Gosh Vickie, I'm just getting wound up! <grin> By the way, I'm on the way out the door to go work with patients. Maybe I can put some of my words into action like you suggest! <grin again>
No offense taken. This is an open forum and everyone is entitled to their professional opinion. <not grinning> Ron ====================================================== On 10/10/2002, [EMAIL PROTECTED] said: VP> 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] >> >> *********��*********** VP> Ron, et.al...... VP> This discussion has way past it's benefit....... Please move on. This is VP> driving me crazy..... VP> Ron... no offense, but I think it would behoove (is that a word?) you VP> and your patients to DO more and TALK less. VP> vickie patterson VP> *********��*********** VP> Unsubscribe? Send a message to [EMAIL PROTECTED] VP> In the message's *body*, put the following text: unsubscribe OTlist VP> ** List messages are archived at: VP> http://www.mail-archive.com/[email protected] VP> *********��*********** *********��*********** 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] *********��***********
