Ron, The nursing services for home health made the eval. for IADL'S
I missed a question on the tinetti but approx 12/16. She had the most difficulities with closed eyes and when I challenged her balance. I went through several IADL's I could think of, ie preparing meals, laundry, house cleaning. Her neighbor does her laundry and she is currently preparing her own meals (simple things). I haven't heard of the COPM but would would be interested in learning more. Thank you for your comments Ron, I really appreciate it. I will. I would appreciate any other comments you have. ----- Original Message ----- From: "Ron Carson" <[EMAIL PROTECTED]> To: "Shellie" <[email protected]> Sent: Thursday, April 14, 2005 5:03 PM Subject: Re: [OTlist] Home Health Question > Shellie: Most of my comments may come to late, but I suggest: > > 1. An eval of her LE strength > > 2. A quantitative eval of her balance - it's hard to provide justify > improvement in something that's a 'little off'. > > 3. YOU can do strengthening and balance training > > 4. I don't think there's any insurance company that will pay for someone > to learn to plant flowers! > > 5. Does her balance affect her occupations? Does she have difficulty > taking care of herself or being productive in her home? If so, is this > because of balance or LE strength? If so, AND she wants to address these > occupations, then you have your goals and treatment plan. > > 6. Have you done an occupational assessment, like the COPM? > > 7. Finally, if your nor the client can't identify any occupational > goals, then there may not be a role for OT. If this is the case, then > don't see the client. > > 8. Who made the OT referral and why? > > Ron > > ===========> Original Message Follows .... > > On4/14/2005, Shellie, <[EMAIL PROTECTED]> said: > > > 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 > > -- > > Unsubscribe? > > [EMAIL PROTECTED] > > > Change options? > > www.otnow.com/mailman/options/otlist_otnow.com > > > Archive? > > www.mail-archive.com/[email protected] > > > Help? > > [EMAIL PROTECTED] > > > > -- > Unsubscribe? > [EMAIL PROTECTED] > > Change options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] > > Help? > [EMAIL PROTECTED] > -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED]
