Ron, you did exactly as I have done often with referalls for people with
shoulder issues that are temporary --eval only. I often wind up making
suggestions for simple modifications and tips to deal with the temporary
inconvenience of limited shoulder function. I then tell the PT to call me back
in if, at the end of the PT treatment, it looks like the patient is not
regaining function inspite of progressing through the exercise protocol. Yes
they need help bathing, and I wil give them suggestions for help,but I can't go
in and bathe them and bill it as OT.If they want a home health aide I set it
up and send it over to the PT to manage. Beyond that, if there is nothing for
me to do without duplicating services, I get out. This has worked well, and
there have been a few occasions where the PT has called me back in and I've
taken over having the patient try their daily activites and got them truly
functional.
Terrianne
Terrianne Jones,MA, OTR/L
University of MN
--- On Thu, 10/23/08, Ron Carson <[EMAIL PROTECTED]> wrote:
From: Ron Carson <[EMAIL PROTECTED]>
Subject: [OTlist] Yet, Another UE Referral
To: OTlist@OTnow.com
Date: Thursday, October 23, 2008, 6:09 PM
Yesterday, the home health PT told my director that OT was needed for
a patient that she evaluated. The patient is s/p shoulder arthoplasty.
I go there today, and the PTA has already started ROM exercises and is
consulting with the MD for clarification. I evaluate the patient
asking all the typical questions about daily occupation.
Basically the patient needs assistance with dressing and bathing. BUT,
this is all because of his shoulder surgery. So, I document that the
patient is independent except for the above but this will resolve with
his shoulder ROM returns, which is being addressed by PT.
In your opinion was OT indicated for this patient?
What if PT wasn't seeing the patient, would OT be indicated?
Ron
--
Ron Carson MHS, OT
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