Hello Joe: I appreciate your answer. However, in some ways you have muddied my thinking because what I am trying to understand is this; what is the dilenation, if any, when someone should be referred to OT or PT. In some facilities this is done by upper extremity versus lower extremity.
Thanks, Ron ============================================= On 3/7/2003,[EMAIL PROTECTED] wrote: JW> Ron: JW> Hopefully, the doctor's verdict is not final- it is not that JW> unusual for it to change. What is the extent/ nature of your JW> injury? JW> I agree with Maria. The practitioner should be confident/ JW> knowledgable in his area of practice. I don't believe in segregation JW> of body parts or roles for physical and occupational therapy. JW> Following-up from my last mailing, I would find it hard to JW> comprehend an occupational therapist who says he is working on JW> function, and not working directly or indirectly with its JW> performanace components such as ROM/ ms. strength/ endurance (good JW> buzz: activity tolerance), i.e, using the biomechanical FOR in JW> orthopedic cases such as this. Hopefully not, otherwise any JW> functional approach without keeping the biomechanical/ JW> kinesiological aspects in mind, could be detrimental. Or, find me a JW> PT that is applying the biomechanical FOR but is in no way JW> facilitating the "functional independence" of his patient. However, JW> I am an OT myself, and believe in the global impact and range of JW> services we offer. Especially, when you expect residual deficits, I JW> believe the OT takes on a more crusading role as the JW> adaptor/facilitator, teaching or ensuring optimal JW> adaptations/compensation to minimize the disability to the best it JW> can be. Can a PT do it, too? I am sure we all know of some PTs that JW> could do it better than some OTs, and some OTs that can do a better JW> job in gait analysis and training than some PTs. For those OTs AND JW> PTs that are ready to mark their boundaries, isn't ambulation a part JW> of basic ADLs? Both APTA's and AOTA's practice guidelines claim and JW> cover this as their domain. JW> Am I proposing a merger of titles of physical/occupational JW> therapist? No as there are certainly other aspects to this, we are JW> not prepared or trained for this yet, at least not yet. What would JW> insurance companies think of this? What impact will it have on JW> medicare dollars? What will our associations do even at the thought JW> (it sure as occured to others)- laugh? Ron you are an enlightened JW> health professional. What do you think the doctor, or the general JW> public would do in your case- who should they choose? With out JW> really knowing the difference or with out there being a real JW> difference of professional expertise (just the difference of JW> individual practitioner's expertise)? JW> Joe JW> ----- Original Message ----- JW> From: Maria Aguilera JW> To: [EMAIL PROTECTED] JW> Sent: Sunday, March 02, 2003 1:00 PM JW> Subject: Re: Fwd: Treatment for a Fractured Elbow JW> Hi Ron: JW> Hope your elbow is recovering nicely. I am a OTR who injuried her dominant elbow (non work related)many years back while practicing in Upper extremity/Hand Rehabilitation. I felt pretty JW> comfortable self treating until I realized that I needed further intervention ie,MRI and a clinician who was experienced with my specific injury(Tricep tear). It was interferring with the JW> quality of my clients' care. I looked in my area and located a PT who was very instrumental in my successful outcome. I think it is dependent on your comfort level and knowing when to seek JW> assistance. I feel it does not matter PT vs. OT if the clinician is working within their knowledge and practice base. Hope this helps. Maria JW> Ron Carson <[EMAIL PROTECTED]> wrote: JW> Hello Biraj and others: JW> My original question about seeing an OT or PT is really more of a JW> hypothetical question. While I really did fracture my elbow, it is JW> doubtful that I will need any therapy. The reason I was asking the JW> question was to hear readers opinions on when and why to refer to OT JW> versus PT. JW> Thanks, JW> Ron JW> ************************************************* JW> On 3/2/2003,you wrote: JW> RC> Sorry to hear about your elbow Ron. Hope you feel better soon. JW> RC> As for seeing an OT or PT, won't this depend upon whom you are referred to JW> RC> by your Orthopedic Specialist. As well as what will your insurance carrier JW> RC> pay you for. JW> RC> Take care, JW> RC> Biraj JW> *********��*********** JW> Unsubscribe? Send a message to [EMAIL PROTECTED] JW> In the message's *body*, put the following text: u! nsubscribe OTlist JW> ** List messages are archived at: JW> http://www.mail-archive.com/[EMAIL PROTECTED] JW> *********��*********** JW> ------------------------------------------------------------------------------ JW> Do you Yahoo!? JW> Yahoo! Tax Center - forms, calculators, tips, and more *********��*********** 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] *********��***********
