I think this is another example how wide the quality of OT service ranges. One 
of my pts went home, called home health without our recommendation as to which 
company to contact. Had a therapists who insisted he do UE exercises that 
pushed his shoulder ROM (he has severe limitations due to OA). The next day he 
was in severe pain and everything we had achieved to get him moving and 
decrease his pain was destroyed. He has chronic pain and severe OA. Maybe the 
certification test needs a section on common sense. Chris

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