Re: [OTlist] Game using reacher

[Barbara H. Hale]

I understand what you are saying Ron.  However, I would much rather play a 
game with the reacher to get a pt. to demonstrate they have the skills to 
use it.  To dump out a container of blocks and have the patient pick them up 
and put them back into the same container is a mindless thing.  Having an 
interaction with some one is allowing the person to be recognized for their 
ability to be a thinking whole person. Attention from a therapist while 
building a relationship will make a huge difference in the outcome, "use of 
self" was important in my training. Social interaction is in my view an 
occupation, important for providing a sense of accomplishment, trust in 
another person, a few laughs, making life a little more enjoyable. I cannot 
imagine it would be a negative to payers, professionals, or patients. Is 
everyone supposed to sit around and look depressed because it is a medically 
necessary piece of equipment? I believe the therapist is able to make a 
decision about the appropriate use of a game with a patient vs. practice of 
a skill. Just my opinion! 


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