Tag: OT Pocket Guide

  • 6. Helping Patients with ALS Communicate: 6 Tips from a Rehab Therapist

    6. Helping Patients with ALS Communicate: 6 Tips from a Rehab Therapist

    7-minute read

    This post contains affiliate links. If you purchase through these links, I may earn a small commission—at no extra cost to you. I only recommend tools I believe are helpful and relevant for patients, therapists, and caregivers.

    Introduction: When Words Become a Lifeline

    Losing the ability to speak is one of the most painful changes that can come with ALS. But communication doesn’t have to stop there—and it shouldn’t. For people living with ALS, being able to express themselves means holding onto their voice, their choices, and their identity.

    As a rehab therapist, I’ve seen firsthand how the right support can open doors to connection, even as speech becomes more difficult. Whether you’re a caregiver, therapist, or loved one, these six communication tips can help you support someone with ALS in ways that are both practical and deeply meaningful.


    Fast Facts About ALS

    ALS symptoms and age chart infographic

    Before we jump into the tools and strategies, let’s cover the basics:

    • What is ALS?
      ALS (amyotrophic lateral sclerosis) is a progressive neurodegenerative disease that affects nerve cells in the brain and spinal cord. It weakens voluntary muscles, including those needed for talking, eating, and moving.
    • Who gets ALS?
      Most people are diagnosed between ages 40 and 70, with the average age around 55. It’s rare, but can also affect younger or older individuals.
    • Is ALS always genetic?
      No. About 90–95% of cases are sporadic, meaning no known family history.
    • Does ALS affect the mind?
      In most cases, cognition is preserved—even as speech and mobility decline.
    • Does everyone with ALS lose their voice?
      Many do over time, especially with bulbar-onset ALS. But with tools and planning, communication can continue in different forms.

    Source: CDC ALS Facts

    Stages of ALS and Communication Changes

    Understanding where someone is in the ALS journey can help tailor communication support. Here’s a simplified breakdown:

    StageCommon SignsCommunication Support
    EarlyMild slurring, some limb weaknessWriting tools, letter boards, voice banking
    MiddleNoticeable speech and hand weaknessAAC devices, voice amplifiers
    LateSevere speech and mobility lossEye gaze systems, pre-programmed AAC tools

    1. Start Simple: Use Writing Tools and Communication Boards

    ALS patient using letter board to communicate

    In the early stages, speech may be slurred or tiring, but hand control is usually still intact. That makes low-tech tools like:

    a great place to start.

    Why it helps: These tools are quick, reliable, and allow people to express needs without complicated setup.

    Recommended Products:


    2. Make Their Voice Louder: Try a Voice Amplifier

    Voice amplifier being used to support ALS communication

    If someone’s voice becomes soft but still functional, a portable voice amplifier can help. It’s especially useful during family gatherings or doctor visits.

    Recommended Product:

    Therapist Tip: Test out different microphone positions and volumes to prevent feedback and make conversations easier for everyone.


    3. Use AAC Devices for Ongoing Communication

    AAC device being used by ALS patient with therapist support

    As ALS progresses, speech may become hard to understand—or disappear completely. That’s when AAC (Augmentative and Alternative Communication) steps in.

    AAC devices can include:

    Recommended Products:

    Need to Know: These tools work best when set up before communication becomes too limited. An SLP (speech-language pathologist) can guide the process.


    4. Go Hands-Free: Try Eye-Gaze or Head-Control Technology

    ALS patient using eye gaze to type message on screen

    When hand movement is no longer possible, tech doesn’t give up—it adapts.

    Eye-gaze systems and head-controlled mice let users move a cursor with their eyes or head and click to speak, type, or control their environment.

    Recommended Product (Head-controlled alternative):

    These systems can take some setup and training, but once in place, they empower full communication—even in advanced stages.


    5. Keep Using Devices with Adaptive Styluses

    Mouth stylus used to navigate communication app on tablet

    If a person can’t use their fingers but still has some upper body or head movement, adaptive styluses can help them use tablets and phones.

    Options include:

    • Mouth stick styluses
    • Head-mounted or hand-mounted styluses
    • No-touch capacitive styluses

    Recommended Products:


    6. Plan Ahead with Voice Banking

    ALS patient creating custom voice bank on laptop

    One of the most meaningful things a person with ALS can do early on is record their voice before it’s lost. This is called voice banking—and the recorded clips can later be used in speech-generating devices.

