Yesterday, while evaluating a new patient in an ALF, I told her that I
was  an  OT,  not  a  PT.  This  patient,  who was recently d/c from a
hospital,  says:  "Oh, I had OT in the hospital". When asked what they
did the patient began doing the "OT Dance"! You know, raising her arms
up/down  and  out  to  the side (dowel exercises) and moving then in a
circular  pattern  (UE  bicycle). I told her that we wouldn't be doing
any  of that because her arms where not a problem. The patient did say
that once a week they baked cookies and that it was fun!

As  I  was  leaving  the  facility,  I  wanted to clarify with the new
director  that  I  was  an  OT,  not  PT. You see, I've been providing
therapy  at  this facility for several YEARS. Most orders they receive
are  for  PT. So, I just call the doctor and get it changed to OT or I
do a plan of treatment and have the doctor sign it. But, I didn't want
the new director thinking I was a PT.

As I began explaining to the director, she got a worried look and said
"Oh".  As  the conversation progressed, I explained about the whole UE
and  LE  thing and that it's more a matter of convenience and finances
than training. She seemed to understand and told me that she thinks of
OT as UE and feeding.

Finally,  in  case  you  ever  wonder  why I send these messages. It's
because there is a cavern of disparity between AOTA official documents
about  OT and the reality of what is done by practicing OT's. It is my
sincere  belief  that  unless this cavern is closed, OT is at risk for
failure.  Despite our past success as a profession, I don't think such
a  cavern has existed to the degree that we are seeing today, at least
in adult physical dysfunction.

So,  there  you go. And the answer to the question I previously posted
is  that  the director of the rehab hospital said that OT = U and PT =
LE.  And  you  know what, they are right! At least as to what is being
practiced, not preached!!

Ron


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