...With u Gillian! Semantics- some antics! After all, we all want to look and feel different.....earlier you had a GP (general practitioner) doing mostly everything including minor surgeries, now you have a split in the GP as well- internist and family practice; and a specialist for every function and, part of the body. So do we see a gastro-enterologist, or a proctologist? :-)
----- Original Message ----- From: "Gillian Brotherton" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Thursday, August 07, 2003 10:07 AM Subject: Re: [OTlist] what is OT? > i smile to myself when i see all these words being exchanged.......my > thoughts turn to the theorists who make a nice income out of "buzzwords" and > such like. My favourite is 'models of practice'. :-) > > > ----Original Message Follows---- > From: "Charles Willmarth" <[EMAIL PROTECTED]> > Reply-To: [EMAIL PROTECTED] > To: <[EMAIL PROTECTED]>, <[EMAIL PROTECTED]> > Subject: Re: [OTlist] what is OT? > Date: Thu, 07 Aug 2003 10:03:38 -0400 > MIME-Version: 1.0 > Received: from mc3-f17.law16.hotmail.com ([65.54.236.152]) by > mc3-s16.law16.hotmail.com with Microsoft SMTPSVC(5.0.2195.5600); Thu, 7 Aug > 2003 07:02:16 -0700 > Received: from addr15.addr.com ([209.249.147.60]) by > mc3-f17.law16.hotmail.com with Microsoft SMTPSVC(5.0.2195.5600); Thu, 7 Aug > 2003 07:01:17 -0700 > Received: from addr15.addr.com (localhost.addr.com [127.0.0.1])by > addr15.addr.com (8.12.8/8.12.8/Submit) with ESMTP id h77E1Dtm048723;Thu, 7 > Aug 2003 07:01:13 -0700 (PDT) > Received: from localhost ([EMAIL PROTECTED])by addr15.addr.com > (8.12.8/8.12.7/Submit) with SMTP id h77E1CvM048721;Thu, 7 Aug 2003 07:01:12 > -0700 (PDT) > Received: by addr15.addr.com (bulk_mailer v1.12); Thu, 7 Aug 2003 06:59:50 > -0700 > Received: from addr15.addr.com (localhost.addr.com [127.0.0.1])by > addr15.addr.com (8.12.8/8.12.8/Submit) with ESMTP id h77Dxntm048315for > <[EMAIL PROTECTED]>; Thu, 7 Aug 2003 06:59:49 -0700 (PDT) > Received: (from [EMAIL PROTECTED])by addr15.addr.com (8.12.8/8.12.7/Submit) > id h77Dxn1q048314for [EMAIL PROTECTED]; Thu, 7 Aug 2003 06:59:49 > -0700 (PDT) > Received: from addr-mx01.addr.com (addr-mx01.addr.com [209.249.147.145])by > addr15.addr.com (8.12.8/8.12.8/Submit) with ESMTP id h77Dxltm048290;Thu, 7 > Aug 2003 06:59:47 -0700 (PDT) > Received: from online.aota.org (online.aota.org [65.205.48.9])by > addr-mx01.addr.com (8.12.8/8.12.2) with ESMTP id h77DxkS5042753;Thu, 7 Aug > 2003 06:59:46 -0700 (PDT) > Received: from Groupwise-MTA by online.aota.orgwith Novell_GroupWise; Thu, > 07 Aug 2003 10:04:00 -0400 > X-Message-Info: oZ2qq1sZ3e7BXLfifQt4gVPLwyLnC70/QwKOnivX3fk= > X-Authentication-Warning: addr15.addr.com: rdcarson owned process doing -bs > X-Authentication-Warning: addr15.addr.com: rdcarson set sender to > [EMAIL PROTECTED] using -f > Message-Id: <[EMAIL PROTECTED]> > X-Mailer: Novell GroupWise Internet Agent 6.0.4 Beta > X-Spam-Checker-Version: SpamAssassin 2.50 (1.173-2003-02-20-exp) > Sender: [EMAIL PROTECTED] > X-Loop: [EMAIL PROTECTED] > Return-Path: [EMAIL PROTECTED] > X-OriginalArrivalTime: 07 Aug 2003 14:01:18.0837 (UTC) > FILETIME=[5FF40250:01C35CEC] > > I don't think "function" is the latest buzzword, but rather it is a term > that is very important to payment. For example, Chapter 2 - Coverage of > Services of the Outpatient Physical Therapy Comprehensive Outpatient > Rehabilitation Facility and Community Mental Health Center Manual uses > the term in reference to physical therapy and occupational therapy > services. > > (see: http://cms.hhs.gov/manuals/09_opt/op202.asp#_1_99) > Rev. 1/ 04-98/ page 2-57 > 253. SPECIFIC CORF SERVICES > > 253.2 Physical Therapy Services.--The coverage guidelines in §271 > apply to physical therapy services provided by CORFs. Under those > guidelines, maintenance physical therapy, i.e., repetitive services > required to maintain a level of functioning, is not covered. However, > the establishment of a maintenance program for a patient whose > restoration potential has been reached is a covered service. The program > may include examinations, evaluations of the patient's condition, > preparation of the maintenance program, and the training of nonskilled > individuals to carry out the program. > > 253.3 Occupational Therapy Services.-- > A. Definition.