Understanding Occupational Therapy

evMuch 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 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.


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.

Physiotherapy, Remediating Illnesses And Injuries

crTo treat and mend the body is what physical therapy is about. It is a specialty that helps with the management of impairments and mobility using examination, diagnosis, and prognosis. The methods used are based on the medical history of each and customized activities can be utilized so the result is improved.

It is a complex field that incorporates individual medical exams that will show how the body is affected. The most current investigations used are imaging studies like CT scans, MRI, and X-rays. Other tests will complement the array of clinical studies as the sum of all will be used to create an accurate picture. Comprehensive testing is crucial when multiple health issues may be involved, a better understanding and a correct diagnostic will speed up the healing process.

Physical therapists are specialized professionals that can work in various medical areas like neurology, cardiopulmonary, geriatrics, orthopedics and others. The best way to treat and care for patients includes wellness aspects. To create a healthy lifestyle therapists work in preventing the degradation of muscles and joints. Maintaining habits that preserve movement and the overall functional abilities of the body is up to each. The specialists will guide each and everyone so they can reach their full potential.

To empower the patient and to help him create a lifestyle that brings joy and fulfillment is the goal of every medical specialist. Physical therapists are not an exception, and each program that patients go through improves certain aspects. To treat only the body would be a mistake, and because of this, a great medical specialist always takes care of the mind.

Balancing the mind and the body and using unique methods of healing illnesses will result in a happy individual. The medical field we encounter is very specialized and offers a lot of solutions. These solutions are usually related to drugs and surgery. There are cases when only these methods are useful, and we should not diminish the power of medical treatment.

However another point of view that is also focused on treating the injuries, deformities, and other illnesses rely on physical methods of massages, heat treatment and more.

To use the body as a healing tool is an excellent idea and this has been confirmed, a great number of problems can be dealt with. Adding the power of the mind to the mix will result in a perfect mix that is ready to take on any challenge.

Massage therapists that use efficient methods for any number of illnesses will use the experience acquired so patients can benefit. Optimal health can be achieved as traditional medical practices aim to address the cause of the disease. Controlling the well-being of each patient and starting a wellness journey is easy as physiotherapy is the answer.

Join us as we can help you be well and feel great. Our mission is to dedicate the specialists and experience we have to you. To create an ill free life is our goal, and we are the best at what we do. Here at Breath & Health, we relax the body and lift the spirit, come and find the perfect program for you.


Three Reasons Why Orthopedic Rehab Is Helpful

rIf you have ever had a surgery or serious injury, you know that it can be physically exhausting to recover properly. Most surgeries or major traumas require specific exercises and protocols. Orthopedic rehab is designed to deal specifically with injuries involving the musculoskeletal system. Issues in this field often include sports accidents, such as torn tendons and broken bones, tumors, and even infections. Following a recovery protocol specific to your injury and operation can help you to recover faster and more fully. Here are three reasons why.

Regain Function

After a serious injury or medical condition, our bodies often attempt to compensate for the trauma. For example, when a person limps, it is an attempt to take pressure off of a damaged body part. As a result of this natural compensation, the muscles and tendons surrounding the injured area can often weaken or atrophy from lack of use. This is further exacerbated following an operation. Orthopedic rehab helps the patient focus on strengthening the repaired body part and the area surrounding it. Without a directed recovery, most patients will continue to favor the injury, resulting in a lifelong limp, hitch, crook, or other physical abnormality.

Prevent Injury

As discussed above, the human body will tend to protect a damaged area by shifting the workload to other limbs, tendons, or muscles. Even after the area has been surgically repaired, the human body will continue trying to shield it. If the body does not re-learn that the damaged body part is okay, the overuse of other areas could result in further accidents. This example is often seen in athletes with an injured leg or foot; in an attempt to protect the weakened area, the athlete puts more force into their cuts, pivots, or jumps with their good leg. This can result in damage to the strong leg or foot if too much strain is placed on it. Conversely, if the surgically repaired area is never re-strengthened, it is more apt to suffer the same failure as before through normal use. Orthopedic rehab can help patients regain the strength lost through trauma and an operation.

Avoid Surgery

In some cases, orthopedic rehab can help patients suffering from physical trauma avoid an operation altogether. This can be achieved through directed exercises or by altering how a person performs physical tasks. In the case of a weak back, a therapist might work with the patient on how to sit, stand, sleep, and bend over. The proper use of the back, coupled with specific exercises designed to strengthen the weakened area, can reduce the amount of pain a patient is feeling. In many cases, this approach can entirely solve any issues a patient is having, rendering surgery unnecessary.

