Message: 9 Date: Sat, 21 Feb 2009 16:52:49 +0000 (UTC) From: [email protected] Subject: Re: [OTlist] Puposeful activity To: [email protected] Message-ID: < 779914147.963901235235169749.javamail.r...@sz0065a.emeryville.ca.mail.comcast.net >
Hi Barb, I'm glad it helped. No, you are definitely not the only one, there are many of us, and while I do think Ron is right about many of the things he answered (not the PT threat thing though, I only work with 1 PT and she is wonderful), I too get frustrated with the "change jobs" answer. I too feel I contribute to my residents in therapy. I do wish though that someone would teach a course on bringing function back in today's settings. Is it just me, or does anyone else feel that 90% (at least) of all adult-based treatment courses with OT as the intended audience, are medical model? Ron, I will look into that book, thanks. I think, regarding your MD patient, that as another poster said, PT is more valued because most people feel is they just get stronger everything else will be fine. I had a parkinson's patient once in subacute rehab who could not feed himself, yet refused OT. ALL he wanted to do, all he cared about was walking, and felt the "what do you want to walk TO, and what do you want to DO there" part would come automatically. I also once had a woman with cognitive declines so severe she could not make a cup of tea or dial 911 on a phone...yet conversationally you'd never know she had a problem, it only came into play with motor tasks involving planning, sequencing, multiple steps. I documented like crazy, yet once she was walking 200 feet independently, her HMO sent her home alone from rehab. I went to her care conference and despite my reports to her family and the Dr., she was deemed fine to go home. All I could do was write a HUGE cover-my-butt progress note in the chart saying I didn't agree with the DC plan and that I told everyone concerned. This mindset that if you can walk, you're fine, seems almost systemic, and although I wish it would change, I don't hold out a huge amount of hope! ~Ilene Rosenthal, OTR/L Hello Ilene, Your post was satisfying to me, as I work in the same setting and am faced with the same concerns re tx.? Put my reaction down to "misery loves company", although I am not miserable in my position.? What I do with patients may not be strictly OT as defined by most of those who contribute to this site, but I have made peace with that because I know that I am definitely helping my patients heal and return to a higher level of function in their daily lives.? I, too, have been asking for more concrete suggestions as to how this is done in the SNF/subacute world which is so focussed on profit.? Thanks for sharing a similar concern.? It is so easy to feel alone, and not good enough with regard to the cones and pegs controversy! Barb Howard COTA -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
