OCCT13002 - Enabling Strategies in Neurological Rehabilitation
Term 1 - 2017


All details in this unit profile for OCCT13002 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student). The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.

Overview

In this unit students will learn how to work with clients who experience neuromuscular, sensory, cognitive and perceptual impairments as a result of a wide variety of neurological problems. Using the occupational therapy practice process they will gather information about the lived experience of people with these conditions and explore the evidence based literature in order to investigate best practice for collaborative goal-setting, intervention planning, service delivery and evaluation. Students will extend their knowledge of the aetiology, pathology, and prognosis of various neurological conditions experienced by occupational therapy clients across the lifespan and from acute care settings through to the community. A series of case studies including presentations from real clients will be used to scaffold students’ learning and they will be required to analyse and select appropriate contemporary occupational therapy practice models to guide their response to these complex case studies.

Details

Career Level Undergraduate
Unit Level Level 3
Credit Points 6
Student Contribution Band 2
Fraction of Full-Time Student Load 0.125

Pre-requisites or Co-requisites

BMSC 12007 Neurological Physiology and Measurement and

OCCT 12004 Occupational Performance across the Lifespan 2 and

ALLH 12007 Research Methods for Therapy and

ALLH 12006 Evidence-based Practice and

OCCT 12006 Understanding the Environment.

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Offerings

Term 1 - 2017
  • Bundaberg
  • Rockhampton

Website

This unit has a website, within the Moodle system, which is available two weeks before the start of term. It is important that you visit your Moodle site throughout the term. Go to Moodle

Recommended Student Time Commitment

Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Assessment Overview

Assessment Task Weighting
1. Written Assessment 20%
2. Portfolio 30%
3. Group Work 50%

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Procedures for more details of interim results and final grades.

All University policies are available on the IMPortal.

You may wish to view these policies:

  • Grades and Results Procedure
  • Assessment Policy and Procedure (Higher Education Coursework)
  • Review of Grade Procedure
  • Academic Misconduct Procedure
  • Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
  • Monitoring Academic Progress (MAP) Policy and Procedure – International Students
  • Refund and Excess Payments (Credit Balances) Policy and Procedure
  • Student Feedback – Compliments and Complaints Policy and Procedure
  • Acceptable Use of Information and Communications Technology Facilities and Devices Policy and Procedure

This list is not an exhaustive list of all University policies. The full list of University policies are available on the IMPortal.

Feedback, Recommendations and Responses

Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.

Feedback Source Recommendation
Many positive comments on course content, delivery style of lecturer, supportive reading materials, and participation of clients Student feedback Continue to offer course using the same structure
There is a need to have more time each week to complete tutorial activities, and also because there are often some connections problems at the start of class which means we lose approximately 15 minutes. Student feedback Increase tutorial time by 1 hour per week
There are many readings to undertake. Make sure reading is available to multiple students. Student feedback Make sure that each reading supports the teaching undertaken and review readings to determine if any can be reduced. Discuss the e-book with librarians and determine a way to ensure multiple reader access.
On successful completion of this unit, you will be able to:
  1. Describe and demonstrate how a broad range of contemporary health theories and occupational therapy theories in particular, can be used to structure and guide occupational therapy neurological rehabilitation programs.
  2. Discuss how a variety of congenital and acquired neurological problems give rise to clients experiencing a range of impairments, activity limitations and participation restrictions that can be addressed through an occupational therapy neurological rehabilitation program.
  3. Articulate the varying roles, assessment and intervention priorities across a range intervention contexts for clients with neurological dysfunction.
  4. Critically appraise the efficacy of current treatments, specific interventions and clinical practice guidelines commonly used in neurological rehabilitation providing evidence of this from the literature.

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4
1 - Written Assessment  
2 - Portfolio  
3 - Group Work  

Alignment of Graduate Attributes to Learning Outcomes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Graduate Attributes Learning Outcomes
1 2 3 4
1. Communication
2. Problem Solving  
3. Critical Thinking
4. Information Literacy    
5. Team Work    
6. Information Technology Competence      
7. Cross Cultural Competence  
8. Ethical practice  

Alignment of Assessment Tasks to Graduate Attributes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7 8
1 - Written Assessment    
2 - Portfolio
3 - Group Work  

Prescribed Textbooks

Stroke rehabilitation: A Function -based approach
Author/s: Glen Gillen Year: 2011
Edition: 3 Publisher: Elsevier
City: St Louis State: Missouri
Country: USA
Pedretti's occupational therapy : practice skills for physical dysfunction
Author/s: Pendleton, H. M., Schultz-Krohn, W., & Pedretti, L. W. Year: 2013
Edition: 7th Publisher: Elsevier Mosby
City: St. Louis State: Mo
Country: USA
View textbooks at the CQUniversity Bookshop
Note:

Pedretti's practice skills for physical dysfunction is a comprehensive resource for learning in this course that will be useful across the occupational therapy program and in future clinical practice.

Stroke rehabilitation : A function based approach will guide students working with stroke, but links will also be made to working with clients who have other neurologuical conditions (such as head injury).

