I have enjoyed reading the discussion on this topic. As a therapist who
has struggled to not get totally sucked into the biomechanistic
routine of treatment pathways (we usede to call that "cookbook therapy),
I am interested in reading the resources
mentioned. Books like ""Enabling Occupation: An Occupational Therapy
Perspective" sound great. But I live in a rural area where access toa
decent library is not
possible. I've always like to browse before I buy - - does anyone know
of a good source for these materials?
Jim Herzog
Ron Carson wrote:
Hello Chris:
Boy, I can 'feel' your pain. In fact, I have live your pain. Recently on
an AOTA list, someone asked about occupation-based practice. Here was my
response, maybe it will help:
************************************************************************
I suggest starting with an occupation-based assessment.... the COPM
comes to mind. Once occupational deficits are identified, you can then
identify underlying issues contributing to these deficits. After this,
devise a treatment plan to treat those deficits most inhibiting
occupational performance and that are reasonably treatable within the
time frame that you have to work with your clients. Then, get to work!!
Use the COPM to measure your progress and for outcomes.
One word of caution.... The above plan will move you out of your comfort
zone of working on UE stuff. You will find yourself working on
mobility-related issues much more than UE stuff. Don't let the PT's get
in your way... they are gait experts but YOU are the mobility expert....
or you soon will be!! <grin>
In 1997, I was in the same position that you find yourself.... One book
changed my whole professional life. That book, "Enabling Occupation: An
Occupational Therapy Perspective" is a MUST read for anyone wanting to
practice occupation-based therapy.
Ron Carson
************************************************************************
----- Original Message -----
From: Chris Smith <[EMAIL PROTECTED]>
Sent: Friday, July 01, 2005
To: [email protected] <[email protected]>
Subj: [OTlist]
CS> The article in advance was just pathetic. I am struggling with
CS> whether or not to continue working in a rather nice SNF actually.
CS> The problem is the mind set of the other OTR who is the rehab
CS> director and the two COTAs who I supervise. Their whole focus is
CS> upper body strengthening with theraband and ADLs serve as the
CS> purposeful activity. While I hear about occupation from those "on
CS> high," who is really using purposeful activity in LTC. Please
CS> contact me and tell me what you are doing. My residents basically
CS> have no interests. They eat and sleep. Most don't read because they
CS> say they can't see and many don't watch TV either. I think the more
CS> active people stay healthy and in their own homes. The couch
CS> potatoes end up in LTC ill, depressed and unmotivated. I really am
CS> disillusioned with the entire profession--we are too many things to
CS> too many people and end up being expendable by the health care world
CS> since no one knows what we do . We don't even know. I am tired of
CS> the struggle--maybe I should just go back to school to be a PTA or a
CS> nurse. TGIF. Chris
CS> _______________________________________________
CS> Join Excite! - http://www.excite.com
CS> The most personalized portal on the Web!
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