Measuring ROM and MMS is still very much a part of the curriculum in OT
school. My colleague teaches the phys/dys course at the local university and
they spend ample time making sure the students can take these measurements, not
sure why they would spend so much time on it if we weren't supposed to be doing
them? I have been practicing for almost 8 years now and i too
take measurements at eval and find they have everything to do with function.
Ron, it really seems to bother u that other OT's use these measurements or
include what they were trained to do , why is that? Do you feel that PT's are
the only onces that should be taking measurements?
IMO, I don't find that there is a clear cut example of specific OT patient or
specific PT patient. PT and OT can and will overlap in many instances but can
work in conjunction with one another to make the clients as functional and safe
as possible. I've never really seen a patient and thought to myself only a PT
can help them, rather the opposite. I have found that most clients that are
being treated by a physical therapist have functional limitations that can be
addressed by OT.
Just my thoughts,
Kari, OTR/L
--- On Sun, 8/31/08, L Sloan <[EMAIL PROTECTED]> wrote:
From: L Sloan <[EMAIL PROTECTED]>
Subject: Re: [OTlist] Elbow Break, Referral..
To: OTlist@OTnow.com
Date: Sunday, August 31, 2008, 9:09 AM
Sorry Ron...I totally disagree...in my 20 years I have always included ROM, pain
with function....that is how I was trained...maybe school has changed since
then........to me the ROM and pain has everything to do with the function...I
have always assessed it when doing an evaluation...that is part of my assessment
as sensation is, coordination, cognition etc. I do not consider that PT....
Lisa
----- Original Message ----
From: Ron Carson <[EMAIL PROTECTED]>
To: L Sloan <OTlist@OTnow.com>
Sent: Sunday, August 31, 2008 7:09:48 AM
Subject: Re: [OTlist] Elbow Break, Referral...
If the goal is increased ROM or decreased pain, why include the
"functional" component? It seems obvious to me that if ROM/pain
are
the ONLY things preventing the patient from doing self-care, then
positively impacting these area will directly improve self-care. So,
why even include the the "function".
If the goal is occupation, then I see no reason for the ROM/pain
component. As and OT, I strongly believe that occupation should be the
goal, but occupation is not always the goal of the patient or MD. And
it's these situations where OT is out on a limb, because we are truly
practicing OT, but PT.
Ron
--
Ron Carson MHS, OT
----- Original Message -----
From: L Sloan <[EMAIL PROTECTED]>
Sent: Saturday, August 30, 2008
To: OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Elbow Break, Referral...
LS> How About....
LS> Patient will demonstrate increased active range of motion to ____
LS> during upper and lower body dressing activities.....or...
LS> Patient will demonstrate increased AROM to ___ to allow patient
LS> to complete upper and lower body selfcare activities safely...
LS> Patient will demonstrate a decrease in pain from ___ to ___ to
LS> enable her to complete her dressing activities.
LS> ??? Lisa
LS> ----- Original Message ----
LS> From: Ron Carson <[EMAIL PROTECTED]>
LS> To: OTlist <OTlist@OTnow.com>
LS> Sent: Saturday, August 30, 2008 3:48:47 PM
LS> Subject: [OTlist] Elbow Break, Referral...
LS> Received a new referral for a elbow fracture. I shouldn't have
taken
LS> it but I did.
LS> And here is the dilemma facing our profession. The patient is
95,
LS> previously living independently. Fractured elbow in a fall. Now living
LS> with daughter. She is in a large amount of pain. Obviously, she
is
LS> dependent for most of her occupations. She currently uses a cane but
LS> is not safe.
LS> The patient's immediate concerns are her elbow. When pressed,
she of
LS> course wants to go back home, but that is not an immediate goal.
LS> So what do I write for goals? For example should I write:
LS> Patient will self-report pain as 3 out of 10
LS> Patient's will increase active elbow extension to -20
degrees
LS> These goals seem to direct the patients and doctor's concerns but
are
LS> not occupationally oriented. So, should I write:
LS> Patient will safely and independently dress lower body
LS> Patient will safely and independently ambulate to the
bathroom
LS> using the least restrictive mobility aid
LS> I like these goals but they don't address the immediate concerns.
LS> Ron
LS> --
LS> Ron Carson MHS, OT
LS> --
LS> Options?
LS> www..otnow.com/mailman/options/otlist_otnow.com
LS> Archive?
LS> www.mail-archive.com/otlist@otnow.com
LS>
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