Ron,

Is it possible that the way the referral is phrased to indicate a physical
dysfunction is simply because the referrer does not know/understand the
concepts of occupational performance and occupational deficit, and therefore
cannot write the referral from that perspective??

Maybe an opportunity for educating some of our fellow professionals?

Just a thought...

Nessa

----- Original Message -----
From: "Ron Carson" <[EMAIL PROTECTED]>
To: "Dana Levinson" <[EMAIL PROTECTED]>
Sent: Thursday, October 03, 2002 4:15 PM
Subject: Re: Ron - Occupational Splinting?


> Splinting  is  not unique to the domain of OT. ALL my treatment is based
the
> the  Occupational  Performance  Process Model. The OPPM is a 7-stage
process
> outlining  OT assessment, intervention and discharge. The first step of
the
> process  is  to  Name,  Validate  and  Prioritize  occupational
performance
> deficits.  Within  this  model,  if  a  client  does  NOT  have
occupational
> performance deficits, there is NO role for OT.
>
> Applying  this model to your case yields an answer that I would refer to
PT.
> I  would  only  splint a patient is I could demonstrate that splinting
would
> improve  a  SPECIFIC  occupational  deficit.  If  I  am splinting because
my
> primary  concern is portioning, ROM, pain, etc, then I don't see how this
is
> occupational therapy.
>
> If   you   believe  that  increasing  a  client's  ROM  will  improve
their
> occupational  performance,  then  isn't PT doing occupational therapy if
they
> increase  a  client's  ROM?  Within the OPPM model, if occupation is not
the
> primary  deficit,  then  there  is  NO  role  for  OT.  Keep  in  mind
that
> occupational  deficits  certainly  do result because of physical
dysfunction,
> but  focusing  on  the  physical  dysfunction  instead  of  the
occupational
> dysfunction is PT, not OT.
>
> Ron


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