I've lurked on this one long enough.

Perhaps a PT perspective is in order.  In any rehab facility in which I
worked (stress on REHAB, also to include SNFs) PT and OT worked very well
together at dealing with perception issues such as neglect and the like.
The PTs were also very aware of the "life is not all straight long hallways"
idea.  When we went on home visits prior to discharge both PT and OT went.
If at all remotely possible we took the patient as well to make sure they
would be able to function in their own environment.  If we had any questions
we arranged for home health PT or OT post discharge.  We had weekly
conferences discussing a patient's progress and all aspects of their
problems were brought up including memory problems, perception issues, and
the like.

There was probably a little less working together in the orthopedic
facilities where I've worked, but then those patients did not have the
cognitive deficits that the rehab patients had.  Gait training with an
amputee is pretty straightforward.  However, even in these facilities we
made the effort to take the patient outdoors and make sure they could
function well enough to cross a busy street, etc.  None of the PTs I've
worked with were oblivious to the perceptual deficits that arise post
stroke, the memory problems of Alzheimers, etc.

I think I've worked in a pretty good representation of facilities (thanks to
my Army husband and our frequent moves) to have a pretty good feel for this,
from a university hospital, to ortho clinics, to peds clinics,  to SNFs and
inpatient rehab facilities.  The general cooperation between the PT and OT
departments has been much better than some of the comments to this  list
would imply.  We never really got into arguments at all about who did what -
we coordinated and complimented each other and valued each other's input.

Connie Severin, PT


----- Original Message -----
From: "binod baranwal" <[EMAIL PROTECTED]>
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