Hello Lori:

If you are addressing your question to me, let me address it.

I don't expect all or any OT to choose only one practice model. In my day to
day  treatments,  I  do  many  types  of  treatment including strengthening,
endurance,  balance,  enabling,  occupation,  adaptation,  etc.  I  use any
available model to get the job done.

Having just said this, I will now drop back and punt to my old standby. That
being that my job is to promote occupational independence in my clients.

The  concept  of  activity  analysis  has been around for quite some time. I
don't  ever  use it in the traditional sense but I do us a modified version.
You  can  think  of it as occupational analysis. When a client identifies an
occupational  deficit.  I  analyze the deficit to better understand what are
contributing  factors. I then determine which if any of these factors can be
changed  and then go about trying to change the ones that I feel I can treat
in a reasonable amount of time. If my analysis is correct and the patient is
responding  positively  to  treatment, then + changes should occur in either
the client's performance and/or satisfaction with their occupation. If their
occupation is getting better than I need to punt to another plan of attack.

Another  issue  that  I want to broach is the one of theory versus practice.
MUCH  of  what  I  discuss on this list is about theory. In other words it's
about the WHY of what we do, not the HOW of what we do. I can be very tricky
to separate the differences between the WHY and HOW. But, I believe that one
of  the biggest bridges our profession must cross is the bridge of WHY we do
what  we  do! Until we as a profession can talk the talk, I don't see how we
can walk the walk!!!

Ron

=======================================================
On Monday, February 16, 2004, @ 6:52 PM, you wrote:

Fac> I agree with Joe.  In school, we were taught activity analysis, so we are
Fac> trained at breaking tasks into components.  Then, we were taught how to address
Fac> each component in order to get someone back to doing the task that they need or
Fac> want to do.   

Fac> We also learned different theories and practice models of OT and were taught
Fac> that none of them were wrong.  I learned that we as a therapist would choose
Fac> which practice model would worked for us depending on the setting that we ended
Fac> up working in(for example-hand therapy clinic, inpatient rehab, home care,
Fac> school system).  So, I guess I do know why you expect all OTs to choose only one
Fac> practice model when we were trained in so many and we have so many different
Fac> settings.
Fac> Lori
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