Hi Ron,
Didn't mean to cause offence (if I did, apologies!). I did realise that you
were seeing the lady from your email, but was wondering if PT was also involved
to address purely mobility issues.
And I agree that from a philosophical point of view it raises a can of worms!
We so often see clients that have 'mobility' difficulties and their main goal
is to 'walk'. They don't understand the other factors that need to be
addressed at the same time.
Similar factors affect the therapy input that we provide for kids (only there
you also have the parents and teachers adding their concerns). With kids we
end up asking: 'who is the client?' and 'who's goals do you treat?' is it the
parent or the teacher who's goals take precedence, or do we listen to what the
children say and focus on their desires... I could add my opinion (and the
opinion of a number of other OT's that I've spoken to), where the child is our
primary client and the one who's wishes should be considered. The problem
arises when you have mom who wants little Johnny to write neatly and the
teachers who want little Johnny to sit still in class and pay attention. All
legitimate concerns but not something that particularly bothers little Johnny
and not something that he is particularly keen on or motivated to do!!!
Veronica
PS in answer to the question 'should you be seeing her' my answer is: what
would happen if you DIDN'T see her?
Ron Carson <[EMAIL PROTECTED]> wrote:
Hello Veronica:
I am seeing the patient! However, I am struggling to understand if I
should be seeing the patient because she doesn't identify any
occupational goals. I used to tell students, if there no occupational
goals identified, then there's no role for OT. The goals with the client
are mobility related like: "Client will safely ambulate to bathroom
using appropriate mobility aid". I am comfortable with the goal IF the
client identified the deficit. But she didn't, I did! I know that in
some cases, clients are cognitively unable to identify goals, but such
is not the case with this client.
What I am asking is more of a philosophical rather than practical
question. Of course, the client needs therapy and of course, OT can
treat the client but based on our treatment philosophy of being
client-centered and addressing occupation, my question is SHOULD I be
seeing her?
Ron
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