In conclusion, orthopedic rehab can be helpful in resolving a number of physical ailments. Patients should wholeheartedly work with their physical therapists for a better recovery experience.

Physical Wellbeing

siWhen we talk of physical wellbeing, we aren’t talking simply about the fitness of the body. Physical wellbeing is a big umbrella under which physical fitness is also a crucial point.

Let me state a few examples, just to explain this point better.

1. A 35 year old man. Living in one of the best cities in the world. Educated at the best school has a job, most people at his age can only dream of. He’s married, with two kids and a beautiful home. Big cars, foreign vacations, fancy dinners, parties, etc. are part of his routine life.

This man is very healthy too. Doesn’t eat unhealthy food often, drinks but never exceeds his limit, doesn’t smoke, doesn’t do drugs, has absolutely no illness. Moreover, he exercises every day and also runs the city marathon.

In short, perfect life!

One day, he was crossing the street, going from his office to the restaurant across the road. He was meeting his lovely wife for lunch. He spotted her and waved with a smile. But that’s when it happened.

He felt a searing pain running down his chest, through his left hand and he collapsed in the middle of the busy street. Two hours later, he was declared dead at the local hospital.

• Question – What happened? And why?

2. 50 year old housewife. Mother of two beautiful children and wife of a businessman. She spent her days doing what made her happy.

Every morning she’d leave for an orphanage and teach the children. Then she’d go to meet her friends or foundation members who helped run her NGO.After a happy chit-chat and lunch, she’d go to her book club or wine tasting or one of the numerous activities she’d enrolled in. By evening she returned home to cook a lovely meal for her family. And the day ended with fun and laughter. Perfect!

Two weeks after her 25th wedding anniversary, she fainted in the orphanage and died of a haemorrhage.

• Question – Why? What went wrong? I have a whole lot of such stories that are shocking and mysterious. But the reason we need to analyze these cases carefully is for two reasons.
• Both these people, had seemingly happy and good lives. They were truly happy with their world and the people in it.
• Both these people, are not very different from how we are or wish to be one day.

Now, do you see why it is so serious?

In the examples given above, the man, had a perfect life. But he also had an ideal job. And no ideal job comes without stress. That was what caused his heart attack. As for the lady, she had a completely clean medical report, as far as physical health was concerned. But her psychiatrist revealed, that she had been severely depressed due to loneliness and that is why she kept herself so busy. Her constant running around, proved too much for her body to take.

We’ve made it a habit to let small instances in our life, pass by, assuming they aren’t really important. We make a huge issue of a heart attack, a migraine or hyper-tension. But we seem to be okay with the unexplained tiredness, sore body, muscle spasms, unexplained headaches, etc. For us, these are day-to-day things.

And honestly, why shouldn’t they be?. Who has time to live life worrying about every single papercut?.


Would you worry if that papercut, wouldn’t stop bleeding? Would it be enough to catch your attention? Or would it really take something like, collapsing or fainting, to finally make you realize that everything, is far from okay!

Physical wellbeing, is that scale or measure, which gives you a better idea of whether everything is really okay or not. It is the difference between being truly healthy and healthy by definition.

What is Physical Wellbeing?

• Physical wellbeing, is a combination of good physical, mental and emotional health. It is the result of the combination of all components, individually included in other forms of wellbeing.
• Simply being physically fit or emotionally strong or mentally well isn’t enough.
• Physical wellbeing is the ultimate form of wellness achieved from all departments of human health put together. It is the larger picture of wellness.

Although it would be impossible to write everything about physical wellbeing, I think we should all make note of these specific markers so that we know when there is a red alert and what we can do to avoid them.

Signs of distress

• Excessive fatigue. Feeling more tired than usual and more often
• Unexplainable headaches, sudden shooting pain, which later goes away.
• Dizziness when standing up and walking up or down stairs.
• Extreme anger or getting upset very easily.
• Inability to control emotions: Crying a lot.
• Excessive hunger or Loss of appetite.
• Sweating excessively.

These are just some of the many symptoms you may see. A very interesting symptom also includes, the need to work out a lot. It seems strange, but some people have a tendency to workout 2 or 3 times a day. That seems normal, but is sometimes not really normal. Remember, anything in excess is harmful.

Now let’s take a look at what we can do to ensure wellbeing.

