I am getting confused in our discussion. It seems like their are two
different scenarios
It was always the one scenario, Ron. I am glad to hear that you would not give up on your patient so quickly. I'm also not advocating forcing a patient to do what they do not wish to do, or imposing a value structure on them that may not coincide with their own. I also am not willing to rehash the whole conversation again. The point I was raising is that, ideally, it is nice to be able to work with patients on tasks that they find occupationally meaningful, but in the real world, there are tasks that are necessary to accomplish that may not be as personally meaningful, but nonetheless critical to other goals. I personally do not find the act of toileting personally meaningful, but if I couldn't manage it alone, I wouldn't be able to return home to live alone and independent. As an OT, I feel I am better able to address this task with my patients than anyone else on the team. That is also true for many of the other tasks that fall wit! hin the "A" word, as you call it.
Ann
