Hello David! I am 100% confident that I am not even close to being the PT that you are. Your musculo-skeletal skills and training FAR exceed mine. And, I believe that's the way it should be! <smile>
I also do not thinking combining OT and PT is a viable option. Ron -- Ron Carson MHS, OT www.OTnow.com ----- Original Message ----- From: [email protected] <[email protected]> Sent: Wednesday, February 04, 2009 To: [email protected] <[email protected]> Subj: [OTlist] From Standing to Toilet Transfers cac> I second that motion. cac> -----Original Message----- cac> From: Lehman, David <[email protected]> cac> To: [email protected] <[email protected]> cac> Sent: Wed, 4 Feb 2009 12:57 pm cac> Subject: Re: [OTlist] From Standing to Toilet Transfers cac> I say combine the professions of PT and OT thus ending the territory issue and cac> what we can and cannot do. I see what you described as exactly what I would do cac> as a PT....but, I know you are just as competent and good at is as I am, Ron.... cac> So, lets combine the 2 professions. cac> David A. Lehman, PhD, PT cac> Associate Professor cac> Tennessee State University cac> Department of Physical Therapy cac> 3500 John A. Merritt Blvd. cac> Nashville, TN 37209 cac> 615-963-5946 cac> [email protected] cac> Visit my website: http://www.tnstate.edu/interior.asp?mid=2410&ptid=1 cac> cac> This email and any files transmitted with it may contain confidential cac> information and is intended solely for use by the individual to whom it is cac> addressed. If you receive this correspondence in error, please notify the sender cac> and delete the email from your system. Do not disclose its contents with others. cac> cac> -----Original Message----- cac> From: [email protected] [mailto:[email protected]] On Behalf Of cac> [email protected] cac> Sent: Wednesday, February 04, 2009 11:50 AM cac> To: [email protected] cac> Subject: Re: [OTlist] From Standing to Toilet Transfers cac> Bravo!!!? I believe that is task analysis at its absolute best.? Taking the cac> foundational skills and working up the ladder towards her occupational goal. cac> I view hand therapy and stroke rehabilitation in the same light. Working on the cac> foundational skills in order to work towards an occupatioanal goal. cac> Chris Nahrwold MS, OTR cac> -----Original Message----- cac> From: Ron Carson <[email protected]> cac> To: [email protected] cac> Sent: Tue, 3 Feb 2009 10:40 pm cac> Subject: [OTlist] From Standing to Toilet Transfers cac> A while back on an AOTA forum, I was "criticized" for working on cac> mobility when there were not obvious occupational forms present (i.e. cac> toilet, shower, chairs, etc). At least one person's contention was that cac> working on mobility in the absence of an occupational form is not OT. I cac> want to share a quick case study which highlights why I take exception cac> with the person's comments. cac> For the sake of brevity, I'll keep "Jan cac> e's" case study as simple as cac> possible. cac> #################################################################### cac> Jane has a spinal condition leaving her with partial lower extremity cac> paralysis. The patient's initial goals are of course to walk but also to cac> transfer to her toilet, shower, etc. Again for brevity, she wants to cac> learn "skills for the job of living". cac> Initially, the patient was unable to stand, so we began working on cac> standing. This required maximum, and I mean max, assistance x1. At this cac> early stage, the patient was unable to use a walker. After a week or so, cac> I progressed the patient to a walker, but she still required knee cac> blocking to stand. Eventually, the patient was able to stand without cac> knee blocking and finally began taking steps. After she was able to walk cac> 10-15 feet with a rolling walker, we tried transfers from wheelchair to cac> wheelchair. This was very difficult and required continuing practice. cac> After approximately 6 weeks of almost daily OT, TODAY, the patient cac> transferred from her w/c to her toilet using a walker. She required cac> assistance with sit to stand and cuing with the transfer but it was cac> essentially her doing the transfer. This is a huge milestone for this cac> patient and made her VERY happy and optimistic that her life was going cac> to again have some semblance of "normal". cac> ################################################################## cac> Now, in my opinion, I have been working on occupation from day ONE! The cac> patient had occupation-related deficits, her barriers were identified I cac> was competent to address thos cac> e barriers and the patient had good cac> potential to make significant progress towards her goals. cac> So what do you think? Should OT work on mobility/ambulation in the cac> immediate absence of occupational forms? Should OT address mobility from cac> the very beginning, if mobility is a barrier to occupational goals? cac> I'm interested to hear what other's say! cac> Thanks, cac> Ron cac> -- cac> Ron Carson MHS, OT cac> www.OTnow.com cac> -- cac> Options? cac> www.otnow.com/mail cac> man/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] 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]
