Hi Ron

For obvious reasons I can't tell what's most needed in your 
geographical area. What is sorely lacking in my area is 
sources of holistic evaluation of client resources, and the 
support needed for unfolding those resources. We have 
district nurses who do evaluations for home health 
services - using a simple form where they also get to put a 
few x-marks concerning "activities", "getting around" etc., 
but they really don't know a thing about it, and also have 
no incitement to go deeper, since "home health/care" is what 
they are there to evaluate for. Yet this kind of evaluation 
is all one ever gets, unless you're lucky to arrive home 
directly from a good rehab.

How wonderful if one could go to one's doctor and say: "Hey, 
I sure am glad that home health gets me up in my wheelchair 
in the morning, I also am somewhat surviving on the meals on 
wheels, but I really would like to find ways to better 
fulfill my roles in family and society!" (Or more likely: 
".... but I really am feeling depressed, useless, isolated, 
in pain, like a burden....") And doc would say: "Wow, I 
really can see how you're looking for more meaning in your 
daily life - sure there's more to life than merely 
surviving - how would you like it if I signed you up for an 
OT evaluation, because that is just what OT is about?!"

Just daydreaming a bit here across the pond:-) Anything you 
could use?

susanne, denmark

PS: Also, some short-stories about how OT has made a 
difference might be useful? Sure we could help you write 
some!



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