Occupational therapy-My care plan for return to college

This is our care plan for our return to college in a couple of weeks. we worked very hard on it and I really am liking how it looks now. Our Ot mark helped us with this plan.

Management Strategies Identified

  • Anticipation and Preparation
  • Breathing techniques
  • Body Scans
  • Think about 3 things near to me. Sounds in the room. Sometimes require prompting.
  • Use quiet room
  • Time out and collect thoughts. Perhaps toilet break. If triggered can use water. Using the water fountain in the hall.
  • Telling the instructors how I am feeling would be very beneficial.

What am I looking forward to:

Learning new things

Building computer skills

Meeting people


Getting into the workforce (This is a central reason)

Making friends

Having a satisfying routine

Structure to the day

Something to get up for in the morning

What do I see as obstacles to course engagement:

  1. Instructors not knowing about jaws or equipment
  2. Equipment breaking down
  3. Lack of awareness about dog (This is ongoing but improving)
  4. Concerns about becoming unwell and unstable
  5. Work Placement and finding the right placement Will companies want to take me on
  6. Mobilising around the building (No issue currently)
  7. Exams and exam process (Will I get to do the exams on same day)

What Strategies can I use to overcome obstacles?

  1. Ring the tech person from national council for the blind and he can give training on Jaws as it is specialised equipment. I can help out re commands etc. On email support lists and I can get answers from this around technology supports.
  2. They have tech support and also the tech guy from NCBI can help with such.
  3. There will be individual support when needed and I will have an opportunity to confirm items and question if I have not processed information or grasped concepts. (Instructors are very supportive)
  4. Use weekly appointments to discuss about impacting items from past as well as current stressors. Prioritise what needs to be talked about.
  5. Do things in personal life to maintain wellness i.e. relationships. Basement resource centre, singing. Fill up evenings and use distraction techniques. Talk to link worker on the course so they are aware. Making weekend plans to support lifestyle balance will be central and I will include such in upcoming IAP.
  6. When go to do work placement anticipation and preparation will be key and using resources in NLN and outside of this to get the best opportunities available. Not pertinent currently.
  7. I have done route familiarisation and I know much of the building. The first two weeks of induction will give me time to adjust fully. Confidence has developed already and staff have been so friendly and will be helpful if required.
  8. The exams are every 6 weeks approximately. It is continuous assessment as opposed to one exam at the end of the year. This takes stress off. I have initiated availing of extra time and supports for exam to maximise likelihood of best outcomes. I will link in with my key support worker in NLN leading up to exams and discuss any concerns as they arise. Link with Mark (OT) and Fiona the psychologist leading up to exams as an aspect of exam preparation. I will see modules as challenges as opposed to a stressor. I see the challenge as maintaining lifestyle balance despite the demands of course and priorities such. This in turn will lead to improved outcomes.

Following the first terms experience what changes do I plan making to support integration and course return and maintain my wellness?

  • Increase socialisation with people in the course
  • Peer support at the basement on Tuesdays
  • Singing on Friday
  • More open communication with tutors (checking in when needed)
  • Do IAP and this is to include the centrality of lifestyle balance
  • I will see course challenges as opposed to stressors. I can work around challenges!

The following was completed in session by Shirley with the assistance of Mark (Senior OT) on Wednesday 24th February and Wednesday 9th March.