Thanks Mary, I thought of that, but I don't write short term goals. Ron -- Ron Carson MHS, OT
----- Original Message ----- From: Mary Giarratano <[EMAIL PROTECTED]> Sent: Monday, September 01, 2008 To: [email protected] <[email protected]> Subj: [OTlist] Elbow Break, Referral... MG> You could use the first goals as short term goals and the second goals as her MG> long term goals. Right now pain and ROM are her most pressing problems and MG> later functional activities will be more appropriate. MG> Mary MG> -----Original Message----- MG> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of MG> Ron Carson MG> Sent: Saturday, August 30, 2008 3:49 PM MG> To: OTlist MG> Subject: [OTlist] Elbow Break, Referral... MG> Received a new referral for a elbow fracture. I shouldn't have taken MG> it but I did. MG> And here is the dilemma facing our profession. The patient is 95, MG> previously living independently. Fractured elbow in a fall. Now living MG> with daughter. She is in a large amount of pain. Obviously, she is MG> dependent for most of her occupations. She currently uses a cane but MG> is not safe. MG> The patient's immediate concerns are her elbow. When pressed, she of MG> course wants to go back home, but that is not an immediate goal. MG> So what do I write for goals? For example should I write: MG> Patient will self-report pain as 3 out of 10 MG> Patient's will increase active elbow extension to -20 degrees MG> These goals seem to direct the patients and doctor's concerns but are MG> not occupationally oriented. So, should I write: MG> Patient will safely and independently dress lower body MG> Patient will safely and independently ambulate to the bathroom MG> using the least restrictive mobility aid MG> I like these goals but they don't address the immediate concerns. MG> Ron MG> -- MG> Ron Carson MHS, OT MG> -- MG> Options? MG> www.otnow.com/mailman/options/otlist_otnow.com MG> Archive? MG> www.mail-archive.com/[email protected] MG> No virus found in this incoming message. MG> Checked by AVG - http://www.avg.com MG> Version: 8.0.169 / Virus Database: 270.6.14/1646 - Release Date: 9/1/2008 6:03 MG> PM -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
