Right on Susanne
Here in Alberta when my husband was saying, "I always thought I'd be using
my shop when I retired but I can't" "Why not"  "I can't stand long enough at
the bench" I was able to bite my tongue and say "I think we need a formal OT
evaluation here" instead of jumping in. Fortunately I knew that was
available from our Home Health program. I doubt there are very many care
givers who would know what to ask for. 
So - one part of your pitch to doctors might be support for informal care
givers who are having a hard time as well as the folks who are "feeling
depressed, useless, isolated, in pain, like a burden....". 
Another question comes to mind - What is the most satisfying case you have
ever had?
There is one theory that one looks for needs in the marketplace - another
that in order to attract work you need to be filled with passion for what
you are doing.
Joan

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf
Of susanne
Sent: Monday, June 25, 2007 2:41 PM
To: [email protected]
Subject: Re: [OTlist] What is IT?

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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