To Joan and fellow OTs;I always have a stash of red balloons--balloons will get a response from pts when nothing else will.Seems likes balloons touch everyone's memory and they will at least draw a smile. I went back to school for Ot in my 40's with expectations that were way too high. After more bad than good experiences I am celebrating 10 years in the field and am finding the courage to do OT the way the believe it should be done. I have decided will no longer be an Upper Extremity PT. I continue to tell folks no one cares how you achieve good standing balance whether standing at the stove to make muffins or standing at a counter to plant bulbs or decorate a Christmas tree. OT in LTC has to include ADLs, but there is so much more. I am currently working with an OTR who is an UE PT, COTA who is the Queen of Yellow Theraband and another COTA--male--who only wants to repair pts wheelchairs. Needed but a waste of a COTA skills and also not someting to waste a pt's Part B money on. Many LTC residents need something to motivate them to try to increase participation in life and at this stage leisure is a real occupation. So that's why I feel activity based treatment is appropriate. Just a boomer rant. Thanks
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