Good Morning Chris et. al: There are so many related but different topics in this discussion. For the sake of clarity, I'm going to tease out and discuss topics in individual e-mails. As I see it, here are the different topics to discuss:
1. Philosophy ~vs~ treatment in the "real world" 2. Occupation as THE goal: Does it matter 3. Does the language of our profession make a significant difference in who we are I'll try to write individual messages about these topics. Ron -- Ron Carson MHS, OT www.OTnow.com ----- Original Message ----- From: [email protected] <[email protected]> Sent: Monday, February 09, 2009 To: [email protected] <[email protected]> Subj: [OTlist] From Standing to Toilet Transfers cac> Ron, cac> ?I never did apologize. Just stated a fact that I was not cac> criticizing you for your treatment plan. cac> It is my summation that you write about the "Philosophy of OT".? I cac> do not think that if you take two seasoned OTs found in the same cac> setting with a strong dedication to their clients and put them in cac> two groups a) Working towards occupation and b)Working on cac> occupation, that you would find much difference in their treatment cac> plans, quite possibly their treatment interventions, and the cac> natural activity progression that occurs in providing skilled cac> occupational therapy.? The true difference comes from their cac> treatment philosophy and the wording that they may use to describe cac> their work.? To me personally this difference in philosophy and cac> wording is irrelevent in the "real world".? But I do see the value cac> of this philosophy when teaching students and therapists who are cac> stuck in a rut pushing cones and peg boards off as therapy. cac> It is also my opinion that it is easy to switch to your line of cac> thinking by just changing a few words in the goal.? Instead of cac> writing "Increase ROM to so much in order to comb hair" I could cac> simply write "Patient will comb her hair with no assistance".? cac> Instead of writing "increase standing balance by so many minutes in cac> order to toilet" one can write "Patient will complete his toileting cac> with min assist.? I think the treatment plan and interventions cac> would be the same depending on the skill level of the therapist and cac> the motivation of the patient. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
