Enjoy the day-to-day adventures of an Occupational Therapist in training!

Posts tagged ‘occupational therapist’

Perpetual Student Status

Today and yesterday (6/9 and 6/10) were filled with observation and learning! A friend of mine sent me a text yesterday asking how my summer break was going. I giggled to myself and responded, Summer Break? I feel like I’m back in school, but rather than sitting at a desk taking notes and doing homework, I am right in the middle of all the OT action!

Today I found out that I will be working all day, everyday in order to maximize my learning opportunities over the next 6 weeks. I will be assisting with kids at least 3 days a week, taking pictures and videos, and being an extra set of hands. Lara (my boss) wants me to be exposed to as much as possible during my time with her… bring it on! So not only will I be helping out, but I will also be observing others, as well! She is also encouraging me to take notes, ask questions, and make connections as I work each day. I am absolutely overwhelmed by how much support and encouragement she has already given me… and it’s day 2! Since this internship is much different than what I experienced with Dream Riders, I am looking forward to expanding my knowledge base and building my technique arsenal. At Dream Riders, I was primarily working with children who had cognitive/learning/ or emotional disorders rather than motor disorders which is what I am working with at the Jackson Center.

I learned how to assist the kids when they are walking, which was a pretty humbling experience. How crazy is it that I get to be a part of something that, for most of these kids, was unheard of. In other words, I am helping these kids do what some doctors said that they (the children) would probably never accomplish! I can’t wait to practice this technique tomorrow… how cool is that.. I mean seriously?!? I am going to gain knowledge and skills that most people don’t learn until they are well into graduate school!

On a more technical note, I learned, with in 30 minutes of my arrival this morning, the difference between “Low tone and High tone” when talking about muscle. Low tone looks (and feels) floppy, or very flexible… easy to move. High tone refers to stiffness. If a child has high tone he or she is very stiff and difficult to move around. Tone is not,however, the same as strength. Both high and low tone need to be adjusted by physical and occupational therapy in order to give the individual the greatest range of motion possible.  I was able to feel the difference between high and low muscle tone in the kids which helped the definitions of these terms stick in my head. Also, at the Jackson Center, there is so much shop talk being used that it helps me to remember and use new terms appropriately.

Overall, the first 2 days were amazing, tiring, rewarding, and a little stressful.. but I am hoping that the longer I am at the Jackson Center, the more I will feel like a member of the team and begin to take ownership of the information that I am being “fed.”

How Do You Like Them (Horse) Apples?

Yesterday at DR I found myself saying things that I never thought I would say at an internship site…. even though I have a nontraditional internship 🙂 Yesterday I was saying things like:

  • Scooter (the dog) please don’t eat the horse poop!
  • Poke your belly out!
  • Try not to steer your horse into a tree next time.
  • If you bite me, you’ll regret it (said to a horse, not a rider!)
  • Of course you can have different candy.
  • wow… that’s a lot of poop.

Yesterday, like any other day, was filled with chores that needed to be done before the riders got to the farm. I had to rake up hay that had blown out of the hay building (cue allergens) sweep walk ways, much stalls, and get all of the horses ready for the evening’s lessons. Nothing too difficult, just super messy! I was a hot mess by the time the riders got there! I like that the chores I do aren’t long term tasks that take forever. They are easy to accomplish, in my mind, because there is a clear end and I can actually see how much I still have left to do before I cross that task off of my to-do list. Tasks like that make me feel accomplished when I complete them because I get some serious satisfaction when I cross things off of a list! Also,I can see that what I am doing makes a difference at DR.. there is too much stuff to be done around the farm for them to give me meaningless tasks. It’s kinda funny to think about measuring my time at DR with little things like how fast I can get a horse ready for the lessons. It used to take me forever, and I mean forever, to completely get a horse ready for the night’s lessons (curry combed twice, mane and tail brushed, body brushed with soft brush, feet picked, fly sprayed and gear on); now I have it down to 10 minutes flat! Yup, I’m pretty proud of that 🙂

Last night we had an Easter Egg Hunt on horseback! It was a pretty great lesson and all of the riders seemed to enjoy themselves. They decorated paper bags (makeshift Easter baskets) and hunted for candy-filled eggs along the outside of the ring. I was working with a rider named Mary whose family doesn’t celebrate Easter, so we rode around looking for necklaces rather than Easter eggs-just as fun, right?! In all seriousness, her family believes in Jesus, just not the Easter Bunny. I wonder what her mother would have said had she known that instead of Easter Eggs, her daughter was hunting for Mardi Gras beads… just a thought! Anyway, Mary and I still had a good time searching for necklaces. Mary has been diagnosed with ADHD, anxiety disorder, and a mild cognitive disability. She kept saying that she was going to fall off of Molly. However, she was no where near about to fall of f of the horse, so rather than argue with her or try to convince her otherwise, I just reminded her that if she sat tall and strong that she wouldn’t fall off. I’ve never really worked with kids who have ADHD, so last night’s lesson was a new experience for me! I had to make sure that I was thinking ahead so I could keep her on track in order to search for the desired color of necklace and to make sure that she didn’t steer Molly into a tree.  It was challenging to have to keep her focused on so many things- I can only imagine how difficult it was for her to keep track of what all we had to do while steering Molly! We survived the experience though, and she told me that she was vacationing in Myrtle Beach over spring break which is where I live when I’m not at school, so it was fun to talk about what all she was going to do at the beach!

