I know you sent your pulse ox question on 3/11/09, but I'm new to the list serve, so late responding. I'm very surprised that a pulse ox would be considered a modality. It is an instrument used to assess a patient's vitals, similar to a blood pressure cuff. A modality, to me, implies that you are administering an intervention to elicit a change (i.e. increased circulation with ultrasound, etc). Using a pulse ox machine does nothing to change the patient's condition, but rather, it communicates what is already happening with the patient. Make sense? Just my two cents.
Thanks, Curtis -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Thursday, March 19, 2009 8:57 PM To: [email protected] Subject: OTlist Digest, Vol 60, Issue 1 Send OTlist mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://otnow.com/mailman/listinfo/otlist_otnow.com or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of OTlist digest..." Today's Topics: 1. Re: The Wack World of Home Health (Ron Carson) 2. What Would YOU Do? (Sue Hossack) 3. WH/WC (pat) 4. Welcome to Our Newest Member(s) (Ron Carson) 5. Re: Welcome to Our Newest Member(s) (Pat Ellison) 6. Welcome to Our Newest Member(s) (Ron Carson) 7. Remindes (Ron Carson) 8. Modified Borg Scale? (Ron Carson) 9. How NOT to be an OT (Ron Carson) 10. Re: How NOT to be an OT ([email protected]) 11. Re: How NOT to be an OT (Ron Carson) 12. Re: How NOT to be an OT (R. Eren Can) 13. Re: How NOT to be an OT (Ron Carson) 14. Re: How NOT to be an OT (Mary Alice Cafiero) ---------------------------------------------------------------------- Message: 1 Date: Tue, 10 Mar 2009 21:31:55 -0400 From: Ron Carson <[email protected]> Subject: Re: [OTlist] The Wack World of Home Health To: "Lehman, David" <[email protected]> Message-ID: <[email protected]> Content-Type: text/plain; charset=windows-1252 Hey David, I think if you are the dominant profession, and PT is definitely dominant, then it probably a lot easier to not worry about turf wars. OT has such a small market share that we SHOULD be worried about our turf, less be gobbled up. Ron -- Ron Carson MHS, OT www.OTnow.com ----- Original Message ----- From: Lehman, David <[email protected]> Sent: Tuesday, March 10, 2009 To: [email protected] <[email protected]> Subj: [OTlist] The Wack World of Home Health LD> It is perfectly OK for both PT(A) and OT to do both. Let us LD> remember we are all trying to do what is best for the patient and LD> those of us more concerned with improvement in function instead of LD> turf wars are what we need in rehab. Function>Strategy>Impairment LD> David A. Lehman, PhD, PT LD> Associate Professor LD> Tennessee State University LD> Department of Physical Therapy LD> 3500 John A. Merritt Blvd. LD> Nashville, TN 37209 LD> 615-963-5946 LD> [email protected] LD> Visit my website: http://www.tnstate.edu/interior.asp?mid=2410&ptid=1 LD> This email and any files transmitted with it may contain LD> confidential information and is intended solely for use by the LD> individual to whom it is addressed. If you receive this LD> correspondence in error, please notify the sender and delete the LD> email from your system. Do not disclose its contents with others. LD> ________________________________________ LD> From: [email protected] [[email protected]] On Behalf LD> Of Ron Carson [[email protected]] LD> Sent: Tuesday, March 10, 2009 8:13 PM LD> To: [email protected] LD> Subject: [OTlist] The Wack World of Home Health LD> Last week a PTA showed up as I was trying a patient with a cane. Today, LD> the same patient was doing some gardening when she told me the PTA had LD> done something similar the day before. LD> Are either of these "wrong"? Is it "wrong" for OT to trial patient's on LD> different mobility devices? Is it "wrong" for PT to have patient's LD> gardening? LD> It's a wacky world!! <smile> LD> Ron LD> -- LD> Ron Carson MHS, OT LD> www.OTnow.com LD> -- LD> Options? LD> www.otnow.com/mailman/options/otlist_otnow.com LD> Archive? LD> www.mail-archive.com/[email protected] LD> -- LD> Options? LD> www.otnow.com/mailman/options/otlist_otnow.com LD> Archive? LD> www.mail-archive.com/[email protected] ------------------------------ Message: 2 Date: Wed, 11 Mar 2009 07:41:41 -0500 From: Sue Hossack <[email protected]> Subject: [OTlist] What Would YOU Do? To: [email protected] Message-ID: <[email protected]> Content-Type: text/plain; charset=ISO-8859-1; format=flowed I would like to clarify the issue regarding pulse Ox. In Home Health it is *required* to have a doctors order for any modality. That includes monitoring oxygen stats, hot packs, ice packs.We all think it's silly, but that is the regulation. What I do is always put "Monitor O2 Sats PRN" on my initial order - In our agency we have a checklist sheet that goes to the doctor for signature, I