Hey Ron,

Generaly, 24 hour supervision is required for an individual with a 4.2.  The 
information I have as part of a caregiver guide states that the caregiver must 
assume all responsibility for administration of medications and monitoring of 
effects.  It goes on to state that verbal skills are often better than actual 
task performance abilities.  A patient at this level does have ability to learn 
tasks which can be broken into simple steps, however the complexity and 
potential safety implications of lymphedema management may be a bit too much to 
handle.

Jimmie

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Behalf Of Ron Carson
Sent: Tuesday, May 10, 2005 10:58 AM
To: [email protected]
Subject: [OTlist] What Kind of Therapy do You do???


Today  at  wal-mart,  the checkout person says, "What kind of therapy do
you  do"?  As  I  finished explaining OT (for the 1 billionth time in my
life),  the person said that she had just graduated from massage school.
Said, that someone just graduating has never heard of OT!!!

On  a  more  positive  note... I administered my very first Allen screen
today!!  I am trying to determine if my client has the capacity to learn
how  to do his own lymphedema wrapping. He scored 4.2 on the assessment.
I  need  to look up the score in the book but it doesn't seem promising.
It  was  so  funny because the client (a man) started out laughing about
doing  the simple lacing but when it got time to do the cordovan stitch,
he was very serious and intent on learning the stitch.!!!

Ron


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