Actually, I was looking at it from a patients perspective...I have dealt
with chronic pain for over 6 years, and would love for someone to show
me how to do my current vocation and handle it. That is where I was
coming from. I also noticed, the patients have already gone through OT,
so shouldn't this therapy model be different since the original
treatment wasn't successful? I am not downing what Pat does, she had
asked for ideas, so having the person actually work on something that
they would be doing in their vocation seemed logical, from the patients
perspective as well as the WC companies.
Joan Riches wrote:
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
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