ooooh sounds juicy. Can you tell us what you told him? Erika
----- Original Message ----- From: Bill Maloney <[EMAIL PROTECTED]> Date: Thursday, April 27, 2006 8:36 am Subject: [OTlist] Run as fast as I can........ To: [email protected] > > If I were a high school student, or even a college > student contemplating a switch of majors (possibly to > OT), or even an OT student in, say, a Level I > fieldwork experience reading these postings I think > I'd run as fast as I could for the nearest exit. > > A few months ago, I was working in the hospital on a > weekend. I entered the elevator the same time as a > doctor, we were on the elevator alone. We politely > nodded to one another. He looked down, saw my ID > badge, and said, "OT huh?" "Why would I refer to you > instead of, or in addition to, a PT in the acute care > orthopedic ward of this hospital?" > > I swear, I think I heard that cliche choir of angels > singing, "Allelujiah" in the background as I grabbed > that fortuitous opportunity by the labcoat, using that > 30 seconds or so to do some made-to-order, grassroots > education on behalf of our profession. By the time > that short elevator ride was over, that doctor > enthusiastically smiled and issued a hearty, "Thanks!" > Undoubtedly, he had a much better, practical > understanding of what OT is, and why he should regard > us folks walking around with "OT" on our ID badge as > much as those with "PT" "SLP" "RT" "RN" "MD" etc., on > and on. > > I do understand the fears of PT, RT, and other players > "taking over" our profession. I do understand the > need for a unique, marketable niche for our profession > going forth. I do understand all the "flailings > about" and theoretical banterings about > occupation-based practice. But, sometimes a good > old-fashioned face to face, sincere, "down and dirty" > marketing of who we are to those responsible for > getting those patients referred to us goes a long way. > Thanks to all who are posting these thoughtful and > timely messages on this subject of late. Have a good > day. More to come........... > > Bill Maloney, OTR > > --- [EMAIL PROTECTED] wrote: > > > Send OTlist mailing list submissions to > > [email protected] > > > > To subscribe or unsubscribe via the World Wide Web, > > visit > > http://otnow.com/mailman/listinfo/otlist_otnow.com > > or, via email, send a message with subject or body > > 'help' to > > [EMAIL PROTECTED] > > > > You can reach the person managing the list at > > [EMAIL PROTECTED] > > > > When replying, please edit your Subject line so it > > is more specific > > than "Re: Contents of OTlist digest..." > > > > > > Today's Topics: > > > > 1. Re: Occupation (Joan Riches) > > 2. Re: Occupation (Carmen Aguirre) > > 3. Re: Occupation (Carmen Aguirre) > > > > > > > ------------------------------------------------------------------- > --- > > > > Message: 1 > > Date: Wed, 26 Apr 2006 21:48:50 -0600 > > From: "Joan Riches" <[EMAIL PROTECTED]> > > Subject: Re: [OTlist] Occupation > > To: <[email protected]> > > Message-ID: > > > > > <!~! UENERkVCMDkAAQACAAAAAAAAAAAAAAAAABgAAAAAAAAAqpIeEyoaqEeUzXp6QaY++8KAAAAQ AAAAic08u/[EMAIL PROTECTED]> > > > > Content-Type: text/plain; charset="windows-1250" > > > > What do you mean 'such recommendations are not > > warranted'? If they are > > feasible even on a temporary basis, won't they help? > > Did you ask what her > > living situation was like? How did she damage her > > shoulders? Was it repeated > > strain over time, result of a fall, what? Is she > > short or tall? Is the rod > > in her closet actually too high for her? or is she > > trying to reach a higher > > shelf? Is a lower shelf available or feasible? > > What is it she cannot reach on the table? Can you > > help her think about her > > living environment and how it might be adapted so > > she could manage with less > > pain? Does the culture of the Assisted Living > > Facility allow her to ask for > > help? Is she willing to do so or is she forcing her > > shoulders to show she > > can manage? Is she cognitively able to understand > > consequences in the > > future? Are there requirements for independent > > abilities to stay there? Is > > she afraid of transfer to Long Term Care? What do > > you think her prognosis > > for biomechanical recovery is? Depending on the > > injury