    Recommended Resources:

    This process lets them speak with their own voice, even when their body can’t.


    Conclusion: Your Voice Is Still Yours

    ALS takes away many things—but with planning, creativity, and care, communication doesn’t have to be one of them. Every person deserves to express who they are, what they want, and how they feel. Whether it’s a simple letter board or an eye-controlled tablet, there are always ways to stay connected.

    Download Your Free Rehab Therapy Quick Reference Sheets

    Grab our printable OT, PT, and ST cheat sheets—great for clinics, home visits, and caregivers!

    Need More Tools? Our Rehab Therapy Pocket Guides Are Here to Help

    • OT Pocket Guide – OUT NOW!
    • ST Pocket Guide – Coming This May
    • PT Pocket Guide – Coming This October

    Each guide is packed with checklists, tips, and real-world tools for therapists and caregivers.

  • 3. Your First OT Job? Here Are the Tools You’ll Actually Use

    3. Your First OT Job? Here Are the Tools You’ll Actually Use

    8-minute read

    Let’s get technical here—your first job as an OT or OTA is likely your fieldwork, which (surprise!) is typically unpaid. But whether you’re gearing up for fieldwork or just signed your first contract as a new grad, one thing’s for sure: having the right tools makes all the difference.


    This guide cuts through the clutter and gives you the actual must-haves—whether you’re stuffing your first rolling tote or looking for a thoughtful OT Month gift or starter kit. And although this list is focused on the occupational therapy fieldwork experience, physical therapists and students may find many of these tools equally helpful.

    Heads up! This post may include affiliate links, which means I might earn a small commission (at no extra cost to you) if you decide to make a purchase. I only share things I truly find helpful—thanks for supporting the blog!

    10 Amazon Must-Haves for New Grad Occupational Therapists

    Each item listed is practical, therapist-approved, and ready to support your success from your very first day.


    1. OT Pocket Reference Guide


    A quick-access, pocket-sized tool packed with evaluations, precautions, treatment ideas, and documentation tips.


    Why it’s a must: You’ll want this for those moments you blank on standard assessments or need a CPT code on the fly. Whether you’re a fieldwork student or full-time therapist, the right reference saves time, improves accuracy, and boosts your confidence when charting or brainstorming interventions.


    Recommended resource: Our very own OT Pocket Guide—created by a working therapist, designed specifically to support you during evaluations, interventions, and documentation. It’s like a clinical cheat sheet in your pocket—and it’s already helping therapists nationwide.


    Suggestion: Productive Rehab Therapist Pocket Guide for Occupational Therapy



    2. Gait Belt with Metal Buckle

    This is a non-negotiable in nearly every adult-based setting.


    Why it’s a must: You’ll need it for transfers, bed mobility, and any functional mobility training session. But more importantly—it’s essential for safety and liability protection. If a patient were to fall under your watch, a facility or supervisor will always ask: “Were you using a gait belt?” Having one is often the make-or-break factor in preventing injury (or lawsuit).


    Suggestion: Secure Transfer Gait Belt with Metal Buckle


    3. Comfortable, Slip-Resistant Footwear

    Forget fashion—go for comfort and traction.


    Why it’s a must: You’re on your feet all day, often lifting, guarding, and demonstrating movement techniques. And let’s face it—spilled drinks, recently mopped floors, or slick surfaces are very real hazards. Slip-resistant shoes help you stay upright and avoid workplace injuries, all while keeping you supported through 8+ hour shifts.

    One of my personal favorites? Slip-on, slip-resistant Skechers—easy to wear, supportive, and perfect for busy therapy days. I highly recommend giving them a try.

    Suggestion: Skechers Work Slip-On Slip-Resistant Shoes

    HOKA Bondi SR or Dansko Professional Clogs for more options.


    4. Rolling Therapy Tote or Backpack

    A game-changer for students and therapists on the move.


    Why it’s a must: Keeps your hands free while organizing everything from paperwork to sensory tools. Neatness matters—especially when you’re traveling between clinics, schools, or homes. A good rolling tote or therapist backpack helps you look prepared, professional, and efficient.


    Suggestion: Rolling Utility Tote or Therapist Laptop Backpack



    5. Blood Pressure Device (Wrist or Arm Cuff)

    Because vital signs aren’t optional.

