Thanks for the suggestion but I just confirmed that she is not eligible for the Brain and SC Injury program. I am still checking myflorida.com...
----- Original Message ----- From: ehthiers <[EMAIL PROTECTED]> Sent: Sunday, May 27, 2007 To: [email protected] <[email protected]> Subj: [OTlist] OTnow Colloboration With Spinal Cord Injury e> Has she checked with voc rehab and with the Florida state Brain injury/ e> Spinal Cord injury fund? I know the latter has been in the past funded by e> DUI's. Have you checked the myFlorida.com sight to see how she could some e> help? e> Elizabeth Thiers, OTR/L e> FECTS e> [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 **************************************************************************************
