Many people can be quite reticent about selling their car as they feel like it’s a loss of independence. Whilst you don’t have to sell your car, it is advisable to consider whether it’s actually worth keeping it.

A car costs money to tax and insure, and that’s without driving it. It’s also worth noting, that when you turn 70, you can only apply for a 3-year licence that is subject to a certification of fitness to drive. 

Most importantly, you also need to consider if you feel safe and comfortable when driving a car, as driving can be extremely stressful, even to experienced drivers.

It’s always advisable to analyse if you could comfortably go about your day-to-day business without a car. If you want to retain your independence, there are a large variety of mobility scooters from small folding scooters all the way to road-legal scooters that can cover up to 60km on a single charge.  They don’t require tax or insurance and they are charged via a standard plug. The other main benefit is that you don’t need a licence to operate and they can be driven into the likes of a shopping centre or supermarket.  

If you live in an area with good transport links, and a mobility scooter could cater to your needs, then it might be worth seriously considering selling the car.

An Occupational Therapist working in mental health may work in several areas. These setting will vary and may include working with people across the lifespan of their engagement with mental health services. Some of these areas include:

• Maternal mental health
  • During pregnancy, childbirth, and post-partum.
• Children and adolescent mental health services (CAMHS)
  • For the first 18 years of a child’s life – this may include both inpatient and community-based work.
• Adult mental health services
  • This includes everyone from the age of 18+. This may include work in a forensic setting, acute/subacute, community or a mixture of these.
• Older persons
  • This work may be done with people who are experiencing mental health difficulties, people with dementia or other memory and cognitive issues while working with families and carers.

Occupational Therapists work with people and their families to increase / maintain engagement in meaningful activities to help promote mental wellbeing. An OT will conduct an assessment with the person and their family / carer if relevant. Following on from the assessment,  the OT will jointly develop a range of goals with the person.

Depending on the area and goals of the person, this can include a wide range of activities. Some of these activities may include – social engagement, arts/crafts, schooling, sports, memory tasks, puzzles, reading, gardening, yoga, meditation and sensory experiences.

An occupational therapist may conduct a variety of assessments and use a variety of models and frames of reference to assist the person to become more self-empowered.

Throughout the process an OT may work with the person on their own or as part of a multi-disciplinary team. Some other professionals may include social workers, psychologists, psychiatrists, speech and language therapist, nurses, art therapist and play therapist.

If you or someone you know is looking for more details on the work an OT can do in this area – contact your local OT who works in this area to discuss.

The American Occupational Therapy Association state the people with and ID have ‘’limited cognitive capacities and adaptive behaviours.” Occupational therapists work to help people perform their activities of daily living (ADLs) effectively and with the aim to help promote confidence, self-esteem, self-concept, overall happiness and often independence. As with any other patient population, occupational therapists help play an important role in aiming to promote meaningful engagement in a range of activities in a person-centred manner. Often this can involve engaging with the person themselves, their families, schooling/education systems, workplaces, government and councils and carers.

Depending on the person’s physical, cognitive, communication and sensory requirements, a range of interventions may be worked on with an occupational therapist. As part of any intervention the occupational therapist may also work as part of a multi-disciplinary team (MDT) including GPs, nurses, care staff, physiotherapists, speech and language therapist, teachers, social workers, and dieticians to name but a few. Furthermore, an occupational therapist may work with the person in a variety of settings including their home, schools, day services or community settings, work, respite services or residential services.

According to Justice et al., (2021) – some key areas an occupational therapist may work with this population include.

• Sensory interventions
• Seating
• Equipment provision
• Adapting environments/ environmental recommendations
• Use of natural environment
• Education for the person, family, care staff etc.
• Adapting activities of daily living
• Adapting roles and routines
• Visual arousal monitoring tools

Throughout Ireland, occupational therapists work in network disability teams (NDTs), charities, schools, and community teams with this population. Private occupational therapists may also work with this population. If you are looking for any additional information on what benefits an occupational therapist may have when working with you or someone you know with an ID – contact your local OT and learn more about the services they offer.