sometimes older > > people have to adapt to loss of range with rotator > > cuff injuries. Is her > > medication adequate for pain control? Is she taking > > it? Does she understand > > about maintaining a therapeutic level? Is there any > > reason to be concerned > > about the side effects of medication? Does she get > > up to go to the bathroom > > in the night? Is her way lighted? > > I assume that when a doctor refers to OT it is > > because that is what is > > expected. The reason OT is needed may be an injury > > but the physician expects > > us to mitigate to the best of our ability and with > > all the resources we can > > muster the occupational effects of that injury. Of > > course they don't refer > > for difficulty in ADLs they don't assess for the > > practical consequences of > > injury but they certainly expect us to do so. > > Try to let go of your semantic preoccupation with > > occupation. Look at > > people and ask yourself and them what they want, > > need or are expected to do > > and what you know that may help them. You'll find > > you are writing notes > > about restored occupation. (normal life - thanks > > Carmen) Stop telling > > yourself that there is nothing you can do that isn't > > PT and just do it. > > Joan (with some irritation) > > > > > -----Original Message----- > > > From: [EMAIL PROTECTED] > > [mailto:[EMAIL PROTECTED] On Behalf > > > Of Ron Carson > > > Sent: Wednesday, April 26, 2006 8:21 PM > > > To: Joan Riches > > > Subject: Re: [OTlist] Occupation > > > > > > Hello Joan: > > > > > > It's funny how things sometimes fall into place. > > Just today, I evaluated > > > an older adult living in an ALF. The > > referral was secondary to a > > > doctor's report of bilateral rotator cuff > > injuries. Notice that the > > > referral wasn't for difficulty bathing, eating, > > dressing, etc. > > > > > > Anyway, in talking with the client we > > identified obvious limitations > > > with ROM and she reported quite a bit of pain. > > BUT, she also stated that > > > she had difficulty obtaining clothes from the > > closet and reaching items > > > on the dining room table. So, like you > > said, in listening to the > > > patient, she identified occupational deficits. > > But, here's the confusing > > > part. > > > > > > If the goal is occupation, then I only > > need recommend a higher > > > chair/lower dining table and that she place > > her clothes on a lower > > > shelf. Thus, her occupational performance is > > restored. Obviously, such > > > recommendations are not warranted but isn't > > this what you are > > > saying? > > > > > > Instead, shouldn't I address the cause of her > > occupational limitation > > > which of course are biomechanical in nature. > > But addressing her > > > biomechanical problems so that she might better > > complete her occupations > > > is no different than what a PT or in the case you > > gave, an RT might do. > > > They might not call them occupations but that > > isn't the point. > > > > > > It seems that looking at these situations kind > > of leaves OT stuck in a > > > vise. We say we are about occupation but when the > > rubber hits the road, > > > we are only about occupation as an ancillary > > byproduct of our therapy. > > > > > > Ron > > > > > > ----- Original Message ----- > > > From: Joan Riches <[EMAIL PROTECTED]> > > > Sent: Wednesday, April 26, 2006 > > > To: [email protected] <[email protected]> > > > Subj: [OTlist] Occupation > > > > > > JR> Do you see your clients in their homes? Most > > people will tell their > > > JR> troubles to an empathetic listener and > > even if the problem is a > > > JR> 'medical' one the 'troubles' will include > > the things they are > > > JR> prevented from doing. > > > > > > > > > > > > -- > > > Unsubscribe? > > > [EMAIL PROTECTED] > > > > > > Change options? > > > www.otnow.com/mailman/options/otlist_otnow.com > > > > > > Archive? > > > www.mail-archive.com/[email protected] > > > > > > Help? > > > [EMAIL PROTECTED] > > > > > > -- > > > No virus found in this incoming message. > > > Checked by AVG Free Edition. > > > Version: 7.1.385 / Virus Database: 268.4.6/324 - > > Release Date: 4/25/2006 > > > > > > > -- > > No virus found in this outgoing message. > > Checked by AVG Free Edition. > > Version: 7.1.385 / Virus Database: 268.4.6/324 - > > Release Date: 4/25/2006 > > > > > > > > ------------------------------ > > > > Message: 2 > > Date: Wed, 26 Apr 2006 21:54:29 -0600 > > From: "Carmen Aguirre" <[EMAIL PROTECTED]> > > Subject: Re: [OTlist] Occupation > > To: <[email protected]> > > Message-ID: > > <[EMAIL PROTECTED]> > > Content-Type: text/plain; charset="iso-8859-1" > > > > Maybe the disconnect is more setting-specific Vs. a > > generalized problem. > > I work in Sub-acute-SNF/LTC; the referrals are > > biomechanical and medical in nature ( underlying > > impairments per our old terminology); we immediately > > make the correlation for the client re: occupational > > self performance, and use occupationally relevant > > assessments/activities to either > > restore/compensate/adapt and discharge to prior > > living environment. I don't do PT treatments when I > > use modalities to help alleviate pain so my client > > can proceed to cook/bake a cake; I don't do PT just > > because I am using spasticity-inhibiting techniques > > with their hand/wrist/shoulder to facilitate > > dressing at end of session. I have to address these > > anatomical/physiological factors to maximize > > self-performance. Why isn't that occupational > > therapy. I feel that I'm missing your point...I just > > don't get your conflict with Occupation. Help > > carmen > > ----- Original Message ----- > > From: Ron Carson<mailto:[EMAIL PROTECTED]> > > To: Carmen Aguirre<mailto:[email protected]> > > Sent: Wednesday, April 26, 2006 6:00 PM > > Subject: Re: [OTlist] Occupation > > > > > > Yes, we see a dentist because of the toothache, > > not so we can eat corn > > on the cob! We call the electrician because we > > have an electrical short, > > not so we can watch TV. We take our care to a > > mechanic because it's > > broken, not so we can drive to a movie. > > > > We call an OT because because we can't wash our > > feet.... > > > > Now, who thinks of OT like that?? NO ONE, well > > almost no one! > > > > About the only time that I hear mention of OT > > (keep in mind that I work > > in an outpatient private practice setting) is > > for fine motor, UE, and > > cognition. Once, I had a referral from a > > chiropractor to do a home > > safety assessment for his Dad, also a > > chiropractor. But by far, OT is > > normally referred to for anything OTHER than > > occupation. And that's a > > problem! > > > > In my opinion, we MUST: > > > > 1. Change our message > > > > 2. Change our delivery > > > > 3. Or a combination of the two > > > > ----- Original Message ----- > > From: Carmen Aguirre > > <[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> > > Sent: Wednesday, April 26, 2006 > > To: [email protected]<mailto:[email protected]> > > <[email protected]<mailto:[email protected]>> > > Subj: [OTlist] Occupation > > > > CA> Ron... > > CA> When we get sick, have a tooth ache, bleeding, > > etc we seek a > > CA> doctor to stop/cure/remediate the cause in > > order to restore "normal" > > CA> life (occupation). Why would it be different > > for patients who need > > CA> our services...I truly don't see the > > dis-articulation. Help? > > CA> Carmen > > CA> ----- Original Message ----- > > CA> From: Ron > > > Carson<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> > > > > CA> To: > > > [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED] .rr.com<mailto:[EMAIL PROTECTED]>> > > > > CA> Sent: Wednesday, April 26, 2006 11:17 AM > > CA> Subject: Re: [OTlist] Occupation > > > > > > CA> Yes, I agree 100% with your statement. BUT > > most patients that I see are > > CA> not at the point of compensation. And > > besides, I don't think that > > CA> compensation is really a big part of > > medicine. I just can't see me going > > CA> to a doctor and saying; > > > > CA> " If you have any patients who can't > > use their arms, hands, legs, > > CA> etc. then send them to me so I can > > teach them how to compensate" > > > > CA> Maybe this SHOULD be the role of OT > > but it is one role that in my > > CA> opinion is not highly promoted, practiced > > or warranted for many of our > > CA> patients. > > > > CA> Ron > > > > CA> ----- Original Message ----- > > CA> From: > > > [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED] .rr.com<mailto:[EMAIL PROTECTED]>> > > CA> > > > <[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED] crr.com<mailto:[EMAIL