Measures to ensure Physical Wellbeing

• Drink plenty of water. Keep re-hydrating every half hour.
• Exercise regularly. Decide intensity based on your height and weight.
• Exercise in moderation. Don’t overwork yourself.
• Have a meal that includes a good amount of proteins and carbs alike.
• Do NOT exclude fats from your diet entirely. That is harmful.
• Eat meals at regular intervals. Preferably 6 small meals a day.
• Take a break from work or studies. Never work at a stretch, 4 hours or more.
• Do things you enjoy doing, pursue hobbies and make them priorities
• Go out into the open and get a good amount of sunlight.
• Never stay locked up indoors all day long.
• Listen to calming music and watch light entertainment.
• Practise yoga or meditation or both! More the better.
• Make an effort to stay positive in general. Think happy, stay happy.

Chiropractic Treatment With Physical Therapy Offers Long-Lasting Relief

bzIn the US, a significant percentage of the population visits the chiropractic doctor for treatment purposes.But, what actually is chiropractic treatment? Many people living in the US are of the opinion that the treatment is effective which is why it is one of the natural mainstream treatment options in the country.

There are a few important things for an individual to know about chiropractic care and the services that are offered in many chiropractic wellness clinics.

Many chiropractor offer physical rehabilitation in addition to spinal manipulation which is the primary method of treatment in a chiropractic clinic. Most Doctors of Chiropractic actually undergo specialized training in physical therapy, offered by the school and other post-graduate courses. The chiropractic student must pass a physical therapy exam required by the National Board Of Examiners. One of the primary staples of physical therapy is to provide specific exercises for the patient in order to restore biomechanical function of the joints, this is done by stretches, stabilization exercises, core strengthening and other core stabilization exercises. A lot of chiropractic doctors as well as physical therapists use a stability ball, medicine ball, and or a wobble board to assist with balance and coordination.

A chiropractor who is well-trained in physical therapy may offer therapies such as: ice, heat and electric stimulation, whirlpool, paraffin wax and others.

Besides physical rehabilitation, the main objective of the chiropractor is to provide spinal manipulation or adjustments. The aim is to restore proper alignment of the spinal structures hence decreasing nerve pressure and irritation. This provides pain relief, increase mobility, and an overall sense of well-being. Some doctors offer spinal decompression as a treatment for the relief of pain related to disc injuries. Spinal decompression has proven effective for bulging and herniation of the discs, spinal stenosis (narrowing of the spinal canal), and others.

Chiropractic care combined with physical therapy are amongst the best natural ways for pain management.

On many occasions, chiropractic-treatment allows patients to avoid surgery. Those patients who are afraid of surgical procedures, in many instances, by consulting a good chiropractor can choose to avoid it. Based on the patient’s clinical presentation, the chiropractic doctor may choose whether to treat conservatively with chiropractic care or refer out to surgery.

In the past few decades, because of a large number of positive feedback from patients and clinical success, chiropractic-treatment has become very popular and for many, a first choice method before going under the knife. Major insurance carriers including Medicare cover chiropractic care due to the overwhelming positive effects of chiropractic treatment on pain, muscle spasm, stiffness and mobility.

It is often so, that after a chiropractic adjustment, pain is quickly diminished almost immediately post treatment. Chiropractic-treatment also helps to reduce the stress, increase overall function by improving the nervous system.

There are infrastructures in the form of professional institutes that teach the most up to date information on the science of chiropractic through continuing education courses for chiropractic doctors. This ensures that the doctors are providing safe and quality treatment to the public. Nowadays, such treatments require highly sophisticated, chiropractic tables, instrument adjusting tools, therapeutic modalities, spinal traction and decompression tables, diagnostic procedures for radiography and other diagnostic instrumentation.

There are approximately 50-60 thousand chiropractic doctors in the US alone! Each physician is different in their methods and treatment options. There are over 100 different chiropractic techniques, about 20 of them are mainstream.

Some doctors of chiropractic rely heavily on instrumentation while others are more manual, in essence, they use their hands to perform an adjustment, while others combine both. The term mixer has become synonymous with a chiropractor who uses other therapeutic modalities in addition to the chiropractic adjustment. The one’s who use only the hand adjustment that is strictly to the spine, are considered to be a purist or “straight chiropractor”. The feud still stands today between the “straights and mixers’. The fact of the matter is that both are helping and serving people to live better more healthier lives.

The Bay Clinic of Chiropractic provides exceptional chiropractic treatment and services to patients in need. They have their own website where they highlight the different medical treatment services that they offer to their patients.