Thanks Chris and Mary Alice for your replies. This was my last patient for the week and I elected to NOT pick her up for OT. The reason is simple; She stated she was satisfied with her currently occupational performance (of course, she didn't use those words <smile>).
I posted the message because I'm wondering if other OT's would have picked her up. I guess I'm second guessing my cut back to PRN and wondering if I should be LESS selective in the patient's I see. I don't know though. I've always said that if a patient has no identifiable occupational performance goals then there' no role for OT. And while there may be exceptions to this approach, I generally try to follow it. Thanks again, Ron -- Ron Carson MHS, OT ----- Original Message ----- From: Mary Alice Cafiero <[EMAIL PROTECTED]> Sent: Friday, October 17, 2008 To: [email protected] <[email protected]> Subj: [OTlist] How Would YOU Treat This Patient? MAC> I would ask both her and her daughter about their goals and start from MAC> there. Maybe it is just education with the daughter on the safest most MAC> effective way for her to offer help when she is alone with her mom. MAC> In any case, I wouldn't see it as a very long term thing! MAC> Mary Alice MAC> Mary Alice Cafiero, MSOTR, ATP MAC> [EMAIL PROTECTED] MAC> 972-757-3733 MAC> Fax 888-708-8683 MAC> This message, including any attachments, may include confidential, MAC> privileged and/or inside information. Any distribution or use of this MAC> communication by anyone other than the intended recipient(s) is MAC> strictly prohibited and may be unlawful. If you are not the recipient MAC> of this message, please notify the sender and permanently delete the MAC> message from your system. MAC> On Oct 17, 2008, at 6:58 PM, Ron Carson wrote: >> Did an eval today and wondering how other OT's might address the >> situation. >> >> 94 y/o female living with her 70 y/o daughter. Recent fall resulting >> in femur fracture. Ambulates with a rolling walker and supervision. >> Independent with toileting. Requires assistance with upper body >> dressing, independent with LE dressing. Requires assistance with >> bathing. Patient previously received assistance with bathing and >> dressing. >> >> Patient has pain 8/10 in right femur with weight bearing. She is >> unable to raise her bi-lateral shoulders past approximately 90 degree >> flexion/abduction. >> >> How would you treat this patient and WHY??? >> >> Thanks, >> >> Ron >> -- >> Ron Carson MHS, OT >> >> >> -- >> Options? >> www.otnow.com/mailman/options/otlist_otnow.com >> >> Archive? >> www.mail-archive.com/[email protected] MAC> -- MAC> Options? MAC> www.otnow.com/mailman/options/otlist_otnow.com MAC> Archive? MAC> www.mail-archive.com/[email protected] -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
