It is a HUGE issue :-( Laura Obara, OTR/L Occupational Therapy Chicago Read Mental Health Center 4200 North Oak Park Avenue Chicago, IL 60634 773.794.3759 TTY 773.794.3760voice/tty 773.794.3772 Fax [EMAIL PROTECTED]
>>> [EMAIL PROTECTED] 8/15/2007 8:15 AM >>> Anyone? Does anyone else see problems when general practice patterns are NOT remotely consistent with National policy on OT practice? I think this is a HUGE and I mean HUGE issue! <OR> Am I making a mountain out of of mole hill? Ron ----- Original Message ----- From: Ron Carson <[EMAIL PROTECTED]> Sent: Sunday, August 12, 2007 To: Jim Arceneaux <[email protected]> Subj: [OTlist] OTlist Digest, Vol 31, Issue 8 RC> Jim, I agree with your statements. RC> I want to "challenge" this list to explain how our Practice Framework RC> fits with UE practice patterns so prevalent in OT. RC> ----- Original Message ----- RC> From: Jim Arceneaux <[EMAIL PROTECTED]> RC> Sent: Sunday, August 12, 2007 RC> To: [email protected] <[email protected]> RC> 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 JA>> providers i.e. JA>> splinting and adaptive equipment, but this does not identify us, because other JA>> 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 JA>> mantra JA>> for many a "practicing" OT. Working with a LE condition does not make one a PT or JA>> OT. I'm JA>> quoting AOTA, but I believe the practice framework list motor demands and client JA>> factors as a JA>> constituent of occupation. It does not, by the way, state UE motor demands or client JA>> 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 JA>> OT's do JA>> focus on the UE better than PT. Simply because we look at how a patient is able to JA>> use their JA>> hand or arm to complete functional tasks i.e. brushing teeth, combing hair, pulling JA>> up pants, JA>> writing,opening jars etc.. We are also the primary providers of joint protection, JA>> 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 JA>> function JA>> in relationship to strength, sensation, ROM, tone and spasticity we are doing a JA>> 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 JA>> simplistic JA>> definition gets an OT in the door to providing treatment we can then show them how JA>> 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 JA>> activity JA>> originates with the use of our hands. Therefore, basic observation of our profession JA>> and the JA>> medical model's need to simplify everyone's role for the average Joe dictates a JA>> simplistic and JA>> narrow explanation of our profession. Is it right? Of course not. But it gives our JA>> profession JA>> relevance to the outsider who may only get a cursory glance of what we do and it may JA>> 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 JA>> 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. 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Any unauthorized review, use, disclosure or JA>> distribution is prohibited. If you are not the intended recipient, please JA>> contact the sender by reply e-mail and destroy all copies of the original JA>> message. 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>> JA>> --------------------------------- JA>> Building a website is a piece of cake. JA>> Yahoo! Small Business gives you all the tools to get online. -- 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 **************************************************************************************
