Ron, Thank you for letting us share your article. I have another concern regarding the use of FIMs and other documentation systems that are not occupation based. It is no wonder that we have an identity problem when typical assessments performed by OTs, at least those that I have seen in my 14 years of practice, when these assessments could quite easily be performed by other disciplines as well. Case in point is the FIM. It does not take the skills of an OT to complete the FIM. In fact, a nurse or PT could fill out the FIM quite easily. When I started at the facility I am currently working for, courtesy of hurricane Katrina, the "OT" outpatient assessment consisted of an identification of problems, associated deficits, a chart of UE only ROM and strength, and goals. The "OT" psych assessment basically was an interview regarding what the patient considered their strengths, weaknesses, leisure interests, etc. I have successfully introduced the COPM and KELS as standard documentation for the psych department and have developed an OT assessment based on the AOTA practice framework for outpatient. The outpatient assessment has a section in which perfomance and satisfaction ratings can be placed from the COPM. I do not regularly work in inpatient rehab, so thankfully I don't have to often do the FIM. I have made comments, but I don't think this is going to change. Jimmie
Ron Carson <[EMAIL PROTECTED]> wrote: Hello All; Out of shear boredom, I did a Google search for my name. As I was filtering through the pages, I came across a couple "hits" for messages posted on this forum, which is always exciting. But on about page 5 or 6, I discovered a link for an article that I had written for the Canadian Assoc. of OT's newsletter. It just so happens that the newsletter is named OTnow!, no relation to this e-mail list or website. So, here's the link: http://www.caot.ca/otnow/may99-eng/may99-client.cfm The article is titled: "Client-centered Practice in an American Acute Care Rehabilitation Hospital: A Case Study". Reading the article brought back lots of memories. It's hard to believe that I've been an OT for almost 10 years. My, time flys!! Ron -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn ************************************************************************************** __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
