Hello All:

I  frequently,  in fact almost always, let patients make decisions about
therapy and I wonder if other therapists do the same. For example, today
I  explained  to  a  patient  that  I could continue seeing her 5x/week,
3x/week or whatever else she wanted. To my surprise, the patient elected
to  decrease  OT  to  3x/week. Also, a couple weeks ago I left a patient
with  the statement that OT could only continue if the patient generated
goals  for himself. On the next visit, the patient told me his only goal
was  to  "walk like a man". I explained that "walking" was a PT goal but
that if he had any daily living goals, I could continue. He again stated
that  his  only  goal  was walking. So, again to my surprise, I was left
with  no alternative but discharge. Also during evals, I leave the start
of  therapy  up  to the patient. I explain that I can see the patient or
not,  and  it's  up  to them. I explain what I will do as far as general
treatment but leave the decision to the patient.

Do  others do this same thing? One thing I can say is that this approach
does  not  make  my  supervisor very happy. I tend to have more than the
normal amount of "eval only".

Thanks,

Ron

~~~
Ron Carson MHS, OT
www.OTnow.com


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