Hello Krista,
I kind of feel the same way as you at times with some of my Acute
care pt's. Granted some of the diagnosis are bogus, (dehydration, vomiting,
diarrhea) I wonder wouldn't these pt's regain there ability to perform basic
ADL's once they are hydrated, blood transfusion is done, or acute pain in
managed through medication. does performing self care on edge of the bed or
standing in front of sink speed recovery? I work in a small acute unit and
the exciting acute rehab dx like TBI, SCI, burns, CVA are rare so maybe
this is why my opinion is somewhat clouded.
Mike
----- Original Message -----
From: Krista Moore <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Sunday, April 14, 2002 6:03 AM
Subject: Re: What's wrong with OT?
>
> I have been following this thread, and it brings up many of the concerns i
> often have. Currently I spend about 30 hours a week as the only OTR in a
> nursing home, and the other 10 hours I am developing a program for OT
> intervention in the Welfare - to - Work poulation (very exciting) As an OT
> of eight years, among which i was a traveling therapist and a float
covering
> for a company with 80 nursing facilities, i have seen many types of
> practice. None of these, however were 100% client centered or functional.
> There are many OT's (perhaps even myself at times) that justify dowel
> exercises, arm bikes, standing activities as being functional because they
> provide the body with the ability to be useful in functional activities
such
> as dressing.
>
>
>
> I have now eliminated dowel exercises from most of my client's programs,
> only using them if the client specifically asks for "arm exercises". I
> believe that this is is functional, because they are performing an
activity
> with a goal -- physical fitness -- in their own mind.> b?
>
> Much of this uncertainty comes from working in areas where I believe
> overutilization of all services (not OT only) was the rule. I graduated
> into a health care system that told me I didn't truly understand what OT
was
> if I didn't see all my clients for 45 minutes twice a day, using the same
> equipment for all of them.
>
> I think this is a very valuable discussion, and I appreciate all your
input.
>
>
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