Welcome Barb, so it has been very painful to read the extremely judgemental discussion > about "bad" treatment
I have to agree with you, I find this painful on a weekly basis > please don't let mine or anyone else's negativity adversely affect what > you do > It's very difficult sometimes not to. As someone who is about to start their BSC (Hons) in OT, I originally thought it would be a good idea to join the list and read what practicing OTs are talking about, up to, and perhaps even learn something; possibly even get some encouragement for the big step I am about to take. This is not the case, in fact, I couldn't feel less encouraged or more negative about the how occupation now if I tried. Dawson 2008/12/4 <[EMAIL PROTECTED]> > I am a recently recertified COTA who has just started a new position > working in an SNF. My prior experience was PRIOR to PPS. Whew! What a > change! I whole-heartedly agree with Brent's post. I am trying my best to > provide skilled treatment, but PPS and productivity standards set by the > for-profit sector make that difficult. I joined this list to get more ideas > about functional/meaningful activities to do with my patients, so it has > been very painful to read the extremely judgemental discussion about "bad" > treatment! I already feel uncomfortable with some of the choices I have to > make each day. I am hoping that as I learn to juggle better, I will be able > to provide a higher percentage of meaningful tx. So I would appreciate any > and all concrete suggestions from those who work in a similar environment, > and less of the judgement based on uninformed assumptions. > Thank you. > Barb Howard > Grand Rapids, MI > > -------------- Original message -------------- > From: [EMAIL PROTECTED] > > > Brent, > > I believe the criticism originally came from Ron in regards to a > therapist in a > > rehab hospital.? We?can all be?guilty of poor rehab at times no matter > what > > practice setting.? I responded to warn people of potential fraud that > therapists > > might be committing and not even realizing it. > > > > Chris Nahrwold MS, OTR > > > > > > -----Original Message----- > > From: Brent Cheyne > > To: Ron Carson > > Sent: Tue, 2 Dec 2008 6:40 pm > > Subject: Re: [OTlist] Arrgh! SNF OTs on the hot seat! > > > > > > > > ??? Some further thoughts on OT?practice in the?SNF. However critical and > > disappointed some of us who don't work in SNF feel about the pracitices > of those > > who do, keep in mind that each practice setting has its own unique > challenges > > and limitations. > > ??? The PPS system has the RUG system where the highest reinbursment is > for > > those patient who participate in as much as 360 minutes of OT a week.. > That's? 6 > > days of 60 minute sessions, so if a person stays for a month they receive > 24 > > hours (?1440 minutes) of OT in a month. And this process is multiplied > got?each > > OT practitioner?by a caseload (lets say for average) 7 patients per > day.?Each > > minute of each session is structured and guided by the therapist while > > navigating a complex system of all the other therapies, nursing care, and > > scheduling taking place?within the facility. > > ??? This means there is a lot of therapy? being provided and?therefore a > lot of > > designing and implementing and documenting interventions. Making every? > minute > > of every session wonderful, meaningful, enjoyable, and occupational is > quite a > > challenge. I venture to predict that rehab professional in SNF spend more > time > > with their clients than any other professionals in the whole healthcare > system! > > Other posts on this list have also observed that the SNF rehab client is > not > > always the most motivated of clients either and clients are often unable > to > > identify meaningful occupations on which to base treatments. > > ???? Due to reasons explained previously in my other recent post, and the > > factors above, some patients might have incidences of "bad OT".? Given > the shear > > abount of time spent in treatment, the odds of having some > non-meaningful?or bad > > experiences are? pretty high. > > ???? I think any of us can identify unsatisfactory experiences with > healthcare > > and other professionals on occasion. I personally have had?occasional > > frustration and disappointment?at the dentist, doctor, optometrist, or > even with > > the waiter at a restaurant. I think on average there are a lot of hard > working > > OTs > > in SNF doing a great job! Of course we always hear about the worst and > best > > therapy experiences that people have. > > ? While all the criticism, judgement and discussion ongoing in the OT > community > > may be necessary to encourage us to focus on occupation, there is no > shortage of > > equal scrutiny by our administrations and regulators who have there own > > definition of what expected and required of OTs. Keeping everyone > satisfied in > > no easy task and I think "bad OT "is more a function of being overwhelmed > than > > being lazy. Let us find a way to support and encourage eachother! > > Brent C > > > > > > > > -- > > 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] > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] > -- Dawson In Deus EGO Fides. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
