That's a great idea, but would be impossible because I work with them in groups of 6- 10 and almost all of them do some sort of unskilled or manual labor. I am the one and only therapist, and most of my patients are non-English speaking (This is a border city). We never do puzzles, I try to make everything interactive so that they work together with each other. Otherwise they would tend to isolate themselves and dwell on their depression.
This program is sold as a package deal, it's not an OT program and it isn't rehab. We only take clients who have been in chronic pain for more than six months, and have already been through PT/OT and/or surgery. Minimizing pain is generally focused on by the use of biofeedback, relaxation techniques, and breathing exercises/yoga. Other staff take care of that portion of the program. At 02:59 AM 7/27/2006, you wrote: >Just curious, but why don't you have them doing what they do in the >office? If they are accountants, why not have them doing accounting, if >they are financial analysts, why not have them doing that? I am sure >they could provide you with their own material even. This would seem so >much more relevant than doing a puzzle. I am at my computer a lot, so I >would want to know how to sit at my computer and be able to work without >the pain, or at least how to minimize it. > >Caryn > >Pat wrote: > > >It's not a question of need, that's what the program is. These are workers > >comp patients, and the insurance pays for the full program.. a LOT of money! > > > >At 08:33 PM 7/26/2006, you wrote: > > > > > >>Pat, do you feel that you NEED to see each patient for 240 hours? > >> > >>----- Original Message ----- > >>From: Pat <[EMAIL PROTECTED]> > >>Sent: Wednesday, July 26, 2006 > >>To: [email protected] <[email protected]> > >>Subj: [OTlist] Pat's List > >> > >>P> Variety!! they are there for 240 hours... and we play the same > games and > >>P> do the same activities over and over and over and.... > >> > >>P> At 07:45 PM 7/26/2006, you wrote: > >> > >> > >>>>Pat, I certainly can't add anything to what you've typed. What do you > >>>>think is missing? > >>>> > >>>>----- Original Message ----- > >>>>From: Pat <[EMAIL PROTECTED]> > >>>>Sent: Wednesday, July 26, 2006 > >>>>To: [email protected] <[email protected]> > >>>>Subj: [OTlist] Pat's List > >>>> > >>>>P> Hi Ron, > >>>> > >>>>P> The main goal of the program is returning the patient to the highest > >>>>P> possible level of function, and if possible, getting them back to > >>>> > >>>> > >>work. It > >> > >> > >>>>P> is not at all like work hardening/conditioning though... the level of > >>>>P> exercise is much less. I work a lot on strengthening and > >>>> > >>>> > >>conditioning, and > >> > >> > >>>>P> also on increased positional tolerance - sitting, standing, and > >>>>P> walking. It's a full body/mind program, so they don't just > >>>> > >>>> > >>concentrate on > >> > >> > >>>>P> the injured area. I do give them some exercises specific to their > >>>>P> particular injury though. I do things like art, crafts, and games > >>>> > >>>> > >>to work > >> > >> > >>>>P> on sitting tolerance... it occupies the patient's mind and works to > >>>>P> distract them from their pain. I also have them do more active > games... > >>>>P> darts and modified volleyball and badminton (we use a punching balloon > >>>>P> because it's large and moves slower) for standing tolerance. We > even go > >>>>P> for walks outside, weather permitting. We also have aquatics. I > try to > >>>>P> find things that will get them involved and laughing, even playing > >>>> > >>>> > >>games I > >> > >> > >>>>P> picked up a baby showers like races where they have to walk across > >>>> > >>>> > >>the room > >> > >> > >>>>P> with a potato between their knees and drop it in a cup without using > >>>> > >>>> > >>their > >> > >> > >>>>P> hands (if you are a man, don't ask). I try to make it as fun for > >>>> > >>>> > >>them as > >> > >> > >>>>P> possible. > >>>> > >>>>P> I do team building exercises with them, and we sometimes have sessions > >>>>P> where they will do collages depicting how they feel now on what > >>>> > >>>> > >>side, and > >> > >> > >>>>P> their goals on the other side, and then we discuss why they chose the > >>>>P> pictures they did. this population is dealing with a lot of > depression > >>>>P> and tend to isolate themselves, so I do activities where they have to > >>>>P> interact and work together toward a common goal. For the most > part the > >>>>P> counselors and psychologist deal with the mental/emotional part of the > >>>>P> program though. > >>>> > >>>>P> Pat > >>>> > >>>>P> At 04:15 PM 7/26/2006, you wrote: > >>>> > >>>> > >>>>>>Hello Pat: > >>>>>> > >>>>>>In response to your below message, I would like to know a little bit > >>>>>>more about the nature (i.e. goals) of your program. Maybe a little > >>>>>>more info will better help us. > >>>>>> > >>>>>>Thanks, > >>>>>> > >>>>>>Ron > >>>>>> > >>>>>> > >>>>>> > >>>>>>>I work in a chronic pain clinic. The patients are there 40 hours > >>>>>>> > >>>>>>> > >>a week > >> > >> > >>>>>>>for six weeks (which usually stretches out because they have to > >>>>>>> > >>>>>>> > >>make up > >> > >> > >>>>>>>absences). I have the group for 5-6 hours a day. The rest of > >>>>>>> > >>>>>>> > >>the time > >> > >> > >>>>>>>they are doing biofeedback, acupuncture, pilates, yoga, nutrition > >>>>>>> > >>>>>>> > >>>>>>class, or > >>>>>> > >>>>>> > >>>>>>>are in a counseling session. I am always challenged to come up > >>>>>>> > >>>>>>> > >>with a > >> > >> > >>>>>>>variety of activities for them! They are there for a wide range of > >>>>>>>injuries so I try to find activities that will fit everyone. > >>>>>>> > >>>>>>>In the past I have posted to this group looking for suggestions but > >>>>>>> > >>>>>>> > >>>>didn't > >>>> > >>>> > >>>>>>>get much response.... if anyone cares to make some suggestions > >>>>>>> > >>>>>>> > >>and start > >> > >> > >>>>>>>another thread that would be great! > >>>>>>> > >>>>>>>Pat > >>>>>>> > >>>>>>> > >>>>>> > >>>>>>-- > >>>>>>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] > >> > >> > > > > > > > > > > >-- >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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