Hello Susanne:

I  guess  the  movement  science  folk are in stark disagreement with my
'primitive instinct' approach to movement, huh?

I  really  wonder,  are patients motivated by 'walking over to the lunch
table'  or  is  walking  itself  the  motivation. Let's do a compare and
contrast:

It's  4:06  in  the morning and I'm getting ready to go kayak fishing. I
have  a  couple  of  miles  to  kayak  before  reaching my spot, so what
motivates me to do this; is it the process of kayaking or the product of
fishing?

Now  that  I think about, this has nothing to do with the topic at hand,
so I'm going fishing! <LOL>

Ron

----- Original Message -----
From: susanne <[EMAIL PROTECTED]>
Sent: Monday, March 27, 2006
To:   [email protected] <[email protected]>
Subj: [OTlist] Disturbing Message, Please Respond


s> "Movement science" is the answer I usually got when asking a PT why we
s> suddenly seemed to think and act so alike:-) They now knew that to best
s> initate movement the patient had to know: Movement towards what? Like
s> walking over to the lunch table.... I always felt this helped our mutual
s> understanding and cooperation. I never felt they stole away much of my
s> job though - like, say, dealing with the patient's problems with eating,
s> having lunch in a social setting etc....

s> Just an example. In general - the (Movement Science oriented) PT will
s> want to know some of what might motivate this patient - in order to 
s> better plan treatment - to use meaningful goals (targets?) for the 
s> movement they work on. This does not mean they work on the full scoope
s> of the patient's activity goals (wanted/needed occupations) like we do.
s> It just sometimes looks the same from the outside - if you just see the
s> trailer and not the whole movie...

s> susanne, denmark

s> ---- Original Message ----
s> From: "Ron Carson" <[EMAIL PROTECTED]>
s> To: <[email protected]>
s> Sent: Tuesday, March 28, 2006 2:15 AM
s> Subject: [OTlist] Disturbing Message, Please Respond

>> Hello All:
>>
>> Recently,  I  received a 'disturbing' message from a fellow
>> therapist. I say 'disturbing' because I really don't know how to
>> respond. So, I asked the  person if I could post there message and
>> they agreed. The person is on  the  OTlist but I will leave it to
>> them to disclose who they are, if they wish.
>>
>> Please  take  a  minute  and  read  this  therapists message and
>> respond accordingly.  I  really  feel  this  person's  pain but I
>> don't have any advice off the top of my head. I think the message is
>> a good catalyst to open a much needed discussion.
>>
>> Thanks,
>>
>> Ron
>>
>>      <<<<<<<<<<<<<<< Original Message Follows >>>>>>>>>>>>>>>>>>>
>>
>> Hi  Ron  I  am  a  Cota of 10 years practice in LTC. I am in the work
>> of starting  the  bridge program at [ommited]this year for OTR
>> program. But for  the past few months I may be changing my mind. I
>> cannot help but to wonder  what makes OT and PT different from each
>> other. AS I do research on  scope  of  practice  in  each  field I
>> read terms of functional, ADL retraining  in self care in home,
>> community or work integration repeated over and over again. I find
>> these term in PT scope of practice. Goals as you  know  are  the
>> foundations of OT. ON many occasion as I work in the rehab  room I
>> look over in shock as the PT will perform mock kitchen act such as
>> cones in different areas, bathroom transfers. Which make it very hard
>> to  explain  to  the patient the purpose of certain act to achieve
>> function  when  PT  has  already  address  this. I am amazed of how
>> many doctors  will  order  PT for shoulder injuries. So I am trying
>> to figure out  what make OT different from PT. I wonder if years from
>> doctors will just  order  PT  service since the scope of practice are
>> pretty much the same.
>>
>>            <<<<<<<<<<<<<<<< End of Message >>>>>>>>>>>>>>>> 




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