Sunday, October 26, 2014

CarFit: Something Every OT Should Learn About!

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THANK YOU to those who continue to write and ask me questions or who simply say thank you for the info I've shared over the past several years.  You have inspired me to begin writing again after 15 months. I am no longer a traveler and am now spending most of my time in management. Last year, I went permanent with a great company in a lovely area of the Pacific Northwest. This Kansas City girl is still not quite sure why she is here! One thing I've learned, though, is that we must follow our gut feelings!
 
Life is the same here as when I travelled - it's the client/patient/resident interaction that drives me daily and contributes to insights, understandings, and revelations.
 
Shouldn't we all be learning every day?!
 
YES!!
In that spirit, I recently became a Certified CarFit Technician! I had the great pleasure of collaborating with the local University's OT program and the local technical college's OT assistant program to promote a CarFit event at my sub-acute building. (By the way, shout out to Kate, one of the OT students, how nice to find out you follow my blog!)

 
What is CarFit?
 
The above logo and following information are shared from the CarFit Manual & website: http://www.car-fit.org/

CarFit was created by the American Society on Aging and developed in collaboration with AAA, AARP, and the American Occupational Therapy Association. The goal is to educate mature drivers about their personal “fit” in their vehicles. They created an open environment that encourages conversation about driving. Through their CarFit events, technicians like me are able to provide information, education, and community based resources to mature drivers in a non-threatening way to recommend options for their ideal safety.
 
Rather than going point by point about the process of the event, let me tell you some highlights of the program. If you’re a student or a current therapist, you can always coordinate with local facilities or programs to promote an event for your community!
 
CarFit technicans are trained to review a 12-point CarFit Checklist with each driver. Following completion of the checklist, the driver will meet with either an occupational therapy professional or a driver rehabilitation specialist for the final checkout.

 
Carfit Checklist

During the Checklist, drivers learn about the fit of the seatbelts, the head rest, the steering wheel, the gas/brake pedals, and all the mirrors. They are also educated how to reduce or eliminate their blind spot using the technique below.
 
http://trk.localvox.com/sites/default/files/styles/480x240/public/content_images/long_pond_auto_56.jpg?itok=7STEfs-_
 
The BGE (BlindSpot and Glare Elimination) mirror setting was developed by George Platzer in 1996. With this new setting, you never have to take your eyes off the road to check blind spots. Also, glare is almost completely eliminated from side mirrors. Adapted from Driver’s Ed Guru, the instructions for setting up your mirrors in this fashion are as follows:
  • Place your head against the driver’s side window and adjust the driver’s side mirror so you can barely see the driver’s side of your car.
  • Move your head as close to the center of the car as possible and adjust the passenger’s side mirror so you can barely see the passenger’s side of your car.
  • To check your BGE settings, watch as a car passes you in an adjacent lane. It should enter your outside mirror before it leaves the rearview (inside) mirror. Also, the car should appear in your peripheral vision before it leaves the outside mirror.
  • Remember, your inside rearview mirror is your primary mirror and it will take time to get accustomed to no longer seeing the sides of your car in the side mirrors.
 Neat, yes? I love when I learn something new!

During the final checkout, OT practitioners have the opportunity to educate mature drivers about adaptive equipment to improve safety, including a swivel cushion to increase ability to get on and off the seat, a wide angle rear-view mirror, and an adaptive key turner for people who have wrist or fine motor deficits.
There is so much more; this is only a snapshot. I learned a lot during this experience! I highly recommend that every OT learn how to complete the CarFit Checklist and make recommendations to their patients who drive before they complete their rehabilitation.
Consider it the last piece of the puzzle, along with all other IADLs, before you graduate them to home!
I encourage all of you to check into CarFit.
I CHALLENGE you to promote an event!
Make a difference!







Tuesday, September 3, 2013

Don't Stop Living Just Because You Think You're Getting Old!

Back to my blog home page: http://travelingotr.blogspot.com

I was sitting at Rustin Way on the waterfront eating lunch with a friend on Saturday. It was in the 80's with bright sunshine, the kind of weather which prompts Washingtonians to spend their days outside. Jim and I were talking up a storm, people watching and telling stories.

the view from where I was sitting...
 
Three quarters of the way through our lunch, we noticed an elderly couple walking down the dock to the water of Puget Sound. She, a petite little gal, led with a determined walk, and he followed slowly with a slight festinating gait, stabilizing himself with his single point cane.

"Ohhhh, nooooo," I said to Jim, "I am afraid he is going to fall!" 

Twice I winced, sure he was going down, ready to get up and run over there if he did.

He made it to the boat somehow, and followed her (I winced again at the danger of it) as they boarded a boat that offered parasailing over Puget Sound.

getting set up for the ride....

Parasailing!

I have to admit with a bit of guilt that when I saw them, I thought, "How in the world can they go parasailing? They must be in their mid-80's!"

We watched as the staff on the boat instructed them on the process, set up their riggings and took off.

taking off...

My doubt turned to inspiration when I saw the red balloon begin to pull in the wind, lifting them off the boat.

WOW. This couple was determined to KEEP LIVING LIFE.

Maybe this was on their bucket list. And who cares that they were in their 80's and had trouble getting in and out of the boat?

They spent a good 40 minutes in the air.

yes, they were dangling up there, and the tiny little boat was in the right 2/3 of the photo....

Jim and I left the restaurant and watched them from the pier.

AMAZING.
 
This was a simple lesson about being open to living life fully every day.
No matter what!
No excuses!
Let's all GO LIVE LIFE.

Good Bye, Travel World....

Back to my blog home page: http://travelingotr.blogspot.com

I made a very difficult but timely decision last week.
 
I ended my travel career.

I accidentally traversed into a place that shocked and surprised me...I realized this is a place where I'd like to put down some roots, bloom a little and create a network of friends. It has the cozy "small-city-feel" of my hometown of Kansas City, but it offers the additional wonders of water, mountains and temperate weather all in one place.

The hardest part about this decision was saying goodbye to the BEST recruiter in the world, Tony Leber, and Med Travelers. The guy is - hands down - the best recruiter any traveler could ask for. He has given 100% for me, and I am really going to miss him!

My feisty recruiter, Tony

So, today, my final blog for the travel healthcare world is simply to thank Med Travelers and Tony Leber. Thank you for the great assignments, the opportunity to explore some beautiful areas of the country and the chance to meet some kindred spirits/great friends along the way.

Thank you for three great years.