    Why it’s a must: Blood pressure monitoring is essential during evaluations, ADL assessments, and documenting status changes. It’s smart to have your own, even if your facility supplies one—especially in busy settings where equipment isn’t always readily available.

    Whether you go the traditional route with a manual cuff and stethoscope, prefer the accuracy of an upper arm digital monitor, or need the convenience of a wrist cuff, having your own device ensures you’re always prepared.

    Suggestions:

    Two-in-one tools are fieldwork gold.

    Why it’s a must: You’ll use a pulse ox to monitor oxygen levels, especially with patients on O2 or those with respiratory issues. It’s also great for pursed lip breathing education and activity tolerance tracking. Pair it with a stopwatch to time walking tests, exercises, or ADLs—and you’ve got a power combo for cardiopulmonary care.


    Suggestion: Zacurate Pulse Oximeter + Stopwatch Combo



    7. Scrubs with Stretch & Pockets

    Comfort and function in one.


    Why it’s a must: Scrubs are basically professional pajamas—but finding the right fit with stretch and pockets will take you far. They should move with you through lifts, squats, kneels, and transitions, all while keeping you looking clean and put-together. Choose quality over quantity here!

    Suggestion: Figs Scrubs or Cherokee Workwear Stretch Scrubs


    8. HIPAA-Compliant Clipboard

    It’s more than just a writing surface—it’s privacy protection on the go.


    Why it’s a must: Store paperwork, pens, and small tools while keeping sensitive client information secure. It doubles as a mobile workstation—keep your schedule, eval templates, SOAP note prompts, or quick references inside. It also shows patients and staff that you’re organized and professional from day one.

    Suggestion: Saunders HIPAA Privacy Clipboard (aluminum) or Sooez HIPPA Privacy Clipboard (plastic)



    9. Mini Dry-Erase Board with Markers

    The underrated therapy essential.


    Why it’s a must: Useful for visual schedules, multi-step instructions, and especially helpful with patients who are hard of hearing, non-verbal, or just need a visual cue to stay on task. It’s also more eco-friendly than paper handouts and comes in clutch when you’re doing group therapy or redirecting cognitively impaired clients.


    Suggestion: 8.5×11 Magnetic Dry Erase Board

    10. Durable Goniometer Set

    If you’re in outpatient, ortho, or rehab, this is a must.

    Why it’s a must: Accurate range of motion (ROM) measurements are a staple in OT practice—from baseline assessments to progress notes and discharge planning. Having your own set means you’re never scrambling to borrow, and it’s a great tool to lend to a coworker—just make sure they give it back!

    I recommend the ASA TECHMED Goniometer Complete Set—it includes 6 pieces plus a body measuring tape, with protractors in various sizes (12″, 8″, 6″) for flexibility in different clinical situations.


    Suggestion: ASA TECHMED Goniometer Complete Set



    Conclusion: Tools Make the Therapist



    You’re stepping into a hands-on career where preparedness meets compassion. Whether you’re filling your backpack for fieldwork or prepping for your first full-time gig, having the right occupational therapy tools will elevate your practice and ease your learning curve.


    Don’t forget to grab our free quick reference sheets—built for busy therapists like you.


    And there’s more on the way—our Speech Therapy Pocket Guide drops in May, and the PT Pocket Guide is set for October, just in time for PT Month. Stay tuned for more quick-reference tools designed to support you across every stage of your therapy journey.

    Download Your Free Quick Reference Sheets

  • 2. Why OT Deserves More Recognition

    2. Why OT Deserves More Recognition

    7-minute read

    Heads up! This post may include affiliate links, which means I might earn a small commission (at no extra cost to you) if you decide to make a purchase. I only share things I truly find helpful—thanks for supporting the blog!

    Introduction: More Than Just “Fine Motor Skills”

    Ever wonder why occupational therapy (OT) always flies under the radar compared to physical therapy or speech therapy? While everyone seems to know what a PT or SLP does, occupational therapists are still explaining that no, they don’t just help people “get jobs.” The truth? Occupational therapy plays a crucial, often life-changing role in helping people of all ages regain independence, improve their quality of life, and thrive in their daily routines—physically, mentally, and emotionally. Yet despite its impact, OT doesn’t always get the recognition it deserves.

    Let’s change that.


    What Is Occupational Therapy, Really?

    At its core, occupational therapy is all about helping people participate in the activities—or occupations—they need or want to do every day. That includes everything from brushing teeth to going to school or work, managing medications, and even engaging in leisure hobbies.

