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Rural Occupational Therapy

Occupational Therapists

October 19, 2020

Meet Josie and Darolyn

Occupational Therapists

What made you want to work in a rural environment?

Josie: Initially, I lived and worked in Calgary but never felt ¡°settled¡± there. We moved to Okotoks and I loved its community spirit, but it was growing rapidly and I wanted more space for gardening and raising my kids. Both my husband and I grew up in a rural setting (he is my high school sweetheart) so we were always looking for opportunities to move back home.

The chance came in 1998 when we made the ¡°big move¡± back to Castor and we truly have no regrets. It has been a wonderful place to raise our three children, we are close to family and now are farming full-time! I truly feel at home in Castor and would not choose to live anywhere else in the world.

Darolyn: When I was in my first year of studies at the University of Âé¶¹Ó³»­, two of our occupational therapy professors had attended the inaugural meeting of the Physically Challenged Farmers of Âé¶¹Ó³»­. My professors talked about how the majority of the farmers involved in the organization mentioned that they returned to farming in spite of their rehabilitation professionals, not because of them. I can still picture myself sitting in the lecture hall and vowing to be an occupational therapist that would champion the wellbeing of farmers.

After growing up on a farm and marrying a man with roots in a rural community, I knew my first-hand experience could help me serve rural Âé¶¹Ó³»­ns. The longer I live and work in this very rural community, the more passionate I become about advocating for my clients so they can get the best care available to them, regardless of their distance from a major city. Bigger is not always better!

What do you love about working as a rural occupational therapist?

Josie: There are so many ways I could answer that question. I think the biggest thing I love is that I truly know my clients. When I worked in the city, it was difficult to fully understand a client¡¯s home environment and their challenges. I find in rural practice you are able see clients in all aspects of their life, which makes it easier to really make a difference in their independence. It is also easier to remain client centered.

Darolyn and I do a small lecture on rural practice to occupational therapy students at the University of Âé¶¹Ó³»­ and the University of Calgary. In that lecture we explain the following: ¡°You may be treating your best friend¡¯s grandmother, she may have made you cookies when you were young and you already have a connection with her personally.¡± That kind of connection helps you build a very strong therapeutic relationship with clients.

I love the fact that I may see someone for home safety early on due to a recent fall, then they are admitted to acute care and I already know their home situation. I may see them in the lodge, and eventually in long term care as they age. All this amounts to my earlier statement¡­ I truly know my clients because I work rurally.

Darolyn: I love being able to provide a service that would be more difficult for my clients to receive if I didn't live and work in this area. I love the variety of my caseload and being involved with my clients through their whole continuum of care. As with most rural occupational therapists, I work in multiple environments from home care and acute care to outpatient, supportive living, and long term care. Because I work in these different environments, I might see a client as an outpatient for a splint, then I realize that they need to have a home assessment for bathroom equipment. I can refer the client to myself and see them for home care. Later, the client may end up in acute care, and discharge planning is more efficient because I know the client and their home already. Eventually they may be admitted to long term care and by then we have a rapport developed over, sometimes, many years of interactions.

I have been working in east central Âé¶¹Ó³»­ for over 30 years and I have at least two clients that I have seen in various capacities off and on for all those years. I really do love being a rural generalist. I have fantastic stories from my work and have met some amazing people over the years.