Ron,
I agree that I too wish they had left it as it was. I have been trying to
post a question. I am having trouble and emailed AOTA for some help. I did
get a response from their tech support but haven't replied because I don't
understand the questions they asked me. They did acknowledge some problems.
I will pose my question here:
Does anybody have experience with the Cognitive Performance Test (CPT)? We
are looking to add to our Allen cognitive resources for evaluation and at
this state psychiatric hospital.
Lori Boelig, OTR/L
New Hampshire Hospital
36 Clinton Street
Concord, NH 03301
603-271-5595
lboe...@dhhs.state.nh.us
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Subject OTlist Digest, Vol 51, Issue 3
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Today's Topics:
1. OTconnection.org review (Brent Cheyne)
2. Re: OTconnection.org review (Ron Carson)
3. Re: Fn. Mobility ~vs~ Gait Training (Ron Carson)
4. Re: How About This? (Ron Carson)
5. Re: Fn. Mobility ~vs~ Gait Training (Audra Ray)
6. Re: How About This? (Audra Ray)
7. Re: How About This? (Ron Carson)
8. Re: Fn. Mobility ~vs~ Gait Training (Ron Carson)
9. Re: Fn. Mobility ~vs~ Gait Training (cmnahrw...@aol.com)
10. Re: How About This? (cmnahrw...@aol.com)
11. Re: Fn. Mobility ~vs~ Gait Training (cmnahrw...@aol.com)
12. Re: Fn. Mobility ~vs~ Gait Training (Ron Carson)
13. Re: Fn. Mobility ~vs~ Gait Training (Ron Carson)
14. Re: Fn. Mobility ~vs~ Gait Training (Beth Woodcock)
15. Re: Fn. Mobility ~vs~ Gait Training (cmnahrw...@aol.com)
----------------------------------------------------------------------
Message: 1
Date: Fri, 16 Jan 2009 15:17:55 -0800 (PST)
From: Brent Cheyne <brentche...@yahoo.com>
Subject: [OTlist] OTconnection.org review
To: otlist@otnow.com
Message-ID: <563241.92263...@web45212.mail.sp1.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1
Dear OTList
I recently registered with? otconncetion.org? and haven't had the time to
spend much time on it. They tell me it's kind of like Facebook or MySpace
social networking. For me...being new to the format, it's a bit
overwhelming but there are several forums and the opportunity to submit a
blog as well as other features. Has anyone else tried it? I'd like to hear
others opinions
Brent C
------------------------------
Message: 2
Date: Fri, 16 Jan 2009 18:38:05 -0500
From: Ron Carson <rdcar...@otnow.com>
Subject: Re: [OTlist] OTconnection.org review
To: Brent Cheyne <OTlist@OTnow.com>
Message-ID: <189514201.20090116183...@otnow.com>
Content-Type: text/plain; charset=iso-8859-1
Hey Brent:
I just joined the OTconnections. The format is confusing to me as
well. I truly wish they would have just left everything the way it
was.
Ron
--
Ron Carson MHS, OT
www.OTnow.com
----- Original Message -----
From: Brent Cheyne <brentche...@yahoo.com>
Sent: Friday, January 16, 2009
To: otlist@otnow.com <otlist@otnow.com>
Subj: [OTlist] OTconnection.org review
BC> Dear OTList
BC> I recently registered with? otconncetion.org? and haven't had the
BC> time to spend much time on it. They tell me it's kind of like
BC> Facebook or MySpace social networking. For me...being new to the
BC> format, it's a bit overwhelming but there are several forums and
BC> the opportunity to submit a blog as well as other features. Has
BC> anyone else tried it? I'd like to hear others opinions
BC> Brent C
BC>
BC> --
BC> Options?
BC> www.otnow.com/mailman/options/otlist_otnow.com
BC> Archive?
