When  I  think  of SLP's doing cog rehab, I think of one thing and one
thing  only  -  computer! In my experience, SLP's do NO real world cog
rehab.  When  I  think  of  OT's doing cog rehab, I thin of real world
stuff  like helping client's with cog dysfunction to be able to dress,
bathe,  etc.  In  my  experience,  there's  little  carry over between
computer retraining and real-world living.

Ron

----- Original Message -----
From: Terrie Odom <[EMAIL PROTECTED]>
Sent: Tuesday, January 23, 2007
To:   [email protected] <[email protected]>
Subj: [OTlist] OT and Cognitive Disability

TO> I am also one of the "lurkers"...but I do have a topic of discussion I would
TO> like to hear some opinions on.  I am an OT in the LTC setting and I have
TO> always had a passion for working with those with cognitive disability
TO> (Dementia - all types, head injuries, some forms of mental illness, etc...)
TO> At any rate, I have always incorporated into my treatments( for residents
TO> with these and other disabilities with cognitive effects), some of the
TO> cognitive type goals.  Sometimes I will use the ACL as part of my testing
TO> and measurement, but not always.  Here is my topic I would like some
TO> discussion on:  I am noticing that more and more OT's are referring their
TO> clients with these issues to the SLP.  Now I know, or am assuming that this
TO> is part of their practice area as well.....but I am concerned that so many
TO> OT's do not touch this area.  I was trained back in the early 80's (yes I am
TO> one of the"old" therapists) and this has always been an integral part of OT
TO> practice area.  I am concerned that we are turning it over to Speech to take
TO> as their sole domain......remember when OT's used to do the majority of
TO> dysphagia (also an 80's practice area!)  In my area, SLP's are hard to come
TO> by right now and many are getting huge prn rates (which I don't begrudge)
TO> however, why should they pay an SLP to come in at $60 an hour when I have a
TO> staff OT that could provide the same treatment?  Am I off base on this?  Are
TO> we shying away because the goals are not "functional" enough? Maybe someone
TO> could also enlighten me on which areas possibly that a SLP could do that an
TO> OT would not be able to cover.......I'd love to hear some of your thoughts
TO> because I am getting ready to "retrain" my therapists in how to address
TO> cognitive disability.     Terrie O. 





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