Linda, I was very interested in your post as your comments I fully agree with. I work in the community with phys dis (NHS - England) and it is impossible to give one clear example of what I do with my patients. I assess them holistically in their own homes with a view to support them to remain in their homes and often to avoid hospital admission. I work with them to problem solve any functional difficulties they have in their everyday life, with an aim to maximise their functional ability and reduce any burden on family/carers. Many of my patients have long term conditions which can involve impairments of Upper limbs, lower limbs and cognition, and each requires a patient centred assessment. We usually work with a balance of rehab and home mods, and the key is we work towards goals we set WITH the patients not FOR them. Therefore as you say, what we may work on with one MS patient e.g. how to access community effectively and safely may not be important to another MS patient, their priority may be how to maintain their garden.....
RE - why am I on this list...... this is my first posting as I joined whilst on mat. leave and not working so did not have much time or work experience to comment from, but found it a great way to keep my OT thinking ticking over. I am now back in the swing of OT and hope to offer more to the list from now. Lucy Ron Carson <[EMAIL PROTECTED]> wrote: Shoot, I was fired from a SNF because I was unwilling to meet their productivity standards. What they wanted was a total joke, unethical and probably illegal!! Ron ----- Original Message ----- From: Jerome A Satorrre Sent: Saturday, August 18, 2007 To: [email protected] Subj: [OTlist] Marketing Results JAS> Hi JAS> I was really glad to read your email. You are right there are a lot of Dor's that really JAS> force productivity on therapist. But we have to remember that at the end of the day it is our JAS> clinical judgement to do what is appropriate or not. Productivity should be considered but JAS> shouldn't be the only consideration. We have be able to judge wether its appropriate to do JAS> group or concurrent treatments with certain patients or not. Most of the Dor's that I work JAS> with know that I work this way so they never give me a case load that is more than what is JAS> necessary. Thank you. JAS> Jerome JAS> On Aug 17, 2007, at 9:55 AM, [EMAIL PROTECTED] wrote: JAS> hi, JAS> i am a new OT and spent the summer working in a snf. i loved the patients JAS> and the staff i worked with were all caring and creative. While I agree that JAS> OT is not just upper extremity work I think it's a shame to spend so much JAS> time defending or trying to make people understand a philosophy and take that JAS> time and put it toward real issues. I always tried to make treatment sessions JAS> relevant, and what is important to one patient isn't to another. for JAS> example, I would gladly spend time problem solving with a patient on being JAS> independent in don/doff shoes and socks if that was important but some people say JAS> right now that isn't a priority to me or someone will help me with that when I'm JAS> home. but I'd really like to be able to make a cup of tea. all right then, JAS> we'll focus on that. OT involves dynamic interaction with the environment, JAS> which includes UE and LE. a patient said, well someone will give me a shower, JAS> and my sister will cook for me, so I said, well are you going to sit up in JAS> bed and get out of the bed. she laughed, but I explained that OT would help JAS> her learn and practice these skills so she'd feel comfortable doing these JAS> things at home. all this said, I see staff burn out when meeting minutes just JAS> keep piling on and on - 600 minutes in a day - 120% productivity - !! - meet JAS> that and more is added - working with 4 patients in one session, not in a JAS> group session. caseloads are switched to meet more minutes so that it doesn't JAS> matter what relationship you've developed over the course of a few weeks, you JAS> may come in one day and find that patient off your caseload now. staff and JAS> patient morale suffer. the mindset of the dor is getting the money - this JAS> makes for terrible OT. JAS> I joinged this list hoping to learn from experienced therapists and hear JAS> about a wide range of experiences and opportunities. JAS> Linda JAS> ************************************** Get a sneak peek of the all-new AOL at JAS> http://discover.aol.com/memed/aolcom30tour JAS> -- JAS> Options? JAS> www.otnow.com/mailman/options/otlist_otnow.com JAS> Archive? JAS> www.mail-archive.com/[email protected] JAS> ************************************************************************************** JAS> Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the JAS> skills and credentials to propel your career. JAS> www.otdegree.com/otn JAS> ************************************************************************************** -- 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 ************************************************************************************** --------------------------------- For ideas on reducing your carbon footprint visit Yahoo! For Good this month. -- 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 **************************************************************************************
