Terrianne,  your  message reminded me that the therapist I interviewed
with told me that she had fought REALLY hard to have an OT presence in
acute care.

But,  I'm with you about people needing to get up an moving. You know,
not  walking  down  the  hallways but walking to the bathroom, getting
there clothes from the dresser, whatever it is.

Is  seems to me that in general, research (and common sense) says that
hospitalized  people need to be moving as much as medically possible.
If  an OT doesn't even get people out of bed (when it's appropriate to
do so) isn't the OT doing a medical disservice to the patient?

Ron

----- Original Message -----
From: Terrianne Jones <[EMAIL PROTECTED]>
Sent: Wednesday, January 10, 2007
To:   [email protected] <[email protected]>
Subj: [OTlist] Acute Care OT?

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


TJ> Terrianne




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