Hi Ron,
I too have days like you describe. I too get tired of continually
educating referrers about what occupational therapists do.

My advice- start small. Go back to that one Nurse, and have a follow up
discussion about Occupation, and the role of occupational therapists.
Take heart from small changes, continue to be the "Hero" with your
patients, model best practice, one day "they" will get it! 

Cheers,
Jane
New Zealand Occupational Therapist

-----Original Message-----
From: [email protected] [mailto:[email protected]] On
Behalf Of Ron Carson
Sent: Wednesday, 1 July 2009 12:28 PM
To: [email protected]
Subject: [OTlist] Just About To Give UP............

I  am  just  about at the end of a very long road of trying to change my
profession.

No  one  seems  to  value  occupation  as  an  outcome.  I refuse to see
patient's with the purpose of improving UE function so my HH agency just
calls  other  OT's  who  will.  PT's  don't appreciate occupation but it
encroaches  on  their  treatment. My agency is clueless about occupation
and has no reason to learn about it.

I so value what I do and I believe that most of my patient's do as well.
Most  of  them can not articulate occupation or occupational therapy but
they do know that I'm there to teach them two things:

1. How to take care of themselves

2. How to be productive

I almost cried when I left my agency's staff meeting today. EVERTHING is
about PT, PT, PT, and how wonderful they are. There must be like 15 PT's
while  there  is  only  3 OT's. It's really a sad state of affairs. I am
tired  of going from "hero to zero". Hero with patients and zero with my
agency and other therapists.

The  other  day  a nurse with 24 years experience told a patient that OT
was about small muscles and PT was about gait and large muscle groups. I
promptly  called  the  nurse and explained that OT is about occupation -
i.e.  take  care  of  yourself  and being productive. She said, that she
didn't  know  and that even after all these years she really has no idea
what  OT  does. She suggested that I call my agency and do an inservice.
Now can you even imagine that a home health agency needs an inservice on
the role of OT!! Sad state of affairs.

Am  I the ONLY OT who experiences and feel these emotions???????????????
Gosh,  I hope not. But then on the other hand, maybe it's just me. Maybe
I  just  refuse  to  accept  the  way  things  are.  Maybe  I'm  just  a
self-centered  egotist  who is totally clueless about OT. I truly, truly
don't   understand   WHY  "things"  are  the  way  they  are.  And  more
importantly,  what  can be done, if anything, to change the direction of
UE physical dysfunction OT.


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