Joint Protection (JP) is a strategy for performing activities to minimise the amount of strain and pain throughout the joints being used (Goodacre & McArthur, 2013). Common barriers clients face when applying JP strategies are; information memorisation, fear of appearing disabled and the unwillingness to change lifelong habits. Studies indicate that addressing these barriers is imperative for increasing the effectiveness of JP (Hammond et al, 1999) (Niedermann et al, 2009). Thus, throughout this intervention, strategies addressing these barriers will be outlined. During the first session, it is important to provide Mrs. Hansen with a detailed explanation about what JP is and clarify any misconceptions. As JP is …show more content…
Hansen. Once provided with this information, the Occupational Therapist (OT) can work with Mrs. Hansen in her kitchen, teaching her how to apply JP techniques when making spaghetti bolognaise. These may include; lifting pots with two hands, using a small jug to fill up pots with water or using scissors rather than hands to open packets. Working through tasks slowly will better enable Mrs. Hansen to retain the information. When teaching JP strategies, the OT should demonstrate the task for Mrs. Hansen first and work towards enabling Mrs. Hansen to complete the activity independently (Goodacre & McArthur, 2013). To further aid JP strategies, assistive devices and/or home modifications should be discussed with Mrs. Hansen in the first session. Below a table of the general JP strategies, specific techniques Mrs. Hansen can use when making spaghetti bolognaise and possible assistive devices or home modifications is included.
General Joint Protection Strategies
From the LAYJ (Arthritis Research UK, 2013) spread load/weight over several joints use labour-saving gadgets wherever …show more content…
Educating is used when explaining the basic concepts of JP to Mrs. Hansen and coaching occurs when she transfers these concepts to cooking spaghetti bolognaise. The OT also adapts the JP strategies to suit Mrs. Hansen’s lifestyle. By making the intervention more relevant and motivating for Mrs. Hansen, the OT also employs their skills of engagement. To further this intervention, collaboration and consultation between Mrs. Hansen and the OT are needed to discuss the use of assistive devices or home modifications.
Additionally to this, when investigating possible home modifications, the OT must use their design skills to determine the most effective adaptation for enabling Mrs. Hansen’s goal. In reference to the PEO model, this intervention will increase the occupational performance for Mrs. Hansen to assist her in achieving her goal of being able to cook spaghetti bolognaise and eventually to entertain guests. This is done by increasing the overlap of the three aspects of the model; the Person, Environment and