Thanks Terrianne!
Ron -- Ron Carson MHS, OT ----- Original Message ----- From: Terrianne Jones <[EMAIL PROTECTED]> Sent: Thursday, October 23, 2008 To: [email protected] <[email protected]> Subj: [OTlist] Yet, Another UE Referral TJ> Ron, you did exactly as I have done often with referalls for TJ> people with shoulder issues that are temporary --eval only. I TJ> often wind up making suggestions for simple modifications and tips TJ> to deal with the temporary inconvenience of limited shoulder TJ> function. I then tell the PT to call me back in if, at the end of TJ> the PT treatment, it looks like the patient is not regaining TJ> function inspite of progressing through the exercise protocol. TJ> Yes they need help bathing, and I wil give them suggestions for TJ> help,but I can't go in and bathe them and bill it as OT.If they TJ> want a home health aide I set it up and send it over to the PT to TJ> manage. Beyond that, if there is nothing for me to do without TJ> duplicating services, I get out. This has worked well, and there TJ> have been a few occasions where the PT has called me back in and TJ> I've taken over having the patient try their daily activites and got them truly functional. TJ> Terrianne TJ> Terrianne Jones,MA, OTR/L TJ> University of MN TJ> --- On Thu, 10/23/08, Ron Carson <[EMAIL PROTECTED]> wrote: TJ> From: Ron Carson <[EMAIL PROTECTED]> TJ> Subject: [OTlist] Yet, Another UE Referral TJ> To: [email protected] TJ> Date: Thursday, October 23, 2008, 6:09 PM TJ> Yesterday, the home health PT told my director that OT was needed for TJ> a patient that she evaluated. The patient is s/p shoulder arthoplasty. TJ> I go there today, and the PTA has already started ROM exercises and is TJ> consulting with the MD for clarification. I evaluate the patient TJ> asking all the typical questions about daily occupation. TJ> Basically the patient needs assistance with dressing and bathing. BUT, TJ> this is all because of his shoulder surgery. So, I document that the TJ> patient is independent except for the above but this will resolve with TJ> his shoulder ROM returns, which is being addressed by PT. TJ> In your opinion was OT indicated for this patient? TJ> What if PT wasn't seeing the patient, would OT be indicated? TJ> Ron -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