added a check box for this and check it when necessary. I also include it when writing continuation orders. Medicare will cite this as an issue during an audit. Just as you must have doctors orders for any visit, you must have orders for O2. I use my pulse ox when working with a patient on O2 to make sure I am not stressing the patient, I use it to show the patient when teaching pursed-lip breathing so they can see the increase - sort of bio-feedback. If Oxgyen drops too low too often I would inform the doctor. In the home health setting you must inform the doctor of any changes, issues, such as a patient not taking meds, or not using O2 as specified by doctor. This is one of many differences between in-patient and home health -don't assume that because you did it in the SNF you can do it in the home the same way :-) Sue -- Sue Hossack MOT, OTR/L, ATP Occupational Therapist http://www.ot-care.com ------------------------------ Message: 3 Date: Thu, 12 Mar 2009 12:34:19 -0600 (GMT-06:00) From: pat <[email protected]> Subject: [OTlist] WH/WC To: [email protected] Message-ID: <20336428.1236882859833.javamail.r...@elwamui-royal.atl.sa.earthlink.net > Content-Type: text/plain; charset=UTF-8 I used to work in a work hardening/work conditioning program several years ago, and now my current employer wants me to start up a similar program. I have been unable to find the criteria for those programs. Also, I would need to create whatever forms we use for documentation. I remember there were several forms that both I and the participants in the program completed, but don't remember the specifics of them. Can anyone in the group point me in the right direction or to someone who can help me with this? Thanks! Pat ------------------------------ Message: 4 Date: Fri, 13 Mar 2009 06:47:44 -0400 From: Ron Carson <[email protected]> Subject: [OTlist] Welcome to Our Newest Member(s) To: [email protected] Message-ID: <[email protected]> Content-Type: text/plain; charset=windows-1252 Welcome to our newest member(s): ##################################### ahava <[email protected]> sandra <[email protected]> "D Caldwell, OTR/L" <[email protected]> Trish <[email protected]> Laura Templeton <[email protected]> Alayna <[email protected]> ##################################### Welcome everyone and feel free to join in the "ruckus" <smile>. And please, everyone keep spreading the word, it's the only way we can grow as a community!! Ron -- Ron Carson MHS, OT www.OTnow.com ------------------------------ Message: 5 Date: Fri, 13 Mar 2009 05:34:19 -0600 From: Pat Ellison <[email protected]> Subject: Re: [OTlist] Welcome to Our Newest Member(s) To: [email protected] Message-ID: <20090313113729.dzlb26568.hrndva-omta02.mail.rr....@xp-8ddd72eec76f.eart hlink.net> Content-Type: text/plain; charset="us-ascii"; format=flowed Wow... the group is really growing! Welcome to all the newest members, and the ones I missed welcoming also! I hope you will all jump in with any questions, answers, suggestions, or comments... it's what keeps the group alive! Pat At 04:47 AM 3/13/2009, you wrote: >Welcome to our newest member(s): > >##################################### > > ahava <[email protected]> > > sandra <[email protected]> > > "D Caldwell, OTR/L" <[email protected]> > > Trish <[email protected]> > > Laura Templeton <[email protected]> > > Alayna <[email protected]> > >##################################### > > >Welcome everyone and feel free to join in the "ruckus" <smile>. And >please, everyone keep spreading the word, it's the only way we can grow >as a community!! > >Ron > >-- >Ron Carson MHS, OT >www.OTnow.com > > >-- >Options? >www.otnow.com/mailman/options/otlist_otnow.com > >Archive? >www.mail-archive.com/[email protected] ------------------------------ Message: 6 Date: Mon, 16 Mar 2009 21:27:59 -0400 From: Ron Carson <[email protected]> Subject: [OTlist] Welcome to Our Newest Member(s) To: [email protected] Message-ID: <[email protected]> Content-Type: text/plain; charset=windows-1252 Welcome to our newest member(s): ##################################### Laura Templeton <[email protected]> Tara <[email protected]> dee salz <[email protected]> Colette Warren <[email protected]> Robert <[email protected]> Jackie Reasor <[email protected]> Sherri <[email protected]> Curtis Marti <[email protected]> ##################################### WELCOME! to all the new members.... Please make your presence known... Thanks, Ron -- Ron Carson MHS, OT www.OTnow.com ------------------------------ Message: 7 Date: Mon, 16 Mar 2009 21:47:09 -0400 From: Ron Carson <[email protected]> Subject: [OTlist] Remindes To: [email protected] Message-ID: <[email protected]> Content-Type: text/plain; charset=windows-1252 Hello All: With the recent influx of new members, I want to post a couple reminders: 1. This is a members only list, however, ALL messages are archived and may be easily browsed on the Internet by anyone. So, don't post any information that you do not want to become public knowledge. 