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Services Offered at OT Plus, Inc.

Occupational Therapy Plus, Inc. offers you services for the following specialty areas:


We specialize in…

  • Treating children with brain injuries, learning problems, or developmental disabilities
  • Treating visual and perceptual problems secondary to learning disabilities, strokes
  • Treating stroke or heart attack victims by facilitating motor return and independence in activities of daily living
  • Treating those who battle debilitating illnesses such as multiple sclerosis, arthritis, and muscular dystrophy
  • Treating work related injuries such as carpal tunnel syndrome, tendon injuries
  • Treating people with burns, spinal cord injuries, or amputations
  • Treating people with broken bones or other injuries from sports, falls, or accidents
  • Fabrication of adaptive devices, splints, and therapeutic equipment

Geriatrics

Occupational Therapy: Services for the Older Adult

Occupational therapy can help the older adult who is experiencing difficulty with a variety of functional problems relating to aging. Dressing, bathing, shopping for food or personal items, and carrying out daily activities safely can be particularly challenging. Occupational therapy can also aid the older adult with more serious problems resulting from heart disease, cancer, arthritis, stroke, or Parkinson’s disease.

Treatment goals include promoting independence, preventing further disability, and maintaining wellness. Therapeutic activities assist individuals in adapting to or overcoming limitations imposed by illness or injury. Treatment is often based upon actual performance of essential living tasks. The occupational therapist may also provide adaptive equipment to promote function and recommend changes in the living environment to eliminate architectural barriers. Occupational therapists and occupational therapy assistants work with older adults and their caregivers.

 

Through Occupational Therapy, Older Adults Learn to:

  • Adapt to changes brought about by aging, such as decreased energy and vision
  • Safely perform routine activities such as dressing and cooking
  • Increase physical strength and endurance to maintain self-sufficiency
  • Identify community resources such as senior centers and stroke clubs
  • Cope with the losses of aging such as the death of a spouse or friend
  • Adapt the home for safety and efficiency
  • Recognize and counteract depression

Through Occupational Therapy, Caregivers Learn:

  • Techniques to reduce the physical and emotional stress related to care giving
  • Ways to identify and reinforce the older adult’s abilities for independent living
  • Transfer and position techniques that improve safety and reduce caregiver effort
  • Meaningful activities the homebound older person can perform
  • Which adaptive devices and aids can facilitate caretaking tasks
  • How to identify and use community resources such as respite care and “Meals on Wheels"
  • How to adapt the home environment for safety and mobility

 

What is Occupational Therapy for Older Adults?

When an individual is referred for treatment, the occupational therapist assesses the person’s ability to carry out necessary developmental, physical, social, and emotional functions in relation to his or her prognosis. The assessment and an analysis of the individual’s personal goals and the demands of his or her environment are reviewed and become the basis of an individualized treatment program. During the course of treatment, which may include the services of occupational therapists and occupational therapy assistants, the patient’s status is frequently reviewed. Changes in the treatment program are shared with the other members of the health care team, including the physician, patient, and family. Occupational therapy can help to ensure a fuller, more productive, and independent life style for older adults.

 

Who Provides Occupational Therapy Services?

Services are available only from registered occupational therapists (OTR) and certified occupational therapy assistants (COTA). Each of these skilled practitioners is a graduate of an accredited education program, has completed a period of supervised clinical experience, and has passed a national certification exam.

 

Where are Occupational Therapy Services Provided?

Occupational therapy is available in many settings including acute care hospitals, rehabilitation facilities, psychiatric hospitals, home health agencies, and nursing homes. Services can also be found in senior centers, adult day care facilities and retirement communities, through employee assistance programs, and from therapists who are in private practice. Payment for occupational therapy services is available through Medicare and Medicaid, as well as private insurance plans.

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Hand Therapy

Hand therapy is one specialization of occupational therapy that was originally developed in response to advances in microscopic surgical techniques.

We work with patients whose upper extremity, anywhere from the shoulder to the fingertips, may have been affected by accident, trauma, illness or a condition. We are prepared to rehabilitate the individual from the resulting burns, wounds, scars, injured tendons or nerves, fractures, or amputation of any portion of the upper extremity.

Many of our patients include those who have become limited from the affects of disorders such as Tennis or Golfer Elbow, Carpal Tunnel Syndrome or Cubital Tunnel Syndrome. We also treat those patients who have arthritic, neurological, or congenital conditions.

Our hand therapists combine their comprehensive knowledge of the upper extremity, clinical expertise, and specialized skills in assessment to prevent dysfunction, restore function or reverse the advancement of pathology within the upper extremity.

