Occupational Therapy News OTnews February 2019_Joomag | Page 45

STUDENT EDUCATION FEATURE clients, often vulnerable due to having significant changes in their ability to carry out meaningful daily functioning activities. I learnt that occupational therapy assessments of daily living within a stroke setting often used coffee making, due to its strong cultural identity with the ‘Fika’ – a Swedish concept where time is taking out of the day to share a cup of coffee or tea and a little something to eat with friends and/or colleagues. I was challenged to work within the given resources and to think outside the box. In my case, my limited capacity to speak Swedish led me to depend more on activity. The outcome was beautiful. While I admit that I was frustrated with myself, it actually allowed me to better empathise with stroke survivors, who often had changes in their ability to communicate verbally. I was reminded that communication is not limited to vocal sounds, that even a simple smile and facial expression could make a person’s day a little brighter and that, as occupational therapists, we have the privilege of using a tool that can be translated into every language across the world – activity. It unites Getting involved practically in unfamiliar tasks broadened my perspective of healthcare. Instead of only focusing on the occupational therapy aspects, I now take a more holistic approach to care. I learnt that building on each other’s strengths is crucial in having an effective team, as each person plays a part in the whole patient journey. The final five weeks were spent exploring the role of occupational therapy in psychiatry, in the community setting and closed-care ward. My supervisors taught me new techniques and interventions to overcome any obstacles. I would never have discovered first-hand how aqua aerobics and yoga could improve stress and low mood levels, how a ‘let’s get organised’ group encouraging healthy daily routine, how confidence-building a craft group could be, and how craft could be used to assist and empower clients to express themselves and their feelings. Erasmus not only allowed a wealth of professional development us regardless of nationality. The second opportunity consisted of 13 weeks in Linköping, a smaller city in southern Sweden. Instead of working solely on one ward, this part of the journey exposed me to many more occupational therapy settings. First, I had the privilege of spending five weeks learning about the role a multi-disciplinary team has in supporting people with often misunderstood chronic pain conditions. Various seminars and workshops, facilitated by key researchers in the field, led to an increased understanding of the physical, emotional and psychological impact such conditions can impose on an individual’s wellbeing. This theoretical knowledge was essential before learning its application in practice. It was eye-opening to learn about interventions I had not as yet discovered, such as acceptance and commitment therapy, aerobics and mindfulness. While participating in an aerobics group session, it was evident how much of a positive impact this had to their wellbeing – laughter, exercise and sense of mutual understanding, in a safe non-judgmental environment. The next setting surpassed all my expectations. I spent two weeks working on a student-led medical and geriatric emergency ward. Yes, a student-led ward, something I did not know existed. Here, a group of students, consisting of one occupational therapist, one physiotherapist, one doctor, and two nurses were responsible for promoting health by preventing and treating diseases and disabilities in older adults with the aid of supervisors when required. During the two weeks, I participated in a wide range of activities, such as observing and assisting with activities of daily living (washing, dressing and personal care), aiding transfers, mobilising, adapting a wheelchair, communicating within team rounds, learning how to document nutrition, interviewing patients with my limited Swedish, dressing a wound, serving food, and journal writing, reflecting and sharing ideas within the team. opportunities, but exposed me to the wonderful Swedish culture, and the learning experiences were not limited to the working days. Attending a weekly language café at a local church became an enjoyable process, where I gained a deeper appreciation of the Swedish accent. Long-lasting friendships were cultivated from a range of ethnicities, and perhaps more poignantly, I gained insight from former refugees about their journey to Sweden; the occupational barriers beyond their control that had changed their typical day- to-day activities. I was humbled when a family wanted to cook traditional Afghan soup for 300 church goers out of their own limited financial resources, to thank Swedes for their support in integrating them to the culture. While participating with these people in the kitchen, I too felt a sense of belonging, and it highlighted the importance that a sense of community has on any individual’s wellbeing. This occupational engagement was a wonderful way of connecting and led to the development of long-lasting friendships. To conclude, I would like to ask you a few questions. If you are really honest with yourself, what stops you from taking an opportunity? Whatever it is, press the ‘rewind’ button and think about the overwhelming ‘positives’ that opportunities provide. And, have you given yourself permission to take new opportunities? Erasmus exposed me to so many life lessons. Embracing the opportunity to undertake a practice placement overseas was personally and professionally rewarding. The memories created will be treasured for the rest of my life and I am glad I embraced these opportunities. Hannah Barker is now working in a diverse and emerging role as a trainee careers advisor with Careers Wales in Cardiff. Email: hannah_barker_12@hotmail.com. OTnews February 2019 45