Donna,
Thanks for the website. I too work in a site where I assist patients with respiratory
disorders to improve their ability to function in their environment. I wish I could
help you with the frames of reference thing, however I can't remeber any but the model
of human occupation. That type of academia is just not my cup of tea. I suppose I'm
following one of those guys.
Jimmie Arceneaux, LOTR
On Sat, 04 August 2001, "mr silva" wrote:
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> <DIV><FONT face=Arial size=2>I wonder if maybe people aren't writing because the
> topics tend to be very deep, and may not be a reflection of what practitioners
> want to discuss. For example, when I joined, what I hoped I would find,
> and what I unfortunately haven't found, is an exchange of treatment ideas for a
> variety of disabilities/conditions our patients have, and ways to improve our
> technical skills. As I'm saying this, however, I do have to ask the group
> a "deeper" question. So, I'd like to start dialogues in 2 different
> directions. The first is something I really need, asap, as I've got a
> student coming soon and a form to fill out. The second dialogue, however,
> is of far more interest to me. Here goes:</FONT></DIV>
> <DIV> </DIV>
> <DIV><FONT face=Arial size=2>1. I've got a Level 1 student coming sooooon,
> and the school wants to know what Frames of Reference I am using. Now, I
> really hesitate to ask this question of you all, as I really, really do no want
> to get into philosophical discussions. I'm leaving these issues to the
> theorists. I presume Ron is rolling is eyes right now - I'm really not
> picking on you Ron - but I don't want to get into a discussion about this - I
> just need some fast, quick help. I work in home health with a variety of
> paitents with a variety of conditions. Can anyone tell me what Frames of
> Reference they use in this type of setting?</FONT></DIV>
> <DIV> </DIV>
> <DIV><FONT face=Arial size=2>2. How about we talk about an area that is
> one of my favorite directions for OT to go into - pulmonary rehab. For the
> longest time, I really didn't have a good handle on how to treat these patients,
> beyond energy conservation. But a couple of years ago, I found this
> fabulous website (see attachment above) and which has specific treatment ideas
> for various conditions - one of the best OT websites around, I believe. I
> used this site as a springboard for doing further reading and research into this
> condition, and it has totally changed the way I work with patients, and has
> really made me a much more effective practitioner. Now, whenever I work
> with a patient with a pulmonary (and often cardiac) diagnosis, I give them an
> information packet, rich with information, and especially teach them to really
> listen to what their bodies are telling them (by way of symptoms) and to act
> accordingly. For example, if they are cognitively intact, we discuss SOB -
> what makes them SOB, what makes it worse, better, etc, so they can really start
> thinking about it. Very often, they have been SOB for so long, they don't
> think about it, and only notice it when it is really bad. However, they
> can make real changes in their lives if they recognize the early stages of
> SOB, and learn to "nip it in the bud" right away before it gets worse, by
> performing proper breathing techniques. We then discuss the Levels of SOB
> (I've whittled the levels down to 3 is it is much more user friendly for the
> elderly) and teach how to apply them. We actually practice many different
> ADLs and leisure activities, teaching the patient self-monitoring skills, until
> they can control their breathing, without my intervening. I can't tell you
> what a powerful difference this has made in patients lives, and it was all
> through this website, jumpstarting ideas and getting me excited about
> possibilities. </FONT></DIV>
> <DIV> </DIV>
> <DIV><FONT face=Arial size=2>This is what I hope this forum will produce - a
> real dialogue ideas. What do you all think? In exchange for sharing
> this wonderful website with you, please, please, please, help me with #1 -
> Frames of Reference - please, please, please!!!</FONT></DIV>
> <DIV><FONT face=Arial size=2>Donna</FONT></DIV></BODY></HTML>
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