2 things I see here: 1. Veronica where did you get the PACS? I heard they were working on one but, didn't realize it was available. 2. For Ron's pt. Could this be the time to do an Allen Cognitive Test as so many falls in the geriatric population are related to cognition difficulties.
Elizabeth H. Thiers, OTR/L FECTS [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Veronica Sent: Thursday, May 05, 2005 3:31 AM To: [email protected] Subject: Re: [OTlist] What to do? That's a tough one! Are there any other professionals involved? Can her balance difficulties be addressed by someone else? She can't be left like that! some education is required re falls prevention! Are there any falls groups that she can join? Maybe it's an educational thing where she doesn't understand the relevance of OT to her situation and a falls prevention group may help educate her about how OT can help. Anyway, if she is not identifying any Occupational dysfunction areas as something that needs to be addressed OT cannot really be justified at present (or that's my opinion anyway), maybe she needs a bit of time to see what areas she is struggling with. A useful tool that I was recently shown (to use in Paeds but I think it is applicable accross the board) involves the client writing up a log of activities that they do daily. From getting up in the morning, brushing their teeth, walking to the bathroom, etc. and then using that with the COPM to identify degrees of satisfaction with tasks. It helped the client understand what was ment by OP tasks. In addition there is a standardized assessment (for Paeds not adult services - don't know if there's anything similar for adult services) called the PACS (Paediatric Activity Card Sort) that uses photos to help the child to identify what activities are more challenging. Hope this helps! Veronica Ron Carson <[EMAIL PROTECTED]> wrote: If we see a client that has physical dysfunction but *they* do not identify occupational dysfunction, is there a role for OT? Case in point: A client has a recent fall history. During the eval, the client scores very low on the Berg Balance test (indicative of increased fall risk). However, the client reports no difficulty using ambulating in her room or going to the dining room in her ALF. In other words, despite her fall, she does not readily feel she had difficulty with mobility related occupations. Now, I could probably pry it out of her that she has difficulty with going to/from the bathroom because she in fact fell coming back from the bathroom. But the *client* only sees that balance is her problem, not the balance-related activity. So, what to do? The client doesn't see occupation as the problem, she sees balance as the problem. Maybe I have analysis paralysis!! Ron -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED] --------------------------------- Yahoo! Messenger - want a free & easy way to contact your friends online? -- 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]
