Curtis
Is it feasible to ask the patient what she wants to do about it? In the
best of all possible worlds the treatment plan would have been worked
out with her. Are there other things in the treatment plan? Is the
regular OT back next week? Can the bathing as part of OT be deferred and
performed by non professional staff? 

Joan Riches B.Sc.O.T., OT(C)
Specialist in Cognitive Disability
Riches Consulting
High River, Alberta, Canada
403 652 7928
 
-----Original Message-----
From: [email protected] [mailto:[email protected]] On
Behalf Of Curtis Marti
Sent: April 22, 2009 8:55 AM
To: [email protected]
Subject: [OTlist] Difficult issue

Dear Listserve, 
In my 13 years as an OT, I've never been confronted with this situation.
I have worked with adults and geriatric patients throughout my career.
In my best attempt to cover for a pediatric OT several days this week, I
have a treatment plan for a 15 year old girl that involves bathing.  I'm
a guy, a guy that feels uncomfortable working on this activity with a
girl of that age group, where modesty is even more of an issue than is
in for older females.  It goes without saying that I would have a female
present throughout the entire treatment involving bathing.  But in this
situation, no other OT's are any more experienced in pediatrics than I
am and this patient has been assigned to me.  Would I defer the bathing
to a non-OT?  In so doing, I would not be following the treatment plan
and I would be deferring the training to a non-skilled professional.  I
would appreciate any timely guidance that anyone could offer me.

Thank you,

Curtis

 




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