Great question! Occupational therapy helps patients in four main areas:

1. With fine motor skills (smaller movements such as picking up objects between the thumb and finger),
2. Visual-perceptual skills (the brain’s ability to make sense of what the eyes see),
3. Cognitive skills (thinking), and
4. Sensory-processing problems (over sensitivity to things in the environment).

The following disabilities and conditions can benefit from occupational therapy treatment:

• Birth injuries or defects
• Traumatic injuries to the brain or spinal cord
• Developmental delays or learning problems
• Multiple sclerosis, cerebral palsy
• Spina Bifida
• Chronic illnesses and pain
• Autism or sensory processing disorders
• Juvenile rheumatoid arthritis
• Mental health or behavioural problems
• Hand or foot injuries
• Memory disorders
• Broken bones or other orthopedic injuries
• Cancer

This is not an exhaustive list but it should give you an idea of the depth and breath of the assistance that an Occupational Therapist can provide.

Buying a lightweight aluminum rollator can offer a range of benefits for individuals who may need mobility assistance. Here are some advantages of choosing a lightweight aluminum rollator:

1. Portability: Aluminum is a lightweight material, making the rollator easier to lift and maneuver compared to heavier materials like steel.

2. Easy Transportation: Due to its light weight, it’s easier to transport in a car or store when not in use.

3. Sturdy and Durable: Despite being lightweight, aluminum is a strong and durable material, ensuring the rollator can support the user effectively.

4. Corrosion Resistance: Aluminum is naturally corrosion-resistant, which means it’s less likely to rust over time, especially if it’s used outdoors or in damp environments.

5. Adjustable Height: Many aluminum rollators come with adjustable handle heights, allowing for a customized fit to suit the user’s comfort and needs.

6. Maneuverability: Lightweight rollators are generally easier to maneuver, making it simpler for the user to navigate through tight spaces or crowded areas.

7. Folding Mechanism: Many lightweight aluminum rollators come with a foldable design, which makes them easy to store and transport, especially for travel purposes.

8. Comfort: Many models come with padded seats and backrests for added comfort when the user needs to take a break.

9. Additional Features: Some lightweight aluminum rollators may come with extra features like storage pouches, trays, or cup holders for added convenience.

10. Safety Features: These rollators often come equipped with handbrakes or locking mechanisms to provide stability and prevent accidents.

11. Support and Stability: The rollator provides a stable and supportive aid for individuals who may have difficulty walking or maintaining balance on their own.

12. Independence: Using a rollator can promote a sense of independence and self-reliance for individuals who may otherwise struggle with mobility.

13. Improved Quality of Life: Having a lightweight aluminum rollator can enhance a person’s ability to move around, participate in activities, and socialize, leading to an improved quality of life.

Remember to consider factors like the specific features, weight capacity, and overall design of the rollator when making a purchase decision to ensure it meets the individual’s unique needs and preferences. It’s also recommended to consult with a healthcare professional or mobility specialist for personalised advice.

The Lightweight Aluminium Rollator from Beechfield Healthcare pretty much ticks all of the boxes above and it is worth considering.

Hoists may be used with people who have limited mobility while also helping to support any carer(s) in reducing the risk of injuries due to patient moving and handling.

Prior to using a hoist, it is recommended to have an assessment completed by a relevant professional – this may include an interaction with a variety of parties including an occupational therapist, physiotherapist, nursing, carer, family members and the person themselves.

Types of hoists.

Prescribing a hoist depends on a number of factors, including the client/patients mobility level, the environment layout and the needs/requirements of the carer. Some of the main hoists available on the Irish marketplace include the following.

