Ron Carson wrote: > > Hello Ann: > > I am getting confused in our discussion. It seems like their are two > different scenarios. If the client tells me that he wants to return > home and his wife is telling me that he MUST be able to dress himself > in order to return home, then I would tell the client that "according > to your wife, you must be able to dress yourself in order to return > home". I would not just ask the client the question about dressing and > then give up. I would spend a great deal of time trying to understand > WHY the client doesn't want to dress himself. I would attempt to talk > to the client about overcoming any perceived barriers and explain that > as an OT, my expertise is helping clients achieve those occupations > which at times seem impossible. I often tell students that one of the > best questions that they can ask clients is "Why". In other words, to > understand clients, I need to understand the why behind the occupation. > It is simple but, in my experience, a very powerful question. > > Now, if the client still doesn't want to dress himself AND he is > competent to make that decision then I believe it would be > unprofessional, irresponsible and unethical to force the client to > participate in therapy. The concept of autonomy says that I must > respect clients decisions (if they are competent to make decisions) > whether or not I agree with the decision. > > Finally, while I and you may think it best for the client to return > home, our values are not the values of the client. I certainly want to > explain to the client my opinion about nursing homes but my job is not > to impose personal values on clients. More than anything, my job is to > understand clients values and work within their value system to achieve > their desired goals. > > Hope this helps, > > Ron > > ====================================================== > On 10/10/02, [EMAIL PROTECTED] said: > > Dac> So, just to get this straight, you would feel that it is better to let this > Dac> men go to a nursing home, than attempt to work with him and his wife, using > Dac> therapeutic use of self, to seek a compromise that would achieve his (stated) > Dac> goal of returning home, because he hasn't articulated to your satisfaction > Dac> that he derives occupational meaning from dressing? > Dac> Ann > > Dac> *********��*********** > > Dac> Unsubscribe? Send a message to [EMAIL PROTECTED] > > Dac> In the message's *body*, put the following text: unsubscribe OTlist > > Dac> ** List messages are archived at: > > Dac> http://www.mail-archive.com/[email protected] > > Dac> *********��*********** > > *********��*********** > > 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] > > *********��***********
Ron, et.al...... This discussion has way past it's benefit....... Please move on. This is driving me crazy..... Ron... no offense, but I think it would behoove (is that a word?) you and your patients to DO more and TALK less. vickie patterson *********��*********** 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] *********��***********
