Has she checked with voc rehab and with the Florida state Brain injury/ Spinal Cord injury fund? I know the latter has been in the past funded by DUI's. Have you checked the myFlorida.com sight to see how she could some help?
Elizabeth Thiers, OTR/L FECTS [EMAIL PROTECTED] > -----Original Message----- > From: [EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson > Sent: Sunday, May 27, 2007 7:37 AM > To: Mary Alice Cafiero > Subject: Re: [OTlist] OTnow Colloboration With Spinal Cord Injury > > 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 > MAC> steps in when a person has an injury, accident, illness > etc and the > MAC> person has a goal of returning to work. The agency will provide > MAC> counseling, 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 > MAC> a vehicle with hand controls, adapt a vehicle with a lift for a > MAC> power chair. Sometimes they will pay for the actual > wheelchair when > MAC> there isn't other funding. > > MAC> Obviously, I don't know a lot about funding in Canada, but I do > MAC> know a lot about equipment. Having the appropriate chair > can make a > MAC> huge difference in so many aspects of life that I think > it is one > MAC> of the most important parts of rehab. I know you said > your patient > MAC> doesn't have insurance, but I wonder what other creative funding > MAC> sources are available. Does the family have any > financial resources > MAC> for 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. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
