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

Posts tagged ‘occupational therapy’

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.”

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Zero to Sixty

There are certain perks to being a “planner”. You think you know where you’re going and what you’re going to be doing, you feel organized and accomplished, and people are always jealous of your commitment and drive when it comes to getting things done! However, this planner (me) is impatient… that’s why I’m a planner- waiting to see what happens sounds like a death sentence. I have been planning a new internship since early January of this year. ALLLLLLLLLLL of this time I have been waiting: waiting to find out if I was accepted, waiting to figure out where I was living, waiting to find out when I would be working, waiting, waiting, waiting, and more waiting. Finally, June 6th arrived and it was time for me to leave Myrtle Beach and head to Indiana. Holy cow… all of the sudden, my life went from waiting and counting down the days to driving up here, unpacking, catching up with old friends, and then starting my new internship tomorrow. I swear, my whole life seems to go from zero to sixty; waiting to full motion in a matter of hours.Never-the-less, here I am..back home again in Indiana for the next 6 weeks.

I’m not entirely sure what exactly I will be doing at this internship, but I know that I will have the opportunity to observe, interact with patients, and assist with projects that the Jackson Center has going on! The format of this internship is a summer camp type of deal with outings to different places around Indy every Wednesday. That’s all I know for now- but after my Dream Rider internship, I’m fairly confident that I can handle anything that the Jackson Center Crew can (and will) throw my way! I was amazed at how fun it was to blog about my experience last semester, so I’m going to give it a whirl again and blog about this internship! More details to come, but at the moment, I am exhausted from traveling and adjusting to my new surroundings. I love catching up with people and all but I’ve been passed around like the common cold for the past 24 hours.. what can I say, everybody wants to see me! 

 

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

 

These boots were made for leading

Yesterday was a special kind of Saturday- I actually got to go to the barn! We had to give 2 make up lessons. You see, the riders families pay for the lesson season in advance, almost how you would pay college tuition. So it is important that the riders are getting as many lessons as their parents paid for. The weather in South Carolina has been super strange so far in 2014, and we can have lessons if the weather is bad! That’s why we’ve had to do more Saturday lessons than normal this “season.”  You won’t hear me complaining- it was a B-E-A-utiful day at Dream Riders!!

I was a little surprised to see my name listed as a leader twice on the all knowing clipboard that holds our assignments. I was even more surprised to learn that I would be leading a horse named AJ, who can be a little cranky when it’s time to got to work.  I’ve lead AJ once before, and that didn’t go as well as I had imagined… but, one of the characteristics of being an intern is doing what you’re told without asking why. So that’s what I did! Let me tell you a little bit about Mr. AJ  so you know what I was dealing with. AJ is a 20 year old Halfilinger gelding.  We’re the same age.. which is kinda neat! AJ has been a therapy horse for a realllly long time and is  ready for retirement (mentally, at least.) That being said, it’s understandable that he gets crabby about working. He doesn’t do anything to endanger the riders when he gets like this, but he’ll occasionally just stop walking- and the leader has to coax/drag him  in order for him to “walk on!” I was nervous to lead again- it can be stressful enough to lead a horse that doesn’t stop all the time, and it’s really nerve wracking to know that the horse that you’re leading has been acting the fool recently!

I actually did a much better jo b at leading yesterday, which made me proud of myself! Coincidentally, we did a barrel pattern yesterday that we  did the last time I lead, so I had an advantage of knowing where I was supposed to be leading AJ. It’s amazing what one can accomplish when one isn’t given a choice! I didn’t want to be intimidated or afraid to lead just because my last experience didn’t go as I planned. I’m glad that I stepped up and just did it! Leading a horse in the therapy setting requires the leader to pay attention to everything: the horse, the rider, the side walkers, the positions of the other horses and riders, and the instructor… all while keeping the horse in check (or in my case-in motion!) It’s like multitasking time 1,274!! The ability to multitask is an important skill to have as an OT because you always have to be aware of the patient and your surroundings. Right now, it stresses me out a little because I’m still new, and I guess I feel like that makes me more prone to mistakes. I have no doubt that I will become more comfortable with leading as I have more and more opportunities to practice it,though.

I was thankful that the DR staff had faith in me to lead AJ not once but twice yesterday. I was much more confident while leading in the last lesson. I think AJ and I established a good leader/horse relationship. I wasn’t in the mood to deal with his shenanigans, and he could tell- so he didn’t stop as often!  Miss Jennifer, the head riding instructor, said that she wanted me to lead yesterday because I am about a foot taller than the woman who usually leads AJ. Therefore, I have a more dominating presence because I am taller. I overheard Miss Jennifer tell someone that AJ was walking so much nicer for me… which was great to hear! I’m glad that I am able to work in any position that is available during lessons. That makes me feel that I can be of greater use to the DR staff.

There’s a quote that I like that says “everything seems impossible until it’s done.” I definitely feel that this quote is applicable to my DR experience so far. I remember sitting in the barn during the training  session almost 2 months ago thinking “what am I getting myself into.” But now, I just show up at the barn and do my thing with little to no help from anyone else. I’m sure that leading will have the same result… as I mentioned in an earlier post, I’m not very patient with myself. I expect perfection on the first try, which doesn’t happen that often! This internship has really helped me become more patient and forgiving with myself since I am virtually new to the whole therapeutic riding process!

Just FYI for you loyal readers, this coming week is the DR Spring Break. I think I’m only going to the barn for 1 day instead of 2. I’ll try to post pics this week since I’ll have some time off on Monday and Thursday nights 🙂

Spring Forward… Fall Back!

