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Toileting: Identifying and Treating the Unspoken ADL
Presenter: Lindsey Vestal, MS, OTR/L
Session Description:
Toileting, while a daily task, continues to be inconsistently addressed by clinicians. Both client and clinician can feel uneasy discussing this socially-sensitive topic; however, attaining client-centered goals expands a client's occupational performance in self-care, home and community mobility, social participation, and role management (AOTA, 2020).
Occupational therapy practitioners are experts in therapeutic use of self, task analysis, and both spoken and unspoken communication (AOTA, 2020). By fine-tuning these already-existing traits, clinicians will obtain a more accurate, robust occupational profile and leverage this information for the effective implementation of evidence-based methods in support of toileting routines.
Course Objectives:
1) Affirm the evaluation and treatment of incontinence are well within the scope of general occupational therapy practitioners across various settings.
2) Apply dynamic components from the occupational therapy domain and process to reaffirm that pelvic floor interventions are within every OTPs capability, without extensive, specialized training.
3) Observe the use of accessible, nonjudgemental language for optimal completion of an intake form relating to toileting.
4) Customize effective interventions by extrapolating client-specific details captured during the intake interview.
Speaker Bio:
Lindsey graduated as an OT from NYU in 2011 destined to be in pelvic health. She followed her destiny, knowing she was going to be a double horned unicorn. Not many people know what OT is and add in pelvic health, well, she knew she had to perfect her elevator speech. She became the proud founder of the first in-home pelvic health practice in NYC (the Functional Pelvis) run by an OT. Now, she teaches OTs how to become rock star pelvic floor therapists (aka double horned unicorns.). She has had the honor of supporting more than 1,000 OTs in becoming pelvic health therapists. Her goal is that 10,000 OTs are trained in Pelvic Health by 2030! She is the host of a weekly live show called "OT Empower Hour" on her Facebook group OTs for Pelvic Health which has over 5,300 members. There are over 160 hours of free training available. She is also the host of her weekly podcast "OTs in Pelvic Health" empowering fellow OTs with the path to take to have a successful and fulfilling career in pelvic health.
References:
1) Fricke, A., Lark, S. D., Fink, P. W., Mundel, T., & Shultz, S. P. (2021). Exercise Interventions to Improve Pelvic Floor Muscle Functioning in Older Women With Urinary Incontinence: A Systematic Review. Journal of Women’s Health Physical Therapy, 45(3), 115–125. https://doi.org/10.1097/jwh.0000000000000202
2) Frawley, H. C., Neumann, P., & Delany, C. (2018). An argument for competency-based training in pelvic floor physiotherapy practice. Physiotherapy Theory and Practice, 35(12), 1117–1130. https://doi.org/10.1080/09593985.2018.1470706
3) di Benedetto, P. (2019). Can Pelvic Floor Muscle Training Versus No Treatment or Inactive Control Treatments Reduce or Cure Urinary Incontinence in Women? American Journal of Physical Medicine & Rehabilitation, 99(2), 178–179. https://doi.org/10.1097/phm.0000000000001347
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