Sorry about the typo: If you agree that it was occupational therapy, how can you justify that estim to the digit extensors in prep for functional reaching in which the patient's goal is to reach for items easier, is not occupational therapy.
-----Original Message----- From: [EMAIL PROTECTED] To: OTlist@OTnow.com Sent: Tue, 28 Oct 2008 8:46 pm Subject: Re: [OTlist] Best Practice Ron> But I think calling such focal treatments occupational Ron> therapy, is not consistent with our history, framework, payers, Ron> patients and outcomes. I'm not sure what history you are talking about, but we were primarily created from a mental health framework, in which "occupations" were utilized for a mental therapeutic response. This mental therapeutic response could be argued to be a "body segment", this being of course the brain. These "occupations" used to create a mental therapeutic ressponse were arts and crafts. Clearly not the same occupations you are defining. Not sure which framework you are talking about, because the framework in which I have states that we should focus on the body functions and structures that impede function. In fact, AOTA has endorsed the use of physical agent modalities through a position paper a number of years back. So in your case study, in which the goal for the patient was to make it to the toilet. Was that specifically occupational therapy when you worked on standing tolerance and ambulation the entire session? If you agree that it was occupational therapy, how can you justify that estim to the digit extensors in prep for functional reaching in which the patient's goal is to reach for items easier. The patient wants to be able to reach easier for the following self identified goals for treatment a) self feeding efficiency b) dressing efficiency c)social greetings. If you do not agree that what you did in your session was not occupational therapy how can you ethically bill for the service? Chris Nahrwold MS, OTR -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
