Linda...I have to say I am really surprised...I work at a large inpatient 
rehabilitation hospital prn....the patients get am bathing/shower/dressing 
every morning with OT!....as soon as they can shower they do....sponge bath/bed 
baths are minimal.....just fyi....I think your situation is unusual for an inpt 
unit...or at least in my 20 years of experience!  
 
Lisa Sloan, OTR/L

--- On Tue, 9/9/08, Linda Stovall <[EMAIL PROTECTED]> wrote:

From: Linda Stovall <[EMAIL PROTECTED]>
Subject: [OTlist] OT's Role in ADL's
To: [email protected]
Date: Tuesday, September 9, 2008, 5:44 AM

I am submitting a change in topic :)

I am an OT with over 25 years of experience.  Currently I am managing a
inpatient rehab unit.  Our OT's do a lot of dressing and grooming, but have
a tendency to not participate in bathing of patients until close to discharge. 
They repeatedly state "the patient is not ready for that yet".  Well,
the patient is getting bathed, of course, so they ARE ready for that and I think
that OT should work with nursing on the best way to facilitate the patients
independence in bathing during the entire stay, not just do one bath the day or
two before discharge when the patient is more independent. 

I guess it is a difference in theory that I see bathing as a functional task
that can be used as treatment for all sorts of things (body awareness, balance,
following directions, motor control, etc) and they feel that they are just
assessing the level of independence prior to discharge and teaching compensation
(ie do they need a tub seat or bench, etc). 

I think the OT should do one bath per patient per week....initially working
more with nursing, then later more independently when the patient gets stronger.

Can any of you tell me about your ADL programs if you work, or have ever
worked, in an inpatient rehab unit??   What are your thoughts on OT's role
in bathing in this situation??  

Thank you for any thoughts you may have....

Linda 


Linda Stovall, OTR/L
[EMAIL PROTECTED]
Program Manager
Memorial Hospital at Gulfport
Comprehensive Medical Rehabilitation Program
228-867-4179
228-867-5357 (fax)
228-883-8443 (beeper)
A CARF (Three-Year) Accreditation was awarded to MHG for the following
programs: 
Inpatient Rehab - Adults, Adolescents, and Children
Inpatient Rehab- Stroke Specialty
 




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