Hey Chris, no need to apologize, even if you are being critical. I like
to believe that these on-line discussion hone my actual practice
patterns!! Now, on with the discussion...
##################################################################
Working ON occupation ~vs~ Working TOWARDS occupation: What's the
difference?
##################################################################
When working ON occupation, I maintain that occupation-based practice is
a straight line from goal to intervention. Along that line, there may be
any number of specific intervention, but the line is never broken
between treatment and goal. Thus, when I'm working on standing balance
for a patient that can't stand at the toilet, I'm working on the line
between occupation and treatment.
Working TOWARDS occupation is not so direct an approach. Working towards
something is "vague" and nondescript. It's the notion that "if I improve
standing balance" the patient will be better able to stand at the
toilet. This approach is NOT unique to OT and is used by most
therapy-type professions. When working TOWARDS occupation, occupation is
not necessarily the goal. This is evident when a goal is written like:
"Patient will increase right elbow range of motion to 120 active flexion
to allow for brushing of hair".
GREAT discussion!!
Thanks,
Ron
--
Ron Carson MHS, OT
www.OTnow.com
----- Original Message -----
From: cmnahrw...@aol.com <cmnahrw...@aol.com>
Sent: Sunday, February 08, 2009
To: OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] From Standing to Toilet Transfers
cac> You may say that you are working on occupation from the beginning
cac> of the session to the end, but it sure sounds to me that you are?at
cac> times?working towards an occupation, especially in the beginning of
cac> the treatment process.? You state that at several times you worked
cac> on sit to stands, standing, and ambulating with the patient.? In my
cac> book those are foundational skills of an occupation.that got the
cac> patient to the point in which they could actually practice their
cac> goal of getting on and off the commode to toilet.? Without these
cac> core foundational skills of an occupation?the client would not have
cac> made it off the bed or out of the chair and would be laying on the
cac> floor with a dirty pair of slacks.? I am by no means criticizing
cac> your treatment plan, because I would have done the same thing.
cac> Archive?
cac> www.mail-archive.com/otlist@otnow.com
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