Hello Mary Alice: Just to clarify, I practice in the US.
Also, at the moment, the patient is ineligible for state assistance. The patient has a small amount of money that has been donated. Prioritizing where to spend that money is going to be an important goal! Ron ----- Original Message ----- From: Mary Alice Cafiero <[EMAIL PROTECTED]> Sent: Saturday, May 26, 2007 To: [email protected] <[email protected]> Subj: [OTlist] OTnow Colloboration With Spinal Cord Injury MAC> Another thought I had, I don't know if there is anything similar in MAC> Canada to what we have in Texas called DARS which is the Department MAC> of Adult Rehabilitation Services. This is a state agency which steps MAC> in when a person has an injury, accident, illness etc and the person MAC> has a goal of returning to work. The agency will provide counseling, MAC> training, and/or funding to help make the going to work possible. MAC> Some examples that are very helpful are that they will pay to adapt a MAC> vehicle with hand controls, adapt a vehicle with a lift for a power MAC> chair. Sometimes they will pay for the actual wheelchair when there MAC> isn't other funding. MAC> Obviously, I don't know a lot about funding in Canada, but I do know MAC> a lot about equipment. Having the appropriate chair can make a huge MAC> difference in so many aspects of life that I think it is one of the MAC> most important parts of rehab. I know you said your patient doesn't MAC> have insurance, but I wonder what other creative funding sources are MAC> available. Does the family have any financial resources for MAC> equipment? I just wonder if this is something that you have explored. MAC> Mary Alice MAC> 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 **************************************************************************************