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
  • O'Sullivan et al (2014) is now available through the Library as an e-text, as is Curtin et al (2010) Occupational Therapy and Physical Dysfunction: Enabling occupation (6th ed.). Other readings will be made available to students through the course Moodle website.
All submissions for this unit must use the American Psychological Association (APA) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorCarolyn Unsworth (c.unsworth@cqu.edu.au)
Note: Check the Term-Specific section for any additional contact information provided by the teaching team
Week Begin Date Module/Topic Chapter Events and Submissions
Week 1 06-03-2017

Damage and regeneration in the CNS. Theoretical approaches underlying practice in Neurorehabilitation- Biomechanical, Cognitive Rehabilitation, Neurosensory, CMOP and OPPM.

The case of Steven following brain injury using OPPM Part 1.
e-book chapter 27: available through the library (e-book) Unsworth, C.A. (2014). Assessment and treatment planning strategies for cognitive and perceptual dysfunction. In S.B. O'Sullivan & T.J. Schmitz (Eds.), Physical rehabilitation: Assessment and treatment (6th ed, pp.1222- 1265). Philadelphia: F.A. Davis.
Week 2 13-03-2017

Conditions- Head injury

The case of Steven following brain injury using OPPM Part 2.

Pendleton – Chapter 34. pp 881 O’Sullivan – Chapter 19. Pp859
Week 3 20-03-2017

Conditions- Stroke

Working with clients who have Sensory Problems

Pendleton – Chapter 33. pp 844 O’Sullivan – Chapter 15. pp645
Week 4 27-03-2017

Conditions- Spinal Cord Injury, Guillain Barre, Muscular Dystrophy

Sensory assessment and rehabilitation

Client case study- Beau Vernon will come to visit with students. Watch You Tube videos in preparation. Also watch:

http://attitudelive.com/documentary/amandas-recovery

Pendleton – Chapter 36. pp 954 O’Sullivan – Chapter 20 pp889
Week 5 03-04-2017

Conditions - Parkinson’s, Huntington’s

Working with clients who have Motor Problems

•Pendleton, H.M., & Schultz-Krohn, W. (2013). Pedretti’s Occupational Therapy Practice Skills for physical dysfunction (7th ed). St Louis, Missouri, Elsevier.

Chapter 32. Motor Learning. In OT practice skills for physical dysfunction by Pedretti, 2013, 7th edn.
Vacation Week 10-04-2017
Week 6 17-04-2017

Conditions - MS, Alzheimer’s Disease

Assessments of Motor Functioning with a focus on upper limb assessments

Motor Assessment- David (Upper limb problems as well as neglect
Pendleton, H.M., & Schultz-Krohn, W. (2013). Pedretti’s Occupational Therapy Practice Skills for physical dysfunction (7th ed). St Louis, Missouri, Elsevier.
  • pp654-655

Week 7 24-04-2017

Motor interventions- using mirrors, mitts, robotics / VR

As class falls on Anzac Day, self study materials will be developed

Choose and read ONE of the following systematic review articles: Henderson- Virtual Reality (2007) Kwakkell – Robotics (2008)
Peurala – Constraint IMT (2012)


Written Assessment Due Friday (28 Apr 17) 05:00 PM AEST
Week 8 01-05-2017

Motor interventions- using Functional Electrical Stimulation (FES)

Client case study using FES

Client with stroke to visit

De Kroon- FES (2002)


Week 9 08-05-2017

Working with clients who have cognitive and perceptual problems.

Cognitive and Perceptual assessments.
e-book chapter 38: available through the library (e-book)
Unsworth, C.A. (2010). Strategies for clients with cognitive and perceptual dysfunction. In M.Curtin, M. Molineux & J. Supyk-Mellson (Eds.), Occupational Therapy and Physical Dysfunction: Enabling Occupation (pp. 607- 635). Oxford: Elsevier.

Portfolio Due Friday (12 May 17) 05:00 PM AEST
Week 10 15-05-2017

Problems with Apraxia. Evaluation and Interventions.

Community integration following TBI.

View Case study Assignment video

e-book chapter 27: available through the library (e-book)
Unsworth, C.A. (2014). Assessment and treatment planning strategies for cognitive and perceptual dysfunction. In S.B. O'Sullivan & T.J. Schmitz (Eds.), Physical rehabilitation: Assessment and treatment (6th ed, pp.1222- 1265). Philadelphia: F.A. Davis.

Week 11 22-05-2017

Problems with Attention, Memory and Executive Functions. Evaluation and Interventions.

Case study of Catherine.

e-book chapter 27: available through the library (e-book)
Unsworth, C.A. (2014). Assessment and treatment planning strategies for cognitive and perceptual dysfunction. In S.B. O'Sullivan & T.J. Schmitz (Eds.), Physical rehabilitation: Assessment and treatment (6th ed, pp.1222- 1265). Philadelphia: F.A. Davis.
Week 12 29-05-2017

Problems with Unilateral spatial Neglect. Evaluation and Interventions.

