The article in advance was just pathetic. I am struggling with whether or not 
to continue working in a rather nice SNF actually. The problem is the mind set 
of the other OTR who is the rehab director and the two COTAs who I supervise. 
Their whole focus is upper body strengthening with theraband and ADLs serve as 
the purposeful activity. While I hear about occupation from those "on high," 
who is really using purposeful activity in LTC. Please contact me and tell me 
what you are doing. My residents basically have no interests. They eat and 
sleep.  Most don't read because they say they can't see and many don't watch TV 
either. I think the more active people stay healthy and in their own homes. The 
couch potatoes end up in LTC ill, depressed and unmotivated. I really am 
disillusioned with the entire profession--we are too many things to too many 
people and end up being expendable by the health care world since no one knows 
what we do . We don't even know. I am tired of the 
struggle--maybe I should just go back to school to be a PTA or a nurse. TGIF. 
Chris

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