Ron
I understand this approach and it is certainly client centred. My hesitation is
that often patients have 'walking' as their goal and see this as the answer to
everything..... it is sometimes only when they achieve this goal but still find
they struggle with ADL's that they see the value of OT.
In my experience in the acute setting I found patients can sometimes lack
insight into their difficulties. They often report they will be 'fine' once
they get home. We are the professional and our training gives us the ability to
relate physical difficulties to the potential functional difficulties they may
cause, and often patients can get fixed on one element of their dysfunction and
cannot see the wood for the trees!!.
I am sure in your eval you address the patients level of understanding/insight
but sometimes it can take 2 or even 3 meetings, in which you establish a
therapeutic relationship, which then leads the patient to make OT goals.
Currently I am working in the community and the patients that are referred to
us often know exactly what they want, (it is not always what we can
provide!!) so the situation you describe hardly ever arises in this setting.
As ever thanks for all your great posts, I am an avid follower of this list.
Kind Regards
Lucy Simpson
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www.phoenix-trading.co.uk/web/lucysimpson
Save it in your favourites for the next time you need cards.
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