Case study of Robert.
e-book chapter 27: available through the library (e-book)
Unsworth, C.A. (2014). Assessment and treatment planning strategies for cognitive and perceptual dysfunction. In S.B. O'Sullivan & T.J. Schmitz (Eds.), Physical rehabilitation: Assessment and treatment (6th ed, pp.1222- 1265). Philadelphia: F.A. Davis.
Review/Exam Week 05-06-2017
Group Work- case study of a client participating in occupational therapy neurological rehabilitation Due Friday (09 Jun 17) 05:00 PM AEST
Exam Week 12-06-2017

1 Written Assessment

Assessment Title Written Assessment
Task Description

Students will write an appraisal of one of the readings for this week (ie. select one of the 4 systematic reviews (SR) as presented in the readings for this week). A SR appraisal proforma for this appraisal will be provided on Moodle.

Assessment Due Date Week 7 Friday (28-Apr-2017) 05:00 PM AEST
Submit online
Return Date to Students Week 9 Friday (12-May-2017)
On-line feedback will be provided
Weighting 20%
Assessment Criteria

Provides a clear, logical and comprehensive review using professional language.

Uses evidence to support statements.

Assessment rubrics will be available on Moodle for grading this work.

Referencing Style American Psychological Association (APA)
Submission Online

submit via moodle

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Describe and demonstrate how a broad range of contemporary health theories and occupational therapy theories in particular, can be used to structure and guide occupational therapy neurological rehabilitation programs.

2. Discuss how a variety of congenital and acquired neurological problems give rise to clients experiencing a range of impairments, activity limitations and participation restrictions that can be addressed through an occupational therapy neurological rehabilitation program.

4. Critically appraise the efficacy of current treatments, specific interventions and clinical practice guidelines commonly used in neurological rehabilitation providing evidence of this from the literature.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

6. Information Technology Competence

7. Cross Cultural Competence



2 Portfolio

Assessment Title Portfolio
Task Description

Students will have met two clients during their participation in this Unit.

The portfolio asks students to put together a brief description for one of the clients only, containing the following:

- medical problem,

- behavioural goal for an intervention session

- intervention plan which includes a summary of the occupation, possible difficulties the client experiences, the intervention strategies, and approaches for grading.

Assessment Due Date Week 9 Friday (12-May-2017) 05:00 PM AEST
13 May
Return Date to Students Week 11 Friday (26-May-2017)
Marking sheet and feedback will be returned to you via Moodle gradebook
Weighting 30%
Assessment Criteria

The Portfolio Marking sheet containing the rubric for the assessment will be available on Moodle.

This will be the same as for the final assignment, so that students get practice and feedback on completing these tasks before completing the assignment.

Referencing Style American Psychological Association (APA)
Submission Online

The only document you will upload to Moodle is your Portfolio marking sheet.

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

2. Discuss how a variety of congenital and acquired neurological problems give rise to clients experiencing a range of impairments, activity limitations and participation restrictions that can be addressed through an occupational therapy neurological rehabilitation program.

3. Articulate the varying roles, assessment and intervention priorities across a range intervention contexts for clients with neurological dysfunction.

4. Critically appraise the efficacy of current treatments, specific interventions and clinical practice guidelines commonly used in neurological rehabilitation providing evidence of this from the literature.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

5. Team Work

6. Information Technology Competence

7. Cross Cultural Competence

8. Ethical practice



3 Group Work

Assessment Title Group Work- case study of a client participating in occupational therapy neurological rehabilitation
Task Description

A client video will be shown and students will complete an assignment of approximately 4,000 words in pairs. This assignment will follow the process as laid out in the OPPM (Occupational Performance Process Model) from the CMOP-e (Canadian Model of Occupational Performance and Engagement). Written details of the client will be provided at the time the client video is shown, and an assignment template in Word will be available on Moodle.

Assessment Due Date Review/Exam Week Friday (09-Jun-2017) 05:00 PM AEST
Due COB on Friday 10th June
Return Date to Students Exam Week Friday (16-Jun-2017)
Assignments will be returned via email
Weighting 50%
Assessment Criteria

A detailed description of the grading, and an example of a successful assessment is provided in Moodle.

In summary, the group assignment has 13 questions, and each question is awarded between .5 and 13 marks. The total assessment is worth 50 marks.

A rubric for marking the 2 questions most heavily weighted in this assignment has been developed and full details are provided in Moodle.

Referencing Style American Psychological Association (APA)
Submission Hard copy
Group submission

Students to submit assignments via email

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Describe and demonstrate how a broad range of contemporary health theories and occupational therapy theories in particular, can be used to structure and guide occupational therapy neurological rehabilitation programs.

3. Articulate the varying roles, assessment and intervention priorities across a range intervention contexts for clients with neurological dysfunction.

4. Critically appraise the efficacy of current treatments, specific interventions and clinical practice guidelines commonly used in neurological rehabilitation providing evidence of this from the literature.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

5. Team Work

6. Information Technology Competence

8. Ethical practice




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