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I am an entry-level therapist working as the only
OT in a long-term care facility for young adults with spinal cord and brain
injuries. I took this position despite my fieldwork coordinators
suggestion that I work for at least a year under the guidance of experienced
OT's.
Needless to say, I think I may have bitten off more
than I can chew. I have done my best in providing purposeful and
meaningful activities. Our college OT program was based upon the CMOP
(our director was one of the collaborating authors of "Enabling Occupation: An
Occupational Therapy Perspective"). I believe strongly in the this model
and use the Canadian Occupational Performance Measure to establish treatment
plans. I have been given alot of freedom from administration and can
bounce some ideas off the the PT here, but here is my dilemma: 1).
unfortunately, I was unprepared for the vast amount of paper-work. I am
filling out CMS (HCFA) 700/701 forms for my clients but am unsure if I am doing
it properly. Can anyone suggest where I may find some completed examples
or suggest a good resource for this documentation? 2). I
desperately need to learn more intervention techniques (ie: NDT, Rood,
Brunnstrom, etc.). We touched on these in school and on fieldwork but I
need to become more competent in these therapeutic approaches. Is there
one approach I should be focusing on more with my clientele (mostly spinal cord
and brain injuries)? I really enjoy working at this facility and I
love the residents. However, I'm get further behind in paperwork each day and am afraid I'm already starting to
get stressed out (organizational skills have never been one of my strong
points). I love being an OT and enjoy your
comments Mr. Carson.
Thanks,
Dan.
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