I just started back to work as an OT last month and finally got my first 
evaluation.  I am still really rusty and don't know reimbursement rules for 
home health.

I got an order to evaluate a 79 y/o for IADLS.  The lady has mostly 5/5 
strength on the right, 4+/5 on the left.  She is independent with ALL her 
ADL'S.  Her balance was a little off and she reported several falls.  I told 
her we could work on her balance while making a meal, etc but she wasn't 
interested in that.  She wants to get out and plant flowers.  

I really struggled with this.  PT could do strengthening and balance training.  
I didn't think an insurance company would cover for IADL'S without having more 
significant problems.

I just evaluated her and need to turn the paper work in tommorrow, any 
suggestions would be greatly appreciated.  I wanted to ask my supervisor but 
she is a PT and it would be nice to get an OT's view.

Shellie
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