This might sound strange, but I think we are saying the same thing to some degree. Please, correct me if I misunderstand your below point. My prep work would lead me into practicing a component or whole of the actual occupational task that has been identified a a goal during that same session and every session afterwards . So, you're saying that if impaired balance is the major limiting factor in achieving independence in item retrieval in ADLS, meal prep, that I shouldn't try balance training techniques? If not, what course of action should I try? Also, do you think OT belongs in the burn units in the early phase? Arley ________________________________
From: [EMAIL PROTECTED] on behalf of Ron Carson Sent: Sat 9/6/2008 8:13 AM To: Johnson, Arley Subject: Re: [OTlist] Advance for OT Article: Point #3 Arley, I appreciate your comments but from my perspective, using "prep" techniques "enroute to addressing occupation based deficits" is not much different than what phy dys OT's have been doing for years. The only thing that I see different is the use of the word "occupation". It's my opinion that as OT's, its imperative that treatment be directed towards empowering patients to engage in SPECIFIC occupational deficits. There must be a DIRECT corollary between our goals and our treatment. I do not think that treatment modalities directed to remediate physical dysfunction so that a person might engage in occupation is best practice. In fact, that sort upside down treatment is EXACTLY what OT has been doing for years. Also, I think the OT perspective should be that "the root of the problem" is not physical dysfunction but occupational dysfunction. Ron Ron Carson MHS, OT ----- Original Message ----- From: Johnson, Arley <[EMAIL PROTECTED]> Sent: Friday, September 05, 2008 To: [email protected] <[email protected]> Subj: [OTlist] Advance for OT Article: Point #3 JA> I would like to start by asking this question: If an OT is JA> treating a stroke patient and uses neurofacilitation strategies in JA> their treatment or a peds therapist performs prepping techniques JA> prior to her play activities, is there a difference when an OT JA> uses PAMs and strengthening exercises with the ortho population en JA> route to addressing occupation based deficits? I think we need to JA> address the root of the problem by appropriate means and then JA> bring it home to the patient during and after every session to a JA> functional, meaningful implication/connection. -- 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]
