Hey Peg:

How are you doing these days? I hear Ellie's was a success!!!

I  think your message is a great example of occupation-based treatment.
If  the  man wants to walk around the lake because he finds meaning and
value   in  doing  so,  then  you  are  facilitating  his  occupational
performance.  And  as  we  all  know,  facilitating  occupation is what
occupational therapists do, right! <grin>.

Ron

~~~~~
On 7/11/02, Peggrooney <[EMAIL PROTECTED]> said:

Pac> Dear RC - 

Pac> I have a 2 patients (husband and wife, both in middle 80's) with multiple 
Pac> medical problems between them.  Wife uses walker at all times and is fair to 
Pac> good with safety awareness and also has ongoing (for years) vestibular 
Pac> problems.  Husband was using walker but b/w PT and OT decided he would be 
Pac> more compliant with a cane after watching him in action for 3 weeks (or non - 
Pac> walker action/compliance so to speak),  husband expressed very strong 
Pac> interest in using one of the "cadillac" walkers - the ones with the big 
Pac> wheels, seat and hand brakes to walk safely on the grassy area around his 
Pac> lake when they get discharged.  Also expressed dissatisfaction with cost of 
Pac> these walkers.  Too make a long story short I thought nothing of giving him 
Pac> and wife (since they are always co-treated) a whole OT session on using this 
Pac> cadillac walker on our grassy areas around our facility - which was very 
Pac> educational and beneficial in there decision making process of purchasing 
Pac> this non-Medicare covered item.  Was I treating there "human occupation" or 
Pac> as PT says giving them a walk!!!

Pac> Feedback? Rebuttals?

Pac> Regards,
Pac> Peggy

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