Great post Brent, thanks.

I've   also   noticed   that   people   have   actual  trouble  saying
"occupational". Maybe it's just because it's an uncommon word!

Ron
--
Ron Carson MHS, OT

----- Original Message -----
From: Brent Cheyne <[EMAIL PROTECTED]>
Sent: Saturday, August 30, 2008
To:   otlist@otnow.com <otlist@otnow.com>
Subj: [OTlist] Difficulty Articulating Occupational

BC> Ron,
BC> My clients and their families often wonder what is Occupational
BC> Therapy (?), and in my practice at a SNF, the main issue for the
BC> geriatric patients is getting back home...whatever it takes.  So I
BC> try to explain from the very start that  Occupation all things
BC> people want or need  to get back to doing, and the Therapy is all
BC> the things that need to be done to make that happen. Educating the
BC> client that the interventions will be very functionally based and
BC> based on every-day tasks need to begin early and repeated often.
BC>  
BC> My  Subacute Rehab clients want to know what is in it for them...
BC> and to use a business term,  they need to be marketed to, like a
BC> coach or consultant. They need a good sales pitch!  A great
BC> percentage of my clientele, and their families,are becoming
BC> increasingly savy and sophisicated, goal-directed, and often do
BC> not tolerate any interventions that seem like a waste of time.
BC> This fact is welcome because it often makes treatment effective,
BC> effecient, and meaningful. The key is to get off to a good start,
BC> reach a common understanding, and meet Occupational needs by being
BC> relevant to the client. It is client-centered practice and does
BC> require a great degree of effort and skill.
BC>  
BC> In our department we have a display board that show pictures of
BC> former clients in OT doing Occupation- based tasks, cooking ,
BC> shopping, laundry, using adaptive equipment, etc.. in our
BC> department environment. This board is used to show touring
BC> visitors, and newlly admitted clients examples of what can be
BC> addressed in OT..."a picture (board) is worth 1000 words"  This
BC> often helps especially with families who realize these areas will need to 
be addressed.
BC>  
BC> But there are a certain percentage of my clients that don't get
BC> the concept of Occupational Therapy because of a  history of bad
BC> experiences with OT, or have observed others having a bad
BC> experience...doing unwanted, meaningless, sometime mudane tasks.
BC> They also have a concept of all therapy solely involving exercises
BC> and walking. This perception is hard to overcome if the persons
BC> mindset has be reinforced from other facillity staff and bad
BC> history. People even refuse to perform needed Occupation-based relevant and 
meaningful tasks
BC> prior to discharge due to their resistance, fear, and denial.
BC> They often assume things will be "just fine when they get home".
BC> Theses clients require a lot of work and skill to motivate,
BC> engage, and connect with. It really can be what I call a public relations 
challenge.
BC>   
BC> Additionally, there are the folks who have a very passive
BC> mindset, and wish to be simply want to fixed by therapy without
BC> any personal goals,effort, or planning. THese patients often can't
BC> identify Occupation in their life because, upon detailed
BC> examination, their lives are devoid of much Occupation as a result
BC> of chromic disease or social deprivation. Here the challenge is
BC> again to motivate, engage and connect, and make an  relevant
BC> impact where possible to get that client in the best situation to
BC> maximize the opportunity for a good quality of life. Theses are
BC> usually your nursing home residents and they require a great deal
BC> of skill and perserverence to adequately serve as a therapist.
BC>  
BC> So the "Public Relations Challenge" faced by OTs requires a
BC> consistent overall effort to first understand peoples needs....and
BC> then be understood through education and communication. This is
BC> hard work in a demanding productivity-driven work place. It helps
BC> to have a department of likeminded energetic OTs.  Otherwise, it's
BC> often tempting to just pass out a peg board and some cones and  go
BC> finish my charting. But that onlly leads to further professional grief!
BC>  
BC>           "I'm just a boy whose intentions are good......Oh
BC> Lord.. Please don't let me be misunderstood..."     The Animals 
.......somewhere fromthe 1960s
BC> (LOL)
BC> Thanks for listening,
BC> Brent Cheyne OTR/L
BC> Sarsota
BC>  


BC> --- On Sat, 8/30/08, [EMAIL PROTECTED]
BC> <[EMAIL PROTECTED]> wrote:

BC> From: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
BC> Subject: OTlist Digest, Vol 41, Issue 19
BC> To: otlist@otnow.com
BC> Date: Saturday, August 30, 2008, 3:00 PM

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BC> Today's Topics:

BC>    1. Difficulty Articulating OT (Ron Carson)


BC> ----------------------------------------------------------------------

BC> Message: 1
BC> Date: Fri, 29 Aug 2008 18:06:32 -0400
BC> From: Ron Carson <[EMAIL PROTECTED]>
BC> Subject: [OTlist] Difficulty Articulating OT
BC> To: OTlist <OTlist@OTnow.com>
BC> Message-ID: <[EMAIL PROTECTED]>
BC> Content-Type: text/plain; charset=windows-1252

BC> Has  anyone  noticed that people have difficulty articulating the word
BC> "occupational"?

BC> Just today, a patient's husband had difficulty saying the word. And, I
BC> noticed it with other people as well, even with health care providers.

BC> Anyone else?

BC> Ron
BC> -- 
BC> Ron Carson MHS, OT




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BC> End of OTlist Digest, Vol 41, Issue 19
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