Thank you Caryn for your insightful remarks!! You are a smart woman! Happy Mother's Day!
Love, Your Husband ===========> Original Message Follows .... On5/5/2005, Caryn Carson, <[EMAIL PROTECTED]> said: CC> Hi Ron, CC> Of course you should be seeing her. If there is an occupational CC> deficit, which there is, it doesn't matter who identifies it. On the CC> contrary, you are the professional, you should help her to identify it. CC> You are the occupational expert, so of course there will be times you CC> see the deficit even when the patient doesn't. CC> Caryn CC> Ron Carson 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 >> >>===========> Original Message Follows .... >> >>On5/5/2005, Veronica, <[EMAIL PROTECTED]> said: >> >> >>V> That's a tough one! Are there any other professionals involved? >>V> Can her balance difficulties be addressed by someone else? She can't >>V> be left like that! some education is required re falls prevention! >>V> Are there any falls groups that she can join? Maybe it's an >>V> educational thing where she doesn't understand the relevance of OT to >>V> her situation and a falls prevention group may help educate her about >>V> how OT can help. Anyway, if she is not identifying any Occupational >>V> dysfunction areas as something that needs to be addressed OT cannot >>V> really be justified at present (or that's my opinion anyway), maybe >>V> she needs a bit of time to see what areas she is struggling with. >> >>V> A useful tool that I was recently shown (to use in Paeds but I >>V> think it is applicable accross the board) involves the client writing >>V> up a log of activities that they do daily. From getting up in the >>V> morning, brushing their teeth, walking to the bathroom, etc. and then >>V> using that with the COPM to identify degrees of satisfaction with >>V> tasks. It helped the client understand what was ment by OP tasks. >>V> In addition there is a standardized assessment (for Paeds not adult >>V> services - don't know if there's anything similar for adult services) >>V> called the PACS (Paediatric Activity Card Sort) that uses photos to >>V> help the child to identify what activities are more challenging. >> >>V> Hope this helps! >>V> Veronica >> >>V> Ron Carson <[EMAIL PROTECTED]> wrote: >>V> If we see a client that has physical dysfunction but *they* do not >>V> identify occupational dysfunction, is there a role for OT? Case in >>V> point: >> >>V> A client has a recent fall history. During the eval, the client scores >>V> very low on the Berg Balance test (indicative of increased fall risk). >>V> However, the client reports no difficulty using ambulating in her room >>V> or going to the dining room in her ALF. In other words, despite her >>V> fall, she does not readily feel she had difficulty with mobility related >>V> occupations. >> >>V> Now, I could probably pry it out of her that she has difficulty with >>V> going to/from the bathroom because she in fact fell coming back from the >>V> bathroom. But the *client* only sees that balance is her problem, not >>V> the balance-related activity. >> >>V> So, what to do? The client doesn't see occupation as the problem, she >>V> sees balance as the problem. >> >>V> Maybe I have analysis paralysis!! >> >>V> Ron >> >> >>V> -- >>V> Unsubscribe? >>V> [EMAIL PROTECTED] >> >>V> Change options? >>V> www.otnow.com/mailman/options/otlist_otnow.com >> >>V> Archive? >>V> www.mail-archive.com/[email protected] >> >>V> Help? >>V> [EMAIL PROTECTED] >> >> >>V> --------------------------------- >>V> 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]
