Neal, it seems that we look at things differently:
You say:
"we do higher level IADL tasks ... usually to work on the
dynamics of balance"
I look at it this way:
I do higher level tasks so the patient can learn to do these
tasks independently <and>
I work on the dynamics of balance so the patient can do higher
level tasks
Also, for me, I know if interventions are successful if the patient
has improved occupational performance. Lastly, In my opinion, OT's
role is not PREPARING the patient for return to activity, it's
RETURNING them to activity.
Does any of this make sense or is it just "rubbish" <smile>
Ron
--
Ron Carson MHS, OT
----- Original Message -----
From: Neal Luther <[EMAIL PROTECTED]>
Sent: Thursday, October 09, 2008
To: [email protected] <[email protected]>
Subj: [OTlist] Best Practice
NL> Simple. If we don't know that our interventions are successful we dare
NL> not make claims on occupational performance. It's akin to performing
NL> PROM on someone in a coma (which can be a good thing) and when they come
NL> out of the coma claiming our intervention as the reason they are able
NL> feed themselves now. Another example would be in orthopedics. Why do
NL> we do higher level IADL tasks. In my experience, it is usually to work
NL> on the dynamics of balance (especially with TKR's). If I do not know
NL> the effects of single leg stance on the joint and whether that pt. Is
NL> ready (usually in consult with PT) then I can't plan occupational tasks
NL> accordingly. And if this is not addressed then I have not done my job to
NL> prepare that pt. For return to meaningful activity.
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
NL> The information contained in this electronic document from
NL> Advanced Home Care is privileged and confidential information
NL> intended for the sole use of [EMAIL PROTECTED] If the reader of
NL> this communication is not the intended recipient, or the employee
NL> or agent responsible for delivering it to the intended recipient,
NL> you are hereby notified that any dissemination, distribution or
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NL> received this communication in error, please immediately notify
NL> the person listed above and discard the original.-----Original Message-----
NL> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
NL> Behalf Of Ron Carson
NL> Sent: Wednesday, October 08, 2008 9:13 PM
NL> To: Neal Luther
NL> Subject: Re: [OTlist] Best Practice
NL> Why?
NL> Ron
NL> --
NL> Ron Carson MHS, OT
NL> ----- Original Message -----
NL> From: Neal Luther <[EMAIL PROTECTED]>
NL> Sent: Wednesday, October 08, 2008
NL> To: [email protected] <[email protected]>
NL> Subj: [OTlist] Best Practice
NL>> Also, I think we have to measure success at both levels --the
NL>> treated area and occupational performance.
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