I  didn't  make a referral to PT and I didn't screen the patient. I told the
therapy  director that if the primary complaint was physical function rather
than  occupational  function, then PT would be more appropriate. In the end,
the director (a PT) made the decision to send the patient to PT.

As an OT and an educator, I took the opportunity to reinforce to the therapy
director,  that  as  an OT, my primary concern is occupation. Please bear in
mind  that  I  have previously discussed with the director about occupation,
occupational  therapy  and  my  perceived  and  desired  role in the hospice
continuum  of care. As such, the director was not surprised by my suggestion
that PT could better handle this case.

While  some  have  said  that  I  missed an opportunity, I also think that I
gained an opportunity for more appropriate referrals. Additionally, I belive
that  accepting  this  client,  will  have only reinforced the ill-perceived
notion   that  OT  is  above-the-waste  therapy.  I  don't  know  how  other
practitioners  are  going  to  understand  about occupation and occupational
therapy   unless   we   begin   taking  referrals  because  of  occupational
dysfunction. Taking a referral because of upper extremity tightness seems to
only reinforce the concept that I believe is in error.

Ron


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On 10/3/2002, [EMAIL PROTECTED] said:
Jac> Ron:

Jac>    Did you screened the patient first before making the referral to P.T.???  
Jac> Have you ever seen a patient with bilat muscular tightness have difficulty 
Jac> washing or putting a shirt on or the caregiver having difficulty secondary 
Jac> decreased rom.  I hope as an Occupational Therapist and educator you took the 
Jac> opportunity to demonstrate what OT can do even if you just made an 
Jac> appropriate referral to physical therapy.

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