2. Trim messages so that replies contain only the most recent information. Heavy traffic threads become very lengthy unless they are trimmed. 3. IF you reply to a message that is received in digest format, PLEASE do two things: a. Change the subject line so that it matches the topic b. Delete all unrelated messages from the reply 4. The list is open to ANY topic relating to occupation and/or the practice of occupation therapy. Unfortunately, my topics tend to dominate the traffic on this site, but that's ONLY because members choose to not post other topics. 5. Most members are on moderation. However, after a "reasonable" number of messages are successfully posted, members' moderation flag is removed. This is ONLY done to reduce the risk of SPAM and ensure members are joining to contribute and learn and not for marketing. 6. Speaking of that, marketing messages (i.e. job recruiters) are generally not permitted. 7. Please promote the OTnow.com site and this list to your peers. There is no promotion other than word of mouth, so we need everyone's help in this matter. 8. Lastly, some of the topics can "step on a nerve", in this cases, try to keep conversations about topic and not the person. This is YOUR list and YOU get out of it what YOU put in!!!! Thanks and again, welcome to all the new members!!!! Ron -- Ron Carson MHS, OT www.OTnow.com ------------------------------ Message: 8 Date: Tue, 17 Mar 2009 08:45:52 -0400 From: Ron Carson <[email protected]> Subject: [OTlist] Modified Borg Scale? To: [email protected] Message-ID: <[email protected]> Content-Type: text/plain; charset=windows-1252 Is the Modified Borg Scale scored by the patient or the therapist? Thanks, Ron -- Ron Carson MHS, OT www.OTnow.com ------------------------------ Message: 9 Date: Thu, 19 Mar 2009 08:04:48 -0400 From: Ron Carson <[email protected]> Subject: [OTlist] How NOT to be an OT To: [email protected] Message-ID: <[email protected]> Content-Type: text/plain; charset=windows-1252 For our new members, let me explain that I like highlighting the "stupid" OT experiences that I run across. What follows are two such examples: 1. Patient comes home from rehab after a fall with resultant hip pinning. I asked him about what OT did for him in rehab. He comments that they had him working on his arms and doing things like pegs, sander, and shoulder arc, etc. Now, here's the catch, the patient can NOT dress his affected LE and is too scared to take a shower. Now, I'm not saying that his OT's didn't address these issues but the impression the patient walked away with are the "stupid" toys that many OT's play with. I ask, did these OT's do BEST practice? Did they provide SKILLED, medically necessary therapy services? Did they address the patient's most important goals? 2. Another patient, just out of rehab. 90 years old, previously living alone and now temporarily living with her son. During my home health eval, I explained to the patient/son that as an OT, I am there to teach the patient how to be safe and independent in their home. I went on to explain that this may include everything from car transfer to cooking and that what I do is based on the needs/desires of the patient. The son, who was very nice, immediately said, "Mom can do those things like folding clothes". Now, I never mentioned folding clothes but I do know that MANY rehab OT's do have patients standing at a table folding clothes. Did this man get the impression that OT is about teaching people to "fold clothes"? If so, what a SAD statement about our profession. Thanks, Ron ------------------------------ Message: 10 Date: Thu, 19 Mar 2009 12:54:24 +0000 (UTC) From: [email protected] Subject: Re: [OTlist] How NOT to be an OT To: [email protected] Message-ID: <1063158434.8815851237467264976.javamail.r...@sz0012a.emeryville.ca.mail .comcast.net> Content-Type: text/plain; charset=utf-8 Wow...as a graduate student in the OT profession I find myself appauled at the below comments.? Too many times we are not identifying with the patient on their needs, this is found through an easy interview or needs assessment.? I have recently done a project with the ALC here in stillwater, and the site is planning on implementing the program based on our practice of addressing the needs of the site, the needs of the community as well as the needs and desires of the students.? I do not want to graduate with this degree with an image such as the one below. and i will fight to change that.? I am fortunate to have worked and study under some wonderful OT's! Lets hope that the therapists talked about below