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Taylor Salewski
Topic: Three settings of outpatient occupational therapy (OT)
General Purpose: To inform
Specific Purpose: To excite and inform my audience about 3 different settings within the
field of OT.
Central Idea Statement/Thesis Statement: There are three different outpatient settings within
the field of OT that I’d like to discuss: 1) outpatient pediatric, 2) outpatient hand therapy, 3)
neuro outpatient therapy.
Introduction
1. [Attention Getter] Have you ever heard someone mention the career or field of Occupational
Therapy, and thought, “I have no idea what that is”? Well, you aren’t alone. I’ve found that most
people don’t know what it is, and I’m here today to help you understand this field of therapy.
A. Occupational therapists treat patients who have injuries, illnesses, or disabilities
through the therapeutic use of everyday activities.
B. About half of occupational therapists work in offices of occupational therapy or in
hospitals. Others work in schools, nursing homes, and home health services. (US B.L.S.)
II. [Introduce/Topic Justification]
A. Many people compare Occupational Therapy (OT) to Physical Therapy (PT). They are
similar, but not the same. The easiest way to explain the difference between physical therapy and
occupational therapy is that a PT focuses on improving the patient’s ability to move their body,
whereas an OT focuses on improving the patient’s ability to perform activities of daily living.
B. It’s important for people to be aware of this therapy field so that they can seek the
specialized help they may need, or to simply look further into this amazing profession that helps
people get back to doing what they love.
C. Did you know that the job outlook for a career in OT is expected to grow 17% within
the next 8 years? This is much faster than average. (US B.L.S.)
III. [Speaker Credibility] I have roughly 40 hours of observation and shadowing finished within
a variety of OT settings.
A. OT’s can work in a wide variety of settings, including inpatient and outpatient.
B. I’ve been drawn to the field for its creative problem-solving aspects, compassion, and
kindness that I have experienced firsthand.
C. After obtaining my bachelor’s degree, I will be applying to grad school. This is the path
for everyone wanting to become an Occupational Therapist.
1. A master’s degree is required in most states
2. Most schools have two years of academic work, followed by two years of fieldwork
IV. [Preview of Main Ideas (thesis)] Today, I am going to tell you about three possible
outpatient settings in the field of OT. I chose to talk about outpatient because it is the most
popular, and I am the most familiar with it.
A. First, the pediatric outpatient setting
B. Second, the setting of outpatient hand therapy
C. Third, neuro outpatient therapy
Transition: Occupational therapy covers a very broad variety of settings, so I say let’s talk about
some of them!
BODY
I. [Main Point] Pediatric outpatient
A. The first setting I will talk about is pediatric outpatient.
1. Pediatrics is defined as the specialty of medical science concerned with the
physical, mental, and social health of children from birth to young adulthood.
(aap.org)
2. Outpatient is defined as any service or treatment that doesn’t require
hospitalization. This often occurs in a clinic setting.
B. OT’s within pediatrics can work in schools.
1. School-based OTs work on the student’s school occupations such as social
skills, attention, behavior management, communication, fine and visual motor skills,
and handwriting
2. School-based OTs also have an important role in collaborating with teachers and
aids to help support the student’s success in the classroom
C. Pediatric OTs can help children diagnosed with: an injury, autism spectrum
disorder, ADHD, Down syndrome, cerebral palsy, and other conditions to gain the
skills which is required to engage in day-to-day activities. (MyOT spot)
1. Infants who have a risk of experiencing delayed developmental milestones can
also be assisted through occupational therapy intervention. (MyOT spot)
2. Along with providing intervention, pediatric OTs also work closely with the
family of the child as well as teachers and caregivers. (MyOT spot)
Transition: These techniques and practices with children are very important in the field and for the
future.
