MAIN DUTIES GENERAL To provide specialised client-centered occupational therapy falls interventions to clients/patients (aged 18.....
MAIN DUTIES GENERAL To provide specialised client-centered occupational therapy falls interventions to clients/patients (aged 18 or over) who are resident in the Haringey community and are referred due to a physical and mental health disability/illness/condition. This includes clients who may present with complex physical, cognitive, psycho-social and housing needs as a result of a wide range of medical conditions. To be an influential member of the multi-disciplinary team, providing expert, integrated, client- centered, goal- orientated rehabilitation for clients. To work as an autonomous practitioner in managing a defined caseload of complex cases, in a community falls setting. To evidence high levels of problem solving and clinical reasoning skills in line with evidence based/client-centered principles. To formulate a diagnosis and treatment plan designed to reduce the impact of disability from a comprehensive assessment of the clients needs. To take a lead role in the supervision, teaching and appraisal of junior occupational therapists, rehabilitation support workers, students and other members of the multi-disciplinary team. To work collaboratively with members of the multi-disciplinary team in the planning, development and evaluation of the Locality Therapy Falls Service, taking a lead for designated projects. To continually engage with and develop the provision of occupational therapy within community services. SPECIFIC RESPONSIBILITIES CLINICAL 1. To be professionally and legally responsible for all aspects of own professional activities. To adhere to and apply The College of Occupational Therapists Code of Ethics and Professional Conduct (College of Occupational Therapists 2015) 2. To independently manage a caseload of complex cases, providing specialist occupational therapy assessment and interventions to clients with complex physical, cognitive and psycho-social needs arising from their medical conditions. To provide this service in the most appropriate setting to the client, e.g. clients homes, workplace and other community settings, working closely with the client, his/her family/carer and other professionals in doing this. 3. To be responsible for prioritising the occupational therapy referrals within the service to ensure that clients with urgent needs are seen within appropriate timescales. 4. To establish excellent therapeutic relationships with clients/family/carers to gain their participation in the therapeutic process by employing advanced interpersonal skills (e.g. communication, reasoning, negotiation skills, motivational tactics) and overcoming any barriers to communication (e.g. different languages, lack of understanding of the spoken word, visual or hearing impairments, fear, anxiety). 5. To assess for and diagnose any functional, physical, cognitive, perceptual, psychological and sensory deficits using functional assessments together with specialised standardised and non-standardised assessment batteries. 6. Based on the analysis of the assessment and a risk analysis, to determine occupational therapy aims and treatment goals as part of the overall care plan, and then to formulate intervention options which reduce the impact of disability. 7. To work closely with the client/family/carers to encourage participation in the therapeutic process. To negotiate and agree decisions relevant to the clients management whilst respecting their diversity. To identify and select with the client/family/carers the most appropriate intervention options, which balance the complex interactions of risk, safety, client choice, independence, areas of conflict, eligibility for services and cost effectiveness. 8. To develop specialised occupational therapy treatment programmes in collaboration with clients, carers and other involved professionals (e.g. physiotherapists, speech and language therapists, district nurses, clinical lead professionals, home care agencies) to be carried out in the clients home or community as appropriate. 9. To plan, coordinate and deliver client-centred interventions on either an individual or group basis, using the principles of graded activity and a wide range of treatment techniques e.g. functional and remedial activities, splinting, equipment provision, education and health promotion. 10. To use specialised therapeutic moving and handling skills in the assessment and treatment of clients, including providing advice and training to client/family/carers on correct handling techniques, having undertaken specialised manual handling risk assessments.