Hi Ron!
You wrote:
(snip)
So, what to do? The client doesn't see occupation as the problem, she
sees balance as the problem.
I guess I can see her point. Balance is part of soooo many important occupations - if I was asked to name mine, I would be afraid to forget half of them! If I had a balance problem I would also start with adressing it directly - that is, checking out with my doctor what is the reason and what could be done. If training was supposed to help, I would also want that on a general level first - which might mean involving a PT. THEN I might look for an OT to help me implement my training in my daily life to make it more effective - and to help me compensate so I could continue the most important of my occupations safely, while hopefully waiting to be cured of my balance problem. I would also like some help adressing certain needs if I couldn't be compensated well enough to e.g. do my shopping safely by myself.
So, back to your case - you helped her see that she has a balance problem. Since the two of you agree on that, hopefully you can also discuss the next step, which might or might not be OT. Suggesting ONLY OT, and working on a limited number of occupations, could sound a lot like saying: "you're old, so you have to live with it". Help her see that this is NOT the case!
But maybe what you're saying is that she doesn't really see her balance problem as a problem at all??
Then we have a quite different situation - I see that you've already received lots of suggestions, esp. re: the cognitive components. I would like to add: Different cultural views on disability and old age. Different coping styles. Lack of life zest.
susanne, denmark
PS: What is "ALF"?
-- Unsubscribe? [EMAIL PROTECTED]
Change options?
www.otnow.com/mailman/options/otlist_otnow.com
Archive? www.mail-archive.com/[email protected]
Help? [EMAIL PROTECTED]
