Occupational therapy
What is occupational therapy?
Occupational therapy helps people who have difficulty with
everyday activities because of illness or disability. There are
also specialist occupational therapists who help people to deal
with the problems caused by arthritis and related conditions.
An occupational therapist will advise on:
- adapting the way you do things
- using splints
- obtaining special equipment to help you manage at home or at
work
- reducing the strain on painful joints.
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How does occupational therapy help?
This section covers: assessing your condition, solutions,
practical advice, helping yourself and splints.
At your first appointment, the occupational therapist will make
an assessment of your condition. It will help to think about any
problems you have before your appointment including difficulties
with:
- washing and dressing
- household tasks, including difficulty in using appliances
- getting around
- driving
- work activities
- hobbies.
Having highlighted particular problems, the occupational
therapist will explore possible solutions with you. This may
include:
- practical advice on overcoming everyday
difficulties
- discussing your condition and what you can
do to help yourself
- providing splints to rest or support your
joints.
Practical advice on overcoming everyday difficulties
- Making everyday activities easier – The
occupational therapist can help you to analyse your work, household
and leisure activities, identify where there are problems, and
rethink the way you do things, such as positioning yourself more
comfortably, taking frequent rest breaks or getting help with
heavier jobs.
- Specialist equipment – The occupational
therapist can help you identify and obtain specialist equipment to
help you get about and manage everyday tasks. Community equipment
services may loan items, and social services departments can help
with home adaptations. If you need equipment for work, the
occupational therapist will advise how to get help with this.
- Mobility – If mobility is a problem, the
occupational therapist can also advise you about wheelchairs and
scooters. They may be able to suggest vehicle adaptations to help
with driving difficulties, or may suggest that you have an
assessment at a specialist mobility centre.
Discussing your condition and what you can do to help
yourself
Whichever type of arthritis you have it's important to start
looking after your joints as soon as possible.
The occupational therapist will show you how to reduce the
strain on your joints – this will help reduce further joint damage
and should also ease any aches and pains. Advice on pacing yourself
in your activities can also help you to manage the fatigue that is often associated with
arthritis.
Providing splints to rest or support your joints
Wearing splints, such as a wrist or thumb splint, can help to
rest and support painful, swollen joints. The occupational
therapist may make special splints for you or prescribe ready-made
splints.
Accessing occupational therapy
Your GP, consultant rheumatologist, or
another member of the rheumatology team may refer you to a
specialist occupational therapist at the hospital, while some
rheumatology departments operate an open system where you can ask
to see the occupational therapist.
Alternatively, you can approach your local social services
department if you are having difficulty managing at home. Social
services and primary care occupational therapists will usually see
you at home.