Hello Jody: I like your observations. I want to add that I might make climbing a ladder an OT goal if the client needed to climb a ladder to engage in an occupation. In the following example, keep in mind that a vocation is a type of occupation. According to the Canadian Model of Occupational Performance, a vocation is an example of an occupation falling into the productivity category.
Example - If a client needed to climb a ladder in order to perform his vocation of painting, then painting would be the long-term goal and climbing a ladder would be the short-term goal. And like you stated, if painting was the clients long-term goal and he was unable to achieve the short-term goal of climbing the ladder, we would look at alternative ways to complete the painting, such as extended handles. The above example is for years what I tried to get students to understand. It's a 'framing the problem' approach to being an OT. I am firmly convinced that when an OT looks a client, they should see a different set of "problems" than any other profession. Ron ================================================= Monday, November 24, 2003, 8:22:04 PM, you wrote: Sac> But David, those weren't Ron's words, they were the words of Judy Yeh < Sac> [EMAIL PROTECTED]>. Ron is a bit too much of a purist for me but I will Sac> defend him this time. I am sure Ron would agree that climbing a ladder would be a Sac> PT goal. The only time I think Ron would make it an OT goal was if I derive Sac> my identity from my occupation as an apple picker and now I cannot climb a Sac> ladder so I have an occupational disorder. And even then he might explore other Sac> ways I could fulfill my occupational identity other than getting on a ladder, Sac> such as an adaptive device to grab the apples while I am on the ground. Sac> -- Jody Van Ness OT Sac> In a message dated 11/24/03 9:25:09 AM Central Standard Time, Sac> [EMAIL PROTECTED] writes: >> Ron...I cannot believe you made this interpretation in your last post: >> >> " In any case, it seems to me that occupational therapy is called just >> that because of its focus on activity, compared to, say, physical >> therapy. A physical therapist would help a victim of a car accident >> regain muscle tone in his or her legs and the ability to walk, but an >> occupational therapist would teach the person how to climb a ladder, how >> to go up and down stairs, etc." . . . >> >> I would think that a higher level thinking PT would be able to take their >> client to "that next step". . . . >> >> Peace brother >> >> >> >> David A. Lehman, PhD, PT >> Sac> _______________________________________________ Sac> To unsubscribe, visit: Sac> http://otnow.com/mailman/listinfo/otlist_otnow.com Sac> The OTnow Mail Archive: Sac> www.mail-archive.com/[EMAIL PROTECTED] Sac> =============================================== _______________________________________________ To unsubscribe, visit: http://otnow.com/mailman/listinfo/otlist_otnow.com The OTnow Mail Archive: www.mail-archive.com/[EMAIL PROTECTED] ===============================================