The end result of accurate assessments and individualized treatment made by our specialized hand therapists will in most cases decrease the overall treatment duration and facilitate the rehabilitation process.

At the Foundation of Hand Therapy, an Inclusive Understanding of the Following is Fundamental:

  • Anatomy and physiology of the upper extremity and how it is adversely affected by pathological changes
  • The effects of immobilization/mobilization on healing tissue
  • Kinesiology as it relates to human motion and the forces affecting it
  • The effect of physical agent modalities, e.g. fluidotherapy, ultra-sound, on connective tissue, and the circulatory and nervous systems
  • The various surgical procedures of the upper extremity and the best post-operative treatment course to undertake

 

Why Use a Hand Therapy Specialist?

  • Accurate assessments, immediate care and effective treatment reduce treatment time
  • The continuum of care eliminates the need for multiple medical providers
  • Faster recovery results in decreased medical costs
  • Resulting functional outcomes ensure a faster return to work and productive lifestyle
  • Hand therapists – both occupational and physical therapists – enhance the skills of the other to provide the most comprehensive care for their patients

 

Common Hand Problems:

Descriptions of Conditions Affecting the Fingers, Hand, Wrist, Arm, Elbow, and Shoulder can be found at the following links. When you click on any of the links, a new window will open, and you will be taken to another website. OT Plus, Inc. is not responsible for the materials found on any website that we link to.

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Home Health Care

What are Home Health Care Services?

These are specialized programs, which bring the services of professionals like occupational therapists, nurses, physical therapists, and speech and language pathologists to your home. Here, in familiar surroundings, you can complete your recovery and learn to deal with any remaining health problems that could interfere with your ability to carry out daily tasks.

 

Who Can Benefit from Home Health Services?

Home Health Services can be important in the treatment of people with limitations due to health problems such as those resulting from:

  • Arthritis
  • Heart Attack
  • Stroke
  • Head Injury
  • Respiratory Disease
  • Hip Fracture
  • Cancer
  • Parkinson’s Disease
  • Diabetes
  • Spinal Cord Injury
  • Muscular Dystrophy or Multiple Sclerosis
  • Amyotrophic Lateral Sclerosis
  • Developmental Disability

 

Occupational Therapy Can Help You at Home by:

  • Working with you to help you be as independent as possible while you are recovering
  • Providing you with training and recommending equipment to help you care for your personal needs such as bathing, dressing, and grooming
  • Helping you find ways in which you can prepare and serve meals for yourself and your family
  • Teaching you ways to make your home safer and more accessible when you must use a wheelchair, walker, or other aids
  • Arranging supplies and equipment so you can continue your daily household tasks
  • Designing a program of activities and exercise that will help you regain as much function as possible
  • Advising you on how to conserve energy as you go about daily tasks
  • Constructing splints and adaptive equipment that will allow you to be as independent as possible
  • Aiding you in finding ways  in which you can return to favorite leisure and recreational activities
  • Guiding you in planning for return to work and community life

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Hospital Outpatient Rehabilitation

Occupational Therapy services helps an individual achieve their highest level of functioning in the skills needed for activities of daily living, work, family tasks, and leisure activities.

 

Outpatient Services Frequently Treat Clients Who Are Experiencing Difficulties Resulting From:

  • Accident
  • Stroke
  • Surgery
  • The normal process of aging
  • Repetitive stress disorder

 

Clients Receiving Occupational Therapy may:

  • Improve their abilities in everyday tasks (e.g. dressing, bathing, homemaking, and work)
  • Improve work-related activities (e.g. sitting tolerance, reasoning, problem solving, body mechanics)
  • Enhance performance in tasks requiring hand-eye coordination (e.g. sports activities, driving)
  • Learn energy conservation and joint protection techniques
  • Receive suggestions for adaptive equipment such as kitchen aides, reachers, etc.
  • Receive recommendations for architectural modifications or specialized equipment for the home or workplace

 

The Outpatient Services clinical staff are professional therapists, licensed by the state of North Carolina. They have further developed their clinical expertise through continuing professional education.

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Pediatrics/School System

There are expanding numbers of school-ages children who have prevocational inadequacies that need to be addressed. These inadequacies include work habits/behaviors, psychosocial skills, functional writing, functional reading, and problem solving. Occupational Therapy Plus addresses these inadequacies and resulting deficiencies in grade level tasks, thereby increasing the prospect of success in the academic arena, and decreasing the number of children who have been lost to the analytical numbers of the “drop-out/failure” categories..

 

How does Occupational Therapy Improve a Student’s Performance in the Classroom?

