I am talking about advanced dementia Ron. These people are deprived of occupation. Handling and manipulating things they recognise often provides a sense of accomplishment especially when their efforts are recognised and appreciated. Your final statement is quite true when people are able to compare present and past abilities.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Monday, September 10, 2007 5:10 PM To: Joan Riches Subject: Re: [OTlist] Sorting Silverware? Joan, interesting answer, as always. I don't understand the following: JR>Sorry. [ Enabling ]occupation in this setting is providing support for the satisfaction JR> of doing which may be possible only at the level of actions. Also, I'm not sure that I fully accept this statement: JR> For many women, cooks, waiters, butlers and footmen the memories and JR> sense of accomplishment even in a simulated task will be far greater JR> than using cones. Even though a person previously engaged in an occupation, that is no assurance that the person will derive any sense of accomplishment from TRYING the same occupation. In fact, I OFTEN find just the opposite. Many times, people are unwilling to learn a new way of doing what was once a familiar occupation. Interesting topics! Ron ----- Original Message ----- From: Joan Riches <[EMAIL PROTECTED]> Sent: Monday, September 10, 2007 To: [email protected] <[email protected]> Subj: [OTlist] Sorting Silverware? JR> Hi Ron JR> One of the Toglia assessments involves sorting cutlery (As a jewellers JR> daughter I question whether the utensils in question were actually silver) JR> Also one of the renewable activities that we provide for low level dementia JR> folk involves sorting plastic cutlery. This activity can be graded up or JR> down and is available when needed. I know there is some debate about using JR> simulated rather than active productive meaningful tasks. I know that these JR> familiar tasks sorting, folding etc. are meaningful for many of our JR> residents. The skill involved is in matching the task to the person, JR> prescribing both task and supervision and following up to monitor changes in JR> cognition. Occupation in this setting is providing support for the JR> satisfaction of doing which may be possible only at the level of actions. JR> I don't know why the person you saw was sorting cutlery and it may indeed be JR> just a step away from using cones. For many women, cooks, waiters, butlers JR> and footmen the memories and sense of accomplishment even in a simulated JR> task will be far greater than using cones. JR> Blessings, Joan JR> -----Original Message----- JR> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf JR> Of Ron Carson JR> Sent: Monday, September 10, 2007 1:58 PM JR> To: OTlist JR> Subject: [OTlist] Sorting Silverware? JR> Hello Everyone: JR> Will someone please tell me why OT would have a SNF (Skilled Nursing JR> Facility) standing and sorting silverware? Surely, no patient really has JR> a goal of sorting silverware, do they? JR> I've never understood this aspect of OT! Why have patients standing to JR> do something so that they can do something else? If the patient needs to JR> be able to stand and get their clothes, brush their teeth, walk to the JR> dining room, go pee, etc, etc, why not use these as the treatment? JR> Thanks, JR> Ron JR> -- JR> "... as a profession that offers unique services that are ideally suited JR> to meet the health, participation, and quality of life needs of people JR> of all ages, occupational therapy is well-positioned to succeed and JR> flourish in the 21st century." [Fred Somers, AJOT, April, 2005, p. 127] JR> "The part of convalescence that I found most profoundly humiliating and JR> depressing was [OT]... I was reduced to playing with brightly colored JR> plastic letters ... like a three-year-old..." [AJOT, April, 2005, p. JR> 231] JR> -- JR> Options? JR> www.otnow.com/mailman/options/otlist_otnow.com JR> Archive? JR> www.mail-archive.com/[email protected] JR> **************************************************************************** JR> ********** JR> Enroll in Boston University's post-professional Master of Science for OTs JR> Online. Gain the skills and credentials to propel your career. JR> www.otdegree.com/otn JR> **************************************************************************** JR> ********** JR> No virus found in this incoming message. JR> Checked by AVG Free Edition. JR> Version: 7.5.485 / Virus Database: 269.13.13/998 - Release Date: 9/10/2007 JR> 8:48 AM JR> JR> No virus found in this outgoing message. JR> Checked by AVG Free Edition. JR> Version: 7.5.485 / Virus Database: 269.13.13/998 - Release Date: 9/10/2007 JR> 8:48 AM JR> -- 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 **************************************************************************************
