Hi Ron
At the risk of sounding a little reductionistic, I think that you probably need 
to focus on two to three specific diagnoses and then demonstrate impact of OT.  
I didn't get whether you will be speaking to hospital physicians or family 
practitioners.  If its anything like the UK, then a huge number of individuals 
visit the family doctor with degenerative joint disease, feeling tired all the 
time, and various symptoms associated with getting older.  I would see if you 
could do a search and find the top three conditions which people visit the 
doctor with in your state and then demonstrate how OT would have an impact.  I 
know that medical staff can sometimes have tunnel vision, but remember that as 
a profession it is hyperspecialised, so they are well versed in referring 
patients on for different opinions.  Think about a person with throat cancer - 
they are likely to be under an oncologist, an ENT specialist, a dentist - all 
addressing the same part of the body, but with a different focus.  I don't 
think its any different with OT and PT. with all good wishes
Claire

Claire Stevens 
Occupational Therapist and Arthroplasty Practitioner
Room G77 Orthopaedic Outpatients
Derbyshire Royal Infirmary
London Road
DERBY
DE1 2QY
01332 347141 ext 4234 / bleep 3471
[EMAIL PROTECTED]


>>> [EMAIL PROTECTED] 27/01/2007 15:40 >>>

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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