Thanks Ron and Sue! I have forwarded your comments to my OT staff because I 
have felt they have fell into that blanket treatment ideology for LE ortho 
patients.  They make me feel as if I don't get it, but I think it's the other 
way around. I think I have tried everything for them to think outside the box. 
During their annual reviews, I have discussed this with them and spoke to them 
that if you identify 5/5 UE strength and no other deficits on the eval, why 
address UE strength in your treatment??? My staff responses have placed the 
blame back to limited resources which I don't understand, but I'll find out in 
our next staff meeting.

Here is my last email to them:
"I'm forwarding you all the comments below. When seeing ortho patients we need 
to really try to tailor our treatment to what they need, not just place them in 
our therapy program.  It's very easy for ortho patients to make the connection 
with the PT aspect of the program, but not ours. So we need to make sure we 
stick close to our OT philosophy and theory to ensure we are making an impact 
on their lives!"
 
Their responses:
"This email is so sad but true.  I think our department is doing a good job in 
caring for the patients in rehab.  We just need to find a new way to package 
our program and market it both to the patients and the staff of this hospital.  
More appropriate and diversified activities would be a start.  We can only do 
so much with what we have.  Let's come up with some ideas and discuss tem at 
our next meeting. " 

"This is something I've been thinking about for a while, and although I keep 
patient's individual needs in mind, and try tailoring their sessions, there is 
only so far I can go given our limited resources. I look forward to this 
discussion."

"I totally agree. I think there is only so much we can do to tailor treatment 
with the limited resources we have. Also, it is not easy to get simple things 
like shower chairs without a fight. I also think we should all discuss some 
ideas at the next meeting."

Arley Johnson MS, OTR/L

 



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