Oops, I left out the word "not" in a critical place. What I meant was, I'd ask how those contractures are preventing necessary occupational performance. Rachelle
> ---------- > From: Dorne, Rachelle D. > Reply To: [EMAIL PROTECTED] > Sent: Wednesday, October 2, 2002 9:22 AM > To: [EMAIL PROTECTED] > Subject: RE: Re[2]: Dichotomy of teaching OT > > Ron, > Another option with that type of referral would be to ask the referring party what >kinds of activities or tasks is that patient doing that she wants to do, is expected >to do, or needs to do because of such UE tightness. Perhaps that would promote a >team approach between OT and PT. PT could focus on the musculoskeletal problem and >OT could focus on...occupational performance. That type of response might facilitate >discussion. Just an idea. > Rachelle > > > ---------- > > From: Ron Carson > > Reply To: [EMAIL PROTECTED] > > Sent: Wednesday, October 2, 2002 9:14 AM > > To: Dana Levinson > > Subject: Re[2]: Dichotomy of teaching OT > > > > Hello Dana: > > > > I don't necessarily disagree with all you say but I do NOT think that as a > > professional organization, we market ourselves as being UE experts. AOTA's > > web site, state practice acts, etc talk about meaningful activity, function, > > ADL's, etc, they don't talk about neurological and musculoskeletal > > impairments as the primary focus of our concern. And yet, on the practice > > front, we practice as if we are UE experts in physical medicine. > > > > I am not a social occupational therapist, I am an occupational therapist. I > > try to do what it is the professional organization says we do. I don't > > exclude biophysical from my practice area, but it's not the reason for my > > treatment. I think we can spend many e-mail discussing what it is we do, but > > let me ask you a question; "When you receive a client referral, how do you > > know if that client is appropriate for OT treatment?" > > > > With regard to focusing on both ends of the continuum, I don't think > > that's a viable option. I believe that as a profession, we must > > identify which end from which we want to operate. As far as I can tell, > > we will NEVER be seen as orthopedic experts because that market is > > already full. However, the market for expertise in occupation is wide > > open and all we need do is step through the door. > > > > Yesterday, I received a hospice referral for a woman with bilateral > > upper extremity tightness. The therapy director told me that she > > thought of me first but that either an OT or PT could go. I told the > > director that if the primary complaint is upper extremity tightness > > then she should send a PT. Now, some OT's think I'm crazy, but I think > > it's the right choice. I don't want to receive referrals because of UE > > problems, I want referrals because of occupational problems. > > > > Ron > > > > ============================================ > > > > On 10/1/2002, [EMAIL PROTECTED] said: > > > > > > DL> Ron, > > > > DL> You're what I call a "Social Occupational Therapist," the OT version of > > DL> a Social Psychologist. The other type of psychologist is the > > DL> BioPsychologist. In my opinion, there is a tremendous lack of "Bio > > DL> Occupational Therapists." In essense, the difference is studying the > > DL> field at a Macro vs. Micro Level. This has been a deep debate in the > > DL> Philosophy of Science. Which is better? Which is necessary? The answer > > DL> is both. > > > > DL> Imagine what psychology would be if purists took over. The entire field > > DL> would be doing psychoanalysis. What made Psychology such a booming field > > DL> is that they expanded their scope of research and practice... So much so > > DL> that there is an entire medical specialty (Psychiatry, obviously) based> > > DL> on Biopsychology. > > > > DL> Here's what it comes down to... You want to focus on Occupation > > DL> (Macrolevel)... But occupation is accomplished through micro-level > > DL> processes (e.g., UE strength). IMHO, if OT wants to grow, it will need > > DL> to be thoroughly knowledgeable at both micro and macro levels. What will > > DL> distinguish us from PT is that we can (and will hopefully) focus our > > DL> efforts at both levels while PT focuses on only the micro level.> > > > > DL> Just my opinion. > > > > DL> Dana > > > > > > > > DL> On Tue, 1 Oct 2002 11:03:52 -0400, Ron Carson wrote: > > >>Today, in my human occupation class, I spent a solid hour > > >>discussing > > >>occupational performance as it relates to role competence. The > > >>theory, > > >>as written in Christiansen and Baum's, "Enabling Function > > >>and > > >>Well-being", is that humans engage in occupation in order to > > >>be > > >>competent at their roles. And that role competence is a > > >>fundamental > > >>drive of healthy humans. The point of the lecture is to help > > >>students > > >>begin to gather some understanding of the necessity, complexity > > >>and > > >>depth of enabling occupation in their future clients. > > >> > > >>At the completion of class, a student held up a poster that > > >>was > > >>requesting volunteers or announcing a presentation or something. > > >>The > > >>research and poster were about UE Muscle Strength. I asked the > > >>students > > >>if they were confused by this dichotomy that we had just had a > > >>class > > >>about human occupation and why OT should not be practiced > > >>like > > >>upper-extremity PT and then to be doing research on UE function. > > >> > > >>One student responded that it was confusing and the other > > >>student > > >>seemed confused. And frankly, I'm confused!! It seems like some > > >>OT's > > >>see UE function as our trademark practice pattern while other OT's > > >>see > > >>occupation as our trademark. I am confused by this situation, > > >>can > > >>anyone help?????? > > >> > > >>Thanks, > > >> > > >>Ron > > >> > > >>*********��*********** > > >> > > >>Unsubscribe? Send a message to [EMAIL PROTECTED] > > >> > > >>In the message's *body*, put the following text: unsubscribe OTlist > > >> > > >>** List messages are archived at: > > >> > > >>http://www.mail-archive.com/[email protected] > > >> > > >>*********��*********** > > >> > > >> > > > > > > > > > > DL> Dana Levinson > > DL> Rehab Science, Inc. > > DL> http://www.rehabscience.com/ > > DL> [EMAIL PROTECTED] > > > > DL> *********��*********** > > > > DL> Unsubscribe? Send a message to [EMAIL PROTECTED] > > > > DL> In the message's *body*, put the following text: unsubscribe OTlist > > > > DL> ** List messages are archived at: > > > > DL> http://www.mail-archive.com/[email protected] > > > > DL> *********��*********** > > > > *********��*********** > > > > Unsubscribe? 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