Hospital DischargeTransition Hospital to Home
At Turning Point, we receive referrals for occupational therapy services from a variety of sources including ICBC, Worksafe, disability companies and legal professionals to help individuals who have experienced an injury transition from hospital to home safely. Our OTs will work with the the hospital discharge team and involved family members to ensure the appropriate equipment and supports are in place for a safe discharge home. For example, someone who is discharged home not being able to walk, may require a wheelchair, bathroom safety equipment and a homemaker to help clean and prepare meals. Once safely discharged home, our occupational therapists often continue to work with the individual to meet their rehab goals, e.g. to walk again, shower independently, make their own means, return to work, etc. Often, the OT works within a community based rehabilitation team, e.g. physicians, physiotherapy, counselling, chiropractor, etc. to help meet client goals. Client goals are typically to return as close as possible to their pre-injury life.
Community ActivationImproving activity tolerance
Occupational Therapists assist to structure a balanced week of therapeutic activity to improve physical, emotional and/or cognitive functioning in the community after an injury or illness. For example, we work with physiotherapists, rehabilitation assistants or kinesiologists to improve walking tolerance with a walking program or a pool/gym program within the community. Or, a graduated exposure program to reduce anxiety triggers in the community. Our therapists are experienced and familiar with local community resources and rehabilitation professionals that will help expedite the recovery process.
Cognitive RehabilitationRemedial & Compensatory Strategies
Our therapists are specifically trained to assess and develop cognitive rehabilitation programs using the latest in evidence based practice and technology. We have partnered with Cambridge Brain Sciences to administer an accurate, quantified and valid measure of cognition. Remedial programs are designed to improve attention, memory, processing and executive functioning and implemented within the home setting. Compensatory strategies are taught to improve thinking skills and daily functioning. See more info on our Cognitive Rehabilitation page.
Return to WorkGradual re-entry
Our therapists will work with the family physician and employer to expertly plan a medically approved graduated return to work or school, that is sustainable. Our PGAP providers will develop a structured activity schedule to assist with resuming activities that have been adversely impact by injury or illness. Functional Capacity Evaluations (FCE) are conducted, in-clinic, to determine physical abilities, readiness to return to work and/or employability. Work site visits are performed to review job demands and office ergonomics to help implement appropriate strategies or ergonomic equipment. See our Progressive Goal Attainment Program (PGAP) info.
Pediatric ServicesHospital to Home to School
Occupational therapy can help children with various needs improve their cognitive, physical, sensory, and motor skills and enhance their self-esteem and sense of accomplishment. As consultants, we may start with communicating with the hospital or inpatient rehabilitation team to facilitate a safe transition home. Once home, the occupational therapist may opt to perform standardized testing to assist in developing a community based treatment plan. The OT will work closely with the parents to set up other community services and supports that may be required to return to school, e.g. tutoring, adaptive devices, other therapies, etc.
Due to the depth and breadth of our collective experience, our occupational therapists receive referrals to provide case management service to ensure an individual who sustained an injury is receiving adequate supports and rehabilitation services for optimal recovery. An occupational therapy assessment is performed in the home, recommendations for therapies, support services and equipment are made and implemented with regular monitoring to optimize daily functioning and a return to meaningful activities. For example, someone with driving anxiety that prevents them from returning to work may be referred for counselling and a functional driving evaluation. Once the driving anxiety is addressed, they may be more ready to start a gradual return to work.