PROTECTED]>>> > > CA> Sent: Wednesday, April 26, 2006 > > CA> To: > > > [email protected]<mailto:[email protected]<mailto:[email protected]<mailto: [email protected]>> > > CA> > > > <[email protected]<mailto:[email protected]<mailto:[email protected]<mailto :[email protected]>>> > > CA> Subj: [OTlist] Occupation > > > > CA> Enrc> Ok - I understand what you're saying, > > but let's just say that it was > > CA> Enrc> not possible that this person receive > > a lens replacement and everything > > CA> Enrc> did not get better and the problem > > could not be fixed. In this case, > > CA> Enrc> occupation and compensation WOULD come > > to the forefront, no? > > > > CA> Enrc> ----- Original Message ----- > > CA> Enrc> From: Ron Carson > > CA> > > > <[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]< mailto:[EMAIL PROTECTED]>>> > > CA> Enrc> Date: Wednesday, April 26, 2006 7:34 > > am > > CA> Enrc> Subject: [OTlist] Occupation > > CA> Enrc> To: > > > [email protected]<mailto:[email protected]<mailto:[email protected]<mailto: [email protected]>> > > > > CA> >> Hello All: > > CA> >> > > CA> >> Recently Biraj pointed out that I: > > CA> >> > > CA> >> > always championed and advocated, > > very strongly I might > > CA> >> add,> occupation-based practice but > > now it seems [I am] > > CA> >> extremely> disappointed of anything the > > term has to do with in the > > CA> >> OT profession. > > CA> >> > > CA> >> Biraj is correct about my past > > vocalizations but today I don't > > CA> >> feel that > > CA> >> I am disappointed about occupation. > > I still feel the same > > CA> >> aboutoccupation but I think that I > > am becoming a bit jaded > > CA> >> at trying to > > CA> >> integrate occupation into my private > > practice. You see, > > CA> >> occupation is > > CA> >> important, it's important to ALL of > > us, but what I am > > CA> >> discovering is > > CA> >> that treating occupational deficits > > does not fit well with my > > CA> >> clientsbecause clients don't consider > > occupational deficits to be > > CA> >> the problem. > > CA> >> Here's a non-OT story to make my > > point. > > CA> >> > > CA> >> Recently, someone I know was > > diagnosed with cataracts. The > > CA> >> cataractsaffected his vision to the point > > that modifications were > > CA> >> needed to read, > > CA> >> work and play. Now, what do you think > > this person saw as the > > CA> >> problem;cataracts or occupations. > > Obviously, the impact on his > > CA> >> occupation is > > CA> >> what brought the cataracts to the > > forefront and motivated him to > > CA> >> seek a > > CA> >> lens replacement, but cataracts are > > the problem, not the > > CA> >> loss of > > CA> >> occupation. So, the person received a > > lens replacement and > > CA> >> everything is > > CA> >> getting better. Well, how does this > > 'story' apply to OT. > > CA> >> > > CA> >> Simple, our clients are seeking > > answers to problems. They want > > CA> >> theseproblems fixed. But the problems > > are not occupation, the > > CA> >> problems are > > CA> >> things like weakness, loss of balance, > > developmental delay, > > CA> >> depression,etc. Clients see these > > 'components' as the problem and > > CA> >> this is what they > > CA> >> expect their therapist to address. This > > is the way the entire > > CA> >> world of > > CA> >> medicine works and for OT to be any > > different just doesn't work. > > CA> >> > > CA> >> What I think needs to be done is for > > our patients to recognize > > CA> >> loss of > > CA> >> occupation as the primary problem. Then, > > they recognize the need > > CA> >> for an > > CA> >> occupational therapist. And as far as I > > can tell, the ONLY way > > CA> >> that this > > CA> >> is going to happen on a large > > scale is for AOTA to put > > CA> >> together a > > CA> >> NATIONAL ad campaign directed at > > educating people about > > CA> >> occupation and > > CA> >> thus occupational therapy. > > CA> >> > > CA> >> Finally, there are settings were > > occupation is the concern but > > CA> >> about the > > CA> >> only one that I know of is > > long-term mental health. And > > CA> >> given that > > CA> >> therapeutic occupation is rooted in > > mental health, this makes > > CA> >> perfectsense. But for the majority > > of OT's