Occupational Therapy improves the student’s functional role to enable them to be academically successful in the classroom. We work on motor skills including fine-motor, eye-hand coordination, visual perception, and self-help skills. If a student has motor delays then it will affect their performance in the classroom. If we can identify these students at an early age, we can make a greater impact on their performance.

 

If a Student Shows Difficulty in the Following Areas, They Should be Screened for Occupational Therapy:

  • Awkward pencil grasp
  • Unable to trace lines
  • Difficulty copying from the board
  • Unable to reproduce alphabet with correct letter formation
  • Unable to remember or sequence
  • Difficulty hopping, jumping, skipping
  • Poor desk posture
  • Inability to sit still in chair
  • Poor balance
  • Difficulty cutting with scissors
  • Unable to draw shapes
  • Poor handwriting (oversized or too small)
  • Disorganized with task or assignments
  • Difficulty with self-help skills (buttoning, zipping, shoe-tying, feeding)
  • Over-sensitive to being touched
  • Decreased attention span
  • Difficulty waiting in line with other students (poke or push other children)
  • Difficulty learning new motor tasks

 

Frequently Asked Questions:

  • My child was recently referred for an OT evaluation. Exactly what is OT and what will it do for my child?

School-based occupational therapy is designed to enhance the student's ability to fully access and be successful in the learning environment. This might include working on handwriting or fine motor skills so the child can complete written assignments, helping the child organize himself or herself in the environment (including work space in and around the desk), working with the teacher to modify the classroom and/or adapt learning materials to facilitate successful participation.

 

  • How do I get OT for my child?

Occupational Therapy (OT) is a related service under Part B of the Individuals With Disabilities Education Act (IDEA), and is provided to help a student with a disability to benefit from special education. As such, OT is a supportive service. If your child has a disability, as defined by IDEA, and needs special education and related services to meet unique learning needs, then he/she might be eligible for OT services. Your child must be eligible for special education before being considered for OT services in the schools under IDEA. Eligibility for special education does not mean automatic eligibility for related services, including OT. The final determination is made by the multidisciplinary team in concert with the OT evaluation.

 

  • My child needs OT. The district wants to use an Adapted Physical Education (APE) teacher, Certified Occupational Therapy Assistant (COTA), or Classroom Aide to provide the therapy. Is this legal?

According to the IDEA, occupational therapy is to be provided by qualified and trained practitioners. Occupational therapy practice is regulated in 51 jurisdictions, including the District of Columbia and Puerto Rico, and each jurisdiction defines who can legally provide OT services. In many cases, OT can only be provided by an OT practitioner (as defined by state law). Certified Occupational Therapy Assistants (COTAs) are qualified occupational therapy practitioners who work under the supervision of occupational therapists. In certain circumstances, an aide can perform specific tasks as delegated by and under the direction of and with intense, close supervision by an OT practitioner.

 

  • My child was recently evaluated by an OT, and I have some concerns about the test used. Are there particular tests that should be used?

Occupational therapists are responsible for determining the need for OT services. This is done via the data collection (evaluation) process, of which administering a particular test is only one part. The therapist may use screening, standardized or non-standardized tests, depending on the need and type of information sought, which in this case should be directly related to your child's ability to function and be successful in school. While there is not one particular assessment tool that should be used, the therapist should be familiar with a variety of methods to gather the necessary information and to make an informed decision.

 

  • We live in a rural area and have to travel great distances to have our child receive OT in the nearest hospital because the district does not have therapists. How can we get more OTs in rural areas?

Your situation is not unusual. Many rural communities have had difficulty recruiting and retaining OT practitioners. Because of this districts often have to contract with therapists or other agencies which are located some distance away. Rural and other communities might consider highlighting the attractiveness of their areas when trying to recruit OTs and other needed staff. Contact the OT association in your state to find out what you can do to help make sure OTs know about job opportunities available in your area.

 

  • I have asked the district to provide Sensory Integration Therapy for my child. The school OT seems unwilling to do this. What can I do?

Sensory integration is one frame of reference or perspective which might be used in the occupational therapy intervention process. The service or therapy that school districts are mandated to deliver is occupational therapy. In the schools, the focus of OT is on the child's ability to function in the educational environment. As long as the child's educational needs are being appropriately met, the school-based OT is operating within his/her scope of practice and training. Each occupational therapist, using professional judgment, evaluation data, and expected outcomes, selects a particular frame of reference which will guide the intervention. You are encouraged to discuss your concerns with the school therapist to help you understand the reasoning used to guide the intervention.

 

  • Where can I find more information about Occupational Therapy for my child?

The principal of your child's school, or the special education director or coordinator for your child's school district or the occupational therapy association in your state.

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