--Occupational therapy is medically prescribed > treatment to improve or restore functions which have been impaired by > illness or injury or, when function has been permanently lost or reduced > by illness or injury, to improve the individual's ability to perform > those tasks required for independent functioning. Such therapy may > involve: > > The evaluation and reevaluation (as required) of a patient's level of > function by administering diagnostic and prognostic tests; > The selection and teaching of task-oriented therapeutic activities > designed to restore physical function, e.g., use of woodworking > activities on an inclined table to restore shoulder, elbow, and wrist > range of motion lost as a result of burns; > The planning, implementation, and supervision of individualized > therapeutic activity programs as part of an overall active treatment > program for a patient with a diagnosed psychiatric illness, e.g., the > use of sewing activities which require following a pattern to reduce > confusion and restore reality orientation in a schizophrenic patient; > The planning and implementation of therapeutic tasks and activities to > restore sensory- integrative function, e.g., providing motor and tactile > activities to increase sensory input and improve response for a stroke > patient with functional loss resulting in a distorted body image; > > I think that is important that when defining OT for external audiances > that the language used should somewhat match language in payment > systems. The definition of OT in state practice acts should have some > parallels to the services that will be paid for under Medicare, for > example. This is one reason for the redefinition of "physical > therapy"...to align defintions (legally defined scope of practice) with > what payers will pay for. > > > >>> [EMAIL PROTECTED] 08/07/03 08:36AM >>> > Hello Jimmie: > > My earlier post was intended to push the boundaries. The reason > is > because the term 'function' is very vague. And what is function to > you > may not be function to me. Or what is function to a PT may not > be > function. Function is the latest buzz word but in my opinion it is not > a > word that OT's should encompass. > > Ron > > ============================================= > > On 8/1/2003,[EMAIL PROTECTED] wrote: > > JA> Ron, Some would say too much to say! I believe your assessment > might > JA> be pushing the boundaries a bit. While the modalities employed > by > JA> the PT have purpose and thereby a function, I was referring > to > JA> functional activity as it relates to the client. Function to > me > JA> entails an engagement aspect as well as a goal which is > purposeful. > JA> TENS does not require engagement of the client due to its > passive > JA> nature. Isometric exercises while requiring the engagement of > the > JA> individual, have limited purpose and goal direction. I did like > your > JA> statement about perception as it relates to meaning and relevance. > > JA> Jimmie > > JA> -----Original Message----- From: Ron > Carson > JA> [mailto:[EMAIL PROTECTED] Sent: Thursday, July 31, 2003 7:38 > PM > JA> To: Jimmie Arcenaux Subject: Re: [OTlist] what is OT? > > JA> Hello Jimmie: > > JA> I tend to disagree with your statement that: "A functional > activity > JA> by its definition has meaning and relevance to the > individual's > JA> life" Well, maybe I don't disagree 100% with the statement but > from > JA> a therapeutic perspective, I will disagree. Here's an example. > > JA> My wife recently began seeing PT for what was diagnosed > as > JA> degenerative disk disease. The PT has evaluated her and > began > JA> treating with the following modalities: hot/cold, cervical > traction, > JA> TENS, isometric stretches and massage. All of these are > functional > JA> activities in the sense that each modality has a function. > However, > JA> these activities may have little meaning and relevance to my > wife's > JA> life. Yes, they may be improving her spinal function but are > the > JA> activities full of meaning and relevance. Probably not, but in > truth > JA> only she can answer that question. > > JA> And I think that points to one of the biggest differences > between > JA> function and meaning. Something's function is what you see on > the > JA> outside, however, something's meaning is what one experiences on > the > JA> inside. There is almost no way that you can look someone engaging > in > JA> an activity, regardless of its function, and understand > the > JA> activities meaning and relevance to the client. Only the > client > JA> experiences the meaning so only the client can fully express > the > JA> meaning. > > JA> Almost everything in which a person engages or experiences has > a > JA> function. But of that in which we engage, how much has true > meaning > JA> and relevance? > > JA> I guess the debate begs the question, what is the difference > between > JA> function and occupation. For my opinion on this question , I > point > JA> you to the following > link: > JA> www.otnow.com/newsletter/current_newsletter.htm > > JA> Thanks for the interesting debate, > > JA> Ron > > JA> P.S. My