Oops, I failed to mention that I my referral to PT was s/p my OT eval. Everything the patient stated matched my observation of her movement. Yes, it is her dominant side. She does not do much lifting with her right arm, because of the pain. She does close in work with her right arm, such as crocheting, eating, turning book pages, etc. But she does no lifting with her right shoulder.
I also think that within the course of an evaluation, it's difficult to assess ALL daily living tasks, (i.e. driving, washing dishes, shampooing hair). What I do is extrapolate my observations and the patient's reports to form a basis of "all" daily living. However, it is best to not say "all" when I don't really know that to be a fact! Ron ----- Original Message ----- From: Kari Rogozinski <[EMAIL PROTECTED]> Sent: Tuesday, August 26, 2008 To: [email protected] <[email protected]> Subj: [OTlist] Would You Treat For Refer to PT? KR> Ron, KR> KR> I noticed that you said you asked the patient. I find that KR> usually when i have them perform specific tasks instead of asking, KR> the findings don't match what is reported. Don't you think she is KR> entitled to an evaluation at least and then decide which way to KR> go. It is hard for me to believe that she is safe and Independent KR> with all daily living tasks. If her dominant side is affected( KR> I'm assuming she is right dominant), it makes me wonder how she is KR> lifting things or carrying things with that side. Is she using KR> proper compensatory techniques or is she going to cause damage elsewhere? KR> --- On Tue, 8/26/08, Ron Carson <[EMAIL PROTECTED]> wrote: KR> From: Ron Carson <[EMAIL PROTECTED]> KR> Subject: [OTlist] Would You Treat For Refer to PT? KR> To: "OTlist" <[email protected]> KR> Date: Tuesday, August 26, 2008, 4:15 PM KR> Received a new home health referral. Patient's diagnosis is right KR> shoulder pain. Patient presents with bicep tendon pain during AROM, KR> PROM and palpation. She lives alone and is independent with all her KR> daily living tasks. KR> I referred the patient to PT for the shoulder pain. Would you, as an KR> OT, treat this patient? KR> Thanks, KR> Ron KR> -- KR> Options? KR> www.otnow.com/mailman/options/otlist_otnow.com KR> Archive? KR> www.mail-archive.com/[email protected] KR> -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
