Hey Ron,

I have had the same experience. Part of my duties has to do with therapy
utilization at the home health care company I work for.  OT and ST
utilization were both extremely poor when I started.  I have been working at
it by increasing awareness, auditing charts and developing programs.  What
bothers me most about this in the home care setting is that OT is probably
the best discipline to intervene with a home care patient.  There is a
definite identity crisis at work.  Nursing has really no idea what OTs does.
They either have developed their own ideas of OT or have received erroneous
information about the UE only thing.  

-----Original Message-----
From: Ron Carson [mailto:[EMAIL PROTECTED] 
Sent: Tuesday, August 05, 2003 3:49 PM
To: [EMAIL PROTECTED]
Subject: [OTlist] Large Fl. Hospital Case Managers and OT referrals

Hello:

This  morning,  I  met  with one of Central Florida's largest hospital's
case  manager  staff.  I  personally  asked  with  approximately 10 case
managers  and  asked if the refer their d/c'd patients for OT. Every one
of  them  said something like: "not too much for OT, but quite a bit for
PT".

How  can  it be? How can a large hospital's case manager staff not refer
to  OT,  except  in  rare cases?

I  get  so  frustrated with such scenarios because, in my experience, it
happens all the time. It is so rare to speak with someone in the medical
field that utilizes OT for clients with occupational performance issues.
On  those  rare occasions that someone does mention OT, it has been from
an  orthopedic  setting  and  they  refer  to  OT  for  upper  extremity
issues.... YUCK!

Ron

P.S. Just needed to vent!


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