Hello:

On  Tuesday,  July 15, 2003, the below message was rejected by the OTnow
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Ron Carson [list founder]

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SM> It  sounds  like  you  have  a  great  opportunity  to increase your
SM> caseload.  Ask  the  nurses  to  document  on  specific problems any
SM> patients  may  have  (i.e. difficulty feeding because of UE weakness
SM> and  fatigue),  then make a referral to OT. Then after you evaluate,
SM> you can make a specific restorative program for each patient. Do not
SM> show  them  general  exercises  without  an order to see the patient
SM> first.  It  takes  your  expertise  to design a program. I have done
SM> training  for  restorative aids, and it is not as intimidating as it
SM> sounds.  They  know how to cary out programs, they should not change
SM> or  develop  them,  and  in  my  experience  are respectful of this.
SM> Restorative  aids  can  be  a great resource to patients, especially
SM> those  in Long term care units. When a person has plateaued with OT,
SM> and  we can no longer justify a skilled service, the restorative aid
SM> can  prevent  that  person from loosing what he or she has gained in
SM> therapy. Programs for restorative aids can be anything you want, not
SM> just  exercise  programs. I have done all kinds of ADL programs too.
SM> If  you  work  for  a facility that is actually willing to sacrifice
SM> CNA's  to  be  restorative  aids,  I  would  get  in  there and take
SM> advantage  of  the  opportunity to collaborate with them. I can tell
SM> you more about specific programs I have done in the past if you need
SM> some ideas.

SM> Suzanne


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