if I am seeing this patient because of hand dysfunction that
MAY contribute to occupational issues, then I'm doing treatment more
closely related to PT. But, if I'm seeing the patient for occupational
issues resulting from hand dysfunction, then I'm doing treatment more
closely related to OT. I guess the only way to know the appropriateness
of the treatment is know why the therapist is seeing the client and to
know that the therapist has demonstrated a causal link between hand
dysfunction, client's occupational deficits and treatment to improve
the occupation.
Ron, I really do consider myself a therapist who works on Occupation, but I am trained in UE strengthening and splinting as well. I am also trained in w/c positioning, e stim, ultrasound, etc. I learned it in school and have continued training throughout the years. My state practice act says I can do these things. Why must I refer to PT? I hate going to a Doctor these days and he can not treat anything. He has to refer me to 5 other doctors. If he is trained to do it, I wish he would just handle it!!!! I can not imagine seeing a client for an eval and saying, "all you need is hand strengthening so now I am going to waste money and your time and refer you to PT for an eval."
