#NurtureProject

[thenellaruiz]

[itsyaboygoboy7-blog]

Welcome back! I have a lot of realizations, learnings, and stories to tell! Join me and Senju one last time into this occupation-based journey of ours as we end this semester! Let’s get into it! :)

[thanchav]

[thenellaruiz]

[thenellaruiz]

end of a practice

        This semester is nearing to an end and I could say that it hasn’t been an easy obstacle to finish. We had several things to accomplish, presentations, reports, reflection papers which led to sleepless nights and tiresome days. Being drained almost every day led me to neglect my responsibility on taking care of Renzy. I was overwhelmed and I just thought that the environmental factors Renzy had would be enough for it to live. Of course, I was wrong. One gloomy afternoon, I visited Renzy, and I could see from its physique that it’s nearing to die. Its leaves were brownish, some were already extracted; the soil was dry and it was evident that it didn’t receive water for a few days. I felt terrible. I wasn’t able to fulfill my role, which is to take care of Renzy for this whole semester. It occurred to me that I needed to manage my time effectively in order for me to divide my time to the tasks I will need to take care. If only I was able to manage my time wisely and if only I didn’t think lightly of Renzy, then I wouldn’t feel guilty at all.

       From the first shifting up to now, I learned that taking care of Renzy is one way on how I would treat a patient in the future. It led me to think of ways on how to take care of it and how to let it grow. I had to evaluate it at first because I didn’t know anything about this plant nor did I have any background taking care of one. I focused on looking for the needs of this plant, how much water should I give and how much sunlight does it need for it to photosynthesize and produce oxygen as its role in the environment. I made sure to know these things in order for me to maximize the capability of Renzy with the role it has. Another thing that I learned is that one should collaborate with other people. This third shifting, I admit that I didn’t have much time to visit Renzy because I was too absorbed with other tasks. With the help of my other classmates, I collaborated with them and asked them to also water Renzy whenever they visit theirs and I would also do the same. Collaboration with other people would let one achieve goals, improve health outcomes, satisfaction, and reduce health care costs. This nurture project let me collaborate with my classmates which developed new knowledge, skills, and teamwork with taking care of our plant (AOTA, 2015). Another thing that I learned with taking care of Renzy is that after the evaluation that I did in order to give care to Renzy, I need to move on to the next step of Occupational Therapy Process which is intervention. I search for possible things I needed to do in order to save Renzy from dehydration. However, I wasn’t able to relive him because it was too sick and the environmental factors weren’t cooperating since there were times that the weather was really sunny then in the afternoon it would get rainy. I learned that one should be able to evaluate and think of other interventions for the care of a client, as well as putting other factors for the intervention in order to reach your goal.

      I would always be grateful for the experience Renzy gave me. Even though I wasn’t able to fulfill the goals I had planned because I failed to do the intervention, I will take it as a lesson for me when I treat patients in the future. I should learn to adapt well with the needs of the client I would be handling, and make sure to come up with interventions that they will be needing. I also learned that one should be able to evaluate and think of other interventions for the care of a client, as well as putting other factors for the intervention in order to reach your goal. Flexibility is one key to think of strategies for the improvement of your client. Letting go of Renzy has given me a heads up or a training to analyze and to identify the appropriate approach one should give. Lastly, I am thankful for Renzy because I was also able to think of ideas for optimizing its quality of life even though his was nearing to an end. Individuals approaching the end of life may experience decline in body functions and structure over time, justbas what happened with Renzy, but not a loss of right in life. As an OT, we value everything even if they’re not in their best conditions.

References

American Journal of Occupational Therapy, August 2018, Vol. 72, 7212410030. https://doi.org/10.5014/ajot.2018.72S207

Pizzi, Occupational therapy in the promotion of health and wellness. Philadelphia: F. A. Davis

[itsyaboygoboy7-blog]

Grateful for the learnings I have acquired through this project!

