You may say that you are working on occupation from the beginning of the session to the end, but it sure sounds to me that you are?at times?working towards an occupation, especially in the beginning of the treatment process.? You state that at several times you worked on sit to stands, standing, and ambulating with the patient.? In my book those are foundational skills of an occupation.that got the patient to the point in which they could actually practice their goal of getting on and off the commode to toilet.? Without these core foundational skills of an occupation?the client would not have made it off the bed or out of the chair and would be laying on the floor with a dirty pair of slacks.? I am by no means criticizing your treatment plan, because I would have done the same thing.
-----Original Message----- From: Ron Carson <rdcar...@otnow.com> To: cmnahrw...@aol.com <OTlist@OTnow.com> Sent: Sun, 8 Feb 2009 8:36 pm Subject: Re: [OTlist] From Standing to Toilet Transfers Chris, I want to make a clarification about the below text. When I first evaluated the patient, she stated that she wanted to be able to walk to her bathroom and use the toilet. I do not consider that I worked on "foundational skills" to work towards and "occupational goal". Instead, I work on occupation from the beginning to the end of my treatment duration. To me, this IS the hallmark difference between OT and PT. PT may work on mobility so that a patient can get to the toilet, but OT works on getting the patient to the toilet. Some people say this distinction is arbitrary and is primarily semantics. However, for me, it is FUNDAMENTAL to being an OT. I don't want to step on toes, but to me, working on "foundational skills" to improve occupation is no different that what PT does. It makes no difference if it's an arm or a leg. Thanks, Ron -- Ron Carson MHS, OT www.OTnow.com ----- Original Message ----- From: cmnahrw...@aol.com <cmnahrw...@aol.com> Sent: Wednesday, February 04, 2009 To: OTlist@OTnow.com <OTlist@OTnow.com> Subj: [OTlist] From Standing to Toilet Transfers cac> I view hand therapy and stroke rehabilitation in the same light. cac> Working on the foundational skills in order to work towards an occupatioanal goal. cac> Chris Nahrwold MS, OTR -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
