Occupational Therapy brings specialized knowledge that can enhance outcomes for particular patient conditions. Often working in conjunction with Physical Therapy, an Occupational Therapist (OT) focuses on the ability of the patient to interact with his or her environment through activities of daily living (ADL's), educating the patient and caregiver on correct and safe methods for bed mobility, transfers, dressing, bathing and eating. An Occupational Therapist may address vision and sensory losses, identifying techniques and adaptations to the environment used for compensation of diminished senses. Positive strategies are developed for physical and mental changes that a patient may be presenting. An OT is skilled in working with upper extremity compromises as the result of fracture, surgery or neurological involvement such as a stroke. In addition, an Occupational Therapist is trained in bracing and wheelchair management.