Spring has arrived at Dream Riders as of yesterday-the air was warm and the flowers were in bloom, but the most telling sign that spring has sprung was the massive amount of hair that was shed yesterday! I swear, I had enough excess horse hair to make a Shetland Pony (or 2!!) Needless to say, I felt like I brought half of the barn with me when I went home last night… so.much.horse.hair!

It was wonderful to fall back into the swing of barn life after my break last week. During Spring break, the barn was always on my mind. Someone would say something, or I would notice something that would remind me of one of the riders. I met this girl named Daisy on my trip to Isle of Palms, SC and I accidentally called her Daisy Lava Girl (the pseudonym of one of the riders). I nearly died of embarrassment, but it warmed my heart to realize just how much this experience has had on me- and it’s only been a month ! Almost everything that I do in my “real life” (life outside DR, that is) seems to relate to what I do at DR, which has to be a good sign, right?!

So….about last night… yes it was wonderful to be back, but there was a TON of excitement that happened. I worked with James again last night. If you’ll recall, James is 4 years old and has Down Syndrome. I’m 99% sure that the extra chromosome makes him extra cute- I just love him! He’s so happy and so very silly!  James seems to love adventure; he’s certainly not shy! He is so small that he doesn’t need to sit in a saddle- which means that his side-walkers (like me) need to pay close attention and hold on to his feet so that he doesn’t lose his balance and fall off the horse. At the end of each lesson, the riders go on a trail ride around the outside of the ring. There are a few fun obstacles throughout the trail that are designed to stimulate some sensory functions… plus, it’s super fun :). One such obstacle is the noodles. Basically, they are foam pool noodles that hang down like the octopus cleaner things in a car wash: same principle, really! Well, Mr. James, being the adrenaline junkie that he is, tipped himself back whilst going through the noodles and proceeded to slide off Malchi… thankfully, he didn’t hit the ground. He was caught long before he hit the ground by the other side walker. WOW- it all happened so fast, Malchi almost ran me over trying to get out of the way(he was doing the right thing), and I watched as the laws of time and space were being bent before my very eyes… in reality, I probably stood there looking like a dead fish with bulging eyes and my mouth hanging open. Little James didn’t shed a tear, or even look sad for that matter! He was smiling and ready to get back on the horse… bravo, James!  I had never experienced anything like that before, and it really is a rare occurrence at DR (thankfully). It just serves as a reminder to always be alert when working with patients-things like this can, and do, happen quickly. Whew- just writing about it makes my heart race… I’m glad that everyone was alright, and that (as a group)we remained calm.

In other, not as exciting news, I am making great progress with Lou! For the first time ever he let me pick (clean) all 4 hooves! Apparently he’s particular about who can mess with his feet, and it’s about time that he let me! I’d be lying if I said I was above a little bribery 😉 I brought him a green apple from my fridge and gave it to him when I first arrived, and then promised him treats if he let me pick all 4 feet without being difficult-success!!! He has been such a trooper while I relearn the ropes of horse care- he probably deserves more apples in the weeks to come for putting up with me!

Dirty, hot, sweaty, and feeling the after effects of adrenaline, I walked to my car smiling because, once again, I have the coolest “job” in the world 🙂

Please tell me that was dirt: A tale about optimism

Everybody and their sister has heard the classic optimism vs pessimism example of the glass being half full or half empty. Last night, while cleaning Lou’s feet, I came up with a “horse themed” optimism vs. pessimism anecdote that goes like this: Was that dirt or poop? Let me tell y’all the traumatic incident that led to my revelation. So like I said, I was picking Lou’s feet and this idiot (me) left her mouth open while crud was flying around my face from Lou’s feet… I’m sure you can guess what happened next- a nice chunk of dirt, horse poop, or both flew into my mouth. I would love to say that I handled the situation with grace, but grace isn’t very funny now is it? Now that the back story has been established, allow me to elaborate on my anecdote! Having either dirt or horse poo in your mouth is disgusting- but which would be worse to accidentally ingest?  My vote is poop, but to each his own! Even though dirt tastes awful, it could have been so much worse!  So when you’re face with a situation where both outcomes are crappy, try to stay optimistic and pick the lesser of two nasty’s to focus on!

Another life lesson  that can be  gathered from this experience, other than the obvious “don’t pick a horse’s feet with your mouth open”, is to never get too comfortable. I have picked Lou’s feet every Monday and Thursday for the last month, and just as I was getting used to doing it, this happened! Last night at DR I was feeling really confident and comfortable when I got there-finally, all of the “chores” on the board looked familiar to me and I was able to do them all without needing clarification. When the riders got there, I found out that I was not going to be side walking with Zach, but rather a rider who usually comes on Thursday and was making up a lesson yesterday. Just when I thought I was good to go, I got thrown for a loop! I had to adapt myself to the new rider, James, a 4 year old boy with Down Syndrome. James has no verbal skills and is working on his fine motor skills, like lifting a plastic diving ring off a hook and placing it onto another pole. This is the opposite of what I’m used to on Mondays. Zach needs help with his vocal skills and very little help with his motor skills. I’m not going to lie, I would glance over and check on Zach every now and them, just to make sure that he was doing okay! Changing riders was helpful because I am still learning how to adapt to different patients. James is the first child with Down Syndrome that I have ever worked with, and I had to be more energetic than usual in order to keep his attention!  I have to be able to call on different skills at different times and be able to think on my feet when I have never worked with someone who has a particular disorder before!

Last night I got some really great feedback from Miss Corky, the assistant riding instructor,  told me that I was a really easy going volunteer and that she liked working with me! That comment made me feel great because I work hard to represent myself and Columbia College well. I also love the work that I do for them, so it was nice to see that she thinks that I’m doing a good job! I’m not gonna let this get to my head… who knows what could happen Thursday, but I can promise you that I’m not going to open my mouth while I’m taking care of Lou-just in case!