In a message dated Tue, 16 Jul 2002 9:08:33 PM Eastern Standard Time, 
[EMAIL PROTECTED] writes:

> This "expansion of scope" is often a symptom of pressure 
> from funding
> sources. 

This is exactly the case in my home health agency.  Our rehab director, a PT, has 
instructed the PTs to not feel they have to get OT in just because they need a bath 
bench.  He encourages them to address ADLs. ( The PTs have confidedin me what he asks 
them to do.  they don't feel comfortable addressing ADLs and would prefer that OT do 
that.  One of our PTs also has a sister who is an OT so she mentioned to me that she 
sees the threat to OT in this.  ) He himself did not appear to know the difference 
between a tub transfer and a bath until I pointed it out to him.
However, he is the boss of maybe 20 PTs and 8 OTs spread over 1/3 of a state, and I 
have found that the PTs in the offices do refer to OT for this type of thing.  They 
refer to OT when they see fit, despite pressure to do both jobs, including the one 
they are not trained for.  -- Jody

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