Shehnaz Munshi 49 b Maygrove Road West Hampstead NW6 2EE Mobile: 07556042802 Land line: 02076044410 Date of Birth: 10/03/1984 E-mail: shehnazm1@gmail.com TERTIARY EDUCATION University of The Witwatersrand, Johannesburg, South Africa (full-time student from 2001 until 2004), completed full 4 year BSc (Occupational Therapy) course. Graduated with BSc (Occupational Therapy) Honours degree on 1 December 2005 Achievements • Elected as Chairperson – Occupational Therapy Students Council (2004) • Represented WITS University at an international conference OT Conference PROFESSIONAL MEMBERSHIP Registered Member of the Health Professions Council of the United Kingdom (OT50487, valid from 01 November 2007 – 31 October 2009) Registered Member of the Health Professions Council of South Africa (OT0065579) from 1 April 2006 - Present Registered Member of the Occupational Therapy Association of South Africa (OTASA) from 2005- Present CRB Date of issue: 06 July 2009 CONTINUING PROFESSIONAL EDUCATION 2010 • Championing Autism Skill Sharing Day – Friday 15th January 2010 • SCIP-R (Strategies for crisis intervention and prevention – Revised). This training was completed with specific reference to working with children with challenging behaviours, autism and attention deficit disorder – November 2009 Sensory issues Training (2009) Mandatory training, 1 day – August 2009, Osmosis Training Manual Handling, Basic Life Support – August 2009, Osmosis Training Paediatric – child and infant CPR course – September 2009- Bart’s Training Online Training includes: Anyone may be at Risk of Abuse, Caldicott, Child protection, Complaint, COSHH, F actors affecting Abuse, Factors Affecting Social Norms and Values, 2009 • • • • • Fire, Health and Safety, Infection control, Intro to Pova, Legislation, Loneworker, Observing Monitoring and Reporting, Perception Of Abuse, Policies and Procedures, Professional Approach to abuse, Riddor/ Risk Incident Reporting, Roles and Boundaries, Roles/Responsibilties/Boundaries of Others, Sources of Support, Understand Types of Abuse, Understanding the Effects of Abuse, Violence and aggression • • • • INSTOPP – Institute for Occupational Therapists in Private Practise - Practice management course (May 2009) South African Institute for Sensory Integration: Sensory Integration Theory Course. (March 2009) Southern Gauteng Group Forum: Return to work following neurological, physical and orthopaedic trauma (March 2009) Leadership through Art: Workshop hosted by Studio Collective, run by Marline de la Rive Box (Physiotherapist and Art Therapist), Marlies te Witt (Music Therapist), Gre Terpstra (Art Therapist) (January 2009) 2008: • • • • • • • Crescent Clinic: Eating Disorder Outpatient Clinic lecture and launch (February 2009) Sensory Integration and Self Regulation: Examining The evidence and applications: By Susanne Smith Roley M.S.Otrl/L,Faot (2008) Attendance of POTs monthly meeting (2008) OTASA Kwazulu Natal Branch: The Wall of Development by Annemarie van Jaarsveld (August 2008) Visual Impairment Workshop (2008) Attention Deficit and Hyperactivity Support Group: The benefit of music to the ADHD child (Be Sharp Beetles) (2008) The Client Centered Occupational Group Therapy Workshop Hosted by the Occupational Therapy Association of South Africa at Weskoppies Hospital, Pretoria (2008) 2007: • • 2006: • • • Attention Deficit and Hyperactivity Support Group: ‘ADDing to Success’, a workshop about adults with ADHD Talent Management Workshop: by Fasset Management (2007) The South African Society of Hand Therapists workshop: Hand Therapy workshop by Wim Brandsma (2006) Viva Buggy and seating workshop for children with Cerebral Palsy (2006) Attended monthly departmental, paramedical and orthopaedic education and trainings workshops covering various topics including discipline specific, health and safety, and infection control (2006) 2004: • Represented WITS University at an international conference run by the Occupational Therapy Association of South Africa (2003) 2001: • • College Campus: January 2001 Qualification: Microsoft word, Microsoft Excel, Internet St John Ambulance January 2001 Qualifications: First Aid level 1 (Manual Handling, Basic Life Support) COMMUNITY AND VOLUNTEER WORK • Volunteer Occupational Therapist at an Islamic Religious School (Madressa IHSAAN) for children and adults with varying degrees of disability including head injuries, Cerebral Palsy, and Down syndrome (September 2007- present) EMPLOYMENT HISTORY (1/04/2010 to 16/07/2010 Travelling within UK, Spain, France, Belgium, and visit family in South Africa) NHS Newham and Community Health and care services: Child Development Centre at West Ham Lane Clinic Position Held: Senior 1 Locum Paediatric Occupational Therapist