In my past life as a home health OT, I faced the same dilemma. I contacted the PT and developed our plan 2 fold. We compared notes and decided that we would see the patient daily OT x 3 and PT x 3(included Saturdays)and that the patient really needed to be in acute rehab. The agency said she was denied acute rehab and if we could show she could tolerate 3hrs of therapy, they would reconsider. After about a month, she was admitted to a rehab hospital for a 4 week stay. I hope it helps.
Arley Johnson MS, OTR/L Operations Manager Rehabilitation Services Pennsylvania Hospital O: 215.829.5018 P: 215.422.0174 C: 215.776.4305 -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Wednesday, February 13, 2008 11:55 AM To: [email protected] Subject: [OTlist] Ethical Dilemma? Hello All: I've been in PP for about 4 years and worked in Rehab/faculty before that. Recently, I started PRN work at a HH agency. After only two weeks, I've run into a dilemma. After eval my first HH patient, I decided he needed 5 day a week OT. Today the HH agency called me to say that I could NOT see patients 5 days a week because they wouldn't make enough money if I did that. I talked at length about my role with the patient, etc. But, the HH nurse told me that I had to cut back my visits. I believe that patient has potential and will benefit from intensive OT. He has made some progress, but it's slow going. I believe it is wrong to cut back my treatment ONLY because the agency is "crying" over not making enough money. But, I am an employee of the agency. So what would YOU do? Thanks, Ron x-posted to AOTA -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
