Ron,
That is a rather odd experience to express the least.  Considering the state
of affairs of most nursing homes I have been in, it would seem that there
are more prevalent elder abuse concerns they could be addressing
Jimmie

-----Original Message-----
From: Ron Carson [mailto:[EMAIL PROTECTED] 
Sent: Thursday, July 10, 2003 9:33 AM
To: [EMAIL PROTECTED]
Subject: [OTlist] Recent Article in OT Practice re: Elder Abuse

This  message  was  originally sent to OT Practice. The editor suggested
that I post the message to different list serves.

Ron

------------------------------------------------------------------------

I applaud Mary Jean Lafta's effort (Vol 8:12) in bringing elder abuse to
the  forefront  of  OT  Practice readers. However, I would like to raise
readers  concerns  about being accused of elder abuse during the conduct
of therapeutic intervention.

Recently,  I  was  required  to  defend my occupational therapy treatment
because   a   concerned   nursing  attendant  overheard  my  therapeutic
lunch-time  conversation  with  a resident. The conversation in question
was  about  the  how  the  resident's son was reacting to the resident's
appointment  of  a  power  of attorney. The son had recently visited the
facility and made public comments about how he was angry with his mother
for not appointing him as power of attorney.

Because  the resident in question suffered from occupational deprivation
due  to  her isolation in a nursing home, it was my goal to use relevant
and important topics to encourage the resident to re-engage her life. As
part  of  my  treatment,  the  resident  and I set a 'lunch date' at the
facility's  dining hall. During our lunch, I was reviewing recent events
in the resident's life, including her son's recent visit.

The  nursing  attendant,  who  was serving other residents, overheard me
talking with the resident about her 'finances' and power of attorney. As
a  concerned  employee,  she went to the facilities's director who later
called both myself and supervisor into his office.

After several minutes of explaining my intervention, the director quickly
dismissed the attendant's concerns.

The  entire  experience left me feeling a bit weary. I later thanked the
attendant  for her concern and offered to explain my treatment. An offer
that she did not take up. I certainly believe that elder abuse is a much
maligned  and often overlooked problem but a certain amount of prudence
is  warranted  before  someone  'blows  the  whistle'  on  a health care
provider.

Sincerely,

Ron Carson MHS, OTR/L


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