I really hate using UE ther-ex in my treatment sessions. None of the PTs I work with ever do it, so if it is necessary, I will train the pts on a program and let them cary it out on their time, or with the restorative aid. I like to use the treatment time for more functional things. I see ther-ex used as a treatment "filler", way too often. I work in SNF, and I think it has become a way to drag out the length of treatment. It doesn't matter if the eval said WFL or 5/5! Busy day? Throw everybody into an UE group. Aren't OT supposed to be strengthening through functional activities anyway? If the PTs want arm exercises, I say, feel free!
>From: Lisa Castilla <[EMAIL PROTECTED]> >Reply-To: [EMAIL PROTECTED] >To: "'[EMAIL PROTECTED]'" <[EMAIL PROTECTED]> >Subject: RE: Re[8]: A message from Advance for PT >Date: Thu, 11 Jul 2002 16:07:35 -0400 > >No, Ron I do not see them as exclusive from one another, but simply a well >oiled team concentrating on what they are best at. If there was not a PT >addressing strengthening of the arm, I would have to address it myself and >I >would not feel as if this was my primary objective. I am fortunate enough >however not to have to concentrate on that aspect of the rehabilitation >process and use my skills to work towards what I know best-the techniques >and modalities I can use to allow my client to return to their role(s). > >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 3:11 PM > > To: Lisa Castilla > > Subject: Re[8]: A message from Advance for PT > > > > 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? 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