Hey Angie:

I  can  see that if a patient was going home and had the goal of sorting
silverware  that such activity would be most appropriate. But my concern
is  that  therapists  use  such  activity  because  it's  seen  as  more
"meaningful"  than  placing  cones/pegs.  But,  for the VAST majority of
patients, I don't think there's any difference between sorting pegs/cone
and  silverware.  It  really just a diversional activity isn't it? Don't
many  therapists  use  such  activity  for  standing tolerance? Isn't it
better to engage the patient in the activity that they need the standing
tolerance for?

Ron

----- Original Message -----
From: angela jones <[EMAIL PROTECTED]>
Sent: Monday, September 10, 2007
To:   OTlist <[email protected]>
Subj: [OTlist] Sorting Silverware?

aj>  
aj> Hi Ron, 
aj>  
aj> Many patients (not as many as in rehab but a significant amount) in SNF 
will be going home.
aj> Even if they go home with family, it may be that their contribution to the 
family is setting
aj> the table or emptying the dishwasher.  They may live alone as well and want 
to continue
aj> completing home care tasks when and while they can.
aj>  
aj> I see what you're saying though. If we're treating a patient for standing 
tolerance, static
aj> standing balance, sorting, etc... it would be most appropriate to have our 
patients completing
aj> a task that is relevant to their goals and needs. But, you must admit, at 
least they weren't
aj> sorting cones or colored pegs :)
aj>  
aj> Angie Jones

aj>  
aj>  
aj>  
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aj>  
aj>  
aj>  
aj>  
aj>  
aj>  
aj>  

aj>   
aj> From:  Ron Carson <[EMAIL PROTECTED]>
aj> Reply-To:[EMAIL PROTECTED]
aj> To:  OTlist <[email protected]>
aj> Subject:  [OTlist] Sorting Silverware?
aj> Date:  Mon, 10 Sep 2007 15:57:52 -0400
>>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]
>>
>>
>>--
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>>
>>Archive?
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>>
>>**************************************************************************************
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aj>  Discover sweet stuff waiting for you at the Messenger Cafe.  Claim your 
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