Ron, Your splitting hairs. I put IADL/balance in the context of treating an ortho pt. (TKR). Respectfully,
Neal C. Luther,OTR/L Rehab Program Coordinator Advanced Home Care 1-336-878-8824 xt 3205 [EMAIL PROTECTED] Home Care is our Business...Caring is our Specialty -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Thursday, October 09, 2008 9:36 PM To: Neal Luther Subject: Re: [OTlist] Best Practice Neal, it seems that we look at things differently: You say: "we do higher level IADL tasks ... usually to work on the dynamics of balance" I look at it this way: I do higher level tasks so the patient can learn to do these tasks independently <and> I work on the dynamics of balance so the patient can do higher level tasks Also, for me, I know if interventions are successful if the patient has improved occupational performance. Lastly, In my opinion, OT's role is not PREPARING the patient for return to activity, it's RETURNING them to activity. Does any of this make sense or is it just "rubbish" <smile> Ron -- Ron Carson MHS, OT ----- Original Message ----- From: Neal Luther <[EMAIL PROTECTED]> Sent: Thursday, October 09, 2008 To: OTlist@OTnow.com <OTlist@OTnow.com> Subj: [OTlist] Best Practice NL> Simple. If we don't know that our interventions are successful we dare NL> not make claims on occupational performance. It's akin to performing NL> PROM on someone in a coma (which can be a good thing) and when they come NL> out of the coma claiming our intervention as the reason they are able NL> feed themselves now. Another example would be in orthopedics. Why do NL> we do higher level IADL tasks. In my experience, it is usually to work NL> on the dynamics of balance (especially with TKR's). If I do not know NL> the effects of single leg stance on the joint and whether that pt. Is NL> ready (usually in consult with PT) then I can't plan occupational tasks NL> accordingly. And if this is not addressed then I have not done my job to NL> prepare that pt. For return to meaningful activity. NL> Neal C. Luther,OTR/L NL> Rehab Program Coordinator NL> Advanced Home Care NL> 1-336-878-8824 xt 3205 NL> [EMAIL PROTECTED] NL> Home Care is our Business...Caring is our Specialty NL> The information contained in this electronic document from NL> Advanced Home Care is privileged and confidential information NL> intended for the sole use of [EMAIL PROTECTED] If the reader of NL> this communication is not the intended recipient, or the employee NL> or agent responsible for delivering it to the intended recipient, NL> you are hereby notified that any dissemination, distribution or NL> copying of this communication is strictly prohibited. If you have NL> received this communication in error, please immediately notify NL> the person listed above and discard the original.-----Original Message----- NL> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On NL> Behalf Of Ron Carson NL> Sent: Wednesday, October 08, 2008 9:13 PM NL> To: Neal Luther NL> Subject: Re: [OTlist] Best Practice NL> Why? NL> Ron NL> -- NL> Ron Carson MHS, OT NL> ----- Original Message ----- NL> From: Neal Luther <[EMAIL PROTECTED]> NL> Sent: Wednesday, October 08, 2008 NL> To: OTlist@OTnow.com <OTlist@OTnow.com> NL> Subj: [OTlist] Best Practice NL>> Also, I think we have to measure success at both levels --the NL>> treated area and occupational performance. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
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