Hello Carmen: On second thought, maybe I am missing something. This man has mobility-related deficits. This should be my role. I guess I am hung up on the visual field cut and visual processing aspects because they are so important to the client. I think I may be guilty of focusing on the deficits rather than the occupation.... <sad face>....
Ron ----- Original Message ----- From: Ron Carson <[EMAIL PROTECTED]> Sent: Tuesday, January 17, 2006 To: Carmen Aguirre <[email protected]> Subj: [OTlist] Help with low-vision patient RC> I spent quite of bit of time looking for AOTA's low-vision guidelines. I RC> could not find them on AOTA's web site or in their recent Product RC> Catalog. RC> I feel neither qualified nor competent to treat this particular RC> patient. If there were no other options, I would probably consider RC> treating them. But, I believe there are others who can do better. RC> Ron RC> P.S. Thanks for the suggestions!!! RC> ----- Original Message ----- RC> From: Carmen Aguirre <[EMAIL PROTECTED]> RC> Sent: Tuesday, January 17, 2006 RC> To: [email protected] <[email protected]> RC> 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 CA>> -- CA>> Unsubscribe? CA>> CA>> [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]> CA>> Change options? CA>> CA>> www.otnow.com/mailman/options/otlist_otnow.com<http://www.otnow.com/mailman/options/otlist_otnow.com> CA>> Archive? CA>> CA>> www.mail-archive.com/[email protected]<http://www.mail-archive.com/[email protected]> CA>> Help? CA>> [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]> -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED]
