----Original Message Follows----
From: "Gillian Brotherton" <[EMAIL PROTECTED]>
Reply-To: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Subject: Re: [OTlist] what is OT?
Date: Thu, 07 Aug 2003 14:07:18 +0000
MIME-Version: 1.0
X-Originating-IP: [80.192.173.175]
X-Originating-Email: [EMAIL PROTECTED]
Received: from mc3-f34.law16.hotmail.com ([65.54.236.169]) by mc3-s14.law16.hotmail.com with Microsoft SMTPSVC(5.0.2195.5600); Thu, 7 Aug 2003 07:10:42 -0700
Received: from addr15.addr.com ([209.249.147.60]) by mc3-f34.law16.hotmail.com with Microsoft SMTPSVC(5.0.2195.5600); Thu, 7 Aug 2003 07:08:53 -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 h77E8ltm050533;Thu, 7 Aug 2003 07:08:47 -0700 (PDT)
Received: from localhost ([EMAIL PROTECTED])by addr15.addr.com (8.12.8/8.12.7/Submit) with SMTP id h77E8lGv050532;Thu, 7 Aug 2003 07:08:47 -0700 (PDT)
Received: by addr15.addr.com (bulk_mailer v1.12); Thu, 7 Aug 2003 07:07:23 -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 h77E7Ntm050237for <[EMAIL PROTECTED]>; Thu, 7 Aug 2003 07:07:23 -0700 (PDT)
Received: (from [EMAIL PROTECTED])by addr15.addr.com (8.12.8/8.12.7/Submit) id h77E7NR4050236for [EMAIL PROTECTED]; Thu, 7 Aug 2003 07:07:23 -0700 (PDT)
Received: from addr-mx02.addr.com (addr-mx02.addr.com [209.249.147.146])by addr15.addr.com (8.12.8/8.12.8/Submit) with ESMTP id h77E7Mtm050226for <[EMAIL PROTECTED]>; Thu, 7 Aug 2003 07:07:22 -0700 (PDT)
Received: from hotmail.com (bay7-f24.bay7.hotmail.com [64.4.11.24])by addr-mx02.addr.com (8.12.8/8.12.2) with ESMTP id h77E7KqM031852for <[EMAIL PROTECTED]>; Thu, 7 Aug 2003 07:07:20 -0700 (PDT)
Received: from mail pickup service by hotmail.com with Microsoft SMTPSVC; Thu, 7 Aug 2003 07:07:18 -0700
Received: from 80.192.173.175 by by7fd.bay7.hotmail.msn.com with HTTP;Thu, 07 Aug 2003 14:07:18 GMT
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-OriginalArrivalTime: 07 Aug 2003 14:07:18.0906 (UTC) FILETIME=[36922DA0:01C35CED]
X-Spam-Checker-Version: SpamAssassin 2.50 (1.173-2003-02-20-exp)
Sender: [EMAIL PROTECTED]
X-Loop: [EMAIL PROTECTED]
Return-Path: [EMAIL PROTECTED]
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]
*****************************��***********************************
_________________________________________________________________
Use MSN Messenger to send music and pics to your friends http://www.msn.co.uk/messenger
*****************************��**********************************
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]
*****************************��***********************************
