You' re a very smart new OT Linda
  Jim 

[EMAIL PROTECTED] wrote:
  hi,

i am a new OT and spent the summer working in a snf. i loved the patients 
and the staff i worked with were all caring and creative. While I agree that 
OT is not just upper extremity work I think it's a shame to spend so much 
time defending or trying to make people understand a philosophy and take that 
time and put it toward real issues. I always tried to make treatment sessions 
relevant, and what is important to one patient isn't to another. for 
example, I would gladly spend time problem solving with a patient on being 
independent in don/doff shoes and socks if that was important but some people 
say 
right now that isn't a priority to me or someone will help me with that when 
I'm 
home. but I'd really like to be able to make a cup of tea. all right then, 
we'll focus on that. OT involves dynamic interaction with the environment, 
which includes UE and LE. a patient said, well someone will give me a shower, 
and my sister will cook for me, so I said, well are you going to sit up in 
bed and get out of the bed. she laughed, but I explained that OT would help 
her learn and practice these skills so she'd feel comfortable doing these 
things at home. all this said, I see staff burn out when meeting minutes just 
keep piling on and on - 600 minutes in a day - 120% productivity - !! - meet 
that and more is added - working with 4 patients in one session, not in a 
group session. caseloads are switched to meet more minutes so that it doesn't 
matter what relationship you've developed over the course of a few weeks, you 
may come in one day and find that patient off your caseload now. staff and 
patient morale suffer. the mindset of the dor is getting the money - this 
makes for terrible OT.

I joinged this list hoping to learn from experienced therapists and hear 
about a wide range of experiences and opportunities. 

Linda 



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