Wish You a Nice Day Suzanne.
Please don't misunderstood my mail that i am with solution for your enquiry.
 
In fact i wanted to share my openion regarding this to all of us in O.T.Now- loop. 
This openion has been with me since 1997.when i was sitting for Disability Clinic 
Evaluation at All India Institute of Physical medicine & Rehabilitation, Mumbai 
INDIA.There I felt that the real ability of occupation/s of a client could be done by 
an Occupatioal Therapist only.yes openio can be take by other proffessionals i special 
cases.The DISABILITY EVALUATION is nothing but OCCUPATIOAL PERFORMANCE EVALUATION of 
all occupation e.g.ADL,Productivity&Leisure.Thus this Occupational performance 
evalluation also should be given to us . There was many hot discussion on it but i had 
to stop because i had no Occup. Ther. text book which would have written about it. So 
i had to overcome my anxiety.
 
 
Similarly  gait evaluation is not just physical capicity evalluation but to do 
accurate gait also cognitive percptual factors need to be considered . Say for ex. a  
hemiplegic cliet having some irreversible cogitive deficits which is not only very 
imp. to gait performance but also can be managed with compensetary methods prescribed 
by an Occupational Therapist. Here occupational therapy is right choice,is n't it.a 
gait is very important occupatioinal performance component for functional mobility.
 
I don't want to hurt any body's feelig but i just wanted to express my self . Thanks 
to you,Suzannee for remiding me . I think its a topic on which we can have  a healthy 
discussion.And if we conclude positively it can be included in our new text 
book/s.Because if something  wasn't felt before and now we realise it then it is wise 
to correct.As Electro therapy is mentioned in one of our textbook. Thank you very much 
to you all, for listening me patiently. 
Binod Kumar Baranwal.
Ministry Of Health KUWAIT
B.Sc NIOH Kolkata,India.
Diploma in Rehabilitation(Occupatioal Therapy),AIIPM&R,Mumbai,India.
 
 wrote:
I tried looking up gait in my OT textbooks, I couldn't find the word 
anywhere. I think OT's are much better at thinking about functional 
mobility vs gait. PT's are notorious for clearing patients as Independent 
to the bathroom without considering if they can open the door, turn on the 
light, or pull up their pants. In fact, one of my patients at a SNF fell 
trying to turn on the bathroom light. The PTA, with 14 years experience, 
had told her she cold go on her own, without consulting with me and without 
my knowledge. He didn't bother to ask me, or read my notes, (the mere OT, 
who knows little about "gait"). This woman, who was there for medical 
reasons, ended up injured by her fall. Life is not a straight hallway, is 
it?


>From: Ron Carson 
>Reply-To: [EMAIL PROTECTED]
>To: "[EMAIL PROTECTED]" 
>Subject: Re[2]: [OTnow] Is it OT??
>Date: Tue, 2 Mar 2004 09:06:21 -0500
>
>Hello Wendy:
>
>I tend to agree with your observations. In fact, when I first 
>started
>practicing, I was really put off because I didn't learn more 
>about
>ambulation devices and gait. I learned a lot by observation, trial 
>and
>error, and asking the PT's.
>
>At the time, I thought how strange it was for OT's to be the so 
>called
>self-care experts but to not be select and train clients on how to 
>use
>mobility aids. I made more than a few PT's mad when they would see me 
>using
>a different mobility aid than what they were using with the client. 
>Talk
>about turf wars!!! :-)
>
>Ron
>
>=================================================================
>
>On Tuesday, March 2, 2004, you wrote:
>
>Oac> In a message dated 3/1/2004 11:08:44 PM Eastern Standard Time,
>Oac> [EMAIL PROTECTED] writes:
>Oac> I rec'd a referral request to evaluate a client for a mobility 
>device. She
>Oac> is currently using a straight cane and the ALF manager feels that a 
>rolling
>Oac> walker might be better. She called HOPE Therapy asking if PT or OT 
>would be
>Oac> best for evaluating the client's needs. The client is 
>diagnosed with
>Oac> Alzheimer's disease.
>
>Oac> My very educated and strong OT advocate assistant told the manager 
>that OT
>Oac> would be best.
>
>Oac> Just curious how other's on the list feel about this?
>
>Oac> Ron
>Oac> I advocate for OT with the best of them, but in this case I think it's 
>PT.
>Oac> I'm sure there are OTs out there who would be capable, but most OTs 
>are not
>Oac> provided the information in entry level education to make this sort of
>Oac> decision/transition.
>Oac> Wendy
>Oac> _______________________________________________
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