Period: 4 January 2010 – 31 March 2010 • Clinical Areas Covered: Varied Caseload of children aged 0-16 years. This includes children with learning disabilities, Autistic Spectrum Disorder, Global Developmental Delay, Neurological Impairments, ADHD, sensory-perceptual-cognitive dysfunction. • Skills acquired Clinical, administrative, report writing, groups, Interdisciplinary team work, Multi- Disciplinary Team work Considering the cultural diversity of Newham where members of the community come from a rich variety of ethnic, religious and linguistic backgrounds • Key Tasks: Individual therapy (Consisting of 4-6 sessions over a 6 week block. Providing a detailed therapeutic program and report to the family, school and MDT) Group therapy (groups include movement, hand skills, hemiplegia, learning disabilities, sensory integration) Assessment Tools: Clinical Observation Assessment (Ayers), Developmental Test of Visual Perception, Visual Motor Integration, Test of Visual Perceptual Skills, Hawaii Early Learning Profile, Wits Developmental Milestone Assessment, Write from Start Program, Speed up Program, sensory profile assessment Intervention strategies include Personal Care Assessment (Feeding, toileting, bathing, grooming), Gross and fine motor skills, Play skills, Behaviour strategies, sensory integration, communication Assessment and referral to seating clinic in order to provide seating for school and home use Referrals to splinting clinic Regular Liaison and joint intervention sessions with members of the multi-disciplinary team. Providing child and family centred service Rendering therapeutic advice and intervention in schools, nursery, health centre, and home visit. Kestrel House School (Part of the Eagle House Group of Schools – an independent day school), Crouch Hill (3 days a week) Hatton School (Borough of Redbridge) – awarded best Autistic School in England (2009) (2 days a week) Position Held: Senior 1 Locum Period: 18 October 2009 – 19 December 2009 • Clinical Areas Covered: Children aged 4 to 16 years who hold Statements of Special Educational Needs for Autistic Spectrum Disorders (ASD's) and associated social and communication difficulties The children present with diverse learning, developmental and physical needs (including challenging behaviour) • Skills acquired Classroom intervention strategies, developing care packages, teacher and teacher assistant training, clinical skills including assessment, and intervention of children with ASD, group running, advisory, classroom adaptations, conflict management • Key tasks: Selecting and applying relevant occupational therapy assessments when working on a one to one basis with students to identify deficits in the areas of self-maintenance, productivity and leisure Conducting classroom observations and assessments to identify areas that create a negative impact or a barrier to the effectiveness of the learning environment. Working with children (in school) and the team (including families) to identify occupational therapy goals and formulate treatment plans using evidence based practice Working with the classroom team to identify classroom strategies, groups, adaptations and interventions strategies that can be applied Identifying the appropriate treatment approach to apply to specific situations within the frame of reference and context of the school Monitoring, evaluating and modifying existing treatment therapy programmes in order to ensure that they remain effective Informal staff training on sensory integration, strategies that can be implemented in the classroom and other areas of occupational therapy intervention Working collaboratively with staff teams across the school - including Psychologists, Speech and Language Therapist, Education and Administration Working within and contributing to the clinical teams (education and on a multi disciplinary basis). This was to ensure a well coordinated care plan is in place for each student. Assisting with the management of challenging behaviours within the school Report writing Developing care protocols for specific clinical issues (this included sensory diets, specific equipment) Monitoring stock levels and ordering new equipment as necessary (16/09/2009 to 18/10/2009 Travelled within England) Evelina Children’s Hospital (Guys and St Thomas Trust), Westminster, London Position Held: Senior 1 Locum Period Worked: 03 September 2009 until 16 September 2009 Clinical Areas Covered: Orthopaedic ward, Paediatric ICU, Neurology Ward Duties and responsibilities include: Children were referred to OT from orthopaedic pre assessment clinic, inpatient admission as well as surgery lists. Attending orthopaedic Pre-Assessment Clinic with the multidisciplinary team to establish pre-op functioning