Ron, good to vent, but read above

> Date: Thu, 26 Mar 2009 20:25:39 -0400
> From: [email protected]
> To: [email protected]
> Subject: [OTlist] What The Heck is Wrong with our     
> Profession??????????????????????????
> 
> Today,  I  evaluated  a home health patient. I did not know this until I
> started  my eval, but the patient was previously evaluated by an OT from
> my company and was being treated by a COTA.
> 
> When  I  looked  through our interdisciplinary communication log, I read
> COTA  notes  that  essentially said: "UB strengthening and sit/stand from
> chair"  Before  I  even  started  evaluating  the  patient,  I knew that
> treatment  was bogus!!! I was so frustrated, I bet my blood pressure was
> 180/120!!!
> 
> This  patient was independent up until she fell and FRACTURED HER HIP!!!
> My evaluation revealed that the patient was cognitively intact, was weak
> in  her  bi-lateral  shoulders,  had pain in her right knee and was VERY
> afraid  of  falling.  She  is  essentially  DEPENDENT  for all self-care
> because she is afraid to stand/walk.
> 
> I  think  the  PT has addressed shower transfers including getting a tub
> transfer bench. I don't really know the original OT's plan of treatment,
> but  I  assume  I've  totally  modified  it.  Every goal I wrote for the
> patient, except UB dressing, included transfers and mobility training.
> 
> I'm  telling  you, this is JUST ONE MORE SAD example of crappy OT. Or as
> someone  else  said,  more  like  crappy  PT.  What  the  heck  are OT's
> thinking???  Are  we  so stinkin' focused on being UE PT's that we can't
> see below the shoulder and hand? Are we so locked in to our comfort zone
> that we can't push patient's boundaries to allow them the opportunity to
> successfully  engage  in  meaningful  occupation?  IS  THIS  HOW WE HELP
> PATIENTS LIVE LIFE TO THE FULLEST???????????????????????????????????????
> 
> Sometimes  I  feel that our profession is a sham!!!!!!!!!!!!!!!!!!!!!!!!
> What a shame that OT's have such little ability to address our so called
> expertise!! AARGH!!!!
> 
> P.S.  I  know this message is "over the top", and I'm obviously venting,
> so please take that into consideration before slammin' me!! <smile>
> 
> Thanks,
> 
> Ron
> 
> 
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