I spent quite of bit of time looking for AOTA's low-vision guidelines. I
could  not  find  them  on  AOTA's  web  site or in their recent Product
Catalog.

I  feel  neither  qualified  nor  competent  to  treat  this particular
patient.  If  there  were  no  other  options, I would probably consider
treating them. But, I believe there are others who can do better.

Ron

P.S. Thanks for the suggestions!!!

----- Original Message -----
From: Carmen Aguirre <[EMAIL PROTECTED]>
Sent: Tuesday, January 17, 2006
To:   [email protected] <[email protected]>
Subj: [OTlist] Help with low-vision patient

CA> I would refer pt to neuro-optometrist for specific diagnostics,
CA> continue treating the areas you identified via objective tests and
CA> depending on the prognosis given by the n-optometrist, initiate
CA> either restoration, compensatory retraining and/or adaptation of
CA> environment to maximize performance in occupationally relevant
CA> routines. I use the AOTA practice guideline quite a bit just to make
CA> sure I'm not skipping  details re: intervention strategies.
CA> Good luck. I'm sure you will do a great job
CA> Carmen 
CA>   ----- Original Message ----- 
CA>   From: Ron Carson<mailto:[EMAIL PROTECTED]> 
CA>   To: AOTA Gerontology List<mailto:[EMAIL PROTECTED]> 
CA>   Sent: Tuesday, January 17, 2006 6:09 AM
CA>   Subject: [OTlist] Help with low-vision patient


CA>   Hello All:

CA>   I  just  began treating a man who has vision changes secondary to a very
CA>   recent  stroke.  He  has an obvious left field cut and visual processing
CA>   deficits,  as  evidenced by the Motor Free Visual Perceptual Test, Trail
CA>   Making tests, client reports, and observations. He is unable to read and
CA>   has  difficulty with safe ambulation. The patient is very wealthy, lives
CA>   in a VERY large home but is currently staying with his mother.

CA>   I  am at a loss for what is my best course of action with this client. I
CA>   have  only  little experience working with low-vision and most of it has
CA>   been  on  having client's perform practical exercises to remediate their
CA>   vision deficits. I know that vision changes may remediate on their own.

CA>   I  have  done quite a bit of reading over the past week but I still feel
CA>   unsure  of  the  best course of action. I want to ensure that I am doing
CA>   the best for this patient, so:

CA>   1. Should I refer to a vision specialist?

CA>           a. If so what type and how do I find one in my area

CA>   2. Should I continue treating using practical application techniques

CA>   3. Other options?

CA>   Thanks,

CA>   Ron C.

CA>   x-posted


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