Jim, I agree with your statements. I want to "challenge" this list to explain how our Practice Framework fits with UE practice patterns so prevalent in OT.
----- Original Message ----- From: Jim Arceneaux <[EMAIL PROTECTED]> Sent: Sunday, August 12, 2007 To: [email protected] <[email protected]> Subj: [OTlist] OTlist Digest, Vol 31, Issue 8 JA> Question: Do we look at how a patient is able to use their foot or leg to complete JA> functional tasks i.e. brushing teeth, combing hair, pulling up pants, etc? OT addresses JA> occupation and the ability to functionally use any extremity (being simplistic again) to JA> complete the same. I agree with LeeAnn that OTs are perceived as the primary providers i.e. JA> splinting and adaptive equipment, but this does not identify us, because other providers can JA> and do provide this service as well. The UE thing is, I believe a corporate JA> thing/description, used to easily explain billing practices. It has easily become a mantra JA> for many a "practicing" OT. Working with a LE condition does not make one a PT or OT. I'm JA> quoting AOTA, but I believe the practice framework list motor demands and client factors as a JA> constituent of occupation. It does not, by the way, state UE motor demands or client factors JA> limted to the UE. This would leave service lacking if one did not address all deficits JA> associated with an occupational impairment. JA> Jim JA> [EMAIL PROTECTED] wrote: JA> To state that OT focuses on the UE is a simplistic view However, I do believe that OT's do JA> focus on the UE better than PT. Simply because we look at how a patient is able to use their JA> hand or arm to complete functional tasks i.e. brushing teeth, combing hair, pulling up pants, JA> writing,opening jars etc.. We are also the primary providers of joint protection, splinting, JA> and adaptive utensils and all which require hand and UE functions. Physicians have come to JA> rely on OT's to provide this information and if we are not skilled in evaluating UE function JA> in relationship to strength, sensation, ROM, tone and spasticity we are doing a disservice to JA> our clients by not being able to give their physicians the appropriate information. Payors JA> also want this information because they can understand it better. If giving that simplistic JA> definition gets an OT in the door to providing treatment we can then show them how much more JA> we can offer. Don't get defensive about it. Use it to your JA> advantage! JA> LeAnn Lee, OTR/L JA> Albany General Hospital JA> Albany, OR JA> -----Original Message----- JA> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] JA> Behalf Of [EMAIL PROTECTED] JA> Sent: Wednesday, August 08, 2007 12:00 PM JA> To: [email protected] JA> Subject: OTlist Digest, Vol 31, Issue 8 JA> Send OTlist mailing list submissions to JA> [email protected] JA> To subscribe or unsubscribe via the World Wide Web, visit JA> http://otnow.com/mailman/listinfo/otlist_otnow.com JA> or, via email, send a message with subject or body 'help' to JA> [EMAIL PROTECTED] JA> You can reach the person managing the list at JA> [EMAIL PROTECTED] JA> When replying, please edit your Subject line so it is more specific JA> than "Re: Contents of OTlist digest..." JA> Today's Topics: JA> 1. OT's and Upper Extremity (Ron Carson) JA> 2. Re: OT's and Upper Extremity (Johnson, Arley) JA> ---------------------------------------------------------------------- JA> Message: 1 JA> Date: Wed, 8 Aug 2007 07:34:41 -0400 JA> From: Ron Carson JA> Subject: [OTlist] OT's and Upper Extremity JA> To: [email protected] JA> Message-ID: <[EMAIL PROTECTED]> JA> Content-Type: text/plain; charset=us-ascii JA> Why do some therapists think that OT focuses on the upper extremity? JA> I received a brochure from an OT in private practice and it states: JA> "[OT] focuses on treatment of upper extremity injuries, disorders and JA> disease" JA> Where does this come from? It certainly is not our practice framework? JA> Is it from OT/COTA schools? If so, why? JA> This seems like another example of the dichotomy of our profession. In JA> other words, we "say" one thing but then do something totally different! JA> Argh...... JA> Ron JA> -- JA> "In the United States, occupational therapy is ideally suited to meet JA> the health needs of people of all ages." [Fred Somers, AJOT, April, JA> 2005] JA> "The part of convalescence that I found most profoundly humiliating and JA> depressing was [OT]... I was reduced to playing with brightly colored JA> plastic letters ... like a three-year-old..." [AJOT, April, 2005, p. JA> 231] JA> ------------------------------ JA> Message: 2 JA> Date: Wed, 8 Aug 2007 10:49:04 -0400 JA> From: "Johnson, Arley" JA> Subject: Re: [OTlist] OT's and Upper Extremity JA> To: JA> Message-ID: JA> <[EMAIL PROTECTED]> JA> Content-Type: text/plain; charset="iso-8859-1" JA> I think I know why. OT things are functionally based. Most of our functional daily activity JA> originates with the use of our hands. Therefore, basic observation of our profession and the JA> medical model's need to simplify everyone's role for the average Joe dictates a simplistic and JA> narrow explanation of our profession. Is it right? Of course not. But it gives our profession JA> relevance to the outsider who may only get a cursory glance of what we do and it may draw them JA> in for the full experience. JA> Let's be honest, OT covers the spectrum of life and it entails a lot of information. Our JA> charge to be the profession that rehabilitates you back into your life roles is not an easy JA> task. Neither is explaining it in a manner that is understood by the public. JA> Arley Johnson MS, OTR/L JA> ? JA> -----Original Message----- JA> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson JA> Sent: Wednesday, August 08, 2007 7:35 AM JA> To: [email protected] JA> Subject: [OTlist] OT's and Upper Extremity JA> Why do some therapists think that OT focuses on the upper extremity? JA> I received a brochure from an OT in private practice and it states: JA> "[OT] focuses on treatment of upper extremity injuries, disorders and JA> disease" JA> Where does this come from? It certainly is not our practice framework? JA> Is it from OT/COTA schools? If so, why? JA> This seems like another example of the dichotomy of our profession. In JA> other words, we "say" one thing but then do something totally different! JA> Argh...... JA> Ron JA> -- JA> "In the United States, occupational therapy is ideally suited to meet JA> the health needs of people of all ages." [Fred Somers, AJOT, April, JA> 2005] JA> "The part of convalescence that I found most profoundly humiliating and JA> depressing was [OT]... I was reduced to playing with brightly colored JA> plastic letters ... like a three-year-old..." [AJOT, April, 2005, p. JA> 231] JA> -- JA> Options? JA> www.otnow.com/mailman/options/otlist_otnow.com JA> Archive? JA> www.mail-archive.com/[email protected] JA> ************************************************************************************** JA> Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the JA> skills and credentials to propel your career. JA> www.otdegree.com/otn JA> ************************************************************************************** JA> The information contained in this e-mail message is intended only for the personal and JA> confidential use of the recipient(s) named above. If the reader of this message is not the JA> intended recipient or an agent responsible for delivering it to the intended recipient, you JA> are hereby notified that you have received this document in error and that any review, JA> dissemination, distribution, or copying of this message is strictly prohibited. If you have JA> received this communication in error, please notify us immediately by e-mail, and delete the JA> original message. 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