Lisa, do you see the two as exclusive of each other? How is strengthening someone's arm different than retraining their arm (which I don't understand how you can retrain an arm)for 'functional' use. If the problem is a strength issue what's the differences.
Thanks, Ron P.S. Again, I am not trying to be inflammatory, just trying to sincerely understand. ~~~~~ On 7/11/2002, Lisa <[EMAIL PROTECTED]> said: LC> Not at all. I would hope that PT would also work on strengthening the UE so LC> I could spend my time retraining the affected UE for functional use. 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: Ron Carson [SMTP:[EMAIL PROTECTED]] >> Sent: Thursday, July 11, 2002 1:21 PM >> To: Lisa Castilla >> Subject: Re[6]: A message from Advance for PT >> >> Hello Linda: >> >> If I am reading correctly, it's an Upper Extremity = OT and Lower >> Extremity >> = PT type of issue. In other words, PT addresses the lower extremity >> impairment so it would be double treatment for OT to address the >> impairment. >> But if it were an UE impairment, PT would not address it. Is this >> correct? >> >> If so, why? >> >> Thanks, >> >> Ron >> >> ~~~~~ >> On 7/11/2002, Lisa <[EMAIL PROTECTED]> said: >> >> LC> Hi Ron. >> >> LC> In this setting, most likely not. Typically, students here >> receive >> LC> at least 2 hours of PT a day. The PT most likely has addressed the >> LC> weakness, it is not appropriate for me to do the same. The weakness >> would >> LC> be inadvertently be addressed through treatment activity and >> placement, but >> LC> would not be my primary focus. >> >> 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: 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 >> >> >> >> >> >> *********��*********** >> >> >> >> >> >> Unsubscribe? Send a message to [EMAIL PROTECTED] >> >> >> >> >> >> In the message's *body*, put the following text: unsubscribe OTlist >> >> >> >> >> >> ** List messages are archived at: >> >> >> >> >> >> http://www.mail-archive.com/[email protected] >> >> >> >> >> >> *********��*********** >> >> >> >> >> >> *********��*********** >> >> >> >> >> >> Unsubscribe? Send a message to [EMAIL PROTECTED] >> >> >> >> >> >> In the message's *body*, put the following text: unsubscribe OTlist >> >> >> >> >> >> ** List messages are archived at: >> >> >> >> >> >> http://www.mail-archive.com/[email protected] >> >> >> >> >> >> *********��*********** >> >> >> >> LC> *********��*********** >> >> >> >> LC> Unsubscribe? Send a message to [EMAIL PROTECTED] >> >> >> >> LC> In the message's *body*, put the following text: unsubscribe OTlist >> >> >> >> LC> ** List messages are archived at: >> >> >> >> LC> http://www.mail-archive.com/[email protected] >> >> >> >> LC> *********��*********** >> >> >> >> *********��*********** >> >> >> >> Unsubscribe? Send a message to [EMAIL PROTECTED] >> >> >> >> In the message's *body*, put the following text: unsubscribe OTlist >> >> >> >> ** List messages are archived at: >> >> >> >> http://www.mail-archive.com/[email protected] >> >> >> >> *********��*********** >> >> LC> *********��*********** >> >> LC> Unsubscribe? Send a message to [EMAIL PROTECTED] >> >> LC> In the message's *body*, put the following text: unsubscribe OTlist >> >> LC> ** List messages are archived at: >> >> LC> http://www.mail-archive.com/[email protected] >> >> LC> *********��*********** >> >> *********��*********** >> >> Unsubscribe? Send a message to [EMAIL PROTECTED] >> >> In the message's *body*, put the following text: unsubscribe OTlist >> >> ** List messages are archived at: >> >> http://www.mail-archive.com/[email protected] >> >> *********��*********** LC> *********��*********** LC> Unsubscribe? Send a message to [EMAIL PROTECTED] LC> In the message's *body*, put the following text: unsubscribe OTlist LC> ** List messages are archived at: LC> http://www.mail-archive.com/[email protected] LC> *********��*********** *********��*********** Unsubscribe? Send a message to [EMAIL PROTECTED] In the message's *body*, put the following text: unsubscribe OTlist ** List messages are archived at: http://www.mail-archive.com/[email protected] *********��***********
