It began by taking the journey right back to when occupational therapy was founded, and how our profession had shaped.
It ended with the suggestion that our profession needs a renewed vision drawing from peoples (our patients/clients) perceptions who experience barriers to occupation. Its was suggested that we do not learn enough from our clients and this is true becuase we are constantly relying on providing evidence based practice to prove "what we do works".
It was very valuable to go back to the beginning and see how our profession has shaped ~ and the subsequent relationship between health and occupation. E.g. occupations power to restore health ~ what a powerful idea our profession is based on.
Not only did this lecture bring up many valuable ideas ~ but it provided all the listeners with a basis to reflect on how our profession is shaped and where we want it to go in the future. Ultimetly the society and health contexts in this country have shifted us away from occupation and health.
So what does this have to do with client centred practice!! Are we able to be client centred if we are not listening to what our clients want?? or do we even have the opportunity when the relationship between occupation and health is not reflected in our western context of the profession?
It confuses me - has our profession shifted to far away to ever get back to the real philosophy ~ what our profession was founded upon....
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OK - here goes. I hope all it works this time.
There is definately an implication that we need to take account of what our clients tell us in order to provide a service that is valued by them. Seems obvious, but we have a lot of preconceptions about thow things should be. We may need to be creative to work in this way within a system that favours medical cure over 'wellness'.
From someone who practiced in the 'old' ways, not a lot changes! Certainly there is more community based practice whihc is a very good aspect of progress, but the concern for bieng being 'well occupied' however this is expressed, I believe is still there - in acute care it may relate to the importance of discharge home; task needed to achieve to ensure this will keep patients well occupied.
Look forward to more chats. Linda R
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