Absolutely agree. In my first job in the long term care the 'groups' had been set up with OT and RT working together. This may have worked previously with good collaboration between the disciplines but by that time they had deteriorated to entertainment with very little planning and no tracking of individual progress. Aides rushed around filling up the group. When it was over the recreation staff took off and OT cleaned up (vastly different requirements for payment etc. here). Over time we took over some groups as specifically OT with patients assessed for potential benefit and assigned and with drew our participation from the others. In that particular setting at this time OT is essentially individual with OT findings and suggestions shared with recreation staff to enhance the quality of life for residents. It was necessary to clarify our own professional goals and be clear about the purpose of OT when declining participation in recreational activities.
Blessings, Joan 403 652 7928 -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of Ron Carson Sent: July 24, 2009 6:09 AM To: Sue Doyle Subject: Re: [OTlist] Vision ~vs~ Reality In my opinion, the VAST majority of group "therapy" isn't really therapy. It's simply a way for corporations and therapists to squeeze more productivity and reimbursement out of Medicare. Additionally, in my experience most group therapy done by OT is a total waste of patients' time. I can't tell you how many UE groups I've seen done by OT when the absolute last thing patient's needed was UE strengthening. There are certainly times when group THERAPY is indicated, but this NOT how it's been traditionally done. Ron ~~~ Ron Carson MHS, OT www.OTnow.com ----- Original Message ----- From: Sue Doyle <[email protected]> Sent: Thursday, July 23, 2009 To: [email protected] <[email protected]> Subj: [OTlist] Vision ~vs~ Reality SD> In Inpatient Rehab you cannot see more than one patient as a time SD> unless they are part of a group. If they are a group they have to SD> have similar goals that are part of each patients individual plan SD> that can be matched together. While there is no set limit on how SD> much group therapy a patient can receive as a proportion of their SD> therapy, Skilled nursing facilities are limited to 25% and it is SD> recommended that rehab does not exceed this as well. SD> While some of patient's goals often include being able to use their SD> affected upper extremity one should really focus on the clients SD> occupational goals. The problems generally start with the evaluation SD> process. If you do not identify occupational issues and patient SD> goals in your evaluation but identify upper extremity issues that is SD> where you will focus your treatment. Has anyone used the "Cardinal SD> Hill Occupational Framework documentation that identifies SD> documentation that focuses on the occupational framework and hence SD> helps to guide the clinical reasoning process to a more occupationally focuses manner. SD> This then means that generally the clinical setting needs to change SD> particularly in rehab, so that the treatment media would need to be SD> focused on various occupational options. I built boxes or kits with SD> a variety of options that my clients expressed interest in. It is SD> best to use the real objects and occupations. SD> Hope this helps some. SD> Sue D -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Checked by AVG - www.avg.com Version: 8.5.375 / Virus Database: 270.13.27/2258 - Release Date: 07/24/09 05:58:00 Checked by AVG - www.avg.com Version: 8.5.375 / Virus Database: 270.13.27/2258 - Release Date: 07/24/09 05:58:00 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
