And  as  if to add "insult to injury", my clinical director told me that
we  have  a  mandatory  inservice  next  week.  The  topic is orthopedic
referrals and OT is to be involved "especially for the UE". :-(

I  do NOT focus OT treatment on any body part, so I think my director is
not  going to be happy when I don't take ortho referrals. Well, at least
not to focus my treatment on the UE.

Ron

----- Original Message -----
From: [email protected] <[email protected]>
Sent: Thursday, March 19, 2009
To:   [email protected] <[email protected]>
Subj: [OTlist] How NOT to be an OT

vcn> Wow...as a graduate student in the OT profession I find myself
vcn> appauled at the below comments.  Too many times we are not
vcn> identifying with the patient on their needs, this is found through
vcn> an easy interview or needs assessment.  I have recently done a
vcn> project with the ALC here in stillwater, and the site is planning
vcn> on implementing the program based on our practice of addressing the
vcn> needs of the site, the needs of the community as well as the needs
vcn> and desires of the students.  I do not want to graduate with this
vcn> degree with an image such as the one below. and i will fight to
vcn> change that.  I am fortunate to have worked and study under some
vcn> wonderful OT's! Lets hope that the therapists talked about below
vcn> realize their failures and make the necessary changes to embrace
vcn> what OT is really for and how it is incredibly beneficial to the
vcn> patient.  sincerely, sarah croft 
vcn> ----- Original Message ----- 
vcn> From: "Ron Carson" <[email protected]> 
vcn> To: [email protected] 
vcn> Sent: Thursday, March 19, 2009 7:04:48 AM GMT -06:00 US/Canada Central 
vcn> Subject: [OTlist] How NOT to be an OT 

vcn> For  our  new  members,  let  me  explain  that  I like highlighting the
vcn> "stupid"  OT  experiences  that  I run across. What follows are two such
vcn> examples: 

vcn> 1.  Patient  comes  home  from  rehab  after  a  fall with resultant hip
vcn> pinning.  I  asked  him  about what OT did for him in rehab. He comments
vcn> that  they  had  him  working  on  his  arms and doing things like pegs,
vcn> sander,  and  shoulder  arc, etc. Now, here's the catch, the patient can
vcn> NOT  dress  his affected LE and is too scared to take a shower. Now, I'm
vcn> not  saying that his OT's didn't address these issues but the impression
vcn> the  patient  walked away with are the "stupid" toys that many OT's play
vcn> with.  I ask, did these OT's do BEST practice? Did they provide SKILLED,
vcn> medically  necessary  therapy  services?  Did they address the patient's
vcn> most important goals? 

vcn> 2.  Another  patient, just out of rehab. 90 years old, previously living
vcn> alone  and  now  temporarily  living with her son. During my home health
vcn> eval,  I explained to the patient/son that as an OT, I am there to teach
vcn> the  patient  how to be safe and independent in their home. I went on to
vcn> explain  that  this  may include everything from car transfer to cooking
vcn> and  that  what  I  do is based on the needs/desires of the patient. The
vcn> son,  who was very nice, immediately said, "Mom can do those things like
vcn> folding  clothes".  Now, I never mentioned folding clothes but I do know
vcn> that  MANY  rehab  OT's  do  have  patients  standing at a table folding
vcn> clothes.  Did  this  man  get  the  impression that OT is about teaching
vcn> people  to  "fold  clothes"?  If  so,  what  a  SAD  statement about our
vcn> profession. 

vcn> Thanks, 

vcn> Ron 





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