of the patient, discuss the plan for admission considering the patients weight bearing status and hoist transfer needs. Equipment needs were determined based on the patient’s diagnosis, post op transfer needs as well as the home environment. Transfer methods were practised if required Assessing wheelchair requirements needed at home once the patient is discharged Ensure that ongoing outpatient care is in arranged. Assisted in the safe discharge and community referral of a patient with Gullaine Barre Syndrome Using splinting principles to make a functional resting hand splint for an infant with severe joint deformities. Working in Paediatric intensive care unit, using sensory stimulation and functional developmental principle to promote the developmental milestones of a variety of children with developmental delay. Administration including SOAP notes and reports. (06/08/2009 to 03/09/2009 Moved to the United Kingdom, and travelled within London) Job title: Occupational Therapist in the field of paediatrics Dates: 01/01/2007 – 05/08/2009 Employer: Self Employed, working alongside the Child Support Centre • Conditions seen: Children with learning disabilities, ADHD, sensory-perceptual-cognitive dysfunction, dyslexia, emotional problems and developmental milestone delay. • Skills acquired Clinical, practice management, financial and administration skills, group running skills, teaching skills • Key tasks: Clinical skills Implementation of the OT process Conducting standardized assessments including: GoodenoughHarris Drawing Test, The Developmental Test of Visual Perception- 2, Clinical Observations of Neuromuscular Control, Test of Visual Perception Skills, Developmental test of VisualMotor Integration Utilizing a therapeutic, compensatory and rehabilitation frame of reference to guide long and short term planning Developing comprehensive individualized treatment programs for each client Using individual and group therapy as a therapeutic medium Compiling detailed professional reports Compiling home programs for individual use Managing and monitoring the progress made by the child and the implementation of the home program Managing the discharge plan Monitoring the progress of the child post discharge Liaising with the relevant professionals on a regular basis as part of the holistic management of each client. They include teachers, speech and language therapists, paediatrician, child psychiatrists, educational psychologists, remedial teachers, dieticians, social worker and parents Educating parents, teachers and other professions about the role of OT and the therapeutic program that is implemented for each child Management Practice management: to ensure that the daily running of the practice is efficient and of a professional and high standard Management of finances Business management Organizational skills Leadership skills Being a consultant for the school as well as community members Team work Job title: Junior Occupational Therapist (Compulsory government work for a year) Dates: 01/01/2006 -- 31/12/2006 Employer: Stanger Hospital (500 bed hospital) Sumdumbile Community health Care Clinic Ndwedwe Community health Care Clinic • Clinical Areas of Work: Paediatrics: Neurological, Delayed Milestones, Nutritional Deficiencies Neurological: Stroke, Head Injury, Multiple Sclerosis, spinal cord injury General Medical Surgical: Burns, Trauma Hand therapy, splinting, nerve palsy Orthopaedics: fractures, spinal cord injuries, all trauma, elective surgery (total hip replacements), amputees Intensive Care Unit HIV related degenerative conditions Psychiatry Projects initiated: Paediatric stimulation project, group work, spinal cord rehabilitation committee • Skills acquired Clinical, management, community and teaching skills, administration, splinting, report writing, leader • Key tasks: Department managed by myself and a junior OT where management and clinical duties were equally shared and rotated between the hospital and 2 community health care clinics Assessment and treatment planning of patients with various conditions, using various treatment approaches Hospital wards (acute approach) Outpatients (long term rehabilitation approach) Rural, primary health care clinics (community based rehabilitation approach) Utilizing both group and individual treatment strategies. The nature of treatment programs include the planning of daily home exercise programs, multi-disciplinary treatments, stimulation, health promotion, and prevention, caregiver support and recommendations, report writing Attending the orthopedic departments’ twice weekly multi-disciplinary grand ward-rounds in order to provide input on the role and treatment plan of the occupational therapist Administrative duties required for the