If the goal is increased ROM or decreased pain, why include the "functional" component? It seems obvious to me that if ROM/pain are the ONLY things preventing the patient from doing self-care, then positively impacting these area will directly improve self-care. So, why even include the the "function".
If the goal is occupation, then I see no reason for the ROM/pain component. As and OT, I strongly believe that occupation should be the goal, but occupation is not always the goal of the patient or MD. And it's these situations where OT is out on a limb, because we are truly practicing OT, but PT. Ron -- Ron Carson MHS, OT ----- Original Message ----- From: L Sloan <[EMAIL PROTECTED]> Sent: Saturday, August 30, 2008 To: [email protected] <[email protected]> Subj: [OTlist] Elbow Break, Referral... LS> How About.... LS> Patient will demonstrate increased active range of motion to ____ LS> during upper and lower body dressing activities.....or... LS> Patient will demonstrate increased AROM to ___ to allow patient LS> to complete upper and lower body selfcare activities safely... LS> Patient will demonstrate a decrease in pain from ___ to ___ to LS> enable her to complete her dressing activities. LS> ??? Lisa LS> ----- Original Message ---- LS> From: Ron Carson <[EMAIL PROTECTED]> LS> To: OTlist <[email protected]> LS> Sent: Saturday, August 30, 2008 3:48:47 PM LS> Subject: [OTlist] Elbow Break, Referral... LS> Received a new referral for a elbow fracture. I shouldn't have taken LS> it but I did. LS> And here is the dilemma facing our profession. The patient is 95, LS> previously living independently. Fractured elbow in a fall. Now living LS> with daughter. She is in a large amount of pain. Obviously, she is LS> dependent for most of her occupations. She currently uses a cane but LS> is not safe. LS> The patient's immediate concerns are her elbow. When pressed, she of LS> course wants to go back home, but that is not an immediate goal. LS> So what do I write for goals? For example should I write: LS> Patient will self-report pain as 3 out of 10 LS> Patient's will increase active elbow extension to -20 degrees LS> These goals seem to direct the patients and doctor's concerns but are LS> not occupationally oriented. So, should I write: LS> Patient will safely and independently dress lower body LS> Patient will safely and independently ambulate to the bathroom LS> using the least restrictive mobility aid LS> I like these goals but they don't address the immediate concerns. LS> Ron LS> -- LS> Ron Carson MHS, OT LS> -- LS> Options? LS> www..otnow.com/mailman/options/otlist_otnow.com LS> Archive? LS> www.mail-archive.com/[email protected] LS> -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
