Why Do Occupational Therapists Watch Patients Shower?
Occupational therapists (OTs) play a crucial role in ensuring that patients can safely carry out day-to-day activities, particularly those that are essential to maintaining independence. One such activity often evaluated by OTs is the ability to shower. This article explores the reasons behind this seemingly odd practice and discusses the significance of it in rehabilitation and beyond.
The Importance of Safety in the Shower
Showering is a fundamental task, but for individuals recovering from injuries or surgeries, it can be a significant challenge. Occupational therapists are trained to identify potential hazards and teach strategies to overcome them. They conduct shower evaluations to ensure that patients can perform this task safely and independently, which is vital for their overall well-being and recovery.
The Process: Evaluating Shower Safety
During the evaluation, OTs assess several factors to determine the patient's ability to shower safely and independently. They may start by observing the patient perform the task while seated in a shower chair, as this provides a stable position. If the patient is able to shower comfortably seated, they will then move on to a standing position, which requires more balance and coordination. The therapist may also assess the patient's ability to reach the water, soap, and other necessary items.
Personal Experience: A First-Hand Account
During a recent stay at a rehab hospital in Chicago, I personally experienced an occupational therapy shower evaluation. During my therapy, my OT casually mentioned that she needed to reevaluate my safety in the shower before I could be discharged home. Surprised, I asked why, and she explained that she had to ensure my safety and independence in the bathroom.
On the day of the evaluation, she entered my room, closed the door, and said, "Let's get ready for your shower. You can undress, and I'll go turn the water on." Although I was a bit embarrassed and didn't want to be seen naked, I understood the importance of the evaluation. She wanted me to sit down in the shower chair, but I opted to stand, trying to maintain a more masculine and powerful position, even though I wasn't aroused. We joked about it and she continued to observe me, ensuring everything was safe.
Why Is This Evaluation Necessary?
The evaluation is crucial because showering is a fundamental activity of daily living (ADL). A person who cannot shower safely risks falls, skin irritation, and infections. Occupational therapists are tasked with ensuring that patients can perform this task without compromising their safety or dignity. The evaluation helps them identify any potential risks and teach the patient techniques to mitigate them.
Preparation for Showering
Before patients are allowed to shower independently, OTs often conduct a dry run with the patient fully clothed to simulate the process. If the therapist is satisfied that the patient can perform the task, they provide further assistance to ensure the patient's safety. In some cases, the OT may continue to be present in the shower room to offer immediate assistance if needed.
For instances where patients are new to the process, such as after knee replacements or hip fractures, OTs closely monitor the patient during the early stages of showers. They do this to ensure that the patient is not at risk of falling or struggling with the task. Over time, as the patient improves, the OT's presence may decrease, allowing the patient to shower independently.
The Role of an Occupational Therapist
Occupational therapists are not just medical professionals; they are educators and advocates for patients. They teach patients how to adapt to their changing abilities and help them maintain independence. Shower evaluations are a part of this holistic approach, ensuring that patients can perform essential tasks like showering safely and confidently.
Training and Observation
While shower evaluations are not as common as other ADL evaluations, they are a necessary part of the rehabilitation process. OTs are trained to observe and assist patients during these evaluations, providing guidance and support to help them navigate the challenges of showering safely.
For some patients, showering can be a source of embarrassment or discomfort, especially when a therapist is present. However, the therapist's primary goal is to ensure the patient's safety and independence, not to cause the patient distress. The therapist's demeanor and enthusiasm can help ease the patient's anxiety and make the experience more comfortable.
The shower evaluation may seem like an unusual process, but it is essential for ensuring the patient's safety and overall well-being. Occupational therapists play a vital role in helping patients regain their independence and live fulfilling lives, and shower evaluations are just one aspect of that important work.
Conclusion
In summary, occupational therapists supervise and conduct shower evaluations to ensure that patients can safely and independently perform this essential task. While it may seem strange, this process is crucial for maintaining the patient's health, dignity, and independence. Through careful observation, training, and support, occupational therapists help patients navigate the challenges of daily life, making it possible for them to live with confidence and independence.