Occupational therapist shares inspirational story
An occupational therapist at Essex Partnership University NHS Foundation Trust (EPUT) is using her personal experience of living with complex health conditions to support patients through their care and recovery.
Nicole Last was supported to train as an occupational therapist at EPUT, when the personal challenges she faces on a daily basis inspired her to help patients on a mental health inpatient ward in Colchester.
“I wanted to help others live with and manage their conditions as I have done with mine,” said Nicole.
“Occupational therapy aligns perfectly with my belief that meaningful recovery involves the ability to engage in activities we care about.”
Nicole lives with a number of complex health conditions, the most impactful being Developmental Topographical Disorientation and impaired visual memory, which make navigation extremely challenging.
During her training, Nicole completed several placements at EPUT and was struck by the organisation’s commitment to valuing lived experience within its mental health services.
“This gave me the confidence to establish my professional identity, live in alignment with my values, and feel respected as a staff member with disabilities,” she said.
Making a difference as an occupational therapist
Nicole now supports patients recovering from psychosis, helping them build social connection and re-develop daily living skills such as shopping, managing money and adhering to medication routines in preparation for discharge from the ward.
Seeing her patients progress and regain independence is what drives Nicole’s passion for the profession.
“It’s incredibly rewarding to work one-on-one with people, helping them achieve their goals and reintegrate into the community,” she said.
Overcoming challenges and driving change
Nicole has been supported to follow her chosen career path at EPUT with adjustments to her work environment and flexibility to the way in which she works.
She said: “Before starting my role, I knew I’d need significant support, as my condition has previously caused me to lose jobs. I’ve even been hit by a car due to walking into the road unknowingly.
“Additionally, I have a bladder condition requiring a sacral neuromodulator, akin to a pacemaker, which brought lifelong restrictions.
“At times, I lose the ability to walk - the cause of this remains unclear, but may be linked to my device. I’ve undergone four surgeries in 2024 alone.
“EPUT’s flexibility allows me to remain a valuable team member, despite physical limitations, and offer support to patients overcoming their own personal challenges.”
Nicole has been instrumental in helping to develop resources designed to support staff with additional needs and her efforts are paving the way for more inclusive workplaces, demonstrating that employees with physical conditions can remain valuable contributors, with the right support.