working in the US, > > CA> >> I think that > > CA> >> trying to integrate occupation as our > > main form and outcome is > > CA> >> a lost > > CA> >> battle, unless patients are > > EDUCATED, INTEGRATE and > > CA> >> EXPERIENCEoccupation-based therapy. > > CA> >> > > CA> >> Ron > > CA> >> > > CA> >> > > CA> >> > > CA> >> > > CA> >> -- > > CA> >> Unsubscribe? > > CA> >> > > CA> > > > [EMAIL PROTECTED]<mailto:OTlist- > [EMAIL PROTECTED]<mailto:OTlist- [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> > > CA> >> > > CA> >> Change options? > > CA> >> > > CA> > > > www.otnow.com/mailman/options/otlist_otnow.com<http://www.otnow.com/mail man/options/otlist_otnow.com<http://www.otnow.com/mailman/options/otlist _otnow.com<http://www.otnow.com/mailman/options/otlist_otnow.com>> > > CA> >> > > CA> >> Archive? > > CA> >> > > CA> > > > www.mail-archive.com/[email protected]<http://www.mail- > archive.com/[email protected]<http://www.mail- archive.com/[email protected]<http://www.mail- archive.com/[email protected]>> > > CA> >> > > CA> >> Help? > > CA> >> > > > [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED] Tnow.com>> > > CA> >> > > > > > > > > CA> -- > > CA> Unsubscribe? > > CA> > > CA> > > > [EMAIL PROTECTED]<mailto:OTlist- > [EMAIL PROTECTED]<mailto:OTlist- [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> > > > > CA> Change options? > > CA> > > CA> > > > www.otnow.com/mailman/options/otlist_otnow.com<http://www.otnow.com/mail man/options/otlist_otnow.com<http://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]<http://www.mail- archive.com/[email protected]<http://www.mail- archive.com/[email protected]>> > > > > CA> Help? > > CA> > > > [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED] Tnow.com>> > > > > > > -- > > Unsubscribe? > > > > > [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]> > > > > Change options? > > > > > www.otnow.com/mailman/options/otlist_otnow.com<http://www.otnow.com/mail man/options/otlist_otnow.com> > > > > > > Archive? > > > > > www.mail-archive.com/[email protected]<http://www.mail- > archive.com/[email protected]>> > > Help? > > [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]> > > > > > > ------------------------------ > > > > Message: 3 > > Date: Wed, 26 Apr 2006 22:02:20 -0600 > > From: "Carmen Aguirre" <[EMAIL PROTECTED]> > > Subject: Re: [OTlist] Occupation > > To: <[email protected]> > > Message-ID: > > <[EMAIL PROTECTED]> > > Content-Type: text/plain; charset="iso-8859-1" > > > > Isn't the occupational relevance implied in the > > visit to the dentist?. I obviously can not eat > > because when I do, It hurts...therefore, I go to > > the dentist to get rid of the pain...I already know > > how to eat ...If all my teeth have to come out...the > > dentists comes up with compensatory appliances to > > help me perform the function of eating... > > I see the OT to help me use my hand in a coordinated > > manner so I can write...I know how to do it if I > > could make my fingers work...The limitation is the > > contracted hand or hyper/hypo-tonicity, etc; yet the > > implication of why I want it corrected is there... > > keep it coming! > > Carmen > > ----- Original Message ----- > > From: Ron Carson<mailto:[EMAIL PROTECTED]> > > To: Carmen Aguirre<mailto:[email protected]> > > Sent: Wednesday, April 26, 2006 6:00 PM > > Subject: Re: [OTlist] Occupation > > > > > > Yes, we see a dentist because of the toothache, > > not so we can eat corn > > on the cob! We call the electrician because we > > have an electrical short, > > not so we can watch TV. We take our care to a > > mechanic because it's > > broken, not so we can drive to a movie. > > > > We call an OT because because we can't wash our > > feet.... > > > > Now, who thinks of OT like that?? NO ONE, well > > almost no one! > > > > About the only time that I hear mention of OT > > (keep in mind that I work > > in an outpatient private practice setting) is > > for fine motor, UE, and > > cognition. Once, I had a referral from a > > chiropractor to do a home > > safety assessment for his Dad, also a > > chiropractor. But by far, OT is > > normally referred to for anything OTHER than > > occupation. And that's a > > problem! > > > > In my opinion, we MUST: > > > > 1. Change our message > > > > 2. Change our delivery > > > > 3. Or a