Caryn is thinking 'occupation' and underlying Pat's concerns I sense 'meaningful'. Life consists of many things which we do 'over and over' to support and facilitate our valued occupations. This is a perfect example of the gap between theory and practice when one is faced with an existing program which focuses on the physical components. Here we have an OT who senses the lack and is appealing for help to work with her clients on their overall occupational dysfunction. Thank you Pat. The COPM might be a one place to start. It sounds as though these people would be able to do a lot on their own and/or helping each other to consider the questions and develop truly occupational goals. As it is an OT instrument it would not be infringing on the areas that other team members seem to have appropriated for their own. Wow, a real life case example for the group. What a fantastic opportunity to work together and hopefully follow the story through. Joan
> -----Original Message----- > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of > Caryn Carson > Sent: Thursday, July 27, 2006 2:59 AM > To: [email protected] > Subject: Re: [OTlist] Pat's List > > 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] > > -- > No virus found in this incoming message. > Checked by AVG Free Edition. > Version: 7.1.394 / Virus Database: 268.10.4/401 - Release Date: 7/26/2006 > -- No virus found in this outgoing message. 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