wife says that male OT's always have a lot to say!!! :-) > > JA> ============================================= > > JA> On 7/30/2003,[EMAIL PROTECTED] wrote: > > JA>> Biraj, > > JA>> Are you implying that "activities which an individual needs to > do > JA>> or is expected to do" are not functional? I agree that > occupation > JA>> is a broader concept, but I believe what is occupational is > also > JA>> functional. > JA> Occupation > JA>> to me is the work of living as a human being. A functional > activity by > JA> its > JA>> definition has meaning and relevance to the individual's life. > > JA>> Thanks Brian for the reference to the roots of OT. I could > not > JA>> agree > JA> with > JA>> you more. > > JA>> Jimmie > > JA>> -----Original Message----- From: > Incandescent > JA>> [mailto:[EMAIL PROTECTED] Sent: Wednesday, July 30, 2003 > 9:04 > JA>> AM To: [EMAIL PROTECTED] Subject: Re: [OTlist] what is OT? > > JA>> Hi Jimmie: > > JA>> Not to put too fine a point on this but my sense is that > when > JA>> viewed > JA> from > JA>> the > JA>> perspective of activities "Occupational" is a distinct and larger > JA> concept > JA>> than > JA>> "functional". The former also includes within it what is > meaningful to > JA> the > JA>> individual, whereas "functional" as the word implies refers to > those > JA> aspects > JA>> of > JA>> activities which an individual needs to do or is expected to do - > thus > JA>> functional. > > JA>> What do others think? > > JA>> Biraj > > JA>> Jimmie Arcenaux wrote: > > >>> I believe also that the use of occupational or "functional" (I > hate > >>> using that term because it is coined well too often by > OTs) > >>> activities as the primary treatment modality is a hallmark > of > >>> occupational therapy. It is what the professions history is > based > >>> upon. Jimmie > > JA>> *****************************®©********************************** > > JA>> To remove yourself from the OTnow mail list, send a message to: > > JA>> [EMAIL PROTECTED] > > JA>> In the message's *body*, put the following text: > > JA>> unsubscribe OTlist > > JA>> - > > JA>> List messages are archived at: > > JA>> http://www.mail-archive.com/[EMAIL PROTECTED] > > JA>> > *****************************®©*********************************** > > JA>> *****************************®©********************************** > > JA>> To remove yourself from the OTnow mail list, send a message to: > > JA>> [EMAIL PROTECTED] > > JA>> In the message's *body*, put the following text: > > JA>> unsubscribe OTlist > > JA>> - > > JA>> List messages are archived at: > > JA>> http://www.mail-archive.com/[EMAIL PROTECTED] > > JA>> > *****************************®©*********************************** > > JA> *****************************®©********************************** > > JA> To remove yourself from the OTnow mail list, send a message to: > > JA> [EMAIL PROTECTED] > > JA> In the message's *body*, put the following text: > > JA> unsubscribe OTlist > > JA> - > > JA> List messages are archived at: > > JA> http://www.mail-archive.com/[EMAIL PROTECTED] > > JA> *****************************®©*********************************** > > JA> *****************************®©********************************** > > JA> To remove yourself from the OTnow mail list, send a message to: > > JA> [EMAIL PROTECTED] > > JA> In the message's *body*, put the following text: > > JA> unsubscribe OTlist > > JA> - > > JA> List messages are archived at: > > JA> http://www.mail-archive.com/[EMAIL PROTECTED] > > JA> *****************************®©*********************************** > > > *****************************®©********************************** > > To remove yourself from the OTnow mail list, 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] > > *****************************®©*********************************** > > > *****************************®©********************************** > > To remove yourself from the OTnow mail list, 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] > > *****************************®©*********************************** > > _________________________________________________________________ > Find a cheaper internet access deal - choose one to suit you. > http://www.msn.co.uk/internetaccess > > > *****************************®©********************************** > > To remove yourself from the OTnow mail list, 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] > > *****************************®©*********************************** > *****************************®©********************************** To remove yourself from the OTnow mail list, 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] *****************************®©***********************************
