Sounds like you are working him pretty hard. Hard to get around
barriers when patients' refuse dressing equipment. Try a large sock
aide or a soft sock aide for the pain issues of his feet.
-----Original Message-----
From: Diane Randall <spark...@rcn.com>
To: OTlist@OTnow.com
Sent: Mon, Jul 13, 2009 11:30 am
Subject: Re: [OTlist] Why OT's Should NOT Focus on the UE
"My concern in this is that you ONLY mention and UE program. If
general
conditioning prevented the patient from performing occupation, why limit
it only to the UE?"
Being that I am new to this and my employment forces me to live in "UE
therex" land....perhaps you could give me an indication as to what I
can do
with this person. Others more experienced than me in the dept go with
the
flow. He is 500 pounds...can now walk about 50ft with someone following
him
in a W/C and he is able to stand aboout 2-3 min in a RW.
I have done all ADL's..and although he is able to life weights in all
planes
he does not have the arm length to bipass his midsection to do LE
dresssing.
He has serious LE PN issues so he cannot use a sock aid. he has refused
both
a dressing stick and reacher.
I have done transfers with him from W/C to bed, W/C to toilet, W/C to
shower
I have done standing tolerance...he likes to draw so I have him stand in
front of a white boards and he draws murals for the department.
He does W/C pushups.
He lives alone, rarely ever left his home due to his weight, microwaves
all
his meals, and lives on disbaility.
-----Original Message-----
From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com]on
Behalf Of Ron Carson
Sent: Sunday, July 12, 2009 22:08
To: Diane Randall
Subject: Re: [OTlist] Why OT's Should NOT Focus on the UE
My concern in this is that you ONLY mention and UE program. If general
conditioning prevented the patient from performing occupation, why limit
it only to the UE?
For me, general phy-dys practitioner's focus on the UE while
disregarding the rest of the body severely hampers our
professional
autonomy.
We MUST break free from the mold of being UE therapists!
Ron
----- Original Message -----
From: Diane Randall <spark...@rcn.com>
Sent: Sunday, July 12, 2009
To: OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Why OT's Should NOT Focus on the UE
DR> I see your point...I was mistaken if I implied in my very first post
that I
DR> told the patient that he needed UE program in order to transfer. It
was
DR> justified to increase his overall conditioning. My inital reason
for the
DR> post was to point out that sometimes our patients assume the things
we
do in
DR> the gym are "therapy" and the functional ADL's are just extras we
do...which
DR> of course is the very opposite.
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