I don't think our profession is going to suffer greatly from these
individuals. Why? 
1) This listserv points out to the voyeur OTs on this message board that
most OTs do not validate, recognize or condone this type of treatment
approach or non critical thinking in our profession;
2) OTs with that limited approach burn out quickly and don't leave a
lasting impression on the profession (well at least I hope);
3) Third party payers really demand our acute care services to
manipulate reimbursement. In the northeast, I've noticed a trend over
the past decade to require OT evals prior to sending an acute care
patient to rehab or SNF. Many hospitals are getting stuck with longer
LOS because of missing OT evals. Unfortunately, some social workers,
etc. are fabricating our evals to move people out when OT services
aren't available.:-( (that's another problem to discuss)
4) We've been down this road in the past 15 years and it's not much
different. The actions of a few won't harm the many in this scenario. We
have too many good OTs to cover over the bad. Each of us can name 10
good OTs to the one "not so good" OT.
5) Ron and other home care OTs, let's be honest, how many "not so good"
PTs have you come across in your travels? Those PTs who only walk a
patient on one surface, cookie cutter exercises, no gait training, etc.;
Do you think it has affected their profession? I say the same for us.
Again, we have too many good OTs that are pushing the profession
forward.
JMHO.

Arley Johnson MS, OTR/L

 
-----Original Message-----
From: [email protected] [mailto:[email protected]] On
Behalf Of Ron Carson
Sent: Friday, March 27, 2009 9:16 AM
To: Leigh Ducoeur
Subject: Re: [OTlist] Elimination of OT

Hello Leigh:

Just  to  throw  a  wrench into the situation, there's a TON Of OT's who
STRONGLY  advocate  that  OT SHOULD focus on the UE. They say they don't
just  treat  arms,  but  they  also treat the whole person. Of course, I
think  that's  a  bunch of hog wash. I don't NOT think a person can both
focus treatment on the UE AND occupation. It's either one of the other.

So,  here  we  have the dichotomy of OT's practicing in adult phys dys.
There's   one   camp   saying  "UE"  and  there's  another  camp  saying
"occupation".

Our  profession is in a sad state, yet AOTA promotes a rosy picture that
by our centennial we will be a widely recognized and powerful force. And
that  we  are  "branded" as helping patients live life to the fullest. I
say "crap, crap, crap", it's all a bunch of crap. As a collective whole,
the  adult  phsy  dys OT profession STINKS! The pegs, cones, thera-band,
restorator,  shoulder arc, sanding board, table top games, ballons, bean
bags, clothes folding OT's are RUINING our profession!

----- Original Message -----
From: Leigh Ducoeur <[email protected]>
Sent: Thursday, March 26, 2009
To:   [email protected] <[email protected]>
Subj: [OTlist] Elimination of OT

LD> I think it is all because of the OT's who only focus on the arms and
LD> NOTHING  else.  I  wish  they  would  do us a favor and find another
LD> profession  before  we  all  have to. What is it going to take? I am
LD> extremely fearful for our profession. Thoughts/comments?


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