Who says we are practicing PT, and not OT?.? My credentials states OTR/L so therefore it is OT.? I don't know about you, but taking ROM measurements and treating the UE was taught in the OT education in which I went to school.? How do you comment on the OT guide to practice and our practice acts?? In my opinion it is dangerous to be that?narrow in our definition in what we do as OTs.? I certainly understand and respect your opinions, because they do make sense on paper, but when actually practicing we do have to address body functions/structures at times to help the patient make further progress.? I noticed a post that you made?in the AOTA listserve under the physical section.? In it you were giving advise about an individual with guillen barre (spelling?), and you of course talked about ADL performance, but then you gave an example of practicing sit to stands and unilateral reaching without being in the context of an ADL.? Isn't this the same as helping a patient with their arm functions through ther ex to facilitate a positive outcome with functional reaching?? Thanks again for the great discussion. Chris Nahrwold MS, OTR St. John's Hospital Anderson, Indiana
-----Original Message----- From: Ron Carson <[EMAIL PROTECTED]> To: L Sloan <OTlist@OTnow.com> Sent: Sun, 31 Aug 2008 6:09 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 goal s? 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> -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
