I have been there...Just snap out of that one and continue trying to excel in
occupational-based intervention
carmen
----- Original Message -----
From: michael butterfield<mailto:[EMAIL PROTECTED]>
To: [email protected]<mailto:[email protected]>
Sent: Wednesday, November 30, 2005 7:20 PM
Subject: [OTlist] my own long winded non sensical rant
There is SUCH inconsistency between our language and our practice - why?
Ron
Hi Ron,
I ask that question a lot to myself... I have always said that
OT looks good on paper but not in every day application. Get ready for my
winded rant.
Sometimes I get what is called "Occupation Guilt" when I find
myself in a rut with pts and performing rote/exercise or adl activities. I feel
guilty for not having occupation based goals and treatment. I really wonder at
times if it makes sense to have and occupation based practice (vs an exercise
or activity based tx). And what treatment population truly needs occupation
based intervention in order to meet his or her goals?. orthopedic, neuro,
pediatric, mental health, permanent disability populations...?
I am a solo OT for a small rural hospital with 50 percent
swing pts (like a snf but no minute counting) 25 percent out peds and 25
percent adult outpt. In my practice I have the most success with occupation
based tx with my peds/parents. I am pretty much exercise based with my adult
ortho outpt's as majority are post op hand/UE cases. I openly acknowledge to
myself that I am sometimes not using the tenets of OT with this pt population
but they sill "get better" anyways. In the hospital swing unit find myself
doing rote ADL activities for ex: "Good morning mr. wade(s/p hip orif) I from
OT and I am going to help you with your shower" Most time Mr.Wade could care
less if he has a shower..he just wants to do bed exercises and walk..but the
nurses are happy and Ii can add an adl charge to my billing....I find myself
working more and more on mobility goals as this is what the majority of pts
want versus basic ADLs . As I get older (30 now) I am having more
difficult/uncomfortable feelings performing basic ADL tx sessions. I now
down the road I will not feel comfortable to work in and inpt/HH setting
because of the ADL tag that been pinned on OT's
I often ask myself why I am not more occupation based. I
question at times if I am making the term occupation based tx to complex in my
own mind. I some times feel occupation based tx is too much work, I am too
lazy, not enough time in the day and/or I am just comfortable with my generic
pre-determined goals and treatments...or is Occupation based tx just a broken
system in todays healthcare environment?
Mike Butterfield OT
(ahh i feel better already..thanks for the rant time!)
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