II. [Main Point] The second setting I’ll introduce you too is hand therapy.
A. Hand therapy is defined as a specialization of outpatient therapy in which the
occupational therapist with advanced training on the upper extremity treats individuals
that have upper extremity impairments affecting their function. (MyOT spot)
1. This setting is a big part of OT.
a. An article by MyOT spot states that, “Hand therapy can be practiced in a
variety of settings. A 2017 survey by the Hand Therapy Certification Commission
found that 47% of certified hand therapists worked in hospital-based practices
(inpatient or outpatient), 16% worked in corporate-owned outpatient practices, 11% in
physician-owned practices, and another 11% in therapist-owned practices. The
remaining were in educational institutions, skilled nursing facilities, home health, or
were self-employed/independent contractors.”
b. In this setting, patients may have arthritis, a new fracture, be postsurgery, have an injury, or a neurological impairment that could be improved from the
treatment of a hand therapist.
c. Interventions in this setting may consist of manual therapy, use of
modalities (other therapy treatments), therapeutic activity or exercise, splint
fabrication (presentation aid) or working on self-care tasks during treatment.
B. Many OT’s go on to get advanced training and receive a certificate as a Certified
Hand Therapist (CHT).
1. According to the Hand Therapy Certification Commission, the certification
requires a minimum of three years of clinical experience, including 4,000 hours or
more in direct practice working with the upper extremity. (MyOT spot)
2. Outpatient therapy settings are your best bet for getting “hands on” experience
Transition: Now, if you’re not very interested in solving everyday issues within our hands, you
might be more intrigued to hear about how OT can work on our brains.
III.[Main Point] The third setting I’m going to talk about is neuro outpatient therapy.
A. This is another outpatient setting with a focus on rehabbing patients with neurological
impairment.
B. OTs in this setting will treat individuals affected by stroke, brain injury, spinal cord
injury, Parkinson’s, multiple sclerosis, and any other neurological impairments that contribute to a
decline in function. (MyOT spot)
1. I find this setting fascinating.
2. I did some shadowing where we worked on concussion patients.
a. We worked in a dimly lit room and focused on different ways we could help them
regain their own steady focus.
b. We specifically used a brock string. (presentation aid) This is a vision aid to help the
patient learn to see with both eyes simultaneously.
C. Some goals of the therapist in this setting could include cognition, fine/gross motor
coordination, strengthening, vision, balance, and transfers.
D. In this setting, you may see patients for two weeks to over six months, so it’s an
awesome setting to personally get to know the clients and build a relationship.
Transition: The field of OT has found ways to combine neuroscience and rehab into one with this
setting.
Conclusion
I.[Summary] Today, I have explained three aspects within the OT setting that specifically look at
outpatient settings.
A. First, I reviewed the setting of pediatrics.
B. Second, I went over hand therapy.
C. Third, I explained the setting of neuro outpatient therapy.
II.[Closing Statement]
A. In OT, anyone can be affected by injury or disease that takes them out of their everyday
activities. I look forward to educating others about the field, and I’m beyond excited to help
enable individuals to carry out their daily activities of living.
B. Hopefully after listening to this speech, you have a better understanding of what the
field of Occupational Therapy can offer.
Works Cited
Sarah Stromsdorfer, O. T. R. L. (2020, April 20). The 13 most common occupational therapy
settings. myotspot.com. https://www.myotspot.com/occupational-therapy-settings/
U.S. Bureau of Labor Statistics. (2022, April 18). Occupational therapists: Occupational outlook
handbook. U.S. Bureau of Labor Statistics.
https://www.bls.gov/ooh/healthcare/occupational-therapists.htm
Rimsza, M. E., Hotaling, A. J., Keown, M. E., Marcin, J. P., Moskowitz, W. B., Sigrest, T. D., &
Simon, H. K. (2015, April 1). Definition of a pediatrician. American Academy of Pediatrics.
https://publications.aap.org/pediatrics/article/135/4/780/33636/Definition-of-aPediatrician?autologincheck=redirected
OT Caroline. (2021, May 14). Outpatient neuro rehab with Emily. OT Caroline.

Outpatient Neuro Rehab with Emily

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