Ever felt like you were "in the weeds" with a complex pressure injury? You aren't alone. Our guest, Caitlin Schober, PT, DPT, from Broda Seating and I are ditching the dry textbook definitions and getting into the nitty-gritty of skin protection through seating options.

We discuss why a Stage 1 is trickier than you think, the "traffic jam" caused by those pesky donut cushions, and how to advocate for high-level seating (like Broda) without sounding like you're threatening the facility's bottom line.

Whether you're a student or a seasoned pro, this episode is packed with "Aha!" moments for geriatric care.

• Immersion vs. Envelopment: It's not just about sinking; it's about how the cushion "hugs" those bony prominences.
• Adaptive > Corrective: In geriatric and neuro care, sometimes we need to conform the chair to the person to prevent pain and skin breakdown.
• Perfusion is King: "Good blood in, bad stuff out." If the seating stops that flow, we've got a problem.

• The Decision Tree: Grab your Pressure Injury Prevention & Seating Algorithm here.
• The Cheat Sheet: Need help with documentation? Use the Clinical Justification Guide to find those insurance-approved "buzzwords."

If you've ever felt like you're just "going through the motions" of a morning ADL routine while your neuro-brain is screaming for more evidence-based intensity, this episode is your permission slip to change the game.

Today, I'm joined by Jenna Barber, MOT, OTR/L, BCPR, a neuro specialist who lives in the tension between high-level stroke research and the grit of acute care. We're pulling back the curtain on why "just doing the ADL" isn't enough for cortical rewiring. We're talking about the 300-rep goal, the controversy of compensation vs. restoration, and how to stay client-centered when the system just wants you to check a box.

• The 17-Year Gap: Why it takes nearly two decades for research to hit the clinic floor and how we can bridge that gap today.
• Restoration vs. Compensation: Navigating the controversy—when do we use "hemi-techniques" and when do we demand more from the affected side?
• The 300 Rep Rule: Why Jenna aims for hundreds of repetitions (even if it's just rubbing a washcloth on a thigh) to drive real neural change.
• Neuro-Priming 101: How to use high-intensity mobility, aerobics, or mirror therapy to "warm up" the brain before you ever touch a functional task.
• The $30 Amazon Hack: Creative ways to simulate expensive mobile arm supports when you're working in a rural facility or on a tight budget.
• OTs as the "Walking" Experts: A "high horse" moment on why functional mobility is firmly in our scope and how it acts as a motor primer for upper extremity work.

1. Repetition is King: If the brain is going to rewire, we have to move beyond one or two attempts at a shirt. Pick a sub-component of the task and hit it 100 times.
2. Be the Team Player (with a Bias): We are the upper extremity experts. If we don't advocate for the arm, who will?
3. Clinical Judgment > Textbooks: Use FES, robotics, or even a simple towel on a table to grade the task so your patient can get those reps in, regardless of their impairment level.

• @neuro_otpt_nerds (Jenna's content for evidence-based insights)
• Salia Rehab (Jenna's continuing education courses)
• Equipped Me OT (Shoutout to Lindsay for the computer arm assist hack!)

If you're an OT Accelerator member, don't forget to log in and complete the post-course quiz for a CEU.

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Also, be sure to check out the free resources available at OTflourish.com, including quick references, documentation and goal writing guides, treatment ideas, and helpful tools to support you in your OT practice working with older adults.

And if you're ready to take your practice to the next level, the OT Accelerator is here for you! It's the #1 resource and OT mentorship community for OT practitioners and students working in geriatric settings. Inside, you'll get access to evidence-based resources, treatment ideas, and a supportive community to help you feel confident and capable in your practice.

Learn more and join today at OTflourish.com/membership

Connect with OT Flourish:

• Website: OTFlourish.com
• Instagram: @OT.Flourish
• Facebook: OT Flourish

👉 Enjoyed this episode? Don't forget to subscribe and leave a review!

Your feedback helps us continue bringing valuable content to the OT community. 🎙️

This podcast episode delves into the integration of animal-assisted therapy within occupational therapy (OT). Featuring experts Dr. Macy Burr OTD, OTR/L and Dr. Taylor Chasten Griffin PhD, the episode explores how therapy dogs contribute to therapeutic outcomes. Highlighting various settings, from schools to assisted living facilities, it emphasizes the motivational and engagement benefits animals provide. The discussion includes the importance of standardized terminology, differentiating 'animal assisted interventions' from other terms, and the unique relationship between therapy animals and patients, providing a new dimension to occupational therapy practices.

Resources:

• Association of Animal-Assisted Intervention Professionals
• Therapy Animal Certification for Professionals

If you're an OT Accelerator member, don't forget to log in and complete the post-course quiz for a CEU.

🍃🍃🍃🍃

Also, be sure to check out the free resources available at OTflourish.com, including quick references, documentation and goal writing guides, treatment ideas, and helpful tools to support you in your OT practice working with older adults.

And if you're ready to take your practice to the next level, the OT Accelerator is here for you! It's the #1 resource and OT mentorship community for OT practitioners and students working in geriatric settings. Inside, you'll get access to evidence-based resources, treatment ideas, and a supportive community to help you feel confident and capable in your practice.

Learn more and join today at OTflourish.com/membership

Connect with OT Flourish:

• Website: OTFlourish.com
• Instagram: @OT.Flourish
• Facebook: OT Flourish

👉 Enjoyed this episode? Don't forget to subscribe and leave a review!

Your feedback helps us continue bringing valuable content to the OT community. 🎙️