[thenellaruiz]

Realizations

3. What did I learn or realize during this time while taking care of this plant?

There are several things I have learned during my 2nd month of taking care of Renzy. I was able to engage with other people in order for me to know new ways on how to properly give care to my plant. Collaboration is essential for a team to work on because through this, you would be able to align your goals and thus making your task easier and doable. Another realization would be, everyone should be ready. You would never be able to predict what will happen next with the weather or with the environment; that is why we should already envision possibilities and prepare for emergencies. Just like when there was a weather forecast that it will rain hard, I immediately visited my plant and transferred from the top to the second level so that the poured rain fall would not drown my plant easily. Lastly, I realized that we should always be client-centered. Wherein you would set your activities and goals for your client, and how your client is right now. Of course, you would also need to talk with your client regarding your goals for their sessions. With that, you would be able to understand how your client is and perceive its situation.

     I just want to share that this project has led me to envision myself as an Occupational Therapist. Being one is really amazing because you get to work with different people from all walks of life and you’ll get to fulfill their goals for themselves. An Occupational Therapist also has opportunities to be creative with how they interact while catering to their therapy sessions. I know that it will be hard today but I’ll just need to envision my goals in life and how I’ll be able to restore and rehabilitate conditions of people in need.

[thanchav]

[thenellaruiz]

Here are some of Renzy’s latest pictures

[thenellaruiz]

Here are some pictures of Renzy at the start of our 2nd Shiftings

[thenellaruiz]

How unique is Renzy?

2.      How is my plant compared with the plants of my classmates? How similar or different is my plant? Why? What are my feelings regarding these similarities or differences? 

Ever since I tried to increase the independency of Renzy, I noticed that I still need to be a little attached to it because I think it had a hard time to adapt with the sudden changes I made. Compared to other plants, I am still proud of Renzy for holding on. I have seen several plants die, maybe because they weren’t taken care of or being looked at as how I treat Renzy. We already have this dynamic relationship in us wherein even though we don’t meet every day, we have this trust in each other. Trust is really important in a relationship because it is the foundation for collaboration. Without collaboration, everything will just fall apart and will be nothing.

[thenellaruiz]

How is Renzy?

1.      How is my plant? Describe your thoughts and feelings about your plant and the experience of taking care of my plant. How is it similar or different from the 1st shifting period?

It has been a month since I last updated regarding the status of Renzy. A month ago, I shared about his characteristic and traits. Now, I’ll be sharing with how he has improved. In my experience of taking care of it, I was able to apply what I have learned in Understanding Occupations. It is not only you who’ll think of what’s best for you client, you should also consult other people, or other professionals in order for you to give the maximum activities you could give in order for it to grow better and faster. During the first shiftings, I was at the entry level wherein I was visiting my plant as frequent as I could in order for me to see and accept the responsibilities I am to handle. During that time, I had the mindset of developing both skills of mine, as its therapist and the plant as my client. Developing my skills meant being flexible to the situations I needed to partake into especially during those times I won’t be able to see Renzy. I needed to think quickly for solutions because I was paranoid that the care I gave my plant won’t be enough due to environmental factors. This time, I am on the intermediate level wherein I have already seen and understood ways on how to give care to Renzy while being a little distant. Being a little distant would give my client some time to improve by itself, independently. During the 2nd shiftings, I asked some of my friends to water Renzy for me and to talk to it even for a little while. Doing those simple things, I was able to give Renzy other engagements with other people which would let him process by itself independently.

[itsyaboygoboy7-blog]

THE NURTURE PROJECT 3: HANGING ON ‘TILL THE END

Another shifting has gone by and it has been harder and stressful than ever. The workload was heavier than the last shift, which left all of us drained to the core. Even though we saw it coming we were still overwhelmed during the course of this shift. This led to further ignorance towards my plant, I was not able to visit it as much as the first shifting, whenever class was dismissed I would just go straight home and prepare for another night of studying and work, not even thinking of visiting my plant. This resulted to the worsening of the condition of my plant Senju. Even more of its leaves were withered and lost its green color, though Senju still shows some signs of life, I can already classify it as a critical condition. Senju is hanging on but if nothing is done, it could be the end of the line for my plant.

This made me feel really terrible, I was once very ambitious towards this project, now I hardly visited and took care of Senju and because of this my plant is in critical condition and is barely hanging on. I was also very frustrated that I was not able to manage my time well and ignored my responsibility as a caregiver to my plant. It really felt bad because (a) my mother will be furious at me because I did not take care of her plant, (b) I aspire to be a health provider yet I could not take care of a mere plant, in fact one of the main objectives of , and (c) I felt like I let myself down with this failure, I was stumped to see my plant in bad shape last shifting and I was so determined to

This project was designed to ready us students for the future when we do our practice, it teaches us how we will treat our future clients. This got me thinking about the future of my career, would I be able to get good feedback from a real person if I administered him/her care the way I did with my plant? Would I become a “Mabuting OT” if I continued to act like this? More importantly, if I continued being ignorant and irresponsible, would I be able to graduate and finish this course?