1. Ceiling hoists

Ceiling hoists run along fixes tracks along the ceiling. These have less flexibility than other hoists. However, these are seen to be less impactful on the carer involved, while also being more appropriate for longer distances – once set up in the room/area. Ceiling hoists have some additional considerations when purchasing including

• The structural integrity of the ceiling
• What areas in the room is the hoist required in.
• Costs – ceiling track hoists
• Recyclability – when considering any piece of equipment, being aware of its recyclability may be part of your consideration. Generally, ceiling track hoists are used in one specific room/area in the house. Due to this ceiling tracks are usually not recycled once It is no longer in use

2. Portable hoists

Portable hoists come in a few different options. Sometimes referred to as gantry hoists, these hoists allow for use in rooms where there is limited floor space and is a less arduous set up process when compared to a ceiling track hoist.

The Bedhead hoist is one type of portable hoist which allows for easy set-up, demonstration, and use. Besides requiring limited floor space, another benefit it the recyclability of the product – which can also be folded up and wheeled away on a base. The bedhead hoist can be demonstrated in a person’s house if this is required.

3. Mobile hoists.

These offer the most flexibility in the range of hoists. It allows for use in multiple rooms, however, is usually only suitable over small distances. The main considerations with a mobile hoist are.

• Floor space for it use when needed.
• Manoeuvring around furniture and fitting in around chairs, toilets, showers, beds etc. for ease of use.
• Floor material – smooth floors allow for easier manoeuvrability.
• Storage – when not in use

For more information on the type of hoist which is most suitable for you, or the person you care for, contact your local occupational therapist.

A question I get asked a lot when it comes to wheelchairs is “Do I need a transit or self-propelled wheelchair?”

Wheelchairs play a crucial role in enhancing mobility and independence for individuals with mobility challenges. Among the various types of wheelchairs, transit wheelchairs, and self-propelled wheelchairs are two distinct options designed to meet different needs. In this blog post, I’ll run through the main differences and similarities between transit and self-propelled wheelchairs, shedding light on the factors that users should take into account.

Transit Wheelchairs:

Transit wheelchairs, also known as transport or attendant-propelled wheelchairs, are designed to be pushed by a caregiver or an attendant rather than the user themselves. Here are some key features of transit wheelchairs:

1. Lightweight and Compact Design: Transit wheelchairs are often more lightweight and compact compared to self-propelled wheelchairs. This makes them easier to maneuver in tight spaces and convenient for transportation.

2. Smaller Rear Wheels: Transit wheelchairs typically have smaller rear wheels, making it easier for the caregiver to navigate and control the chair.

3. Foldable for Easy Transport: Many transit wheelchairs are designed to be foldable, facilitating easy storage and transport. This feature is particularly beneficial for individuals who require assistance but want a wheelchair that can be easily taken in and out of vehicles.

Self-Propelled Wheelchairs:

Self-propelled wheelchairs are designed for individuals who have the capability to move the wheelchair themselves. These wheelchairs provide users with greater independence and control over their mobility. Here are some key features of self-propelled wheelchairs:

1. Large Rear Wheels: Self-propelled wheelchairs typically have larger rear wheels, allowing users to propel themselves forward using hand rims. This design is essential for users who want to navigate various terrains independently.

2. Adjustable and Customizable: Self-propelled wheelchairs often come with adjustable features, such as seat height, backrest angle, and footrests. This customization allows users to find the most comfortable and ergonomic positions for their unique needs.

3. Heavier Construction: In contrast to transit wheelchairs, self-propelled wheelchairs may be heavier due to the larger rear wheels and additional features. This can impact their portability but contributes to durability and stability.

Similarities:

1. Basic Structure: Both transit and self-propelled wheelchairs share a fundamental structure, consisting of a seat, frame, wheels, and footrests. The difference lies in the specific design and features that cater to different user preferences.

2. Adjustable Features: While self-propelled wheelchairs often offer more customisation options, both types of wheelchairs may have adjustable features to ensure comfort and accommodate individual needs.

The choice between a transit wheelchair and a self-propelled wheelchair depends on the user’s mobility needs and preferences. Transit wheelchairs offer convenience and ease of use with the assistance of a caregiver, while self-propelled wheelchairs empower users to navigate their environment independently. Understanding these differences can help individuals make informed decisions that align with their lifestyle and requirements, ultimately enhancing their mobility and quality of life.

