Hey Shellie, What about working on whatever is limiting her from going out and planting her flowers? Find a solution to allow this patient to return to her desired occupation. Her desire to, "wants to get out and plant flowers" sounds like an occupational goal to me. PT may not be the appropriate discipline as you're reporting her strength is essentially normal.
Jimmie -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Shellie Sent: Thursday, April 14, 2005 4:41 PM To: [email protected] Subject: [BULK] [OTlist] Home Health Question Importance: Low 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] *** NOTICE--The attached communication contains privileged and confidential information. If you are not the intended recipient, DO NOT read, copy, or disseminate this communication. Non-intended recipients are hereby placed on notice that any unauthorized disclosure, duplication, distribution, or taking of any action in reliance on the contents of these materials is expressly prohibited. If you have received this communication in error, please delete this information in its entirety and contact the Amedisys Privacy Hotline at 1-866-518-6684. Also, please immediately notify the sender via e-mail that you have received this communication in error. *** -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED]
