When I read the  descriptions, I see it as an issue of Top- to- bottom Vs 
bottom- to top approach. The first one  looks at the activity or task as the 
focus of the intervention. Your approach looks at the impairments that impact 
the performance of the activity or task. We address the occupationally- 
relevant activity anyways...
Don't we?
  ----- Original Message ----- 
  From: Ron Carson<mailto:[EMAIL PROTECTED]> 
  To: [email protected]<mailto:[email protected]> 
  Sent: Tuesday, January 17, 2006 5:48 AM
  Subject: [OTlist] Comparative Descriptors of OT and PT


  While  investigating information for a low-vision patient, I came across
  something  called  the  "Self  Reported  Screening  For Occupational and
  Physical  Therapy Referrals" [SPOTR]. I download the form from:

  
www.mdanderson.org/pdf/rehab_selfassess.pdf<http://www.mdanderson.org/pdf/rehab_selfassess.pdf>

  At the top of the form are the following descriptions of OT and PT:


  A  occupational  therapist  is  a professional who can address issues of
  activities  of  daily  living  such  as  dressing, bathing, eating, hand
  function, home management and safety.

  A  physical  therapist  is a professional who can address issues such as
  weakness,  loss  of  balance  or  coordination,  difficulty  walking and
  moving, sensory changes and pain.


  These  types  of  comparative  descriptions  leave me scratching my head
  because  they  just  don't  make  sense.  For  example, isn't "issues of
  activities  of  of daily living" frequently caused by "weakness, loss of
  balance   or  coordination"?  Or  isn't  "home  management  and  safety"
  frequently  affected by "difficulty walking and moving"? Why would an OT
  address  dressing  bathing eating, etc without addressing weakness, loss
  of balance, walking, etc?

  And,  how does a consumer interpret these types of descriptors? How many
  patients see loss of daily living skills as the problem versus weakness,
  loss of balance, difficulty moving as their problems?


  Ron


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