BC> www.mail-archive.com/otlist@otnow.com
------------------------------
Message: 3
Date: Fri, 16 Jan 2009 19:39:31 -0500
From: Ron Carson <rdcar...@otnow.com>
Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training
To: "cmnahrw...@aol.com" <OTlist@OTnow.com>
Message-ID: <123862009.20090116193...@otnow.com>
Content-Type: text/plain; charset=windows-1252
Chris, will you expand on the following comment: "What does matter is
what method the patient wants to work towards ..."?
Thanks,
Ron
----- Original Message -----
From: cmnahrw...@aol.com <cmnahrw...@aol.com>
Sent: Friday, January 16, 2009
To: OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Fn. Mobility ~vs~ Gait Training
cac> It is certainly not PT.? Our goal as OTs?is to faciliate a
cac> positive outcome in a patient's independence in the activiites
cac> that occupy a person's life.? Getting to the toilet is certainly
cac> one of those activiites that a person usually wants to do for
cac> themselves.? Whether walking to the toilet or transferring, in my
cac> opinion it does not matter.? What does matter is what method the
cac> patient wants to work towards and what the realistic rehab
cac> potential of accomplishing the goal through this choosen method.?
cac> Chris Nahrwold? MS, OTR
------------------------------
Message: 4
Date: Fri, 16 Jan 2009 19:41:37 -0500
From: Ron Carson <rdcar...@otnow.com>
Subject: Re: [OTlist] How About This?
To: "cmnahrw...@aol.com" <OTlist@OTnow.com>
Message-ID: <1332151328.20090116194...@otnow.com>
Content-Type: text/plain; charset=windows-1252
Yes, the patient can move her legs. There are no clear-cut answers on
the rehab potential. The patient can already slide-board transfer.
What if the patient doesn't want to learn from the w/c level?
----- Original Message -----
From: cmnahrw...@aol.com <cmnahrw...@aol.com>
Sent: Friday, January 16, 2009
To: OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] How About This?
cac> What do you mean by "limited bi-lateral LE's"?.? Can she move
cac> them at all?? If she has no control in her LEs at all I would do the
following:
cac> 1) Find out what the patient's?damage is and the
cac> possible?recovery potential by calling the surgeon's office.
cac> 2)Teach and train?her to compensate through the use of slide
cac> board and sit pivot transfers until swelling in her back goes
cac> down and hopefully function in her LEs returns.
cac> 3) Teach and train occupations from the wheelchair level until?
cac> hopefully more?function in her LEs return..
cac> 4) DME and AE recommendations
cac> Chris Nahrwold MS, OTR
cac> --
cac> Options?
cac> www.otnow.com/mailman/options/otlist_otnow.com
cac> Archive?
cac> www.mail-archive.com/otlist@otnow.com
cac> --
cac> Options?
cac> www.otnow.com/mailman/options/otlist_otnow.com
cac> Archive?
cac> www.mail-archive.com/otlist@otnow.com
------------------------------
Message: 5
Date: Fri, 16 Jan 2009 19:24:29 -0800 (PST)
From: Audra Ray <audra...@yahoo.com>
Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training
To: OTlist@OTnow.com
Message-ID: <965913.20987...@web45515.mail.sp1.yahoo.com>
Content-Type: text/plain; charset=us-ascii
If this is an activity that is important to the patient and they want to
engage in, then it is OT. Transfers and functional mobility is within the
domain of OT practice.
Audra Ray
--- On Thu, 1/15/09, Ron Carson <rdcar...@otnow.com> wrote:
From: Ron Carson <rdcar...@otnow.com>
Subject: [OTlist] Fn. Mobility ~vs~ Gait Training
To: OTlist@OTnow.com
Date: Thursday, January 15, 2009, 4:36 PM
If an OT facilitates a non-ambulatory patient to transfer to/from her
toilet using a walker is this PT?
If an OT facilitates a patient to walk from their w/c to the toildet,
is this PT?
