Susanne, better late than never, right? <smile> The patient does ambulate independently, but the supervision was because of my comfort level. During the eval, the patient reported that she toilets without assistance. I did not actually evaluate this, so I'm going on her report only. But, your point is well made.
Also, the daughter was NOT asked about her satisfaction with assisting her mother. However, she was involved in the evaluation. In all honesty though, even if the daughter voiced a desire to see change in her mother, insurance limitations do not allow me to address the daughter's needs, only the patients. Good questions! Ron -- Ron Carson MHS, OT ----- Original Message ----- From: susanne <[EMAIL PROTECTED]> Sent: Saturday, October 18, 2008 To: [email protected] <[email protected]> Subj: [OTlist] How Would YOU Treat This Patient? s> Hi Ron - bit late reply, I know:-) But I would wonder - when she s> needs supervision for ambulating - thus can't be REALLY independent s> with toileting - that means she can't be alone for long, right? s> Seems to me that may easily turn into an occupational problem for s> the daughter living with her - did she get a say? s> To me, it would also be OT to figure out a way for the daughter to s> have a life besides caregiving. s> Warmly s> susanne s> ---- Original Message ---- s> From: "Ron Carson" <[EMAIL PROTECTED]> s> To: "Mary Alice Cafiero" <[email protected]> s> Sent: Sunday, October 19, 2008 4:59 AM s> Subject: Re: [OTlist] How Would YOU Treat This Patient? >> 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. s> -- s> Options? s> www.otnow.com/mailman/options/otlist_otnow.com s> Archive? s> www.mail-archive.com/[email protected] -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
