that long for rehabilitation services.

The Discussion Questions

Using the Occupational Therapy Practice Framework (also in the resources folder) describe how you as an occupational therapist should approach assessment and intervention for this client. What should you focus on? What kind of goals should you set?
What services will an intensive blind rehabilitation program be able to provide towards the successful rehabilitation of this young man that you as occupational therapist cannot provide? What are the advantages to the client to entering this residential blindness program over receiving services solely from your low vision rehab program?
Consider the optimal multi-disciplinary service model described in the lectures, and describe where your occupational therapy services fit into the model and what the next steps in the rehabilitation process should be. Consider the services and resources that may be available to you from your hospital as you address this issue.
Refer to the Occupational therapy 2015 OT Code of Ethics (also in the resources folder). Identify the ethical principle(s) that should guide your actions in providing occupational therapy to this young man. Justify your choice by citing and describing the related standards of conduct that apply to this case.

The Eye Anatomy Coloring Book Self Assessment Activity

Description: The assignment consists of a coloring book and a corresponding quiz, The coloring book will help you learn the location and structure of the basic anatomical structures of the eye and visual system. The quiz provides you with practice in correlating eye structures with the visual functions that they contribute to and challenges you to consider how changes in eye structures and function would affect the client's ability to use vision.

Due Date: 11:59 pm central time, Sunday September 12

Maximum Points for the Assignment: 10 points

Objectives Addressed in the Assignment: Course Objective 2 and Module Objectives 1 and 3.

Required Materials to Complete the Assignment: A set of colored pencils or markers

Instructions:

Part One: Complete the Eye Anatomy Coloring Book (5 points)

Use the Coloring Book Companion and the module lectures as a guide to complete the coloring book.
Follow the instructions on each page of the coloring book and color and label the structures as directed.
Scan the completed coloring book and submit it to assignment dropbox.
Once you have submitted the assignment-the instructor will email you a copy of the coloring book key so you can check your answers and correct any mistakes.

Part Two: Complete the Eye Anatomy Quiz (5 points)

Answer the 10 questions on the quiz. You may use the lectures and other resources to complete the quiz.
You must answer each question correctly to get credit for the quiz. You may repeat the quiz as often as needed to achieve a perfect score. Canvas will record your highest score for each question.