Yes I am comfortable with faciliating the patient to take steps.??Why???Because I have been trained to do it the correct way.
And yes I feel comfortable with advancing the patient's mobility aide when they are improving with ambulating to the toilet.?Why? Because I am an occupational therapist and bathroom mobility is often my game. Again, I do not have a direct answer for this.? I have never been challenged in the area of scope of practice or denied via insurance?so I guess after 8 years I'm still doing ok.? I think the key is to take a team approach.? I agree with the prior letter.? Why does it all come back to PT versus OT? Chris -----Original Message----- From: Ron Carson <[email protected]> To: [email protected] <[email protected]> Sent: Mon, 19 Jan 2009 8:02 pm Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training So Chris, if you had a patient that could only stand, but not ambulate are you comfortable in facilitating the patient to take steps? Why or why not? And if the GOAL is for the patient to ambulate to the toilet with the lease restrictive aid, can OT advance patient's mobility aides? Again, why or why not? P.S., ANYONE feel welcome to reply. Messages on the list are usually meant for general discussion, or at least they should be!!!!!! Ron ----- Original Message ----- From: [email protected] <[email protected]> Sent: Sunday, January 18, 2009 To: [email protected] <[email protected]> Subj: [OTlist] Fn. Mobility ~vs~ Gait Training cac> I don't have a direct answer to that.? I guess it depends on cac> where your level of expertise falls in this area.? I have it cac> easy, because I work with an amazing group of PTs who teach me on cac> each patient how they want them to walk.? That way I can help the cac> patient receive the much needed practice in this area,but at the cac> same time I can consult with the PT since I did not have this cac> area taught in school.? I always attempt to complete the sit to cac> stands and the low level functional mobility in a context of an cac> occupation that the patient has determined important a) walking cac> to dresser to gather clothes b) walking to the toilet to complete cac> toileting c) walking to the dining room chair for meal time. It cac> is then amazing when the patient can perform the functional cac> mobility, and then carryout out the occupation!.? cac> Ninety nine percent of the time when I ask a patient what their cac> goals are for rehab they state to "walk better".? I then ask them cac> why they want to walk better.? They often look at me strangely cac> and then state so I can get to the kitchen and cook, do the cac> laundry, go out to eat with my friends, etc etc.? The cac> occupational goals nearly write themselves. cac> Chris Nahrwold MS, OTR cac> -----Original Message----- cac> From: Ron Carson <[email protected]> cac> To: [email protected] <OTli [email protected]> cac> Sent: Sat, 17 Jan 2009 7:38 pm cac> Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training cac> I like your definitions. cac> In the two cases you mention, the patients are already ambulatory. cac> What if they weren't and still wanted to achieve the same outcomes? cac> ----- Original Message ----- cac> From: [email protected] <[email protected]> cac> Sent: Saturday, January 17, 2009 cac> To: [email protected] <[email protected]> cac> Subj: [OTlist] Fn. Mobility ~vs~ Gait Training cac>> To me functional mobility is the process of getting to point A to cac>> point B regardless of compensation techniqes in the context of an cac>> activity or a desired functional outcome.? Just the other day I cac>> had a patient who wanted to cook and set the table for her cac>> family, to achieve this desired outcome a walker tray had to cac>> implemented with further practice of safe strategies.? Just the cac>> other day I had a hip replacement patient who wanted to be able cac>> to get to the bathroom safely without breaking her hip cac>> precautions, so? raised toilet was implemented with further cac>> practice of safe strategies. cac>> Gait training is when a therapist observes a patient's gait and cac>> objectively determines what movement functions?cause the patient cac>> to walk "abnormally".? They then use therapeutic techniques to cac>> faciliate a normal gait pattern.? I see this being used by PT in cac>> neurological rehabilitation.? cac>> Chris cac> -- cac> Options? cac> www.otnow.com/mailman/options/otlist_otnow.com cac> Archive? cac> www.mail-archive.com/[email protected] 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]