Thanks,
Ron
--
Ron Carson MHS, OT
Hope Therapy Services, LLC
www.HopeTherapyServices.com
www.OTnow.com
--
Options?
www.otnow.com/mailman/options/otlist_otnow.com
Archive?
www.mail-archive.com/otlist@otnow.com
------------------------------
Message: 6
Date: Fri, 16 Jan 2009 19:28:29 -0800 (PST)
From: Audra Ray <audra...@yahoo.com>
Subject: Re: [OTlist] How About This?
To: OTlist@OTnow.com
Message-ID: <280577.94165...@web45503.mail.sp1.yahoo.com>
Content-Type: text/plain; charset=us-ascii
I would ask the patient what is important to her first of all. Does she
have a caregiver or help? Does she want to be able to do all of her ADLs?
What are her goals?
If left up to me without any further information, I would probably focus on
adaptive techniques for ADLs, independence with transfers, mobility in the
home, social participation.
Audra Ray, OTR/L
--- On Fri, 1/16/09, Ron Carson <rdcar...@otnow.com> wrote:
From: Ron Carson <rdcar...@otnow.com>
Subject: [OTlist] How About This?
To: OTlist@OTnow.com
Date: Friday, January 16, 2009, 3:42 AM
Scenario:
Home health patient with incomplete paraplegia from a spinal
surgery. Exact nature of damage is unknown as is the patient's
recovery potential. The patient wishes to carry out her daily
routine using a walker, as she did prior to her surgery.
The patient has strong UE, weakened trunk and limited use of
her bi-lateral LE's. Prior to her surgery, she ambulated with
a walker and was totally independent.
As her OT, what might be your treatment with this patient?
Thanks,
Ron
--
Ron Carson MHS, OT
www.OTnow.com
--
Options?
www.otnow.com/mailman/options/otlist_otnow.com
Archive?
www.mail-archive.com/otlist@otnow.com
------------------------------
Message: 7
Date: Sat, 17 Jan 2009 07:45:40 -0500
From: Ron Carson <rdcar...@otnow.com>
Subject: Re: [OTlist] How About This?
To: Audra Ray <OTlist@OTnow.com>
Message-ID: <1473020167.20090117074...@otnow.com>
Content-Type: text/plain; charset=windows-1252
The patient verbalizes that she wants to walk. She does NOT want to do
things from a w/c IF she can do them from her walker.
Can OT do this?
----- Original Message -----
From: Audra Ray <audra...@yahoo.com>
Sent: Friday, January 16, 2009
To: OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] How About This?
AR> I would ask the patient what is important to her first of all.
AR> Does she have a caregiver or help? Does she want to be able to do
AR> all of her ADLs? What are her goals?
AR> If left up to me without any further information, I would
AR> probably focus on adaptive techniques for ADLs, independence with
AR> transfers, mobility in the home, social participation.
AR> Audra Ray, OTR/L
AR> --- On Fri, 1/16/09, Ron Carson <rdcar...@otnow.com> wrote:
AR> From: Ron Carson <rdcar...@otnow.com>
AR> Subject: [OTlist] How About This?
AR> To: OTlist@OTnow.com
AR> Date: Friday, January 16, 2009, 3:42 AM
AR> Scenario:
AR> Home health patient with incomplete paraplegia from a spinal
AR> surgery. Exact nature of damage is unknown as is the patient's
AR> recovery potential. The patient wishes to carry out her daily
AR> routine using a walker, as she did prior to her surgery.
AR> The patient has strong UE, weakened trunk and limited use of
AR> her bi-lateral LE's. Prior to her surgery, she ambulated with
AR> a walker and was totally independent.
AR> As her OT, what might be your treatment with this patient?
AR> Thanks,
AR> Ron
AR> --
AR> Ron Carson MHS, OT
AR> www.OTnow.com
AR> --
AR> Options?
AR> www.otnow.com/mailman/options/otlist_otnow.com
AR> Archive?
AR> www.mail-archive.com/otlist@otnow.com
AR>
AR> --
AR> Options?