combination of the two > > > > ----- Original Message ----- > > From: Carmen Aguirre > > <[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> > > Sent: Wednesday, April 26, 2006 > > To: [email protected]<mailto:[email protected]> > > <[email protected]<mailto:[email protected]>> > > Subj: [OTlist] Occupation > > > > CA> Ron... > > CA> When we get sick, have a tooth ache, bleeding, > > etc we seek a > > CA> doctor to stop/cure/remediate the cause in > > order to restore "normal" > > CA> life (occupation). Why would it be different > > for patients who need > > CA> our services...I truly don't see the > > dis-articulation. Help? > > CA> Carmen > > CA> ----- Original Message ----- > > CA> From: Ron > > > Carson<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> > > > > CA> To: > > > [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED] .rr.com<mailto:[EMAIL PROTECTED]>> > > > > CA> Sent: Wednesday, April 26, 2006 11:17 AM > > CA> Subject: Re: [OTlist] Occupation > > > > > > CA> Yes, I agree 100% with your statement. BUT > > most patients that I see are > > CA> not at the point of compensation. And > > besides, I don't think that > > CA> compensation is really a big part of > > medicine. I just can't see me going > > CA> to a doctor and saying; > > > > CA> " If you have any patients who can't > > use their arms, hands, legs, > > CA> etc. then send them to me so I can > > teach them how to compensate" > > > > CA> Maybe this SHOULD be the role of OT > > but it is one role that in my > > CA> opinion is not highly promoted, practiced > > or warranted for many of our > > CA> patients. > > > > CA> Ron > > > > CA> ----- Original Message ----- > > CA> From: > > > [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED] .rr.com<mailto:[EMAIL PROTECTED]>> > > CA> > > > <[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED] crr.com<mailto:[EMAIL PROTECTED]>>> > > CA> Sent: Wednesday, April 26, 2006 > > CA> To: > > > [email protected]<mailto:[email protected]<mailto:[email protected]<mailto: [email protected]>> > > CA> > > > <[email protected]<mailto:[email protected]<mailto:[email protected]<mailto :[email protected]>>> > > CA> Subj: [OTlist] Occupation > > > > CA> Enrc> Ok - I understand what you're saying, > > but let's just say that it was > > CA> Enrc> not possible that this person receive > > a lens replacement and everything > > CA> Enrc> did not get better and the problem > > could not be fixed. In this case, > > CA> Enrc> occupation and compensation WOULD come > > to the forefront, no? > > > > CA> Enrc> ----- Original Message ----- > > CA> Enrc> From: Ron Carson > > CA> > > > <[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]< mailto:[EMAIL PROTECTED]>>> > > CA> Enrc> Date: Wednesday, April 26, 2006 7:34 > > am > > CA> Enrc> Subject: [OTlist] Occupation > > CA> Enrc> To: > > > [email protected]<mailto:[email protected]<mailto:[email protected]<mailto: [email protected]>> > > > > CA> >> Hello All: > > CA> >> > > CA> >> Recently Biraj pointed out that I: > > CA> >> > > CA> >> > always championed and advocated, > > very strongly I might > > CA> >> add,> occupation-based practice but > > now it seems [I am] > > CA> >> extremely> disappointed of anything the > > term has to do with in the > > CA> >> OT profession. > > CA> >> > > CA> >> Biraj is correct about my past > > vocalizations but today I don't > > CA> >> feel that > > CA> >> I am disappointed about occupation. > > I still feel the same > > CA> >> aboutoccupation but I think that I > > am becoming a bit jaded > > CA> >> at trying to > > CA> >> integrate occupation into my private > > practice. You see, > > CA> >> occupation is > > CA> >> important, it's important to ALL of > > us, but what I am > > CA> >> discovering is > > CA> >> that treating occupational deficits > > does not fit well with my > > CA> >> clientsbecause clients don't consider > > occupational deficits to be > > CA> >> the problem. > > CA> >> Here's a non-OT story to make my > > point. > > CA> >> > > CA> >> Recently, someone I know was > > diagnosed with cataracts. The > > CA> >> cataractsaffected his vision to the point > > that modifications were > > CA> >> needed to read, > > CA> >> work and play. Now, what do you think > > this person saw as the > > CA> >> problem;cataracts or occupations. > > Obviously, the