Great post and I REALLY like the saying at the end... ----- Original Message ----- From: Brent Cheyne <brentche...@yahoo.com> Sent: Friday, July 24, 2009 To: Ron Carson <otlist@otnow.com> Subj: [OTlist] Vision vs Reality
BC> Everyone is making great points in this dialogue, BC> BC> My practice patterns would fall closely in line with how a lot of BC> you are describing- Ron, Chris, Diane, Joan too. It's nice to hear BC> other people have the same challenges and frustraions. BC> BC> Here are 2 that bug me alot! BC> BC> 1) Don't get me wrong, I love working with COTA's and with PRN OT BC> Staff- we usually need the extra help at our busy SNF but...I find BC> people don't read the evals and goals that I so pain-stakingly design and select with patients. BC> Frequently, I can look across the treatment area as see a BC> colleague of mine having the pt I evaluated doing pegs or bicep BC> curls or some other task with a Total Knee patient whose goal are BC> lower body dressing and shower transfers and meal prep etc......I BC> had absolutely NO goal for UE ROM for strength or hand dexterity BC> etcc.., I always try to teach and instill in new staff or students BC> to read the eval, PLOF, goals and design treatment based on those, I BC> am frequently frustrated by people just making up any old activity BC> or exercise willy-nilly to put in time. BC> If you are taking on a patient that you didn't eval, be sure the BC> treatment matches the planned goals and treatment set out in the BC> eval, also see if the eval matches what the patient is presenting BC> with and talking about...talk to the patient. BC> BC> 2) Despite high productivity and stressful schedules, therapists BC> not taking time to know the patient, or engage and educate their BC> family members and communicate to assess their needs and goals and BC> incorporated them into the eval goals and plan....basically making the interventions skilled. BC> BC> There's an old adage that hopefully is appropriate here BC> --Management is all about doing "things right"-( productivity, BC> filling out forms, schedules, compliance) BC> --Leadership is about doing the "right things", (client centered occupations and interventions) BC> BC> We clinicians may not be managers but we still can and should be Leaders.. BC> Keep up the good work people! BC> BC> -- BC> Options? BC> www.otnow.com/mailman/options/otlist_otnow.com BC> Archive? BC> www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
