there are some amazing speech therapists that can do real-world
cognitive activities. 
Computer retraining can be effective. Does anyone remember Oregon Trail
or Sim City- both are very realistic programs that can help with
executive functions such as budgeting, organization etc. 


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
Behalf Of Ron Carson
Sent: Tuesday, January 23, 2007 5:05 PM
To: Terrie Odom
Subject: Re: [OTlist] OT and Cognitive Disability

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

TO> I would like to hear some opinions on.  I am an OT in the LTC 
TO> setting and I have always had a passion for working with those with 
TO> cognitive disability (Dementia - all types, head injuries, some 
TO> forms of mental illness, etc...) At any rate, I have always 
TO> incorporated into my treatments( for residents with these and other 
TO> disabilities with cognitive effects), some of the cognitive type 
TO> goals.  Sometimes I will use the ACL as part of my testing and 
TO> 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 
TO> their clients with these issues to the SLP.  Now I know, or am 
TO> assuming that this is part of their practice area as well.....but I 
TO> am concerned that so many OT's do not touch this area.  I was 
TO> trained back in the early 80's (yes I am one of the"old" therapists)

TO> and this has always been an integral part of OT practice area.  I am

TO> concerned that we are turning it over to Speech to take as their 
TO> 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> to come by right now and many are getting huge prn rates (which I 
TO> don't begrudge) however, why should they pay an SLP to come in at 
TO> $60 an hour when I have a staff OT that could provide the same 
TO> treatment?  Am I off base on this?  Are we shying away because the 
TO> goals are not "functional" enough? Maybe someone could also
enlighten me on which areas possibly that a SLP could do that an OT
would not be able to cover.......I'd love to hear some of your thoughts
because I am getting ready to "retrain" my therapists in how to address
TO> cognitive disability.     Terrie O. 





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