AR> www.otnow.com/mailman/options/otlist_otnow.com
AR> Archive?
AR> www.mail-archive.com/otlist@otnow.com
------------------------------
Message: 8
Date: Sat, 17 Jan 2009 07:46:54 -0500
From: Ron Carson <rdcar...@otnow.com>
Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training
To: Audra Ray <OTlist@OTnow.com>
Message-ID: <1852958647.20090117074...@otnow.com>
Content-Type: text/plain; charset=windows-1252
What is the difference between "functional mobility" and "gait
training"? Is their a definitive "line" between the two?
----- Original Message -----
From: Audra Ray <audra...@yahoo.com>
Sent: Friday, January 16, 2009
To: OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Fn. Mobility ~vs~ Gait Training
AR> If this is an activity that is important to the patient and they
AR> want to engage in, then it is OT. Transfers and functional
AR> mobility is within the domain of OT practice.
AR> Audra Ray
AR> --- On Thu, 1/15/09, Ron Carson <rdcar...@otnow.com> wrote:
AR> From: Ron Carson <rdcar...@otnow.com>
AR> Subject: [OTlist] Fn. Mobility ~vs~ Gait Training
AR> To: OTlist@OTnow.com
AR> Date: Thursday, January 15, 2009, 4:36 PM
AR> If an OT facilitates a non-ambulatory patient to transfer to/from her
AR> toilet using a walker is this PT?
AR> If an OT facilitates a patient to walk from their w/c to the toildet,
AR> is this PT?
AR> Thanks,
AR> Ron
AR> --
AR> Ron Carson MHS, OT
AR> Hope Therapy Services, LLC
AR> www.HopeTherapyServices.com
AR> www.OTnow.com
AR> --
AR> Options?
AR> www.otnow.com/mailman/options/otlist_otnow.com
AR> Archive?
AR> www.mail-archive.com/otlist@otnow.com
AR>
AR> --
AR> Options?
AR> www.otnow.com/mailman/options/otlist_otnow.com
AR> Archive?
AR> www.mail-archive.com/otlist@otnow.com
------------------------------
Message: 9
Date: Sat, 17 Jan 2009 11:37:07 -0500
From: cmnahrw...@aol.com
Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training
To: OTlist@OTnow.com
Message-ID: <8cb46d8f89b1b4f-194-...@webmail-dy35.sysops.aol.com>
Content-Type: text/plain; charset="us-ascii"
If the patien'ts functional transfer baseline prior to a hospital admit or
new condition?is to use a wheelchair close to the toilet and transfer and
they then desire to continue to use this same method I would practice this
method with them.? However if they want to change this pattern and if the
rehab prognosis is positive and realistic, I certainly would practice
walking to the toilet from their recliner, bed, etc, etc.
Chris
-----Original Message-----
From: Ron Carson <rdcar...@otnow.com>
To: cmnahrw...@aol.com <OTlist@OTnow.com>
Sent: Fri, 16 Jan 2009 7:39 pm
Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training
Chris, will you expand on the following comment: "What does matter is
what method the patient wants to work towards ..."?
Thanks,
Ron
----- Original Message -----
From: cmnahrw...@aol.com <cmnahrw...@aol.com>
Sent: Friday, January 16, 2009
To: OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Fn. Mobility ~vs~ Gait Training
cac> It is certainly not PT.? Our goal as OTs?is to faciliate a
cac> positive outcome in a patient's independence in the activiites
cac> that occupy a person's life.? Getting to the toilet is certainly
cac> one of those activiites that a person usually wants to do for
cac> themselves.? Whether walking to the toilet or transferring, in my
cac> opinion it does not matter.? What does matter is what method the
cac> patient wants to work towards and what the realistic rehab
cac> potential of accomplishing the goal through this choosen method.?
cac> Chris Nahrwold? MS, OTR
--
Options?
www.otnow.com/mailman/options/otlist_otnow.com
Archive?
www.mail-archive.com/otlist@otnow.com
------------------------------
Message: 10
Date: Sat, 17 Jan 2009 11:44:38 -0500
From: cmnahrw...@aol.com
Subject: Re: [OTlist] How About This?
