I enjoy the potential for creativity that is needed to individualize treatment. I am frustrated by the time constraints that do not allow me to design an individual therapeutic program. (but does provide time for pulling out the pegs and cones) There is a factory worker mentality to timing treatments, clocking in, clocking out, overtime, etc. FIM scores are narrowing the thought processes for goal setting. Insurance is leading us around telling us what to do and what not to do. It is not about what the patient needs anymore.
I have some difficulty with bathing programs that take place in an adapted bathroom down the hall but is nothing like the patients home setting. The OT is assisting with personal care such as what the lowliest staff members (CNA's) are being asked to do for patients. Do you suppose OT's begin to identify with the CNA's more than other staff? When I think about the bathing program, I value my own privacy and do not think that I will enjoy being treated in a carwash atmosphere when I am a patient. I am really hoping for some spa treatments, typical of The Homestead in VA when I am a patient. Soaking, massage, skin treatments, podiatry, manicures, aroma therapy, calming music, what would you want? I am not asked to participate in the administrative meetings therefore, am I to assume the value of my experience is not of important to them? Pardon my meandering thought processes this evening, this has been a long day. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
