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KENYATTA NATIONAL HOSPITAL
OCCUPATIONAL THERAPY GUIDELINES DURING COVID-19
PRESENTED BY:
EUNICE WANJIRU – OCCUPATIONAL THERAPIST KNH
SILAS WAKULWA – OCCUPATIONAL THERAPIST KNH
EVANS OKONG’O – OCCUPATIONAL THERAPIST KNH (MODERATER)
6TH MAY 2020
Introduction• Covid-19 pandemic is having a profound
impact on the lives, health and wellbeing of
individuals, families and communities
worldwide.
• These include, but are not limited to;
accessing resources, activities of daily
living, communication, mobility, social
isolation, displacement, mental health and
wellbeing.
DAILY OCCUPATIONS
HAVE BEEN
INTERRUPTED!!!
Purpose
• The purpose of these guidelines is to
enable us to work in a safe environment
considering COVID-19 is a highly
infectious disease
Sensitizing staff and
clients
Stage 1:- sensitization of staff and
clients
•All Occupational Therapists must undergo
sensitization on COVID-19
• All staff to stay updated on the latest about
COVID-19
•Have appropriate written infection prevention
protocols
Cont..• Have signage about hand and respiratory
hygiene
• Client should be given up to date
information on COVID-19
• Always follow the infection control
protocol
preparation
Stage2:- PREPARATION
• Routinely clean and disinfect all frequently
touched surfaces and equipment with the
appropriate cleaning agents
• Ensure social distancing
• Ensure availability of clearly labelled waste
bins
Cont.. preparation
• Stay calm and have an objective view
• Ensure availability of running water and
soap or an alcohol based sanitizer
Risk assessment
Stage 3: Risk Assessment
• Multi-disciplinary sharing of information
• Access clients information from file
• Triage
Reception area
• Ensure social distancing
• Triaging of all clients
• Ensure there is recommended alcohol
based sanitizer
• Clean and disinfect reception area
Intervention
Oral motor stimulation
Stage 4: Intervention
1) Oral motor facilitation
- This aims at facilitating oral motor skills for instance feeding and communication
• Clean and disinfect therapy area and equipments before and after each session.
• Avail all the equipment needed at hand reach
• Emphasize on hand wash and hand sanitization
.
• Be in correct PPE i.e. disposable gown, a
mask, gloves, goggles
• Ensure the care giver has a mask
• Minimize body contact
• In case of contact with saliva, immediately
wash thoroughly with running water and
soap and disinfect.
• Give directions to the caregiver all through
therapy.
Milestone training
2) Milestone training
-It aims at facilitating development milestone
that either delayed or regressed.
• Minimize exposure in our setting
• Practice social distance
• Reschedule non urgent care
• Consider closure if no PPE is available
• One client at a time with accompany of
only one care giver
- Ensure the area is disinfected before and
after every therapy session
- Clean and disinfect equipment.
- Train home programme to reduce
frequency of hospital appointment
Assistive devices
3) Assistive devices
-This are equipments and devices issued to
clients to promote and support their
performance of activities.
• Train on home programme on usage
• Minimize contact when donning & doffing
splints, instead give instructions
• Keep appropriate distance when training on
use of prescribed device
- Train client how to clean and disinfect device
- Advice client not to share their device
Hand function
rehabilitation
4) Hand function Rehabilitation
-Hand therapy aims at restoration of hand
function.
• Both patient and therapist must observe
hand hygiene.
• Ensure all equipments needed are clean and
disinfected before and after use.
• Patient to use gloves for each activity.
• Have correct PPE.
Cont.…
• Minimize contact instead give instruction
during therapy session or use videos.
• Maintain social distance.
• Give home program to minimize hospital
appointment.
• Rebook non urgent clients.
Driver
Assessment and
Rehabilitation
5)Driver Assessment and Rehabilitation
- It aims at identifying and facilitating the
driving skills for persons abled differently.
• Minimize exposure in our setting
• Wear correct PPE
• Practice social distance
• Reschedule non urgent care
• One client at a time with accompany of only
one care giver
Activities of Daily
Living Training
6)Activities of Daily Living Training
-Aims at facilitating independent in activities
of daily living.
• Encourage a lot of directed movements and
limit physical contact during performance
• Use of immediate family as caregiver in
performing some tasks for understanding
and demonstration.
• Patient family education for carry over
skills.
Mental health
7)Mental health
-It aims at alleviating mental issues that
interfere with occupational performance.
• Encourage use of informant report
especially because of the mental status.
• Assess the cognitive status if using self
report during assessment.
• Use of activities to address level of
performance
Cont. • Always clean and disinfect tools used after
sessions
• Patient- family education for carry over
skills
Sensory integration
8) Sensory integration
-It aims at modulating sensory processing
• The caregiver should be in a mask always
• Only one care giver to bring the client for
appointment.
• Care giver and clients should observe hand
hygiene.
Cont.• The work station should be cleaned and
disinfected at all time.
• Therapists should be on correct PPE before
attending to patients.
• All therapy equipment should be cleaned
and disinfected at all time.
Cont.• No group therapy sessions.
• Care giver must accompany a child below
18 years.
• Give home programme to minimize
appointments to the hospital.
• Environmental modulation to reduce
destruction and interruption during the
session and waiting.
Lymphedema and scar
Management
9) Lymphedema and scar Management-Aimed at reducing edema and scar management
• Both patient and therapist must clean and sanitize hands.
•Observe social distance.
•Minimize body contact.
•Give proper instructions on how to use and maintain the pressure garment.
•Any pressure garment brought for repair must be clean and disinfected.
•Observe risk mitigation measures.
Acknowledgement
Special thanks of gratitude to all occupational
Therapy staff–KNH, Research and Programs-
KNH,MOH Kenya, WFOT and WHO for their
extraordinary support in making these
presentation a success.