was your intuition satisfied with her response...did you see a satisfying 
demonstration of this?  I've found a real difference in what people say and 
actually do...(on all levels).   

--- On Sat, 10/18/08, Ron Carson <[EMAIL PROTECTED]> wrote:
From: Ron Carson <[EMAIL PROTECTED]>
Subject: Re: [OTlist] How Would YOU Treat This Patient?
To: "Mary Alice Cafiero" <[email protected]>
Date: Saturday, October 18, 2008, 10:59 PM

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]



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