Hello Neal:
If OT's would adopt occupational goals then patients would be d/c when
those goals are achieved. For example, if the goal is:
"By d/c, patient will safely and independently transfer
to/from car"
Once the goal is best achieved the patient is discharged. Of course,
patients have multiple goals but the concept is the same.
Just last week, I evaluated a patient with total hip replacement. The
evaluation resulted in 5 goals (in abbreviated format):
1. In/out shower
2. In/out of car
3. On/off toilet
4. Simple meal prep
5. Lower body dressing
Using the above approach, it's easy to tell when the goal(s) are
achieved. If additional goals are not established, the patient is
discharged. Also, this approach empowers the patient because they
generate their own goals.
I strongly believe that my job is NOT making goals, but facilitating
the patient to achieve them. Of course, there are exceptions.
Ron
--
Ron Carson MHS, OT
----- Original Message -----
From: Neal Luther <[EMAIL PROTECTED]>
Sent: Friday, September 05, 2008
To: [email protected] <[email protected]>
Subj: [OTlist] Advance for OT Article: Point #3
NL> Arley
NL> I could not agree more! You are making some of the same points
NL> that I believe Dr. Sorenesen has made recently with regard to EI
NL> (quite a broohaha). We simply don't know how/when to D/C I
NL> believe in part because we have not established plans of care
NL> based on sound clinical reasoning. We confuse altruism with
NL> therapeutic intervention (give a man a fish vs. teach a man to
NL> fish). This results in treating everyone and everything and if
NL> done so long enough even the smallest changes/improvements are
NL> claimed to be as result of treatment. My two cents.
NL> Neal C. Luther,OTR/L
NL> Rehab Program Coordinator
NL> Advanced Home Care
NL> 1-336-878-8824 xt 3205
NL> [EMAIL PROTECTED]
NL> Home Care is our Business...Caring is our Specialty
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