To: OTlist@OTnow.com
Message-ID: <8cb46da05ae1eef-194-...@webmail-dy35.sysops.aol.com>
Content-Type: text/plain; charset="us-ascii"
Can she stand and walk at all? Since her goal is not to complete her
occupations from the wheelchiar, I would certainly make every attempt to
adapt her environment and practice and adapt?her activities with that
desired goal in mind.? Hard to answer without actually seeing the patient
for real.? I guess the real question is do you think that this is a
realistic goal for her at this stage in the game?? If not then you have the
tough job of explaining realistic versus unrealistic goals in the current
stage of her recovery.
Chris
-----Original Message-----
From: Ron Carson <rdcar...@otnow.com>
To: cmnahrw...@aol.com <OTlist@OTnow.com>
Sent: Fri, 16 Jan 2009 7:41 pm
Subject: Re: [OTlist] How About This?
Yes, the patient can move her legs. There are no clear-cut answers on
the rehab potential. The patient can already slide-board transfer.
What if the patient doesn't want to learn from the w/c level?
----- Original Message -----
From: cmnahrw...@aol.com <cmnahrw...@aol.com>
Sent: Friday, January 16, 2009
To: OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] How About This?
cac> What do you mean by "limited bi-lateral LE's"?.? Can she move
cac> them at all?? If she has no control in her LEs at all I would do the
following:
cac> 1) Find out what the patient's?damage is and the
cac> possible?recovery potential by calling the surgeon's office.
cac> 2)Teach and train?her to compensate through the use of slide
cac> board and sit pivot transfers until swelling in her back goes
cac> down and hopefully function in her LEs returns.
cac> 3) Teach and train occupations from the wheelchair level until?
cac> hopefully more?function in her LEs return..
cac> 4) DME and AE recommendations
cac> Chris Nahrwold MS, OTR
cac> --
cac> Options?
cac> www.otnow.com/mailman/options/otlist_otnow.com
cac> Archive?
cac> www.mail-archive.com/otlist@otnow.com
cac> --
cac> Options?
cac> www.otnow.com/mailman/options/otlist_otnow.com
cac> Archive?
cac> www.mail-archive.com/otlist@otnow.com
--
Options?
www.otnow.com/mailman/options/otlist_otnow.com
Archive?
www.mail-archive.com/otlist@otnow.com
------------------------------
Message: 11
Date: Sat, 17 Jan 2009 11:59:06 -0500
From: cmnahrw...@aol.com
Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training
To: OTlist@OTnow.com
Message-ID: <8cb46dc0ab744e7-194-...@webmail-dy35.sysops.aol.com>
Content-Type: text/plain; charset="us-ascii"
To me functional mobility is the process of getting to point A to point B
regardless of compensation techniqes in the context of an activity or a
desired functional outcome.? Just the other day I had a patient who wanted
to cook and set the table for her family, to achieve this desired outcome a
walker tray had to implemented with further practice of safe strategies.?
Just the other day I had a hip replacement patient who wanted to be able to
get to the bathroom safely without breaking her hip precautions, so? raised
toilet was implemented with further practice of safe strategies.
Gait training is when a therapist observes a patient's gait and objectively
determines what movement functions?cause the patient to walk "abnormally".?
They then use therapeutic techniques to faciliate a normal gait pattern.? I
see this being used by PT in neurological rehabilitation.?
Chris
-----Original Message-----
From: Ron Carson <rdcar...@otnow.com>
To: Audra Ray <OTlist@OTnow.com>
Sent: Sat, 17 Jan 2009 7:46 am
Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training
What is the difference between "functional mobility" and "gait
training"? Is their a definitive "line" between the two?
