Mary Catherine I don't think I have ever replied directly to you before. I want to tell you that I feel the same way about the lack of reaction to most of my posts. I always value your comments and frequently feel, Oh yes, I agree with that. Generally since I have no difference of opinion with you I'm not questioning your comments. I know from my own experience what a difference it would make to you to have the, "O yes I agree with you" come up on your computer. We all seem to wind up debating with Ron or responding to Ron rather than with each other. I have a different thought about the timing of OT, or perhaps it is another contributing factor. Once cognitively intact clients have had a good start in OT methods they begin to make their own adaptations and set their own goals. The PT then becomes a technical assistant to help them achieve their occupational goals. So it is not our job at that point to teach them to take care of themselves but to support them in their own reasoning. Once again where there is a cognitive deficit this is most unlikely to happen.
Joan Riches B.Sc.O.T., OT(C) Specialist in Cognitive Disability Riches Consulting High River, Alberta, Canada 403 652 7928 -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of Mary Alice Cafiero Sent: February 21, 2009 4:02 AM To: [email protected] Subject: Re: [OTlist] The Timing of OT... I think that patients often equate PT not only with walking, but also with strengthening. It seems they often feel that the majority of their problems doing things are because of weakness. If they can just get stronger, all else will fix itself. I can see this especially being true with a diagnosis like MS or other progressive neuromuscular disease. We, as OTs, can clearly see that learning to do the things you need to do for yourself has inherent value. It also ends up addressing strengthening without doing a straight exercise program. I tend to think that patients often prescribe to the "no pain, no gain" theory and feel that they have to do multiple reps of an exercise in order to address weak muscles. My two cents. I'll be curious to see if anyone responds. The majority of times that I post a response on this board, no one directly responds, and my answers just get shuffled over. Not sure of the reason for that, but it is certainly frustrating. Makes me reluctant to post because it doesn't seem to add to or lead to further discussion. Mary Alice Mary Alice Cafiero, MSOT/L, ATP [email protected] 972-757-3733 Fax 888-708-8683 This message, including any attachments, may include confidential, privileged and/or inside information. Any distribution or use of this communication by anyone other than the intended recipient(s) is strictly prohibited and may be unlawful. If you are not the recipient of this message, please notify the sender and permanently delete the message from your system. On Feb 21, 2009, at 1:21 AM, Ron Carson wrote: > I had an interesting experience that I want to share. > > Last week, I evaluated a middle-aged man with muscular dystrophy. He > had > recently moved back home with his parent and was started on home > health. > > The man essentially told me that there was nothing I could do for > him. > He said that PT was all he needed. I explained that as an OT, my job > was > to teach him to take care of himself as much as possible and > desired. > But, he still felt that PT is what he needed. > > I am really perplexed as to why someone might value PT instead of > OT? I > have some ideas, which I'll share, but I hope readers are > willing to > discuss this situation. > > Thanks, > > Ron > > -- > Ron Carson MHS, OT > www.OTnow.com > > > > > -- > 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] No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.0.237 / Virus Database: 270.11.1/1962 - Release Date: 02/20/09 19:22:00 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