daily running of the department Compilation of stats Maintaining accurate written records and comprehensive progress and discharge reports as required Working in a multidisciplinary team including social worker, physiotherapist, dietician, psychologist, speech therapist, audiologist Attendance of management meetings including infection control, health and safety meeting, cash flow, paramedical meetings and Human Resource Development meetings Development of policies and procedures to guide the running of the department, as well as conducting clinical audits to ensure the implementation of these policies Development of quality improvement programs to improve the standard, efficiency and quality of the service at the hospital In-service to other hospital staff regarding the role of occupational therapy Attended and contributed at regular District, Regional and Provincial Occupational Therapy Forum meetings. Helped with the planning of hospital and clinic events, e.g. Christmas/ Farewell parties, Cerebral Palsy week, Community awareness Days Assisted with marketing of OT services within the hospital Management of the rehabilitation department of 2 primary health care clinics: Running and administration of the Cerebral Palsy and Developmental Delay clinics. Ensuring that the services are advertised, accessible and of benefit to the community Administrative duties required for the running of the clinics Ongoing management and training of the Community Rehabilitation Workers at the clinic to ensure sustainability of the rehabilitation services within the community Providing education for the community around topic of health promotion, disease prevention, and rehabilitation Ensuring that assistive devices are administered effectively to patients (splints, wheelchairs, crutches, bandages) Ensuring that patients that require hospitalization are transported to Stanger hospital Replenishing resources that are needed for effective running of the clinics. Liaising with the management of the clinic to ensure that they understand when therapists are available, the protocol for treatment and scope of practice within the clinics Neurological Conditions (Female and male medical ward) Conditions arising from illness or injury Treatment using Reed, Bobath, NDT approach to therapy Parkinson’s Disease: Acute inpatient treatment Stroke: Weekly exercise groups, Daily acute inpatient treatment, rehabilitation outpatient treatment, assistive devices, home visits, family advice, exercise programs Traumatic brain injury Multiple sclerosis Spinal cord injury : Rehabilitation Neuromuscular conditions Hand Therapy (inpatient and outpatient treatment) Manufactured splints for nerve injuries, tendon injuries, trauma, shoulder injuries, drop foot, complex regional pain Manufactured pressure garments Recommending assistive devices Scar treatment Vocational Rehabilitation (outpatient assessment case load) Conducting functional assessments and work assessments for patients requiring disability grants as well as care dependency grants Paediatrics (paediatric ward, neonatal ICU, burns, inpatient, outpatient) Conducting formal assessments, standardized testing, simulated tasks in all occupational performance areas, observation, interview, groups and informal assessments Formal assessments include: Goodenough-Harris Drawing Test, The Developmental Test of Visual Perception- 2, Clinical Observations of Neuromuscular Control, Test of Visual Perception Skills, Developmental test of Visual-Motor integration Setting up and running of 2 monthly paediatric support groups. Groups run by speech therapists, physiotherapists and occupational therapists Cerebral Palsy Clinic: includes Cerebral Palsy, microcephalus, hydrocephalus, down syndrome, spinae bifida Developmental Delay Clinic: Malnutrition, sensory stimulation and generalized developmental delay Duties of the clinics described above include: multidisciplinary (physiotherapy, speech therapy)treatment of the main problem concerning the child, plotting developmental charts, providing the necessary assistive devices, organizing for professionals to address the caregivers (dietician, psychologist), providing information regarding grant application and disability rights, providing written, picture resources and home programs CLINICAL EXPERIENCE GAINED AS A STUDENT 2005 The following duties and responsibilities were fulfilled at each fieldwork placement visited • Identification, assessment and treatment of patients with various conditions • Inpatient and outpatient care • Informal assessment, e.g. interview, observation, screening, collateral from family members, employees, etc. • Standardized assessments, e.g. WASP, VALPAR, Rivermead, Beery-VMI, DTVP-R, Clinical Observation for