Cambridge Brain Sciences (CBS) uses the latest technology and scientific data to get better insights from modernized versions of classic tasks – they only take a few minutes each. CBS has developed endless test sets, so there is negligible “test learning” risk for a test-retest situation. And, important in our new virtual world, the link for the testing can be emailed to our clients, where they are provided step by step instructions and even tutorials allowing them to perform the tests without therapy staff being present in their home environment. OTs can use some or all of these cognitive screens to not only assess cognitive difficulties but to also monitor progress of treatment which is helpful to illustrate when requesting more funding for occupational therapy services.
Based on literature and resources from Parkwood Hospital’s concussion program, this program is tailored to persons experiencing interruption of daily function due to post-concussion related symptoms. It facilitates a 10 week structured approach to managing energy aimed at preventing aggravated symptomology, which then allows the brain to heal, and function levels to increase. The program tracks activity and symptoms to determine when the level of activity can be increased safely while allowing the brain to heal.
Insomnia is the single most commonly reported health problem in adults, and is often related or co-exists with reports of depression and /or anxiety, Chronic pain, PTSD, and other disorders. What we also know, is the stress to fall asleep can mount over time.
Research shows that CBT-I improves sleep, well-being, anxiety, depression and inflammatory markers in those with depression and pain. Medication and CBT both have well-established research to support insomnia treatment but CBT has longer lasting effects.
Our CBT-I trained Occupational therapists will help you identify what may be interfering with your sleep drive, and help to establish a new healthy sleep routine.
OnTrack is a program designed to help youth who have experienced severe injury by providing access to a range of supportive personal and vocational services. The goal of this multi-disciplinary program is to support youth through key life experiences to help them get back “On Track” with their peers and achieve long-term success. Services include career and education planning, life skills coaching, and one-on-one support or academic tutoring. All services are coordinated to improve collaboration and seamless care outcomes.
Client’s interests, education and experiences are assessed to determine transferable skills. Labour Market Research and/or additional education are all considered. Position tolerance, pain levels and ability to focus are examples of areas assessed to help determine the vocational fit.
Our Occupational Therapy Assistants (OTA) work alongside the client’s health care team to provide one on one treatment that is specifically designed for the individual. OTA program goals as described by the client and the rehab team with a client centered approach.
OTA Cognitive Compensatory Strategy Program
The OTA will take the time to understand strategies that best suit the client’s personality. Tools are suggested (using adult learning principles tailored to client’s strengths) and demonstrated to ensure effectiveness. OTA can help the client to predict barriers and develop strategies in advance. These programs vary from creating strategies for remembering appointments to new learning such as how to take public transportation. The program goals are directed by the client to include meaningful activity that promotes a positive outlook for the future.
OTA Community Integration
Often client’s present with a lack of motivation due to mood dysregulation or as a symptom of acquired brain injury. Many are fearful of re-injury or their inability to manage their limitations if they go on a community outing. Early OTA intervention can drastically reduce many psycho-emotional symptoms. Outings encourage re-integration into pre-MVA hobbies/interests, provide opportunity to problem solve areas of difficulty such as taking public transportation and to increase the client’s independence with ADL. Job coaching is also available for those with return to work goals.
OTA Gym/Pool Exercise Program
OTA specialized fitness trainers can develop a specific fitness program to meet client specific rehab needs. The program can be centered in a home gym or community gym/pool. Community based fitness programs can also be used in a community integration program as it introduces and promotes a healthy lifestyle post injury. Goals can include increased strength and activity tolerance; improved range of motion and endurance; pain management and mood regulation. Water is the perfect environment for clients experiencing high levels of pain due the body’s natural buoyancy in water which minimizes the harsh jolts the body experiences during regular exercise.
Both physical tasks and non-physical/cognitive requirements are assessed when considering the position of work placement. These two elements are measured in order to establish return to work goals or determine whether the position remains to be fit for the client post-injury.
We work with the individual to determine the physical, cognitive and emotional impairments that affect the client`s function within the home. Recommendations can range from a few assistive devices to a complex program to help a person gain independence doing their normal activity of daily living.
Following an injury, physical limitations may exist immediately or develop over time. Establishing the client’s safe maximum abilities once the benefits of physical rehabilitation have plateaued, an FCE is ideal for further planning and goal setting with respect to return to work, vocational exploration or other meaningful activities. (i.e. sitting tolerance, overhead reaching)
At a reduced combined cost, the Physical FCE can be combined with a Cognitive/Behavioural FCE to determine Global Functioning.
This assessment- as the name suggests – assesses global physical, cognitive and emotional functional capacity that one might need to perform a specific job or any job in general. Capacity is the key word here –a capacity assessment measures how much or how long one can perform a certain function. It also takes into account the effect of pain and fatigue on all the realms of function. This type of assessment is helpful to determine if a person who has physical impairments, as well as cognitive and/or emotional issues related to pain, brain injury and/or psychological disorder, can do their job or any job. It can also help to determine and provide opinion on what accommodations or adaptations they might need to succeed.