realize their failures and make the necessary changes to embrace what OT is really for and how it is incredibly beneficial to the patient.? sincerely, sarah croft ----- Original Message ----- From: "Ron Carson" <[email protected]> To: [email protected] Sent: Thursday, March 19, 2009 7:04:48 AM GMT -06:00 US/Canada Central Subject: [OTlist] How NOT to be an OT For ?our ?new ?members, ?let ?me ?explain ?that ?I like highlighting the "stupid" ?OT ?experiences ?that ?I run across. What follows are two such examples: 1. ?Patient ?comes ?home ?from ?rehab ?after ?a ?fall with resultant hip pinning. ?I ?asked ?him ?about what OT did for him in rehab. He comments that ?they ?had ?him ?working ?on ?his ?arms and doing things like pegs, sander, ?and ?shoulder ?arc, etc. Now, here's the catch, the patient can NOT ?dress ?his affected LE and is too scared to take a shower. Now, I'm not ?saying that his OT's didn't address these issues but the impression the ?patient ?walked away with are the "stupid" toys that many OT's play with. ?I ask, did these OT's do BEST practice? Did they provide SKILLED, medically ?necessary ?therapy ?services? ?Did they address the patient's most important goals? 2. ?Another ?patient, just out of rehab. 90 years old, previously living alone ?and ?now ?temporarily ?living with her son. During my home health eval, ?I explained to the patient/son that as an OT, I am there to teach the ?patient ?how to be safe and independent in their home. I went on to explain ?that ?this ?may include everything from car transfer to cooking and ?that ?what ?I ?do is based on the needs/desires of the patient. The son, ?who was very nice, immediately said, "Mom can do those things like folding ?clothes". ?Now, I never mentioned folding clothes but I do know that ?MANY ?rehab ?OT's ?do ?have ?patients ?standing at a table folding clothes. ?Did ?this ?man ?get ?the ?impression that OT is about teaching people ?to ?"fold ?clothes"? ?If ?so, ?what ?a ?SAD ?statement about our profession. Thanks, Ron -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ------------------------------ Message: 11 Date: Thu, 19 Mar 2009 18:46:40 -0400 From: Ron Carson <[email protected]> Subject: Re: [OTlist] How NOT to be an OT To: "[email protected]" <[email protected]> Message-ID: <[email protected]> Content-Type: text/plain; charset=utf-8 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 ------------------------------ Message: 12 Date: Fri, 20 Mar 2009 00:52:26 +0000 From: "R. Eren Can" <[email protected]> Subject: Re: [OTlist] How NOT to be an OT To: <[email protected]> Message-ID: <[email protected]> Content-Type: text/plain; charset="Windows-1252" gotta agree on the first example Ron, you may be off base ont he second- folding clothes attacks, balance, endurance, sequencing.....need I go on- and I imagine she NOW CAN DO IT because she practiced and likely told an OT she needed to do it at home so not=stupid on that- Ryan > Date: Thu, 19 Mar 2009 18:46:40 -0400 > From: [email protected] > To: [email protected] > Subject: Re: [OTlist] How NOT to be an OT > > 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 > > > > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] _________________________________________________________________ Windows Live? Contacts: Organize your contact list. http://windowslive.com/connect/post/marcusatmicrosoft.spaces.live.com-Bl og-cns!503D1D86EBB2B53C!2285.entry?ocid=TXT_TAGLM_WL_UGC_Contacts_032009 ------------------------------ Message: 13 Date: Thu, 19 Mar 2009 21:26:43 -0400 From: Ron Carson <[email protected]> Subject: Re: [OTlist] How NOT to be an OT To: "R. Eren Can" <[email protected]> Message-ID: <[email protected]> Content-Type: text/plain; charset=windows-1252 Isn't it a bit "childish" that OT is remembered for "folding clothes"? Should we be remembered for something a little more substantial? ----- Original Message ----- From: R. Eren Can <[email protected]> Sent: Thursday, March 19, 2009 To: [email protected] <[email protected]> Subj: [OTlist] How NOT to be an OT REC> gotta agree on the first example Ron, you may be off base ont he REC> second- folding clothes attacks, balance, endurance, REC> sequencing.....need I go on- and I imagine she NOW CAN DO IT REC> because she practiced and likely told an OT she needed to do it at home so not=stupid on that- Ryan >> Date: Thu, 19 Mar 2009 18:46:40 -0400 >> From: [email protected] >> To: [email protected] >> Subject: Re: [OTlist] How NOT to be an OT >> >> 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 >> >> >> >> >> >> -- >> Options? >> www.otnow.com/mailman/options/otlist_otnow.com >> >> Archive? >> www.mail-archive.com/[email protected] REC> _________________________________________________________________ REC> Windows Live? Contacts: Organize