90% of the time I let the patient pick the goals of treatment ( I follow the COPM or activity card sort format)
10% familiy or caregivers decide what the outcome should be ( SNF-advanced dementia clients) Carmen > Date: Mon, 13 Apr 2009 08:48:47 -0400 > From: [email protected] > To: [email protected] > Subject: Re: [OTlist] Empowering Your Patients... > > I essentially do the same with proviso that I have sent communication > notes to other team members and asking for their assist as to progress > and if/when it may be appropriate to re-eval. > > > Neal C. Luther,OTR/L > Advanced Home Care, Burlington Office > 1-336-538-1194, xt 6672 > [email protected] > > Home Care is our Business...Caring is our Specialty > > > > P Please consider the environment before printing this e-mail > > The information contained in this electronic document from Advanced Home Care > is privileged and confidential information intended for the sole use of > [email protected]. If the reader of this communication is not the intended > recipient, or the employee or agent responsible for delivering it to the > intended recipient, you are hereby notified that any dissemination, > distribution or copying of this communication is strictly prohibited. If you > have received this communication in error, please immediately notify the > person listed above and discard the original.-----Original Message----- > From: [email protected] [mailto:[email protected]] On > Behalf Of Ron Carson > Sent: Friday, April 10, 2009 10:20 PM > To: [email protected] > Subject: [OTlist] Empowering Your Patients... > > 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 > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] _________________________________________________________________ Windows Live™: Keep your life in sync. http://windowslive.com/explore?ocid=TXT_TAGLM_WL_allup_1a_explore_042009 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
