yes ,mr Ron Karson,
i do have the simmilar incidents , specialy the nurses They most of the time feel that we are doing there part of work.
I was working for the in -patient neuro-section at p.m.r. hospital KUWAIT. I faced a lot of ignorences ,but our the head in occ. the. who always insists to participate in the wardround[which is supposed to be consist of Physiatrist, physiotherapist , occupational therapist ,nurses etc] i had been ignored by not only by paramedicos. but also the physiatrist.it was insulting.then i decided to show the difference by means of O.T. services.
i used to go to the ward very regularly for possitioning, there were maximum cases with sh. hand syndrome . i tryied to talk one of the physiatrist ,that why almost 90 % are bound to have this synd. that indian physiatrist told me his disappointment . then i requested sir can i put splint for the pts.BECAUSE in accute cases i found in my past experience along with body possiioning it is very effective to prevent the synd. .At the same time he took me to the ward show me HIS 2 accute pts.
I was very happy i felt my first victory, i show the pt and fabricate the splint. 2 month gone the indian physiatrist realised that those pt were applied the splint by me didnot or develop little oedema on dorsum of their hand.
then i felt my second victoryon the time when the indian doctor told the things in our next wardround. in that i was asked much about o.t. and what more it can do . i gave a brief of ot what i cd.
latter i foun myself that i ;m not been ignored but at last of presentation for all pt. i wd be asked if O.T.can do any thing.
i used to give step by step information to my head. because she only used to motivate me to defend my department. many time it happened that a physio.. or physiatrist will prescribe the design of the splint some time it wd be wrong selection also ,then though i felt very bad but i used to handle it very politely and change the prescription with argument in front of the patients. latter i realised after 5 month that no other paramedico .are intervening regarding splint, even the physiatrist also had changed the way of prescription [before 'pt. is reff for cock-up splint',but Now they write 'pt. is reff. for splinting'.]
i think OT is still going in the stge of recognition. & we need to be rcognized by the people. who are the payers if we know our service makes the diff. then certainly there will be a time when the people will demand our services& no other can stop us .
this was my experience ,and believe. thanks for listening me
binod baranwal kuwait
Ron Carson <[EMAIL PROTECTED]>wrote:
Hello:
I have started some PRN work at a local hospice. Interestingly, this
facility has just established a on-site therapy department. The
department is being set up by a PT consultant. This woman, Ruth, seems
quite understanding of the value of OT in hospice and is committed to
using OT services to the fullest extent possible.
Yesterday, I was talking with Ruth about increasing referrals to OT.
During the conversation she mentioned that their was patient who was
currently getting PT but would probably be better served by OT. The
patient was refusing to do any exercises or even get out of bed for the
PT. Ruth, said she would talk to the nurse manager and get back with
me.
Later, Ruth called to say that the nurse would not agree to have OT
come in to see the patient. She said that the nurses really didn't know
what OT did and that they! couldn't really understand what OT would do.
Apparently, Ruth was unable to convince the nurse that OT would be an
appropriate referral.
I plan on following this up with Ruth and the hospice nursing staff but
it's time like this that I feel so disappointed. Do others on this list
experience any of these same feelings?
Thanks for 'listening',
Ron
~~~~~~~~~~
www.OTnow.com
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