She wants her elbow to improve because:
1. It hurts
2. It doesn't work correctly
Which is exactly what I would expect for myself and most other people
with a recent elbow fracture. Several years ago, I chipped my
dominant-side elbow. It hurt like heck and didn't work very well. I
had difficulty doing my daily activity. BUT, my primary concern was my
elbow, not my daily activity. My focus was on the elbow, not the loss
of occupation. And in such cases as this, mostly acute injury, in my
opinion PT is the profession of choice.
Ron
--
Ron Carson MHS, OT
----- Original Message -----
From: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
Sent: Tuesday, October 21, 2008
To: [email protected] <[email protected]>
Subj: [OTlist] UE Evauation Yesterday...
cac> Ron said:
cac> "For sure,?? improving?? her?? elbow? function? will? improve? occupational
cac> performance, but the patient's concern is NOT occupation."
cac> If the patient is not concerned about her occupations why does
cac> she want her elbow to improve in function? And the record player continues!
cac> Chris Nahrwold MS, OTR
cac> -----Original Message-----
cac> From: Ron Carson <[EMAIL PROTECTED]>
cac> To: [email protected]
cac> Sent: Tue, 21 Oct 2008 9:19 am
cac> Subject: [OTlist] UE Evauation Yesterday...
cac> Hello Everyone:
cac> Yesterday, I received a home health referral for a humeral
cac> fracture/tricpes tendon reattachement. By now, I'm sure most regular
cac> readers are aware of my stance on OT's NOT being UE experts.
cac> Interestingly, PT had already evaled the patient and said they
cac> couldn't do anything.
cac> So, as I'm sitting there talking with the patient, I'm encouraging her
cac> to use her affected UE for daily activity such as eating, dressing,
cac> toileting. During this time, I'm thinking there just isn't much role
cac> for OT. The patient's concern is ROM and pain, not occupation. For
cac> sure, improving her elbow function will improve occupational
cac> performance, but the patient's concern is NOT occupation.
cac> As I'm sitting there pondering doing ROM, exercises and strengthening
cac> the patient tells me that her doctor ordered outpatient PT. Since
cac> patients can not be on home health while going to outpatient therapy,
cac> I discharged the patient.
cac> It was an awkward situation. The family and I discussed the
cac> differences between OT and PT and how some OT's treat UE injuries.
cac> Ron
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