----- Original Message -----
From: Audra Ray <audra...@yahoo.com>
Sent: Friday, January 16, 2009
To: OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Fn. Mobility ~vs~ Gait Training
AR> If this is an activity that is important to the patient and they
AR> want to engage in, then it is OT. Transfers and functional
AR> mobility is within the domain of OT practice.
AR> Audra Ray
AR> --- On Thu, 1/15/09, Ron Carson <rdcar...@otnow.com> wrote:
AR> From: Ron Carson <rdcar...@otnow.com>
AR> Subject: [OTlist] Fn. Mobility ~vs~ Gait Training
AR> To: OTlist@OTnow.com
AR> Date: Thursday, January 15, 2009, 4:36 PM
AR> If an OT facilitates a non-ambulatory patient to transfer to/from her
AR> toilet using a walker is this PT?
AR> If an OT facilitates a patient to walk from their w/c to the toildet,
AR> is this PT?
AR> Thanks,
AR> Ron
AR> --
AR> Ron Carson MHS, OT
AR> Hope Therapy Services, LLC
AR> www.HopeTherapyServices.com
AR> www.OTnow.com
AR> --
AR> Options?
AR> www.otnow.com/mailman/options/otlist_otnow.com
AR> Archive?
AR> www.mail-archive.com/otlist@otnow.com
AR>
AR> --
AR> Options?
AR> www.otnow.com/mailman/options/otlist_otnow.com
AR> Archive?
AR> www.mail-archive.com/otlist@otnow.com
--
Options?
www.otnow.com/mailman/options/otlist_otnow.com
Archive?
www.mail-archive.com/otlist@otnow.com
------------------------------
Message: 12
Date: Sat, 17 Jan 2009 19:35:44 -0500
From: Ron Carson <rdcar...@otnow.com>
Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training
To: "cmnahrw...@aol.com" <OTlist@OTnow.com>
Message-ID: <1054380621.20090117193...@otnow.com>
Content-Type: text/plain; charset=windows-1252
But, what if they can't currently walk? Would you teach them to walk?
----- Original Message -----
From: cmnahrw...@aol.com <cmnahrw...@aol.com>
Sent: Saturday, January 17, 2009
To: OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Fn. Mobility ~vs~ Gait Training
cac> I certainly would practice walking to the toilet from their
cac> recliner, bed, etc, etc.
------------------------------
Message: 13
Date: Sat, 17 Jan 2009 19:38:38 -0500
From: Ron Carson <rdcar...@otnow.com>
Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training
To: "cmnahrw...@aol.com" <OTlist@OTnow.com>
Message-ID: <428977110.20090117193...@otnow.com>
Content-Type: text/plain; charset=windows-1252
I like your definitions.
In the two cases you mention, the patients are already ambulatory.
What if they weren't and still wanted to achieve the same outcomes?
----- Original Message -----
From: cmnahrw...@aol.com <cmnahrw...@aol.com>
Sent: Saturday, January 17, 2009
To: OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Fn. Mobility ~vs~ Gait Training
cac> To me functional mobility is the process of getting to point A to
cac> point B regardless of compensation techniqes in the context of an
cac> activity or a desired functional outcome.? Just the other day I
cac> had a patient who wanted to cook and set the table for her
cac> family, to achieve this desired outcome a walker tray had to
cac> implemented with further practice of safe strategies.? Just the
cac> other day I had a hip replacement patient who wanted to be able
cac> to get to the bathroom safely without breaking her hip
cac> precautions, so? raised toilet was implemented with further
cac> practice of safe strategies.
cac> Gait training is when a therapist observes a patient's gait and
cac> objectively determines what movement functions?cause the patient
cac> to walk "abnormally".? They then use therapeutic techniques to
cac> faciliate a normal gait pattern.? I see this being used by PT in
cac> neurological rehabilitation.?
