Hi Ron:

I just wanted to get a feel of whether or not the client was just displeased
with the whole rehab at the facility, or was it specific to what the OT did.


Of course, the real intention is to really learn what appeals most to
clients when they seek rehab, and how we collectively as a profession, and
individually as practitioners can be the providers of choice. Undoubtedly,
in the right context an activity can have the right therapeutic value, but
the same activity will be rendered futile if not matched appropriately to
the person based on his/ her needs. The negatives I hear about OT (with
mismatched interventions) is from client perceptions that they felt it was
kid's stuff and not truly beneficial to their (medical) condition. Of
course, the therapeutic value of any intervention not being an exact science
may be argued, but when the recipient sees no or little value to it, and it
fails to be effective enough or comparatively to interventions that are more
effective (evidence-based) - the verdict is usually clear. 

Thanks Ron for bringing these situations up that happen to you (and, even if
they were made up for the sake of discussions). They do help us to become
better reflective clinicians.

 
Joseph K. Wells, OTD, OTR/L


 


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf
Of Ron Carson
Sent: Friday, March 09, 2007 6:45 PM
To: Joe Wells
Subject: Re: [OTlist] Useless - again

Hello Joe:

Regarding  this  particular  situation,  their  comments  were  pretty
neutral  about  PT.  However,  they said both (+) and (-) things about
past  PT  they received. These comments seem to be related more to the
person  doing  the  therapy  rather than the profession. They also had
very positive comments about one particular OT.

Why do you ask?

Ron

----- Original Message -----
From: Joe Wells <[EMAIL PROTECTED]>
Sent: Friday, March 09, 2007
To:   [email protected] <[email protected]>
Subj: [OTlist] Useless - again

JW> Ron:

JW> I am curious. During the course of your conversation/s, what do they
have to
JW> say about PT (assuming they receive both)?

JW> Joseph K. Wells, OTD, OTR/L



JW> -----Original Message-----
JW> From: [EMAIL PROTECTED]
JW> [mailto:[EMAIL PROTECTED] On Behalf
JW> Of Ron Carson
JW> Sent: Friday, March 09, 2007 6:10 PM
JW> To: [email protected]
JW> Subject: [OTlist] Useless - again

JW> Today, I evaluated a patient (a friend) who was just d/c'd from rehab.
JW> In the course of the eval, I asked about her OT at rehab. As expected,
JW> she  said  it was pretty much useless. She said it was just a bunch of
JW> wrist  exercises and batting around balloon. (I'm not saying that this
JW> is  all  there was to the OT that my friend received, but this is what
JW> she  told me today). As "interesting" as my friend's comments are, her
JW> sister said something even better.

JW> The  sister  said  that  "most OT is useless but if they would do what
JW> they  were  supposed  to  do,  they  would  make  a  big difference in
JW> patient's lives".

JW> I think this is a pretty profound statement from a person who has seen
JW> several people in her family receive both OT and PT.

JW> IF  these  two  people  represent  even a small fraction of what other
JW> people  think  about  adult  phys-dys  OT, there's a bunch of us doing
JW> something wrong!!!

JW> Think about it!

JW> Ron


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