I am glad to see the conversation change from who does/owns what between PT and OT :)
I agree with mary that SLP should be responsible for dysphagia/aphasia, as far as the modern medical model goes. But, I also agree with Mary that if a person is specialized, trained, or has done research in a particular gray area, then that person should be responsible for that particular impairment/outcome. The cognitive realm is not owned, nor should be, by any professional designation. If OT, PT, SLP, MD, nurse, etc. are all cognitively present and aware of the clients cognition, it only enhances the treatment of all professions. What urks me is that the government decision makers (i.e. the decider) is not cognitive about how our health care system could work better and more efficiently. I have a question for the listserve (somewhat along the same "cognitive" path). Is there discussion within the OT field about creating logarithms for treating clients? Making decision trees that take in account as many significant variables as possible? This is happening in the treatment of neurological clients in PT. It is interesting to me that one day we will get a client, plug in the information from our evaluation and POOF - do this for/to the client for best outcomes. What might that lead to in regards to who owns/does what? David A. Lehman, PhD, PT Associate Professor Tennessee State University Department of Physical Therapy 3500 John A. Merritt Blvd. Nashville, TN 37209 615-963-5946 [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mary Giarratano Sent: Monday, July 24, 2006 7:08 PM To: [email protected] Subject: Re: [OTlist] Interesting Stats At my facility, the OT role is to work on adaptive equipment and strengthening to improve the patient's ability to self feed and the speech therapist does the dysphagia treatment. That works for me. The area about speech therapy that annoys me is the assignment of cognitive retraining to speech therapy. I did my thesis research on a cognitive intervention so feel that OT should "own" the cognitive realm. Mary -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Charles Willmarth Sent: Monday, July 24, 2006 5:34 PM To: [email protected] Subject: Re: [OTlist] Interesting Stats Ron, I think the list needs a hot topic to start the discussion. I've got one that could be interesting. The Veterans Administration recently adopted a policy that cuts out OTs from dysphagia care. AOTA is working on the issue...but what are listmembers thoughts on the role of OTs in this area? We are seeing more and more efforts by SLP to claim this area of practice as their own. http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1422 Although OTs are referred to as potentially part of the interdisciplinary team in the policy, SLPs are clearly identified as the evaluators and drivers of care for the management of patients with swallowing (dyshagia) or feeding disorders. Chuck >>> [EMAIL PROTECTED] 7/24/2006 5:17:08 PM >>> Joan, there are currently 209 members on the OTnow list. I don't have anyway the number of messages posted by individuals. But I agree that the proportion of posters compared to the number of members is quite low! But probably no more than any other on-line community! Ron -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [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] -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED]
