I think all of the described professions all facilitate function for their particular scope of practice.? As OTs we can facilitate function for a particular personal occupational goal.? The beauty of it comes when the patient can actually perform their desired goal.? The actual activity goal can also be used as a therapetic means to acheive the personal occupational goal, if the patient is at the point in which this is beneficial from a therapeutic point of view (ie I wouldn't have a patient work on buttoning a shirt with both hands if their hand is completely flaccid, because this would be a?waste of time.? Instead I would use compensation and restorative tecniques unil the actual goal of the patient can be practiced).
Chris Nahrwold MS, OTR -----Original Message----- From: Ron Carson <[EMAIL PROTECTED]> To: [EMAIL PROTECTED] <[email protected]> Sent: Wed, 29 Oct 2008 9:46 am Subject: Re: [OTlist] Best Practice Chris, unfortunately I don't have time to respond in length but let me quickly say this. If we extrapolating out the contention that FOCUSED work at the component level to facilitate function is considered OT, then many different professions are doing OT! PT, RT, RN, Surgeon, etc all focus treatment at the component level with the belief that increased component-level function will increase overall function. Ron -- Ron Carson MHS, OT ----- Original Message ----- From: [EMAIL PROTECTED] <[EMAIL PROTECTED]> Sent: Wednesday, October 29, 2008 To: [email protected] <[email protected]> Subj: [OTlist] Best Practice Ron>> And, I do not think? a? therapist? can? mentally? switch? from? Ron>> component? level? to occupation? level? treatment. Maybe I'm Ron>> wrong, but I think it's one or the other. cac> But in your case study you are switching back and forth from the cac> component level to eventually the occupational level.? Standing cac> tolerance=component level (cardiovasular, quad strength, static cac> standing balance).? Ambulation=componet level (cardiovascular, quad cac> strength both concentric and eccentric contractions, dynamic cac> balance).? All of this was leading to the individual's personal cac> occupational goal. cac> In my case study I was switching back and forth from the component cac> level to eventually the occupational level.? Estim to the digit cac> extensors=component level (facilitation of the neural pathway to cac> enhance neuroplasticity which in turn leads to digit extensor strength cac> and control).? All of this leading? to the individual's personal cac> occupational goal. cac> Chris Nahrwold MS, OTR cac> -- cac> Options? cac> www.otnow.com/mailman/options/otlist_otnow.com cac> Archive? cac> www.mail-archive.com/[email protected] -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
