>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.

<snip>

I've been a member of the list for a little while and definitely enjoy
reading the discussions, but haven't always found something to comment on -
mainly (I think) because I was working in private practice with a focus on
disability management. I recently started work in a hospital based practice
and have reviewed some of the posts again - finding them of great relevance.
I like the idea of exchanging ideas on practice skills and this website you
gave was perfect for my present line of work - acute care on a
pulmonary/cardiac unit.

>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?

To address your question re. frames of reference in home health:

1. When I was working in the community I would often use a Cognitive
Behavioural Frame of Reference to guide my therapy for people who had - poor
coping skills, inability to adapt to their environment, who were pain
focused or held self-defeating beliefs.  This frame of reference is somewhat
psychoeducational and emphasizes that each person must accept responsibility
to change.

2. I also used a Rehabilitative Frame of Reference which focuses on a
person's ability to perform ADLs - by teaching my client's to compensate for
deficits that cannot be changed (i.e., Arthritis, COPD, cancer, etc.). The
goal is to maximize independence in daily living and may be accomplished by
the prescription of adaptive devices.

3. And I sometimes used Mosey's Role Acquisition Frame of Reference when
working with those who had difficulty in role transition. Looking at social
roles in the area of ADLs, interpersonal skills, and family interactions.

Hope this helps :)

Cherie - OT in Nova Scotia

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