your contact list. REC> http://windowslive.com/connect/post/marcusatmicrosoft.spaces.live.com-Bl og-cns!503D1D86EBB2B53C!2285.entry?ocid=TXT_TAGLM_WL_UGC_Contacts_032009 REC> -- REC> Options? REC> www.otnow.com/mailman/options/otlist_otnow.com REC> Archive? REC> www.mail-archive.com/[email protected] ------------------------------ Message: 14 Date: Thu, 19 Mar 2009 20:57:11 -0500 From: Mary Alice Cafiero <[email protected]> Subject: Re: [OTlist] How NOT to be an OT To: [email protected] Message-ID: <[email protected]> Content-Type: text/plain; charset=WINDOWS-1252; format=flowed; delsp=yes That's a bit elitist, Ron. If someone wants to be able to fold clothes and has impairments preventing them from doing so, then that is an excellent role for OT. Taken as a single incident or out of context, much of what we do sounds childish. Walking to the bathroom, counting money, using a screwdriver, etc, etc. BUT, if someone thinks it is childish, they most likely have never been in the position of not being able to do one of the things that matters to them. Maybe we should worry less about leaving a grand mark and important name for ourselves in the future world and more about changing patient's lives, one at a time. If enough of those lives are changed, the people that matter know what OT is. I'm not saying we shouldn't publicize what we do. I'm not saying we don't need a better job of explaining our role and our profession. I AM saying that there seems to be an awful lot of complaining about PT and other professionals being competitive and taking over our territory when many of the OTs (on this board and elsewhere) perpetuate the competition by repetitively talking about it. Work where you are. Build a team with other professionals where you are. If you are successful, the people you work with will take that with them in future jobs and continue to try to do the same thing. Yes, I'm a little fed up. I need to post more good stories of things I experience. I hear them every week. Not putting down other disciplines but simply expressing appreciation for OT on the part of patients. This week, I saw a lady for a power wheelchair evaluation. She has a progressive neurological condition and was very resistant to talking to me. She finally asked who I worked for. When I told her that I had my own company, was an OT, and specialized in complex wheelchair evaluations, she visibly relaxed and smiled. She said, "Thank goodness you are an OT. Other people I have worked with in rehab places in the past have not done a good job of listening to what I have to say about what I want and need. The OTs are always my saving grace because they start out by asking what I want to work on." Someone along the way, and it sounds like more than one someone, has done an excellent job! We had an excellent evaluation, and she was willing to listen to some of my suggestions for her future needs because she trusted our profession. Enough for now, 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 Mar 19, 2009, at 8:26 PM, Ron Carson wrote: > Isn't it a bit "childish" that OT is remembered for "folding > clothes"? > Should we be remembered for something a little more substantial? > > ----- Original Message ----- > From: R. Eren Can <[email protected]> > Sent: Thursday, March 19, 2009 > To: [email protected] <[email protected]> > Subj: [OTlist] How NOT to be an OT > > > REC> gotta agree on the first example Ron, you may be off base ont he > REC> second- folding clothes attacks, balance, endurance, > REC> sequencing.....need I go on- and I imagine she NOW CAN DO IT > REC> because she practiced and likely told an OT she needed to do it > at home so not=stupid on that- Ryan > >>> Date: Thu, 19 Mar 2009 18:46:40 -0400 >>> From: [email protected] >>> To: [email protected] >>> Subject: Re: [OTlist] How NOT to be an OT >>> >>> 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 >>> >>> >>> >>> >>> >>> -- >>> Options? >>> www.otnow.com/mailman/options/otlist_otnow.com >>> >>> Archive? >>> www.mail-archive.com/[email protected] > > REC> _________________________________________________________________ > REC> Windows Live? Contacts: Organize your contact list. > REC> http://windowslive.com/connect/post/marcusatmicrosoft.spaces.live.com-Bl og-cns!503D1D86EBB2B53C!2285.entry?ocid=TXT_TAGLM_WL_UGC_Contacts_032009 > REC> -- > REC> Options? > REC> www.otnow.com/mailman/options/otlist_otnow.com > > REC> Archive? > REC> www.mail-archive.com/[email protected] > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] ------------------------------ -- Unsubscribe? [email protected] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [email protected] End of OTlist Digest, Vol 60, Issue 1 ************************************* -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
