rock on!
  ----- Original Message ----- 
  From: Ron Carson<mailto:[EMAIL PROTECTED]> 
  To: Ron Carson<mailto:[email protected]> 
  Sent: Tuesday, January 17, 2006 8:10 PM
  Subject: Re: [OTlist] Help with low-vision patient


  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]<mailto:[EMAIL PROTECTED]>>
  Sent: Tuesday, January 17, 2006
  To:   Carmen Aguirre <[email protected]<mailto:[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]<mailto:[EMAIL PROTECTED]>>
  RC> Sent: Tuesday, January 17, 2006
  RC> To:   [email protected]<mailto:[email protected]> 
<[email protected]<mailto:[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]<mailto:[EMAIL PROTECTED]>> 
  CA>>   To: AOTA Gerontology List<mailto:[EMAIL PROTECTED]<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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