    Occupational therapists (OTs) assess individual needs and design intervention plans tailored to support independence and functional participation. Whether it’s helping a child with autism build sensory tolerance or guiding a stroke survivor in relearning daily tasks, OTs bring science, compassion, and creativity to every session.

    🔗 Learn more from the AOTA: What is Occupational Therapy?


    What Do Occupational Therapists Actually Do?

    Depending on the setting, occupational therapists wear many hats:

    • In pediatrics, they work with children on fine motor skills, sensory regulation, and adaptive play.
    • In hospitals, they support patients recovering from surgeries, injuries, or medical conditions to regain function.
    • In rehabilitation centers, OTs are a key part of interdisciplinary teams helping patients return to independence after events like strokes or traumatic brain injuries.
    • In mental health settings, OTs use therapeutic activities to promote coping strategies, social engagement, and self-care routines.

    Their role may include:

    • Environmental modifications
    • Adaptive equipment training
    • Cognitive therapy
    • Sensory integration
    • Task analysis and skill-building

    Don’t Forget OTAs: The Unsung Heroes

    What is an occupational therapy assistant? These licensed professionals work directly under OTs to implement treatment plans, often developing strong, day-to-day relationships with clients. OTAs are vital to the therapy process and are trained in intervention techniques, documentation, and therapeutic use of activities.

    💡 Bonus: The OTA career path is a fantastic option for those looking to enter healthcare with a more flexible timeline and educational cost than a master’s program.


    Specialized Areas: From Autism to Hand Therapy

    One of the most versatile things about OT is its scope.

    • Occupational therapy for autism often focuses on sensory processing, emotional regulation, communication, and daily routines.
    • Hand therapists (OTs with advanced training) specialize in post-surgical rehabilitation and orthopedic recovery.
    • Geriatric OTs help aging adults maintain independence and prevent falls.
    • School-based therapists support students with IEPs to thrive academically and socially.

    OTs are not just generalists—they are problem-solvers with clinical reasoning and a human-centered approach.


    Occupational Therapist Job Description & Career Outlook

    An occupational therapist’s job description includes:

    • Evaluating clients’ needs
    • Designing and updating treatment plans
    • Coordinating care with healthcare teams
    • Documenting progress
    • Educating caregivers or families

    So… is occupational therapy a good career? Absolutely.

    • Job Outlook: The U.S. Bureau of Labor Statistics predicts a steady job growth rate of 12% for OTs from 2022 to 2032.
    • Flexibility: OTs work in hospitals, schools, home health, early intervention, and even telehealth.
    • Salaries: Median pay for OTs in the U.S. hovers around $93,000/year (2023 data), and OTAs average $64,000/year.

    🔗 BLS OT Career Stats


    Why Isn’t OT Better Known?

    A few reasons:

    • Confusion around the term “occupational”
    • Lower visibility in media and pop culture
    • Lack of awareness in school guidance counseling and general healthcare marketing

    But the tide is turning. OTs are advocating harder than ever. Social media, blogs, and grassroots awareness campaigns are helping push OT into the spotlight.


    The Future of OT: Innovation and Advocacy

    Occupational therapy continues to expand into:

    • Telehealth and digital health tools
    • Community health and wellness
    • Global health initiatives
    • Advanced certifications and research

    We’re seeing more OT entrepreneurs, private practices, and product creators than ever before.

    As the world learns more about holistic health, function, and mental well-being—OT is ready to lead.


    Conclusion: OT Deserves the Spotlight

    Occupational therapy is often the quiet force behind major life transformations—yet it remains overlooked. Now’s the time to amplify its voice.

    Whether you’re a student, a caregiver, or simply curious about rehab professions, consider taking a deeper look into OT. You might just discover the most rewarding path you never knew existed.


    ✅ Download Your Free OT, PT, and ST Quick Reference Sheets

    Get free 1-page therapy reference sheets designed for rehab professionals or curious learners. Each sheet breaks down common interventions, settings, and tools of the trade.

    Subscribe and Download our free Rehab Therapy Quick Reference Sheets

    Be sure to subscribe to our newsletter and keep an eye out for our OT Pocket Guide (April)ST Pocket Guide (May), and PT Pocket Guide (October)—each packed with clinical tools, checklists, and intervention-based tips for everyday use.