Hi Ron, I find myself having to damage control  several times a week in my home 
care practice.  Many of my clients had OT in a SNF before returning home, and 
when I get there they many tell me right off the bat they they do not want OT.  
When I ask them why, they proceed with stories similar to the one you related, 
ie they felt stupid, didn't see the point, etc. I wiggle my way in by telling 
then that in home care, the role of the OT is to be a "problem solver" who can 
help them  do the daily thing s they want or need or desire to do.  Then I ask 
them to walk me through a typical day  for them (pre-SNF) and we compare it to 
how they are doing now that they are home.   Once I assure them that we CAN 
tackle some of the things that are problematic for them.they are sold.  I also 
tell my clients flat out that "I am not the exercise lady" , which seems to go 
over well.  In the end I hope my clients perception of OT is changed for the 
better.  One thing I always do to make sure
 it sinks in is to correct my patients when they refer to me as a PT or a 
nurse, I always say kindly, "remember, I am the occupational therapist".  It 
seems to be working...Terrianne

Ron Carson <[EMAIL PROTECTED]> wrote: Well, not really horror but I think it's 
a catchy title! 

Today,  my 80 y/o patient's daughter was present for therapy. She says
something  about continuing our PT. I give the same ol' standard spiel
about being an OT and she say's "Oh, I see it on your shirt".

A few minutes later I started to explain a little about occupation and
OT.  The  daughter  chimes  in: "Oh, Mom had OT in the SNF. About this
time, the daughter starts doing the UE cycle 'dance'. And then the Mom
chimes  in  about  places pegs in a mat. The Mom says; "It was stupid,
they just wanted to see if I had a brain".

I  tried  doing  the two-step to explain about the "theory" behind the
pegs but they weren't really interested. I just sort of said that they
had been through some 'contrived' OT.

Aaah, it never ends!

Ron



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