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My neuro rehabilitation work is built on structured functional assessment and repeatable outcome review, so progress is visible rather than anecdotal. I use COPM to set client-led priorities and to review performance and satisfaction across therapy cycles, typically linking interventions to specific everyday occupations. For functional independence planning, I apply FIM-informed thinking to support consistent goal setting and to highlight when escalation is needed due to changing risk or functional decline. In electronic documentation workflows (including SystmOne/EPR and local OT record systems where available), I record baseline function, intervention rationale, and measurable review outcomes to support MDT coherence and robust audit readiness.

I deliver upper limb rehabilitation with a clear focus on functional carryover—grip, reaching, dressing, eating, and task performance during daily routines. Splinting is treated as a planned clinical intervention, not a one-off provision: I set and monitor wear schedules, carry out skin checks, and coach clients and carers on safe use and troubleshooting. Where indicated, I integrate tone management strategies with graded activity and task-specific practice to improve participation and confidence in ADLs. I also ensure that therapy plans connect impairment changes to everyday function, so clients understand what success looks like between sessions. Throughout, I update documentation and education points after each goal review to keep the plan practical and outcomes-driven.

In community and domiciliary settings, I complete home assessments that balance safety, accessibility, and the person’s goals. I identify risks such as transfer difficulty, falls hazards, seating inadequacy, and barriers to kitchen or toileting routines, then translate findings into equipment and adaptation recommendations aligned to functional priorities. I often prescribe and demonstrate items like transfer aids, seating solutions, and everyday-use strategies, followed by rehearsal of safe techniques so the client can implement changes immediately. To support adoption, I document agreed next steps for follow-up and supplier coordination, and I communicate clearly with MDT and social care contacts regarding timelines and expected outcomes. When discharge planning requires it, I contribute to risk-managed decisions by clarifying safe next steps for the home environment and documenting readiness criteria.

I work with MDT colleagues to ensure therapy plans stay consistent from assessment through discharge and community follow-up. This includes contributing to joint goal setting, translating OT recommendations into practical actions, and supporting risk management conversations that influence safe discharge outcomes. I liaise with carers and family members to confirm realistic home strategies, preferences, and barriers—helping the plan remain person-centred rather than purely clinically derived. In MDT handover processes and shared documentation formats, I maintain clarity on functional status, safety considerations, and the next measurable steps so continuity is preserved across inpatient, step-down, and community services. Where applicable, I use structured communication habits and outcome language to make handovers easier for physiotherapy, speech and language therapy, and social care teams to implement.