Sue, it's give me a 'warm' feeling to see you rant!!!! I wonder how your
former  classmates feel about what you say. Do you have any contact with
them? What are their experiences?

----- Original Message -----
From: Sue Hossack <[EMAIL PROTECTED]>
Sent: Friday, August 17, 2007
To:   [email protected] <[email protected]>
Subj: [OTlist] Marketing Results

SH> Hi Ron
SH> Your experience with the in-patient rehab makes me frustrated too. The 
SH> whole time I was working in such a facility I argued against this sort 
SH> of thing. I do not do arm strengthening unless they need it!. If some 
SH> one has a hip fx, or THA, or even TKA, then I will work on 
SH> dressing/bathing techniques, walker management, energy conservation, 
SH> work simplification: or whatever they need to do.  e.g. how to put 
SH> groceries away without bending over or falling  I educated my COTA's on 
SH> this too, there was a tendency to do blanket treatment:  arm exercises 
SH> and/or peg boards, rice etc. WHY???? The patients appreciated it too, 
SH> few of them could understand why they had to pull things out of rice, or
SH> use the pulley system. Now that I am in home -health I see patients who 
SH> have come out of in-patient rehab and have no idea how to get into their
SH> tub, but ask me why they had to spend time pulling marbles out of 
SH> theraputty, or being put on the new-step for 45 minutes when they were 
SH> in a facility?

SH> I never say OT is above the waist, PT  below, I emphasis the holistic 
SH> outlook of OT,  I work a lot on seating and positioning; on transferring
SH> sit-stand safely, especially from a chair without arm-rests; that is not
SH> 'above the waist' therapy. Moving around the house safely with a walker,
SH> making a meal and getting it to the table when you have a walker, these 
SH> are not 'above the waist issues'. I also emphasis cognitive and 
SH> visual-perception issues are in the realm of OT.

SH> As for d/cing patients without OT, that is SO ridiculous! Now that they 
SH> are in their own home, with a typical tiny bathroom, the commode is too 
SH> low, they cannot get into the tub, they have a walker in a cramped 
SH> space, that is when OT is needed!

SH> OK, that is my vent for the day

SH> Sue

SH> -- 
SH> Sue Hossack MOT, OTR/L, ATP 

SH> Occupational Therapist    
SH> http://www.ot-care.com





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