One caveat though: Please don't get stuck in the ADL/function thing as well. OTs are too often identified as the ADL guys. This places us, in the eyes of non-rehab. disciplines, as glorified aides. Plus, the PT practice framework, or whatever they call it, states that PT's address ADL and function. OT is more complex than ADL or function. Also, in the "rants," as people called them, several individuals mentioned OTs need to stop doing exercise. I argue that exercise is no worse than doing mindless activities like bouncing around a balloon or digging pennies out of therapy putty. Neither is truly OT. But, we must understand that OT practice must utilize occupation as its treatment medium of choice while also employing other learned techniques to facilitate return to the patient's desired occupation. It is not a sin against the OT gods to do an exercise, but it is also not OT if your primary focus is exercise. If you had a patient that couldn't put his sock on because of hip capsular tightness following an ORIF (that had the potential to do this without a sock aid) would you run to the PT to ask them to improve the range for you so you can meet your goal. I hope not! It would be best to find a way through participation in an occupational task to improve this range, but if necessary why can't you provide service to meet an establihed OT goal. AS Chuck stated, there is nothing in my practice act that says I can't and the practice framework from AOTA supports the addressing of client factors (i.e. ROM) in meeting occupational goals. I'm not certain why so often fellow OTs will look at another OT performing an exercise as something akin to a PT, but state another OT is a fine example while watching them play balloon volleyball as I mentioned above. You also don't here OTs often stating that NDT is not OT. Well, really it isn't, but it can be utilized by an OT to facilitate participaton in occupation. The NDT is no different than an exercise. Another rant...Wow! Jimmie
Chris Smith <[EMAIL PROTECTED]> wrote: bHalleujah--so many PT wannabees in the field. I have only worked in one LTC facility out of five that addressed Adls in an appropriate manner and by only one of the COTA not the other two. Where I am now the OT who does the majority of the evals and writes an obligatory ADL goal rarely addresses them herself. I do home health for a company owned by the LTC facility and work both in house and in HH. After I complained to the rehab director (a PTA of course) that by pts coming out of the facility couldn't do ADLS she told everyone they had to do one adl "run through" before DCing--what an attitude. If all we ever bill is 97110 why do they need us? They can just hire PTs. Sorry for the rant. Chris _______________________________________________ Join Excite! - http://www.excite.com The most personalized portal on the Web! -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn ************************************************************************************** --------------------------------- Everyone is raving about the all-new Yahoo! Mail beta. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
