Ron, In my humble opinion and based on my observation........ Here are 10 reasons why Occupation-based treatment isn't regularly provided in the SNF setting. When it is not routinely practiced, it is very difficult to explain it to clients/patients. 1) Lack of consistent therapists for patients over treatment course leads to disjointed, sporatic interventions including hit and miss use Occupation of PRN and contract therapists. 3) Therapists who don't have an ongoing relationship or knowledge of the patient no offense intended people) doing what treatment they can with the patient for that session, that day. 4) An overall lack of appropriate (ie short) staffing of a department. 3) High Productivity Standards leading to treatment of multiple patients at a time and overwhelming paper work. 4) Lack of equipment/space/materials needed for Occupation-based treatment Busy-noisy-crowded clinics distracting environments discourage communication. 5) TIme needed to set-up, conduct,and clean up Occupation based interventions discourages effeciency. 6) Lack of time or enthusiasm for professional development, program building, team building, inservicing, energy and enthusiasm within a facility/ OTdepartment and culture of "just seeing the patei getting through the day" attitude. 7) Inappropriately prolonging intervention sessions, and course of treatment with patients without real skilled srvice or occupational interventions or without progress in order to satisfy Medicare RUGS categories, facility census numbers, and discharge dates. (as pressured by facility administrations). 8) Lack of creativity in providing occupation based treament and programming due to therapist inexperience, lack of peer support, and mentorship, 9) Lack of teamwork with other disciplines (PT, NSG). 10) Lack of professional involvement in local forums, state (FLOTA) and national organizations (AOTA) that provide support, resources, and professional advocacy. By no means are these 10 easy to fix, nor are they excuses for complacency, but they do show that the working conditions of some therapists make it challenging to practice according to our funadmental philosophy. It takes positive energy, enthusiasm, and persistence to get back to Occupation based practices. Thanks for listening Brent Cheyne OTR/L
--- On Sat, 8/30/08, [EMAIL PROTECTED] <[EMAIL PROTECTED]> wrote: From: [EMAIL PROTECTED] <[EMAIL PROTECTED]> Subject: OTlist Digest, Vol 41, Issue 19 To: [email protected] Date: Saturday, August 30, 2008, 3:00 PM Send OTlist mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://otnow.com/mailman/listinfo/otlist_otnow.com or, via email, send a message with subject or body 'help' to [EMAIL PROTECTED] You can reach the person managing the list at [EMAIL PROTECTED] When replying, please edit your Subject line so it is more specific than "Re: Contents of OTlist digest..." Today's Topics: 1. Difficulty Articulating OT (Ron Carson) ---------------------------------------------------------------------- Message: 1 Date: Fri, 29 Aug 2008 18:06:32 -0400 From: Ron Carson <[EMAIL PROTECTED]> Subject: [OTlist] Difficulty Articulating OT To: OTlist <[email protected]> Message-ID: <[EMAIL PROTECTED]> Content-Type: text/plain; charset=windows-1252 Has anyone noticed that people have difficulty articulating the word "occupational"? Just today, a patient's husband had difficulty saying the word. And, I noticed it with other people as well, even with health care providers. Anyone else? Ron -- Ron Carson MHS, OT ------------------------------ -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED] End of OTlist Digest, Vol 41, Issue 19 ************************************** -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
