Hi Ron One of the Toglia assessments involves sorting cutlery (As a jewellers daughter I question whether the utensils in question were actually silver) Also one of the renewable activities that we provide for low level dementia folk involves sorting plastic cutlery. This activity can be graded up or down and is available when needed. I know there is some debate about using simulated rather than active productive meaningful tasks. I know that these familiar tasks sorting, folding etc. are meaningful for many of our residents. The skill involved is in matching the task to the person, prescribing both task and supervision and following up to monitor changes in cognition. Occupation in this setting is providing support for the satisfaction of doing which may be possible only at the level of actions. I don't know why the person you saw was sorting cutlery and it may indeed be just a step away from using cones. For many women, cooks, waiters, butlers and footmen the memories and sense of accomplishment even in a simulated task will be far greater than using cones. Blessings, Joan
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Monday, September 10, 2007 1:58 PM To: OTlist Subject: [OTlist] Sorting Silverware? Hello Everyone: Will someone please tell me why OT would have a SNF (Skilled Nursing Facility) standing and sorting silverware? Surely, no patient really has a goal of sorting silverware, do they? I've never understood this aspect of OT! Why have patients standing to do something so that they can do something else? If the patient needs to be able to stand and get their clothes, brush their teeth, walk to the dining room, go pee, etc, etc, why not use these as the treatment? Thanks, Ron -- "... as a profession that offers unique services that are ideally suited to meet the health, participation, and quality of life needs of people of all ages, occupational therapy is well-positioned to succeed and flourish in the 21st century." [Fred Somers, AJOT, April, 2005, p. 127] "The part of convalescence that I found most profoundly humiliating and depressing was [OT]... I was reduced to playing with brightly colored plastic letters ... like a three-year-old..." [AJOT, April, 2005, p. 231] -- 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 **************************************************************************** ********** No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.485 / Virus Database: 269.13.13/998 - Release Date: 9/10/2007 8:48 AM No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.485 / Virus Database: 269.13.13/998 - Release Date: 9/10/2007 8:48 AM -- 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 **************************************************************************************
