Hi Ron!

Me, I'm usually happy when a PT is also observant of occupational 
stuff - IMO makes their treatment more meaningful for the patient, and 
helps the cooperation when both PT and OT services are 
involved/available. But from there, and to advertising their services 
as such - that's a stretch, I agree!

A recent example of the dangers of PT not being observant of 
occupational stuff:
New PT has first treatment with a patient (quadriplegic) seen by other 
PTs for years, mostly for PROM. She asks the patient about previous 
treatment and preferences, but seems very much wanting to change it 
regarding the paralyzed hands, which she also wants to do PROM to - 
finding them much "curly" - she even starts stretching one hand while 
he's looking away. At that point I could not hold myself back 
anymore:-) - and explained to her how the curliness of the hands was 
what made it possible for him to hold and use things like eating 
utensils, cups, typing sticks, and that the hands even had been taped 
in rehab to get just the right curl/tightness.

Or, maybe it's just an example that if you have a hammer, everything 
looks like a nail - anyway, we all ended up agreeing that she'd stick 
to treating LE:-)

Warmly

susanne, denmark


---- Original Message ----
From: "Ron Carson" <[email protected]>
(snip)
............Shouldn't  PT's  scope of practice be limited to 
remediation
> of physical dysfunction  and  OT's  scope  of  practice  be
> limited to occupational dysfunction? Doesn't this make sense and
> sound right? It does to me!
>
> Thanks,
>
> Ron
>
> ~~~
> Ron Carson MHS, OT
> www.OTnow.com 



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