Hi Ron.
In this setting, most likely not. Typically, students here receive
at least 2 hours of PT a day. The PT most likely has addressed the
weakness, it is not appropriate for me to do the same. The weakness would
be inadvertently be addressed through treatment activity and placement, but
would not be my primary focus.
Lisa Castilla, MS, OTR
Director of Occupational Therapy
West Virginia Rehabilitation Center
P. O. Box 1004, Institute, WV 25112
(304)-766-4863/1-800-642-8207
FAX 766-4849
> -----Original Message-----
> From: Ron Carson [SMTP:[EMAIL PROTECTED]]
> Sent: Thursday, July 11, 2002 12:02 PM
> To: Lisa Castilla
> Subject: Re[4]: A message from Advance for PT
>
> Hello Lisa:
>
> Can I ask you why? Why wouldn't you address the weakness which is
> contributing to the occupational deficit? What if a client had upper
> extremity weakness keeping them from cooking? Would you address the UE
> weakness?
>
> Thanks,
>
> Ron
>
> P.S. I am not trying to be difficult or inflammatory. I am just trying to
> understand why most OT's only treat upper extremity physiological issues
> and
> not lower extremity issues.
>
> Thanks!
>
> ~~~~~
> On 7/11/2002, Lisa <[EMAIL PROTECTED]> said:
>
> LC> As a member of a collaborative team, I would be more apt to
> concentrate on
> LC> the transfer, compensatory techniques and training than actual lower
> LC> extremity strengthening.
>
> LC> Lisa Castilla, MS, OTR
> LC> Director of Occupational Therapy
> LC> West Virginia Rehabilitation Center
> LC> P. O. Box 1004, Institute, WV 25112
> LC> (304)-766-4863/1-800-642-8207
> LC> FAX 766-4849
>
>
>
> >> -----Original Message-----
> >> From: David Lehman [SMTP:[EMAIL PROTECTED]]
> >> Sent: Thursday, July 11, 2002 8:57 AM
> >> To: '[EMAIL PROTECTED]'
> >> Subject: RE: Re[2]: A message from Advance for PT
> >>
> >> Beautifully said Ron....and I agree with you....see, I am NOT one of
> those
> >> PTs....hmmmm,
> >>
> >> > David A. Lehman, Ph.D., P.T. ~ ~_/) ~
> >> > Assistant Professor
> >> > University of St. Augustine
> >> > 1 University Blvd.
> >> > St. Augustine, FL 32086-5783
> >> > (904) 826-0084 ext. 227
> >> > [EMAIL PROTECTED]
> >> >
> >> >
> >>
> >>
> >> -----Original Message-----
> >> From: Ron Carson [mailto:[EMAIL PROTECTED]]
> >> Sent: Thursday, July 11, 2002 8:46 AM
> >> To: [EMAIL PROTECTED]
> >> Subject: Re[2]: A message from Advance for PT
> >>
> >>
> >> Hey Jody:
> >>
> >> No flame!!!
> >>
> >> Do you treat lower extremity issues?
> >>
> >> I asked this because in my class discussion that I previously
> mentioned, I
> >> used the scenario that a client can't do toilet transfers because of
> lower
> >> extremity weakness. In this situation, what's the difference between
> OT
> >> and
> >> PT roles. In this case, wouldn't OT want to work on lower extremity
> >> weakness and have the client doing quad strengthening exercises or
> >> whatever
> >> muscles were weak. Students seem almost shaken by the fact that OT
> would
> >> have clients doing lower extremity strengthening.
> >>
> >>
> >> I agree 100% about the turf issue being a natural part of professional
> >> life.
> >> In fact, I constantly preach to students that OT and PT having issues
> is
> >> no
> >> different than PT and Chiropractic having issues.
> >>
> >> Unfortunately, to some extent, it's a dog eat dog world and only the
> >> strong
> >> thrive. I am coming to learn more and more than when then 'rubber hits
> >> the
> >> road' the profession of PT (not necessarily individual therapists) is
> not
> >> an
> >> ally. As a profession, PT will stand by our profession only when it
> >> doesn't
> >> threaten their profession.
> >>
> >> Again, it's a competitive market and healthcare is part of that market.
> >> If
> >> one accepts this belief, then an important question to ask is what can
> be
> >> done about the situation? In other words, what can be done to ensure
> that
> >> occupational therapy rises to the top rather than sinks to the bottom.
> I
> >> think that even staying the same (i.e. status quo) in the market place
> is
> >> not good. As a professional organization we need to figure out how to
> >> move
> >> ourselves forward and to establish and maintain dominance in some area
> of
> >> healthcare.
> >>
> >> It will come as no surprise to anyone on this list that I firmly
> believe
> >> that occupation is our ticket to both the present and the future. Many
> >> other
> >> professions including PT are buying into the concept that occupation
> (or
> >> what they call function (which is not the same as occupation)) is the
> way
> >> to
> >> go. It never ceases to amaze me that as a profession we are poised on
> the
> >> brink of a profitable and unique niche in healthcare but seem so
> reluctant
> >> to embrace it.
> >>
> >> Well, that's more information than most people want so let me end.
> >>
> >> Ron
> >>
> >>
> >>
> >> ~~~~~
> >> On 7/11/2002, SadieMoon <[EMAIL PROTECTED]> said:
> >>
> >> Sac> Ron - pretty interesting seeing that point of view. I know you
> find
> >> a
> >> lot to
> >> Sac> agree with in the first PT's post, but I think turf battles are
> a
> >> natural
> >> Sac> part of life, and if it wasn't this turf battle, there would be
> >> others
> >> in
> >> Sac> their facility. Now, go ahead and flame me, but I do treat UEs as
> >> well
> >> as
> >> Sac> enabling occupation. -- Jody
> >>
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