John,
I have been an OTR for 14 years so my answer is somewhat biased. I would 100% 
recommend becoming an OT. It is a very rewarding field and with many different 
practice areas to choose from. I caution you though,  to not think of OT as a 
"all set and done" profession where change and challenges will not take place. 
Our profession need advocates and practitioners who are willing to speak-up and 
defend-create-recreate our ever evolving practice areas.
As a mature professional you could face opportunities to provide occupationally 
relevant treatment to patients or you could find yourself "stuck" with a 
handful of physical dysfunction treatment tricks ( which feels safe initially), 
yet not much occupationally based interventions. These depend of course of the 
setting you are in.
I work in a nursing home so YEAH many times to get a treatment done you need to 
start with getting the patient ready to receive treatment ( bathroom tasks are 
usually what you will encounter...there is no aid around and it is either you 
assisting the client to get it done or him/her waiting longer with increased 
risk of fall/ skin breakdown, etc from a soiled undergarment/diapers. If you 
have self care goals related to toileting or clothing management you could make 
the intervention relevant by applying techniques, verbal cues, extra time to 
respond, neuro facilitation to normalize movement, in other words, skilled 
interventions, to obtain the safest and most independent response from the 
client. If your treatment goals are not self care related but about factors 
such as core stability, balance, bed mobility, standing tolerance, postural 
control, etc, the same task can be utilized to enhance those skills and make 
the client work on those to facilitate your care tasks. The ideal situation is 
to schedule the session and have nursing take care of that but sometimes it is 
not possible. 
Wow, sorry for the lengthy response ...Best of luck with your school ☺
 
Carmen> From: [EMAIL PROTECTED]> To: [email protected]> Date: Mon, 25 Feb 2008 
09:05:39 -0800> Subject: [OTlist] Conflicted> > I'm currently a student 
completing the prerequisites to pursue a > Master's in OT. This is a career 
change for me in my early 30s, and I > should be in the program in 2009. I 
chose OT because it seemed a > stable field (growing demand), and because it 
focuses on psychological/ > social skills to a high degree, which really 
appeals to me. > Considering it now requires an MA to practice, I imagine if 
anything > the demand will increase. And, of course, it is helping people in an 
> immediate sense, and rewarding beyond it's decent compensation.> > I 
struggled initially with OT vs. PT, and in the end it was the > heightened 
focus on cognitive areas of OT that trumped PT for me; > psychology and the 
brain are more interesting to me than physics. At > the same time, there are 
factors that keep making me second-guess my > choice:> > 1) There's generally 
twice as many PT jobs available than OT, from > what I can tell. So both 
availability and pay scale seems to be a > little more on the PT side of 
things.> > 2) I keep sensing frustration among OTs and hearing about burnout, > 
lack of recognition, and being threatened as PT gradually extends its > sphere 
of learning into OT areas of expertise (although I think it's a > positive 
thing that the two should learn and develop from each others' > strengths). 
Will OT and PT be the same position eventually?> > 3) A couple of times I've 
heard of OTs doing nurse activities. Helping > someone learn to transfer 
themselves into a shower is one thing, but > cleaning their diaper just seems 
like something I wouldn't expect an > OT to have to do, and certainly something 
I'd never want to do. Is > this something that all OTs have to do from time to 
time, or does it > depend on their area of expertise (i.e. someone in hand 
therapy would > not run into this)?> > Am I totally getting the wrong picture 
of OT here? I'm only going by > impressions, and I'm sure my thoughts will be 
cleared up to a degree > after I actually get some experience volunteer-working 
in a rehab > facility with PTs and OTs.> > Many of you have the benefit of 
knowledge of having worked as OTs for > years, and can provide valuable 
insights. I feel like OT is more my > natural area, but little doubts keep 
creeping into my mind from what I > hear and see.> > Thanks a lot for your 
thoughts. I just discovered this website and > have been perusing it quite a 
bit the past couple of days.> > John> > -- > Options?> 
www.otnow.com/mailman/options/otlist_otnow.com> > Archive?> 
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