Even though I did not have a good outcome, it was still a learning experience for me, granted that this is a sad way to learn from my mistakes, it would still help me grow into a better person nonetheless. I realized that my work ethic has to be changed drastically and also realized the magnitude of being careless and irresponsible, if I do not manage my time well it will only leave me more stressed, interrupting my daily activities that need to be done, hindering occupational performance and not fulfilling my occupational role as well. I have to take concrete steps to improve time management in order for me to become a responsible student now and a responsible professional as well. Perhaps organizing all my thoughts and plans would be a good start.

As mentioned above, this project is designed to help us in the future towards our clients, one thing I learned is that like the different species of plants who have different needs and capacities, different types of clients also have different needs and capacities, they have their own factors, skills, strengths and weaknesses. It is an occupational therapists job to analyze what they need with the use of clinical reasoning to address the demands of his or her occupation.[1]

Recently, we learned about how technology and occupation have a relationship to one another, how technology is inherent to practice, and how it must be considered as an essential building block of occupation. Technology has been a component of therapy and has a huge impact on quality of life across society.[2]  I realized that I could have utilized my access to technology to assist me in my occupation, which is taking care of my plant. Features such as the “reminder app” would notify me of the things I need to do, through it I can easily manage my time and become more responsible in my duties. What the journal said was true, and I think that as future occupational therapist whose profession is occupation-based, we need to adapt with the times and keep up with current technology, that way we can integrate it in practice and come up with helpful interventions for future clients.

To cap off the semester, the batch of 1OT had a friendly competition by decorating our respective gardens to really make the plants stand out and the winning class would be awarded extra points in our reflections for the shift. This was a task that needed collaboration within the workplace, using the learnings we got from the panel discussion and the first visit we were able to come up with an idea for our decoration for the garden. Having to learn about, from and with each other enabled effective collaboration and certainly improved the outcome.[3] Through the power of team work, we were able to finish the decorations and fortunately we won the competition, however the learning does not stop just because we won, there is always room for improvement. In the succeeding years of college and the near future when we become professionals, we would still be encountering collaborative work. Through improving communication strategies and use of immerging technology we can come up with great outcomes in school, and maximize health care in the future.[4]

It is amazing that a plant, a small plant that does not even speak or move, has taught me a lot of things that will surely help me in the future and somehow I was able to recap all my learnings from my understanding occupations class, though it did not tackle everything, I still got substantial learnings from the very first lesson of the first shifting up until now, which are critical and important in my journey in becoming an occupational therapist. I am very thankful that I was able to have this encounter, I plan to use the different learnings to help me grow as a better person, may it be a life lesson/skill or some fundamentals for practicing occupational therapy. Though this is goodbye, I am forever grateful for all the realizations and skills that were developed because of my plant. Our Nurture Project Journey has come to an end and I am sure that all of us has a story to tell. This project is more than just taking care of a plant, it is my framework and my journal of learnings which I will carry on for the rest of my life.

References:

[1] American Occupational Therapy Association. (2014). Occupational therapy practice framework: domain & process (3rd ed.). The American Journal of Occupational Therapy, 68(1) 10-11 doi:10.5014/ajot.2014.682006

[2] Smith, R. O. (2017). Technology and occupation: Past, present, and the next 100 years of theory and practice (Eleanor Clarke Slagle Lecture). American Journal of Occupational Therapy, 71, 7106150010. https://doi.org/10.5014/ ajot.2017.716003

[3] World Health Organization: Framework for Action on Interprofessional

Education and Collaborative Practice. Geneva, WHO, 2010. Retrieved from: http://www.who.int/hrh/resources/framework_action/en/.

[4] Penelope A. Moyers, Christina A. Metzler; Interprofessional Collaborative Practice in Care Coordination. Am J Occup Ther 2014;68(5):500–505. https://doi.org/10.5014/ajot.2014.685002