Great suggestions!  I just wish I could work that into my 
efficiency/productivity requirements which make it difficult to do more 
tx sessions with patients in an SNF in their actual living environment rather 
than the tx room (which is unfortunately not equipped with a practice area that 
mimicks the home setting).  This would definitely work in home care, because it 
is impossible to work with two patients at a time there! 



I going to keep trying to address this.  Thanks for your suggestions. 

Barb Howard 




----- Original Message ----- 
From: "Linda Stovall" <[email protected]> 
To: [email protected] 
Sent: Tuesday, February 3, 2009 10:56:29 PM GMT -05:00 US/Canada Eastern 
Subject: Re: [OTlist] Game using reacher 

Instead of playing a "game' which is not very functional in day to day life, 
why not do functional things with it??? For example, name items in the cabinet 
in the kitchen and have the patient find them and get them, have the patient 
pick up laundry and carry it to the washer, wash it, then use the reacher to 
get it to the dryer and fold it???  Why not pick up a newspaper, or clothing 
that may have fallen to the ground???  Why play a game when there are so many 
practical functional things to be done???  If the primary goal is recreation 
and socialization, a game is fine. If the primary goal is function, then 
function is what it should be used for. 

Just my two cents... 

Linda Stovall 

Linda Stovall, OTR/L 
[email protected] 
Program Manager 
Memorial Hospital at Gulfport 
Comprehensive Medical Rehabilitation Program 
228-867-4179 
228-867-5357 (fax) 
228-883-8443 (beeper) 
>>> "Barbara H. Hale" <[email protected]> 02/03/09 6:19 PM >>> 
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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