Jim and Mary....I agree for the most part that logarithms could lead to "cook 
book" therapy and/or miss out on the uniqueness of each client, and take out 
some of the fun.....
 
However, another way to look at this is to question whether all of the unique 
variables of a client could one day be analysed in a regression model and thus 
determine how much these unique variables actually account for healing, then 
include them in the logaritm?

________________________________

From: [EMAIL PROTECTED] on behalf of Jim Herzog
Sent: Tue 7/25/2006 7:18 PM
To: OTlist@OTnow.com
Subject: Re: [OTlist] Interesting Stats



Gee, I remember being in school and getting the idea that "pathways" or
"Logarithms" are basically  "Cookbook" therapy and we were being trained
to be better than that.  I'm not sure I really agree with that
assessment, this is just my fond memories of academia! :-)

Jim


Lehman, David wrote:

>I am glad to see the conversation change from who does/owns what between
>PT and OT :)
>
>I agree with mary that SLP should be responsible for dysphagia/aphasia,
>as far as the modern medical model goes.
>
>But, I also agree with Mary that if a person is specialized, trained, or
>has done research in a particular gray area, then that person should be
>responsible for that particular impairment/outcome.
>
>The cognitive realm is not owned, nor should be, by any professional
>designation.  If OT, PT, SLP, MD, nurse, etc.  are all cognitively
>present and aware of the clients cognition, it only enhances the
>treatment of all professions. 
>
>What urks me is that the government decision makers (i.e. the decider)
>is not cognitive about how our health care system could work better and
>more efficiently.
>
>I have a question for the listserve (somewhat along the same "cognitive"
>path).
>
>Is there discussion within the OT field about creating logarithms for
>treating clients? Making decision trees that take in account as many
>significant variables as possible?  This is happening in the treatment
>of neurological clients in PT.  It is interesting to me that one day we
>will get a client, plug in the information from our evaluation and POOF
>- do this for/to the client for best outcomes. 
>
>What might that lead to in regards to who owns/does what?
>
>David A. Lehman, PhD, PT
>
>Associate Professor
>
>Tennessee State University
>
>Department of Physical Therapy
>
>3500 John A. Merritt Blvd.
>
>Nashville, TN 37209
>
>615-963-5946
>
>[EMAIL PROTECTED]
>
> 
>


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