Sorry Ron...I totally disagree...in my 20 years I have always included ROM, pain with function....that is how I was trained...maybe school has changed since then........to me the ROM and pain has everything to do with the function...I have always assessed it when doing an evaluation...that is part of my assessment as sensation is, coordination, cognition etc. I do not consider that PT.... Lisa
----- Original Message ---- From: Ron Carson <[EMAIL PROTECTED]> To: L Sloan <[email protected]> Sent: Sunday, August 31, 2008 7:09:48 AM Subject: Re: [OTlist] Elbow Break, Referral... 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] -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
