Again  Joe,  I  applaud your definitions and really like it. BUT, there
needs  to  be more "meat". I'm not trying to be argumentative just for
the  sake  of  arguing,  but I just can't see this making a definitive
impact  on  physicians. I feel that there needs to me more specifics. I
could  just  as  easily be a PT standing in front of the doctor giving
this  spiel. In fact, that's my biggest challenge; To convince doctors
to  refer  to me instead of PT. I know that mental deficits is not one
of  PT's  big points, but they are making inroads in to this domain. I
think also, a MD needs to know EXACTLY when to refer to OT.

Expanding  your definition means that OT readily assesses and addresses
patient's  with LE deficits such as THR, TKA, sports injuries, etc. And
the  fact  of the matter is that most OT's don't address these things.
Sure,  they  may address self-care deficits as they relate to the above
surgeries, but OT's generally do NOT do LE ROM, strengthening, etc.

So,  it  seems  to  me  that your definition is VERY broad, perhaps too
broad.  And  again this is my problem. I need to narrow down OT's role
in  adult  physical dysfunction and explain in a way that a doctor say
"oh,  that's  what  you  do".  But,  and  with  all  due respect, your
definition is just too academic and theoretical.

Thanks for taking time to write and please don't stop...

Ron

----- Original Message -----
From: Joe Wells <[EMAIL PROTECTED]>
Sent: Saturday, January 27, 2007
To:   [email protected] <[email protected]>
Subj: [OTlist] What is OT's Speciality????

JW> "...I assess and address the client's physical and mental deficits (that are
JW> not subject to spontaneous recovery), and also the client's environmental
JW> needs to enable them to function as independently and safely as possible..."


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