Having said all that, it’s important to note that I always recommend an assessment to determine the most appropriate type of wheelchair and just as important, the correct size. An occupational therapist conducts a wheelchair assessment by evaluating the individual’s physical abilities, functional needs, and environmental factors to determine the most appropriate wheelchair. This involves assessing posture, mobility, strength, and coordination, as well as considering the person’s daily activities and living environment. The therapist also considers the client’s preferences and goals to ensure the wheelchair meets their specific needs, promoting independence and improving overall quality of life.

As you can see, choosing the right type of wheelchair should not be left to chance.

You can view a range of quality, affordable transit, and self-propelled wheelchairs here.

Occupational therapists can work with children and their families on the development of skills for everyday life. Skills may include dressing, eating, handwriting, riding a bike. It may also include assessing seating, enhancing a child’s self-confidence and independence, mental health concerns and liaising with schools, GPs, family members, carers and other healthcare professionals. Some examples of how an OT would work with children and teenagers are outlined below.

 Handwriting

Occupational therapists can work with your child in improving their handwriting. Some strategies used are aimed at improving:

• Sitting posture
• Postural control
• Core stability
• Shoulder strength
• Paper position
• Pencil pressure
• Letter sizing
• Direction of writing
• Reflection skills on handwriting
• Education in relation to grip of pencil/pen

 Seating

Sometime children or teenagers may require an assessment on their seating. Some examples include:

1. Assessing and helping to set up an ergonomic work environment for a teenager to study.
2. Wheelchairs – depending on the child/teenager mobility.
3. Custom seating – this can include specially moulded seats for use on wheelchairs to mobilise or as a comfort chair. Custom seating is usually required if the child has complex seating needs and/or to ensure optimal posture.

Mental Health

Occupational therapist also works in mental health settings. Here OTs work with children/teenager and their families in improve their physical psychological and social well-being. The OT will work alongside other healthcare professionals in improving function across play/leisure, self-care, activities of daily living and school.

An OTs role in working with children and teenagers is a wide and ever-expanding field. If you have any questions on whether you think OT might help you or a family member contact your local OT to get more information.

The SENcastle is a professional-grade, portable sensory room designed to provide a controlled environment for individuals with sensory processing challenges, such as Autism or ADHD. Unlike standard play tents, it is constructed from thick, acoustic-dampening PET felt that effectively blocks out external noise and visual clutter, creating an immediate low-arousal sanctuary.

Developed in collaboration with occupational therapists, it features an integrated system of 57 interactive cards that activate over 200 sensory scenes. These scenes control a central LED light column and soundscapes to tailor the environment for relaxation or stimulation. The set also includes six specialised sensory cushions—vibrating, weighted, tactile, and auditory—to provide a comprehensive, whole-body therapeutic experience that supports emotional regulation and sensory integration in schools, clinics, or at home

Stairlifts can vary in price depending on the type and model you choose. On average, a basic straight stairlift can cost between €1,599 and €2,500, while a curved stairlift can cost upwards of €4,500.

 A curved stairlift is a type of stairlift that is specifically designed to be used on staircases that have curves or turns in them. This type of stairlift is typically custom-made to fit the exact measurements and specifications of the staircase it will be installed on, allowing it to navigate the curves and turns in the staircase safely and smoothly. Curved stairlifts are typically more expensive than straight stairlifts, but they are a valuable investment for anyone who needs assistance with mobility on a staircase that has curves or turns.

 Keep in mind that the above prices are just estimates, and the actual cost of a stairlift will depend on a variety of factors, such as length of your stairs, the complexity of your staircase (straight or curved) and any additional features you may want.

 It’s always a good idea to get a quote from a reputable stairlift company to get a more accurate idea of the cost. You may be entitled to a grant of up to €6,000 which may cover 100% of the cost of the work.