neuromuscular function • Health promotion programs and prevention of further disability • Organized “de-institutionalisation” events, e.g. picnics, excursions at chronic care centers • Therapy sessions were held individually, as well as in groups • Ward programs and home programs were designed • Home and work visits conducted where necessary so that recommendations for possible adaptations and assistive devices could be made • Basic administrative duties were carried out. Staff meetings, ward rounds, case presentations and in-service programs were attended • Worked closely with all other health care professionals in a multi-disciplinary team to maximize patient care. • Report writing (full length report, referral letters and discharge summaries) • Obtaining collateral information from all necessary sources regarding the patients treatment Placement Johannesburg general Hospital AND Life Rehab Centre Afrox Riverfield Lodge (Private Rehabilitation Hospital) Details Conditions seen: Cerebro-vascular accidents: Groups (including nutrition groups, Exercise groups, activities of daily living), Individual inpatient treatment, family visits, home visits, assistive devises Neurological Gullaine barre syndrome: Training independence in activities of daily living, Muscle strength exercises, Home care planning, Family meetings, Assistive devices, psychological support Blind patients: organizing cane training, orientation to hospital environment, independence in activities of daily living areas, accessing community facilities for blind people. Head injury: individual sessions including muscle training and perceptual testing, family visits Multiple sclerosis Paediatrics: Burns Spinal cord injuries: Paraplegia: Pressure care, upper body strength, wheelchair training, transfers, provision of assistive devices to aid lower limb dressing, psychological support Hand therapy and splinting: paediatrics and adult splinting Orthopaedics: Motor vehicle accidents, trauma and other orthopaedic dysfunctions Adult perception Additional Duties Attendance of plastics and reconstructive surgery clinic Observation and assistance at the Hand therapy clinic Daily physical exercise groups to be run with patients Weekly task centered exercise groups to be run with patients Recommending special assistive devises required by the patients Hellen Joseph Hospital Acute psychiatry AND Sterkfontein psychiatric Acute and chronic psychiatry Murial Brand Cerebral Palsy School AND Chris Hani Baragwanath Cerebral Palsy Unit Transvaal Memorial Institute (TMI) Patients seen: Bipolar Mood Disorder 1 and 2 Schizophrenia Personality disorders Dementia HIV induced psychosis Head injury Drug induced psychosis Temporal lobe lesions Forensics Drug induced psychosis PTSD Additional Duties Attend weekly ward round and monthly grand ward rounds, joint treatment sessions with the resident psychologist Groups run include: life skills, socio-emotional, task centered, OPA groups, projective techniques, relaxation techniques Conditions seen Spasticity (mild, moderate, severe) quadriplegia, diplegia, hemiplegia Hypotonia Athetosis (Dyskinetic) pure athetosis, choreoathetosis, athetosis with spasticity, athetosis with dystonic spasms Ataxia (with or without spasticty and athetosis) CP with associated problems: learning disabilities, intellectual impairments, epilepsy, visual impairments, hearing impairments, speech and language problems 1 week Observation Practical at CH Bara of patients with various types of Cerebral Palsy including: Hemiplegia, Spastic quadriplegia, Athetoid, Flaccid Conditions and Duties: Administer, score and interpret standardized and non-standardized tests taught: clinical observation, DTVP , Goodenough Harris Drawing Sensory perceptual, performance component Hillbrow Community Health Care Centre Rural Placement at Kroonstad District Health Care Setting Test and VMI to brain injured, learning disabled, visually impaired, emotionally disturbed or disadvantages children Conditions seen: Depression Schizophrenia Street children Cerebral Palsy Flexor Tendon injury Cerebrovascular accidents Additional Duties Wheelchair Assessment and repair project Running of promotion and prevention workshop (TB, Antenatal awareness, schools, crèches) Psychiatric groups (relaxation group, craft group) Supervision of OTA Initiating community development project aiming at improving the personal management of street children Conditions seen: Mental retardation Cerebral Palsy Down syndrome Blind children Neurological Additional Duties Community and home visits Assistive device assessments and issuing (e.g. wheelchair, walking stick Mapping and identifying the disabled in the community Implementing Adult education principles REFERENCES Available on request