Ron, The program that I'm talking about does not require that you qualify for state assistance. It is not based on income. It was formerly called Texas Rehab Commission. I am not sure how to find out if there is an equivalent in every state. If I have a chance later today, I will try to do a little exploring on their site and see if I can tell. In case you just have loads of spare time, here is the web site: http://www.dars.state.tx.us/.
Mary Alice On May 27, 2007, at 6:37 AM, Ron Carson wrote: > 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 > ********************************************************************** > **************** -- 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. 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