OT conversations

Let me ask you this—have you heard the rumour that some hospitals in the UK are stopping occupational therapists from taking vital signs? I hope it’s fake news, because if it’s true, that’s the slow death of our profession.Vital signs are not optional. They’re the foundation for safe, functional retraining. If we’re not monitoring them, then what are we really doing—just activity provision? That’s not OT.So today I’m introducing a new term: the Anti-OT. That’s anyone in our profession who—through incompetence or poor leadership—ends up dismantling what OT really is.Think about it. Are you protecting the profession, or are you unknowingly becoming an Anti-OT?

Ever felt dizzy or lightheaded when standing up? That could be orthostatic hypotension—a sudden drop in blood pressure that affects safety, independence, and daily life.In this episode of OT Conversations, Hao, your occupational therapist, unpacks what orthostatic hypotension is, why it happens, and the symptoms to watch out for. We explore causes ranging from dehydration and medications to neurological conditions, and share practical management tips—from lifestyle adjustments to simple counter-manoeuvre exercises like ankle pumps, leg crossing, and buttock clenching.Most importantly, we look at the role of occupational therapy in keeping people safe, independent, and confident in their daily activities.👉 Listen now and learn how small strategies can make a big difference.

“Today on OT Conversations, we’re diving into Discharge to Assess. Why did the NHS bring it in? How did therapy response times — especially ours as OTs — play a role? We’ll talk honestly about our own shortcomings, why hospital-based assessments weren’t always serving patients well, and how shifting assessments into the community changed the game.It’s not just policy — it’s about risk, independence, and making sure people get home safely and quickly. Join me as we unpack what D2A really means, and why it challenges us as OTs to step up in a new way.”

In this episode, we dive into the world of critical care occupational therapy and ask:👉 What’s the most frequent sensory stimulation we provide in ICU?👉 How do we really promote early engagement with patients who are barely responsive?From tactile input and proprioception to cognitive-perceptual retraining, I’ll walk you through how OTs use stimulation and engagement as the first steps toward recovery.It’s reflective, it’s practical, and it’s about making our hidden work visible.✨ Tune in, share with a colleague, and remember: anything you do matters, and has an outcome.

How do you explain what you do when you can’t say your job title? In this episode, I share my experience in a high-pressure hospital board meeting, where I had to define occupational therapy without the words “occupational therapist.” I talk about the struggle, the stumble, and the reflection that followed — and what it taught me about adapting our language to different audiences.This isn’t just about boardrooms. It’s about how we, as OTs, communicate our value so that it truly lands.

Chorea and OT“Chorea — sudden, dance-like movements that a person can’t control. But behind the movements are real challenges: eating, dressing, walking, even joining in social life. In this episode of OT Conversations, we’ll explore what chorea is, why it happens, and most importantly — how occupational therapy steps in. From adaptive strategies to assistive tech, from safety to identity — join me as we uncover the OT role in helping people live well with chorea.”

What if I told you there’s a part of your brain that doesn’t play the music, but makes sure the orchestra is in rhythm? That’s the basal ganglia—a set of deep brain hubs that control movement, habits, and even motivation.When it works well, you move smoothly, you learn skills, you stay focused. But when it breaks down—think Parkinson’s, Huntington’s, or even OCD—life gets a lot harder.Join me in this episode of OT Conversations as we explore the basal ganglia, the brain’s hidden conductor.

In this episode of OT Conversations, Hao explores Frontotemporal Dementia (FTD) — a condition that often goes unnoticed compared to Alzheimer’s, yet profoundly affects the lives of patients and families. We break down what FTD is, how it differs from other dementias, and the unique ways it can change behavior, language, and social relationships.You’ll learn about the different types of FTD (behavioral variant, primary progressive aphasia, and movement-related forms), the symptoms to watch for, and the diagnostic process. More importantly, we’ll talk about management strategies, the vital role of occupational therapy, and how families can adapt to support loved ones living with this condition.This episode is for therapists, health professionals, caregivers, and anyone curious about how dementia can look very different from what you might expect.

