Here I go jumping in again. Y'all may have to ban me after about 9 PM  
cause after then I'm just really straight-up honest.

I do think that hand therapy can be occupational therapy. I just don't  
think it is all of occupational therapy. I think if a specialty area  
is going to be the focus of publicity display, it should make sure to  
include that it is a specialty in the much larger profession of OT  
where you can find information about many areas in the  
profession....blah, blah, blah.....

DONT leave it at just the "OTs prevent repetitive motion injuries". It  
needs to include some context within the larger picture of OT. Define  
its place in our world.

MA
Mary Alice Cafiero
[EMAIL PROTECTED]
972-757-3733
Fax 888-708-8683

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On Aug 25, 2008, at 9:57 PM, Ron Carson wrote:

> IMHO,  patients reaching into their pockets or buttoning their top are
> not the language of OT. To me, these are more like the language of PT.
>
> For  example,  heres  a goal that a PT *might* write: "Pt will improve
> finger flexion to allow him to button his shirt" Contrast this with an
> occupational  goal:  "Pt  will independently button his shirt" See the
> difference?  And yes, the patient may improve finger flexion to button
> his shirt, but flexion is NOT the goal!
>
> Also,   I   do   NOT  believe  that  a  therapist  can  earnestly  and
> whole-heatedly focus on BOTH occupation and performance goals. In some
> ways,   occupational   goals   and   physical  performance  goals  are
> diametrically  opposed. The goals require different trains of thought,
> treatment  approaches, expectations, treatment spaces/equipment, time,
> etc.  I  think that crossing from one line of thinking to the other is
> very, very challenging.
>
> Maybe,  look  at  it this way. When a patient comes to you with a hand
> injury,  what's  your  goal? What does the referring physician expect?
> What are the patient's goals? If the goal is for the patient to button
> their  shirt,  why  measure  hand  strength, pinch etc? If the goal is
> improving hand strength, who cares about buttoning a shirt?
>
> Despite  the admirable writings of Debbie Amini, (whom I respect) I do
> not think that hand therapy and OT should come together.
>
> Ron
>
> P.S.  Even  though my message is in reply to you, the comments, issues
> and  questions  that  I  raise are not directly specifically to you. I
> encourage other readers to respond as they feel led!
>
>
>
> ----- Original Message -----
> From: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
> Sent: Monday, August 25, 2008
> To:   [email protected] <[email protected]>
> Subj: [OTlist] Do You Agree with This Statement?
>
> Rac> Hello all,
> Rac> I personally don't agree with the statement and I'm sitting for  
> the CHT exam
> Rac> in 2 years. I'm feeling some dissension in regards to hand  
> therapy. I feel
> Rac> that as an Occupational Therapist that has an interest in hands  
> I can actively
> Rac> promote the profession with my pts and doctors alike. I don't  
> only measure their
> Rac> grip, pinch strength and ROM but also ensure that they are able  
> to partake in
> Rac> daily activities that are meaningful and important for them. I  
> also have the
> Rac> opportunity to work hand in hand (no pun intended) w/doctors  
> and advocate for
> Rac> our profession. When I see a pt that is unable to button their  
> tops or reach
> Rac> into their pockets for change I make sure that they are able to  
> perform these
> Rac> activities throughout their therapy. I think that we as OT's  
> should come
> Rac> together and advocate for our profession and what we are really  
> about!
>
>
> Rac> **************
>
> Rac> It's only a deal if it's where you want to go. Find your travel  
> deal here.
> Rac>
> Rac>  (http://information.travel.aol.com/deals?ncid=aoltrv00050000000047 
> )
>
>
> -- 
> Options?
> www.otnow.com/mailman/options/otlist_otnow.com
>
> Archive?
> www.mail-archive.com/[email protected]

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