impact on his > > CA> >> occupation is > > CA> >> what brought the cataracts to the > > forefront and motivated him to > > CA> >> seek a > > CA> >> lens replacement, but cataracts are > > the problem, not the > > CA> >> loss of > > CA> >> occupation. So, the person received a > > lens replacement and > > CA> >> everything is > > CA> >> getting better. Well, how does this > > 'story' apply to OT. > > CA> >> > > CA> >> Simple, our clients are seeking > > answers to problems. They want > > CA> >> theseproblems fixed. But the problems > > are not occupation, the > > CA> >> problems are > > CA> >> things like weakness, loss of balance, > > developmental delay, > > CA> >> depression,etc. Clients see these > > 'components' as the problem and > > CA> >> this is what they > > CA> >> expect their therapist to address. This > > is the way the entire > > CA> >> world of > > CA> >> medicine works and for OT to be any > > different just doesn't work. > > CA> >> > > CA> >> What I think needs to be done is for > > our patients to recognize > > CA> >> loss of > > CA> >> occupation as the primary problem. Then, > > they recognize the need > > CA> >> for an > > CA> >> occupational therapist. And as far as I > > can tell, the ONLY way > > CA> >> that this > > CA> >> is going to happen on a large > > scale is for AOTA to put > > CA> >> together a > > CA> >> NATIONAL ad campaign directed at > > educating people about > > CA> >> occupation and > > CA> >> thus occupational therapy. > > CA> >> > > CA> >> Finally, there are settings were > > occupation is the concern but > > CA> >> about the > > CA> >> only one that I know of is > > long-term mental health. And > > CA> >> given that > > CA> >> therapeutic occupation is rooted in > > mental health, this makes > > CA> >> perfectsense. But for the majority > > of OT's working in the US, > > CA> >> I think that > > CA> >> trying to integrate occupation as our > > main form and outcome is > > CA> >> a lost > > CA> >> battle, unless patients are > > EDUCATED, INTEGRATE and > > CA> >> EXPERIENCEoccupation-based therapy. > > CA> >> > > CA> >> Ron > > CA> >> > > CA> >> > > CA> >> > > CA> >> > > CA> >> -- > > CA> >> Unsubscribe? > > CA> >> > > CA> > > > [EMAIL PROTECTED]<mailto:OTlist- > [EMAIL PROTECTED]<mailto:OTlist- [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> > > CA> >> > > CA> >> Change options? > > CA> >> > > CA> > > > www.otnow.com/mailman/options/otlist_otnow.com<http://www.otnow.com/mail man/options/otlist_otnow.com<http://www.otnow.com/mailman/options/otlist _otnow.com<http://www.otnow.com/mailman/options/otlist_otnow.com>> > > CA> >> > > CA> >> Archive? > > CA> >> > > CA> > > > www.mail-archive.com/[email protected]<http://www.mail- > archive.com/[email protected]<http://www.mail- archive.com/[email protected]<http://www.mail- archive.com/[email protected]>> > > CA> >> > > CA> >> Help? > > CA> >> > > > [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED] Tnow.com>> > > CA> >> > > > > > > > > CA> -- > > CA> Unsubscribe? > > CA> > > CA> > > > [EMAIL PROTECTED]<mailto:OTlist- > [EMAIL PROTECTED]<mailto:OTlist- [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> > > > > CA> Change options? > > CA> > > CA> > > > www.otnow.com/mailman/options/otlist_otnow.com<http://www.otnow.com/mail man/options/otlist_otnow.com<http://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]<http://www.mail- archive.com/[email protected]<http://www.mail- archive.com/[email protected]>> > > > > CA> Help? > > CA> > > > [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED] Tnow.com>> > > > > > > -- > > Unsubscribe? > > > > > [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]> > > > > Change options? > > > > > www.otnow.com/mailman/options/otlist_otnow.com<http://www.otnow.com/mail man/options/otlist_otnow.com> > > > > > > Archive? > > > > > www.mail-archive.com/[email protected]<http://www.mail- > archive.com/[email protected]>> > > Help? > > [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] > > > > > > > > End of OTlist Digest, Vol 15, Issue 23 > > ************************************** > > > > > -- > Unsubscribe? > [EMAIL PROTECTED] > > Change options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] > > Help? > [EMAIL PROTECTED] > -- Unsubscribe? 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