Ron, I have maintained for years (since rotating thru acute care myself 10 
years ago) that we are not doing oursleves any favors by trying so hard to 
maintain a strong presence in acute care as a profession. When we are there, 
the focus should definitley be, for those who can tolerate it,  on getting 
people up and moving, in the context of daily occupations (so no rote 
exercises).  For those sicker or more incapacitated, our role should be gentle 
introduction to ADL and  recommendations for  how OT might be helpful within 
the continuum of care (recs for inpatient rehab versus home care , for 
example). This opinion was  met with total resistance from my acute care 
colleagues, many of whom practiced in a manner that was nearly 
indistinguishable from PT.  At that time, most of the OT's I worked with hated 
acute care, and the 2 of the 3 who loved it   had tried unsuccessfully to get 
into PT school (late 1980's) and went into OT instead because the waiting list 
for PT was too
 long.  They often refused to adress basic ADL or self care and focused almost 
exclusivley on upper extremity PT.   They argued for more OT staff because the 
"needs" were so great, but in reality had they truly practiced OT and addressed 
occupation instead of exercise, there would not have been as big of a need for 
OT in acute care, something that those hell bent on competing with PT did not 
want to admit...


Terrianne

Ron Carson <[EMAIL PROTECTED]> wrote: I went on a PRN OT interview the other 
day. The position was for acute
care  weekend  coverage.  The  person  interviewing  me worked in both
outpatient and inpatient care.

The OT duties for the acute care setting were explained something like
this.  We  don't  get  people  out  of  bed or work on mobility issues
because  this  is  what  PT  does.  Basically  what  we  do is address
self-care  issues  such as dressing, bathing, etc. The is situation is
both frustrating and confusing. Of course, I understand not wanting to
duplicate services, but should OT be the profession getting people out
of bed??

And,  to  continue with my "rant" about OT and UE, the outpatient side
of the facility basically did UE rehab.

If  anyone  on  this list has acute care OT experience I would love to
hear  from you. And of course, other's opinion (including spouses :-))
are also welcome!!

Thanks,

Ron




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