Curtis, in this day and age, you would be crazy to do a shower with a child. I 
like the bathing suit idea, but 
please make sure there is always another adult present, preferably a parent, 
for dressing as well. I used to work in a public school. Once, I was working 
with a preschool girl who had autism, who bit me on the hand during a 
transition. When the teacher notified the child's mother, the first thing she 
said to me is "What did you do to her to make her bite you?" There were others 
around so it was fine in the end, and she apologized, but I can tell you it was 
a real wake-up call for me. Be very careful when working with children, we live 
in a weird world now. 

~Ilene Rosenthal, OTR/L 

Message: 1 
Date: Wed, 22 Apr 2009 09:54:43 -0500 
From: "Curtis Marti" <[email protected]> 
Subject: [OTlist] Difficult issue 
To: <[email protected]> 
Message-ID: 
<2d3650d1a79d384e9ec334c807d44d6156d...@adccorpexch04.corporate.ahs.com> 

Content-Type: text/plain; charset="us-ascii" 

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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