The last rider that I worked with was Majestic Diamond who was also riding Molly. We certainly got to know each other better after this ride! She disclosed all kinds of information to me (i.e. her unfortunately located itch, what PMS is like for her, and other medical facts!) She is 17 and doesn’t have an older sister to talk to about those kinds of things, so I understood why it would make sense to talk about them with me; after all, she puts a lot trust in me as her side-walker. We got to hunt for Easter Eggs (which was way more fun than hunting for necklaces.. but you didn’t hear that from me)! Majestic Diamond has something called a “shunt” which is a port that helps regulate the pressure inside of her skull by draining excess cerebro-spinal fluid. If she bends below the waist, the flow of cerebro-spinal fluid will reverse and literally flood the inside of her skull. I had to keep that in mind while helping her hunt for eggs- I had to retrieve the one’s that were below waist level for her! Also, Majestic Diamond is legally blind and cannot see anything that is further than 2 feet in front of her.. so that aspect made for an interesting Egg Hunt! I had an excuse to participate, which of course made me even more excited!  I found out that she will be getting her GED this summer which is super awesome! I am so proud that she is deciding to finish high school (early!)

All in all, it was another great night! The family who owns and operates DR is going to the national PATH conference this weekend, and the program’s spring break is next week, so if I’m at the farm, it’ll be to organize the DR building, work on administrative stuff and or bathe the horses!

Hours at barn:

1:30-7:00

Hoof prints on the heart

“Horses change lives. They give young people confidence and self esteem. They provide peace and tranquility to troubled souls; they give us hope”

-Toni Robinson

It amazes me how quickly I have become attached to the horses, the riders, the staff/volunteers, and the general atmosphere of the farm. Tomorrow marks my 3 month anniversary with DR, and I think I love it more everyday. I really can’t believe the impact that it has had on my life already…I know that internships are supposed to help you gain experience and reaffirm your commitment to your chosen career path, but I never imagined that I would feel so strongly about an internship as I do with this one!

It was sort of weird today- Miss Jennifer and Miss Corky wanted to know if I was coming back to volunteer in the fall when school started up again, of course I said I would come back if they’d have me. I honestly think that I have to continue to volunteer here so that I maintain my sanity. As I’ve said before, I find the barn to be extremely soothing. They both said that they were so glad that I was interning with them-and they thanked me for my willingness to help out. It was nice for them to thank me, sometimes I feel like they are helping me way more than I am helping them.

We have 2 new horses at the farm!! Mindy, a rescue, and Charlie, a halflinger! They enthusiastically greeted me as I drove up the driveway, so naturally I stopped and chatted with them. Both horses will be used in the DR program;however, they both need some training in order to become full fledged therapy horses. I’m looking forward to seeing their progress, just like I saw Mollie progress within the program. Not to be pessimistic (or philosophical, you choose), but in keeping with the balance of nature, no good news is without bad news. I found out today that Mindy and Charlie are Lou and AJ’s replacement. I also found out that Lou’s leg injury isn’t healing, in fact, he’s not improving very much at all. This news, especially about Lou, broke my heart. I’ve really gotten attached to him over the past few months. After all, I spend the most time with him, and I’ve been trying to nurse him back to health.  *Aside* Please don’t think that Dream Riders just throws horses away when they are no longer of use to the program… that’s not it at all!! Lou will most likely go to a retirement home for horses, yes they have those, where he will live out his natural days without stress. AJ will be going to Miss Jennifer’s cousin’s farm to chill and be ridden by riders who have riding knowledge, so hopefully he’ll be happy! I want what is best for both Lou and AJ, but I am really going to miss Lou’s company and his ornery nature. I guess this is good practice for when I have to say goodbye to patients with whom I’ve developed friendships with. I’m going to squeeze in all the Lou time that I can during his remain days at Dream Riders (however long that might be!)

Today I was reunited with the old team-Me ,Zach, Mollie, and Amanda (Zach’s other side walker.)  Zach apparently missed me because he was super vocal today and laughing.. which he hadn’t done since I switched riders. He also was saying “walk” clearly on the first try, which has been a struggle since my first day-apparently he hasn’t been saying it much since I’ve been “away”. I had really missed working with him. He is such a calm rider, and he never ceases to amaze me each week with something new that he shows me he can do or say. Autism is a funny disorder- it really doesn’t make sense sometimes in the way that it manifests in different people and different forms within the same person. Example: Zach knows all of his colors,numbers, farm animals, and shapes, but he has trouble saying the word “walk” clearly. He can say other things just fine, but walk gives him trouble. It’s really bizarre.  He’s inspired me to write my abnormal psychology research paper on Autism so that I can learn more about it, and hopefully be able to interact with him in a more effective way!

Monday’s always leave me exhausted, so I’m going to sign off! I’ll post again soon, not Thursday though because I won’t be at the farm. Thanks for reading!

Hours at Barn:

2:00 pm-7pm