Hello All:
My home health agency recently began receiving referrals from one of my
areas largest ortho practice groups. These MD's do lot of joint
replacement and surgical repair procedures. From the moment I heard,
I've been discouraged because I knew that UE ortho patients would be
referred to OT.
Well, I got my first UE ortho referral. And after much thinking, I opted
to not see the patient. Here's an excerpt of the message I sent to my
clinical director:
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I can not see this patient for two reasons:
1) I am not competent to thoroughly evaluate and supervise treatment in
a manner consistent with how the referring MD desires.
2) I have professional philosophical reasons for not evaluating and
treating patients where the primary focus is UE rehab.
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I've always felt that when a patient has an acute ortho injury, OT is
generally not needed for any longt-term therapy. OT may have a role
regarding teaching a patient about modifications and adaptations, but in
my opinion, there is little role for OT in acute ortho rehab.
Just wanted to share and hope that maybe others agree.
Ron
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