What happens when the body weakens but the mind stays sharp?In this episode of OT Conversations, we explore MND—its impact, its challenges, and the vital role of occupational therapy.From ALS to adaptive aids, CPAP to communication breakdowns—we talk real care, real people, and why your role matters.✨ Learn. Anticipate. Adapt.#OccupationalTherapy #MNDawareness #ALS #NeuroRehab #OTConversations #AdaptiveCare #DignityInDecline #PalliativeOT #MultidisciplinaryCare #HealthcarePodcast #CPAPsupport

In this episode of OT conversations I talk to the AHP education lead and I gave her an educational conversation regarding occupational therapy. She had lots of questions about occupational therapy and the answers that she got surprised her because it opened her eyes to the vast and the wonderful nature of occupational therapy. Do listen to this. It’s entertaining and you might pick up some pointers on how you can promote the profession as well.

“Cognitive-perceptual dysfunction remains one of the most challenging barriers to functional independence. In this episode of Occupational Therapy Conversations, we revisit the Cognitive-Perceptual Frame of Reference, exploring its evolution from the Quadraphonic and Dynamic Interactional models to contemporary practice. We’ll examine how OTs integrate remediation and compensation strategies — and reflect on what this means for clinical reasoning, assessment, and patient outcomes in neurorehabilitation.”

“Imagine a pump, smaller than your finger, stepping in to do the work of a failing heart. That’s the Impella — a tiny mechanical device that can keep blood flowing when the heart can’t keep up. In this episode, we’ll explore what it is, why it’s used in life-threatening situations like heart attacks and cardiogenic shock, and the key precautions that keep patients safe. From the ICU to the therapy team, we’ll break down how this little device makes a big difference.”

“Today we’re talking about ECGs — the electrocardiogram. It’s one of the most common tests in healthcare, capturing the heart’s electrical rhythm in just a few seconds. For occupational therapists, understanding ECGs isn’t about becoming a cardiologist — it’s about safety and context. An ECG can explain why a patient feels dizzy during a transfer, why activity needs pacing, or why therapy should pause until medical review. It reminds us that occupation happens within the realities of the body. By knowing the basics of ECG, we strengthen our role in rehabilitation, collaborate better with the wider team, and keep our patients safe while helping them rebuild their daily lives.”

In this episode of OT Conversations, the focus is on Non-Invasive Ventilation (NIV) and its significance for occupational therapists working in respiratory medicine. NIV provides ventilatory support without invasive methods like intubation or tracheostomy. The episode outlines the benefits, functionality, and challenges associated with NIV, explaining key terms like CPAP and BiPAP and their differences. It highlights the importance of proper mask fitting, patient cooperation, and routine monitoring, while emphasizing the vital role occupational therapists play in patient education, psychological support, and developing health maintenance routines. The talk aims to enhance understanding and application of NIV in clinical practice, ensuring better patient care and adherence.

In this video, Hao and Maria discuss the use of Tumble Forms, a modular seating system, for a young child with spinal muscular atrophy (SMA). They emphasize the importance of proper positioning to support breathing and monitor the child's respiratory levels. The discussion covers a specific case where the child, with poor trunk muscle control, was gradually introduced to semi-upright positions using Tumble Forms to assess tolerance and avoid respiratory compromise. The episode also addresses inter-county therapy collaboration, differences in therapeutic approaches, and the critical role of parents in advocating for their child's care. The conversation delves into the broader implications of adaptive vs. restorative interventions in pediatric occupational therapy.

