If someone is going to be using a reacher for the foreseeable future after D/C because of medically established precautions against trunk flexion, etc. then this kind of practice with a reacher is medically beneficial. Call it whatever perjorative name you like, patients enjoy activities that are entertaining as well as medically necessary/useful/goal-directed. I am certainly not going to sit with a patient and make him/her take her pants on and off interminably just because that is how the goal is worded - LB ADL Indep using AE... Come on, people. Lighten up!
And as far as social interaction is concerned, there is NOTHING that is more conducive to helping patients progress, especially those in SNFs, than interaction with the therapist or with other patients. You don't need a goal. It is ALWAYS a factor, hence it is therapeutic to the goals you are working on. Just today, I had a patient who more easily lost his balance because of laughter. He is a funny guy and likes to joke around. Because I engaged with him, I was able to observe this phenonmenon directly. I then suggested that we should have him watch funny videos standing so that he can practice his dynamic balance. This was a direct result of social interaction. Social interaction is an integral part of any occupation, and I mean that in the broad OT sense of the word. Well, I guess not for hermits, or possibly accountants and others whose goals are impeded by interaction. But you get the drift. Thanks for your suggestion, Barbara. I may try this with appropriate patients. I have a few on my caseload with precautions like these. I find that competitive games are very helpful in supporting patients by giving them tangible evidence that they are not the only person in the world struggling to recover/adapt to a new medical condition. Barb Howard ----- Original Message ----- From: "Neal Luther" <[email protected]> To: [email protected] Sent: Wednesday, February 4, 2009 8:33:02 AM GMT -05:00 US/Canada Eastern Subject: Re: [OTlist] Game using reacher Could not agree more. In addition, this just simply sounds juvenile...pediatric. Neal C. Luther,OTR/L Advanced Home Care, Burlington Office 1-336-538-1194, xt 6672 [email protected] Home Care is our Business...Caring is our Specialty The information contained in this electronic document from Advanced Home Care is privileged and confidential information intended for the sole use of [email protected]. If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify the person listed above and discard the original.-----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of Ron Carson Sent: Tuesday, February 03, 2009 5:50 AM To: Barbara H. Hale Subject: Re: [OTlist] Game using reacher I don't want to sound negative, but I can't help wondering what patient's think about using what should be medically necessary equipment to play "games". What "message" might this send to patients, other professionals and payers? Finally, should social interaction only be considered as therapeutic if it's an actual goal? Just some random questions. Thanks, Ron -- Ron Carson MHS, OT www.OTnow.com ----- Original Message ----- From: Barbara H. Hale Sent: Monday, February 02, 2009 To: [email protected] Subj: [OTlist] Game using reacher BHH> I have a bean bag tic tac toe game that I use for a reacher training BHH> activity. The grid for the game is painted on a fabric square that I place BHH> within reach on the floor. Each bean bag has an X or an O painted on it. All BHH> the items fit into a tote bag and I usually hold the bag for the patient to BHH> clean up our game at the end by placing the bean bags in the tote bag. BHH> It is engaging for the patient and I can use it for social interaction BHH> also. BHH> -- BHH> Options? BHH> www.otnow.com/mailman/options/otlist_otnow.com BHH> Archive? BHH> 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] -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
