What you explained 'she said they had her mom sitting at a table doing pegs, 
cards, etc with
her unaffected arm to "keep it strong".?'? is certainly not OT and it is not 
even UE rehabilitation.? To me it is nonsense, and the evidence of a very lazy 
therapist without any clinical reasoning ability.? That is why OT sometimes has 
a bad name!

Chris Nahrwold MS, OTR



-----Original Message-----
From: Ron Carson <[EMAIL PROTECTED]>
To: OTlist@OTnow.com
Sent: Wed, 12 Nov 2008 7:06 am
Subject: [OTlist] I still can't explain OT



I've  been  an  OT  for  a  long  time  and I still can NOT explain my
profession in a way that is:

* Concise
* CLEARLY differentiates OT from other professions
* Makes sense to other people (i.e. patients, MD's, nurses, etc)
* Consistent:
        - With others
        - Across patient populations
        - Supported by practice
        - Supported by documentation
* Satisfies me

Yesterday, I evaled a patient s/p shoulder replacement. PT was already
on the case. I struggled understanding my OT role with this patient
and how it might be different if PT wasn't already seeing the patient.
I wondered how other OT's would approach the patient.

The patient is a retired nurse and her daughter is a retired "special
needs" kids. Both of them had knowledge of OT, which sometimes is a
bad thing.  The patient was recently d/c'd from rehab for her shoulder
surgery.  The shoulder became dislocated while in rehab and when I
asked the daughter if OT or PT worked on the shoulder, she said OT.
When I asked her what they did once the shoulder was dislocated, she
said they had her mom sitting at a table doing pegs, cards, etc with
her unaffected arm to "keep it strong".

I love being an OT but it is such a confusing profession. When I
evaluate people, the only thing that really makes sense is occupation.
But, that often leads to mobility issues, and if PT is on the case,
they already address this, so there's nothing for me to do.  I'll
never understand how OT has become so pigeonholed into UE treatment.
I can find no good logic or reason why OT as a profession focuses on
the UE but it seems to be the predominate pattern.



Ron
-- 
Ron Carson MHS, OT


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