Close

Archive for category: Occupational Therapy At Work

by

You Can’t Afford to be Disorganized

Julie Entwistle, MBA, BHSc (OT), BSc (Health / Gerontology)

We all have different levels of energy, tolerance and mental attention.  If suffering from chronic pain, brain injury, or another chronic condition, chances are the DD battery that you used to have has been replaced with some AAA’s.  This means that daily activities will take more time, more energy, and you will need to recharge sooner.  So, considering this, do you really want to spend your valuable energy looking for stuff? 

Consider that you have 10 units of energy when you wake in the morning.  Every activity you have on your “to do” list takes one unit.  Going for a walk, preparing supper, managing the laundry, responding to emails, attending an appointment, completing personal care, and having coffee with a friend all drain your battery.  Some of these activities are necessary, some can be put off, and others are enjoyable.  So what if you spend one unit of energy looking for your phone, that bill that needs to be paid, your agenda, or those new runners you bought yesterday?  What activity will come off your list when you have spent your energy to find something that with some organization would have taken you no time at all?  Maybe you will call your friend to cancel, or order supper in again.  Maybe the laundry will wait to tomorrow, or those emails will just keep accumulating. But this is unnecessary because you had the energy, it just became misdirected.

Often the focus of occupational therapy becomes helping people to organize their activities, their stuff or their time.  Schedules and consistency are keys to helping people to understand the size of their battery and the amount of units each activity takes.  This can be difficult when working with clients who did not need to be organized before an injury or illness, but the necessity of this following cannot be ignored.   Even small steps to help people to be more organized can have a huge impact.

 

by

The Five Whys as a Practical Tool for Problem Solving

Julie Entwistle, MBA, BHSc (OT), BSc (Health / Gerontology)

Being fully aware of a situation requires reflection and inquiry.  Yet, often what we see and feel on the surface is not necessarily what is truly going on.  Think of those times where you have become upset at your spouse, child, or parent to later realize that what you thought were upset about was really grounded in something else.  I know personally, I use long walks with my dog and music to try and understand any sources of discontent.  I find my walks enlightening and always try to ensure that I don’t speak too soon about a problem until I have taken that time to reflect.

At a recent seminar, we discussed the value of using the Five Whys to develop awareness.  This technique is grounded in the manufacturing industry to find the root cause of a problem.  For example, a conversation might go something like this:

 

 

 

 

 

Question

 

 

Answer

 

 

1

 

 

Why did a screw get missed on that tire?

 

 

That was missed by John.

 

 

2

 

 

Why did John miss that?

 

 

The line is moving too fast and he is missing every 15th tire.

 

 

3

 

 

Why is the line moving too fast?

 

 

We have deadlines that we are not sure we will make.

 

 

4

 

 

Why can’t we meet the deadlines?

 

 

We have three staff off right now.

 

 

5

 

 

Why are they off?

 

 

They are injured and have not been replaced.

 

 

By the fifth why, the relationship between the current problem and the root problem is determined.  Now, consider the use of that in daily life.  Why am I angry?  Because the kitchen is a mess.  Why is the kitchen a mess?  Because the kids ate and didn’t clean up.  Why didn’t they clean up?  Because they were going to be late for practice.  Why were they going to be late for practice?  Because they forgot about the practice.  Why?  Because it was not written on the calendar.  So, we can get angry at our kids for not cleaning the kitchen, or realize the root cause was our fault when we failed to use the strategy (the calendar) that helps them to manage their time.

Try using the Five Whys in practice when trying to solve a problem.  See if that helps you to truly succeed in understanding situations, getting to the root cause, and being able to make change to prevent the problem from reoccurring.