My setting is very different from traditional OT settings. It is group therapy and my patients are in the group for 8 hrs a day, 5 days a week, for 30 days.
I work on mostly on ROM and strengthening, increasing positional tolerance (sitting, standing, and walking), and behavioral aspects. We do aquatic therapy almost every day... I found some great DVDs of water yoga, water pilates, and water tai chi, which I highly recommend. Pat At 04:23 PM 3/22/2007, you wrote: >Hello, >I'm curious about this. What type of treatment do you provide for the >neck and spine, as an OT? >Thanks >Liz > >-----Original Message----- >From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On >Behalf Of Pat >Sent: Wednesday, March 21, 2007 6:15 PM >To: [email protected] >Subject: Re: [OTlist] PT's and ADL's and Medicare > >I previously posted regarding being told at work that OTs could not >treat >medicare >patients for neck or back injuries and that they would have to hire a PT > >for those >patients. > >Just to reiterate... I work at a chronic pain clinic that has seven >locations in TX. >Each location is in a different city and has one therapist. Most >locations >have a >PT, I believe only two have an OT. > >I almost never see my employer, and until recently have never had a >conversation with >him beyond "hello, how are you?". He came to my location and I asked >him >where he >got his information. He told me it came from one of his PTs. When I >told >him that >I believed the information to be incorrect he told me to just go ahead >and >treat the >medicare patients myself and that if medicare paid, they paid.. and if >they >didn't, they >didn't. > >Since then I emailed Trailblazer, who is the Medicare & Medicaid >Services >Contracted >Intermediary/Carrier in this state, and asked them about OTs treating >the >spine for >medicare patients. They said to allow 45 days for a response... I will >keep you posted. > >The point of this posting is an email I (and every other therapist in >the >company) received >from the PT that told our employer that OT could not treat the spine on >medicare patients: > >FROM THE PT: >"OT can only treat extremities, NOT back or neck (spine), so the script >needs to mention >anything but a back or neck code/diagnosis, otherwise you can't treat, >UNLESS you can >get the doctor to write a script for OT referral to improve independence > >with ADL's >(activities of daily living). If the script states PT and the OT will >treat, you will have to >get an OT script first before you, as an OT treat. >PT can treat almost any orthopedic problem and improve ADL's in >general." > >I cannot wait to get a response from Trailblazer!!! I sure hope they >give >me something I >can throw back at him!!!!! (sorry, had to vent. I have been treating >neck >and back for the >past three years for worker's comp.) > >Pat > > > >At 04:04 PM 3/21/2007, you wrote: > >Taken from a PT-based list, typed and signed a PT!: > > > > > As a skilled therapist, is it not our job to instruct a patient in > > > performance of mobility or ADLs... > > > >Just an example of why I think that AOTA and State OT associations > >need eliminate the ADL language from expanding PT practice acts. > > > >Ron > > > > > > > >-- > >Options? > > www.otnow.com/mailman/options/otlist_otnow.com > > > >Archive? > > www.mail-archive.com/[email protected] > > > >*********************************************************************** >*************** > >Enroll in Boston University's post-professional Master of Science for >OTs > >Online. Gain the skills and credentials to propel your career. > >www.otdegree.com/otn > >*********************************************************************** >*************** > > > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/[email protected] > >************************************************************************ >************** >Enroll in Boston University's post-professional Master of Science for >OTs Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >************************************************************************ >************** > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/[email protected] > >************************************************************************************** >Enroll in Boston University's post-professional Master of Science for OTs >Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >************************************************************************************** -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
