Ron:
Just curious, with the below patient, what is your intervention to facilitate
progression towards these goals?
In regards to the simple meal prep goal, did your patient define independence
without mobilty aide when navigating around the kitchen? If so, do you stay on
the case until this is achieved? And if so, how do you progress them off of the
mobility aide to head towards this goal during your sessions?
No harm, I'm sincerely just trying to understand how you would approach this
common situation.
Arley Johnson, MS, OTR/L
________________________________
From: [EMAIL PROTECTED] on behalf of Ron Carson
Sent: Sat 9/6/2008 8:23 AM
To: Neal Luther
Subject: Re: [OTlist] Advance for OT Article: Point #3
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
--
Options?
www.otnow.com/mailman/options/otlist_otnow.com
Archive?
www.mail-archive.com/[email protected]
The information contained in this e-mail message is intended only for the
personal and confidential use of the recipient(s) named above. If the reader of
this message is not the intended recipient or an agent responsible for
delivering it to the intended recipient, you are hereby notified that you have
received this document in error and that any review, dissemination,
distribution, or copying of this message is strictly prohibited. If you have
received this communication in error, please notify us immediately by e-mail,
and delete the original message.
--
Options?
www.otnow.com/mailman/options/otlist_otnow.com
Archive?
www.mail-archive.com/[email protected]