“What if a simple electrical pulse or a gentle compression could keep ICU patients from losing precious muscle strength?”Hi, I’m your Occupational Therapist, Hao, and on this episode of Occupational Therapy Conversations, we’re venturing into the high-stakes world of critical care, where ventilators breathe, ECMO oxygenates, and groundbreaking adaptive aids are rewriting the rehab playbook.Join me as we uncover:How devices like VADs and dialysis machines buy organs time to healThe untapped frontier of muscle-preservation tech that could slash post-ICU weaknessWhy early, proactive stimulation may be the key to defeating post-intensive-care syndromeIf you’re an OT, nurse, physio—or just fascinated by the future of healing—this is one conversation you don’t want to miss.

“Ever wondered what happens to the brain when oxygen runs low—and how an occupational therapist can tip the scales from crisis to meaningful recovery?Hello, I'm Hao, your Occupational Therapist. In this episode of RiOT Conversations, we dive into hypoxia and cerebral hypoxia—those silent, rapid-fire events that can turn everyday routines upside-down in seconds.You’ll learn about the four systemic types, the four cerebral patterns, and the OT interventions that help clients transition from ICU survival to community re-engagement. From the first pulse‑ox alert to clever kitchen adaptations, we’ll cover the practical “how‑to” AND the creative “what‑if” that ignite real progress.Whether you’re a student brushing up before placement or a seasoned clinician seeking fresh ideas, grab your coffee and tune in: this is the episode that links pathophysiology to purposeful occupation—one heartbeat (and breath) at a time.

Strap in for a no‑filter ride with Hao, "your Occupational Therapist". While commuting to work, Hao dismantles the myth that “there’s no evidence for OT in ECMO,” and argues the real crisis is therapists ignoring decade‑old biomechanics. From tilt‑tables to trunk control, Hao lays out a back‑to‑basics blueprint for critical‑care rehab—then challenges physios and OTs alike to reclaim their lanes. Listen if you’re ready to:• Re‑evaluate “early mobilization” buzzwords• Revisit forgotten biomechanical principles• Spark an ICU rehab revolution—one upright diaphragm at a time

In this episode of OT Conversations, Hao, an occupational therapist, delves into the historical progression of occupational therapy (OT) theory and practice models. Starting from the post-World War II era, Hao explores the inception of the biomechanical frame of reference and touches on foundational models like PNF, Bobath, and the Rood approach. He discusses influential figures, such as Mary Riley, who called for a return to occupational roots, leading to the development of the Model of Human Occupation (MOHO) by her student Gary Keilhofner. The discussion extends into the 1970s' focus on sensory integration by Jean Ayres and key scales like the Ranchos Amigos and Glasgow Coma Scale. It continues into the 1980s and 1990s with models emphasizing client-centered practices and environmental contexts like the Canadian Model of Occupational Performance (CMOP) and the Ecology of Human Performance. Finally, Hao highlights the shift towards culturally responsive care with the 2006 introduction of the Kawa model by Michael Iwama. The episode underscores the importance of appreciating the historical context and foundational models that shape current OT practices.

In this exciting and thought-provoking episode of Occupational Therapy Conversations, Host Hao, an experienced Occupational Therapist, dives headfirst into a controversial subject. Is Occupational Therapy the forerunner of many modern therapeutic disciplines? By tracing its historical roots back to the early 1900s, Hao argues that Occupational Therapy has significantly influenced the fields of physical therapy, art therapy, music therapy, and more.Hao provides compelling historical, philosophical, and multidisciplinary evidence, suggesting that Occupational Therapy laid the foundation for the development of these specialized therapies. From its holistic approach that combines physical and mental health to its pioneering tools and techniques, Occupational Therapy emerges as the "grandfather" of various modern therapeutic practices.Hao invites all occupational therapists to embrace their profession's rich heritage and continue its legacy by acknowledging its profound impact on the world of rehabilitation. This episode is a call to action for reflection, discussion, and a renewed commitment to preserving the holistic essence of Occupational Therapy.Join Hao in this engaging conversation, and consider the vital contributions of Occupational Therapy to the healthcare field as we know it today.