I completely agree about the benefits and importance of social
interaction. I definitely don't think it has to be a specific goal to
be effective. I also think that you can uncover a world of problems or
issues by observing a patient interacting with staff, peers, family,
etc. Might end up finding new areas that need to be addressed.
Therapeutic use of self and using real world activities are completely
OT!
Mary Alice
Mary Alice Cafiero, MSOT/L, ATP
[email protected]
972-757-3733
Fax 888-708-8683
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On Feb 4, 2009, at 5:16 PM, [email protected] wrote:
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
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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
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