cac> Chris
------------------------------
Message: 14
Date: Sat, 17 Jan 2009 20:03:23 -0600
From: "Beth Woodcock" <cota2...@newwavecomm.net>
Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training
To: <OTlist@OTnow.com>
Message-ID: <d0c14eb33c0c484fb5982140b5223...@bethslaptop>
Content-Type: text/plain; format=flowed; charset="iso-8859-1";
reply-type=original
Myself, I feel as though this is when PT and OT become a team and tackle
these things together. I work on functional transfers starting with stand
pivot and try to build on those skills daily. If it is important to the
patient, and that's their central focus, then I feel it is my job to assist
with regaining those skills. I am not going to step on PT's toes in any
way...I am pleased to say that as a first year student my PT coworkers have
been very instrumental in my understanding of PT vs. OT and only wish that
all facilities could find a way to build a team rather than look for any
excuse to draw the line in the sand. My coworkers are very secure in their
role and we work together for the good of the patient. I don't want to
sound
like a newbie with rose colored glasses on, I just feel blessed that I get
to work closely with PT and we are able to get our patients the holistic
treatment they so need and deserve...
I love this list, I look forward to reading it, but it seems that it always
comes back to the PT vs OT debate rather than the educational tool I was
looking for when I signed up. I would love to hear from some practitioners
that share my experience...am I alone in this???
Beth W. COTA/L
------------------------------
Message: 15
Date: Sun, 18 Jan 2009 14:29:45 -0500
From: cmnahrw...@aol.com
Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training
To: OTlist@OTnow.com
Message-ID: <8cb47ba41019318-d14-...@webmail-mz01.sysops.aol.com>
Content-Type: text/plain; charset="us-ascii"
I don't have a direct answer to that.? I guess it depends on where your
level of expertise falls in this area.? I have it easy, because I work with
an amazing group of PTs who teach me on each patient how they want them to
walk.? That way I can help the patient receive the much needed practice in
this area,but at the same time I can consult with the PT since I did not
have this area taught in school.? I always attempt to complete the sit to
stands and the low level functional mobility in a context of an occupation
that the patient has determined important a) walking to dresser to gather
clothes b) walking to the toilet to complete toileting c) walking to the
dining room chair for meal time. It is then amazing when the patient can
perform the functional mobility, and then carryout out the occupation!.?
Ninety nine percent of the time when I ask a patient what their goals are
for rehab they state to "walk better".? I then ask them why they want to
walk better.? They often look at me strangely and then state so I can get
to the kitchen and cook, do the laundry, go out to eat with my friends, etc
etc.? The occupational goals nearly write themselves.
Chris Nahrwold MS, OTR
-----Original Message-----
From: Ron Carson <rdcar...@otnow.com>
To: cmnahrw...@aol.com <OTlist@OTnow.com>
Sent: Sat, 17 Jan 2009 7:38 pm
Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training
I like your definitions.
In the two cases you mention, the patients are already ambulatory.
What if they weren't and still wanted to achieve the same outcomes?
----- Original Message -----
From: cmnahrw...@aol.com <cmnahrw...@aol.com>
Sent: Saturday, January 17, 2009
To: OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Fn. Mobility ~vs~ Gait Training
cac> To me functional mobility is the process of getting to point A to
cac> point B regardless of compensation techniqes in the context of an
cac> activity or a desired functional outcome.? Just the other day I
cac> had a patient who wanted to cook and set the table for her
cac> family, to achieve this desired outcome a walker tray had to
cac> implemented with further practice of safe strategies.? Just the
cac> other day I had a hip replacement patient who wanted to be able
cac> to get to the bathroom safely without breaking her hip
cac> precautions, so? raised toilet was implemented with further
cac> practice of safe strategies.
cac> Gait training is when a therapist observes a patient's gait and
cac> objectively determines what movement functions?cause the patient
cac> to walk "abnormally".? They then use therapeutic techniques to
cac> faciliate a normal gait pattern.? I see this being used by PT in
cac> neurological rehabilitation.?
cac> Chris
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