Another thought I had, I don't know if there is anything similar in Canada to what we have in Texas called DARS which is the Department of Adult Rehabilitation Services. This is a state agency which steps in when a person has an injury, accident, illness etc and the person has a goal of returning to work. The agency will provide counseling, training, and/or funding to help make the going to work possible. Some examples that are very helpful are that they will pay to adapt a vehicle with hand controls, adapt a vehicle with a lift for a power chair. Sometimes they will pay for the actual wheelchair when there isn't other funding.
Obviously, I don't know a lot about funding in Canada, but I do know a lot about equipment. Having the appropriate chair can make a huge difference in so many aspects of life that I think it is one of the most important parts of rehab. I know you said your patient doesn't have insurance, but I wonder what other creative funding sources are available. Does the family have any financial resources for equipment? I just wonder if this is something that you have explored. Mary Alice On May 26, 2007, at 5:24 PM, Joan Riches wrote: > Hi Ron > I've read Rob's post and agree for the most part. However he left > out what > does the client WANT to do? If ever there was a place for the COPM > it is > here. My mind is full of questions. What was her life before the > injury? > What does she miss most? Is the four adult household the previous > norm or is > it temporary? Is there someone at home with her or does she need to > manage > alone for part of the day? Not sure why Rob thinks there are no > child care > demands (the child's age perhaps). > I like Rob's emphasis on analysing every task for simplicity and > accessibility. Be aware that she is forming habits and routines > that need to > last her for many years. People with SCI age just like the rest of > us so > staying open to continuous adaptation is a good attitude to > develop. Energy > conservation is critical so available energy is focused on the most > meaningful things. Down the road some thought then to how to manage > if she > gets the flu, is especially tired etc. > Is employment or further education a possibility? > Are there community resources? I'd be looking at the Canadian > Paraplegic > Association for support both physical and emotional. What about the > social > network? Is there someone with the skills to lower closet rods, > install > railings etc. > What has been addressed in rehab? > What were this couple's plans for their family? Were they planning > more > children? If no-one else is addressing issues of sexuality and family > planning you need to be prepared to do this or refer. One of the most > satisfying experiences I've ever had was a very similar situation > helping my > client to manage and enjoy pregnancy, birth and newborn care. She was > already independent in her w/c when I met her. > I really like your request for collaboration. It will be easier to > focus > when the questions are more specific. > > A thought to end - Independence doesn't always mean doing everything > yourself with no help. A critical part of independence is taking > responsibility for your own activities, planning, supervising, > negotiating > and appreciating the assistance that others provide. > > Go for it, Ron. She's a lucky client. Joan > > > -----Original Message----- > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On > Behalf > Of Ron Carson > Sent: Friday, May 25, 2007 3:24 PM > To: Ron Carson > Subject: Re: [OTlist] OTnow Colloboration With Spinal Cord Injury > > Here are some specifics: > > 1. There is no insurance > > 2. The patient is young, late 20's, mid 30's > > 3. She lives with her husband, sister and her husband > > 4. She has a 4 y/o daughter > > 5. There is no primary care doctor; She typically uses the ER > > 6. We have just starting weaning her off her TLSO > > 7. She has a donated power w/c (reclining captain's back) > > 8. She has no pressure ulcers > > 9. She is able to sit without assistance and without her TLSO. > But she > has LOB with UE movement. But this will shortly correct with practice > > 10. She is undergoing a sacral nerve stimulator trial to > hopefully d/c > cathing and suppository/digital stimulation. It seems to be working OK > > 11. She has good UE strength > > 12. Initial goal is indpendent with transfers. Currently uses a > sliding > board with min - max assist depending on incline. I envision > that she > will be able to d/c sliding board and do her transfers w/o assistance. > > 13. I also think a long term goal is for her to get a ultralight- > weight > w/c. > > 14. She has a weight issue but she is struggling to find enough > activity > to off-set her caloric intake. > > 15. They have no computer so on-line resources are not possible at > this > time. > > OK, hit me with some transfer ideas!!! And any other suggestions. > > ----- Original Message ----- > From: Ron Carson <[EMAIL PROTECTED]> > Sent: Friday, May 25, 2007 > To: [email protected] <[email protected]> > Subj: [OTlist] OTnow Colloboration With Spinal Cord Injury > > RC> Hello All: > > RC> I recently agreed to treat a patient who suffered a T9-T10 > SC injury > RC> late last year. She has just been d/c to her home after > several months > RC> of rehab. While I have worked with SC injury patients, I do not > consider > RC> it a speciality. There are SO many issues to manage and > address that it > RC> can be a bit overwhelming. Given that I work alone, I > don't have a > RC> 'team' to bounce off ideas, so I'm hoping that OTnow members > will be my > RC> surrogate team? <smile> > > RC> I would like to give and receive advice on topics relating to > this case. > RC> Do you think this will work? Will people participate?? > > RC> Thanks, > > RC> 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 > ********************************************************************** > ****** > ********** > > No virus found in this incoming message. > Checked by AVG Free Edition. > Version: 7.5.472 / Virus Database: 269.8.0/818 - Release Date: > 5/25/2007 > 12:32 PM > > > No virus found in this outgoing message. > Checked by AVG Free Edition. > Version: 7.5.472 / Virus Database: 269.8.0/819 - Release Date: > 5/26/2007 > 10:47 AM > > > > -- > 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 **************************************************************************************
