Thanks, Sue, for providing some specifics. I understand the need for functional tx that is specific to the patient! I just need some more specific, concrete ideas about how others do this in the clinic environment. With productivity demands it is even difficult for me to spend time in a patient's room alone with them. I seem to be the ONLY OT in my department who takes the time to do ADLs with some of my patients.
So I am looking for more concrete ideas and less philosophical ranting. I do get that part. I know venting is necessary sometimes, but I joined this list to get more specific ideas to help with my tx planning and so that is why I asked the question. Thanks, Barb Howard COTA ----- Original Message ----- From: "Sue Doyle" <sue...@hotmail.com> To: otlist@otnow.com Sent: Friday, February 13, 2009 7:46:09 AM GMT -05:00 US/Canada Eastern Subject: Re: [OTlist] The Saddest OT Statement I've Ever Heard I am the lead therapist in an inpatient rehab center. We focus on the clients goals and predominantly use functional tasks. Even spent the afternoon knitting and compiling emails with a patient. I have a carburetor that I have had out several times for some of the men to work on as their goal has been to go back to working on their car. Sue D > From: spark...@rcn.com > To: OTlist@OTnow.com > Date: Thu, 12 Feb 2009 19:46:44 -0500 > Subject: Re: [OTlist] The Saddest OT Statement I've Ever Heard > > I do not have alot of experience yet ...I am still a student, but I have been > in places that simply sit patients up at tables and gave them something to do > that may or may not be functional for them specifically. For example, a > patient may get something out of cognitively out of sorting colored pegs on a > peg board but is has no meaning to their life. Our challenge as professionals > is to dig deeper and find something that we can do to reach the same goal but > make it applicable to the patients life. However, I understand this has been > all but impossible in many rehabs because of productivity demands. I happen > to be in a rehab setting that is more flexible because the we smaller and it > is acute rehab vs. SNF. I cannot judge how other places are run, in fact, I > do feel I am in a unique facility and although I may never be employed there, > I will take this experience with me wherever I go. ADL's are the first > priority and ususaly what the patients say are goals for themselves but we > can make meals, simulate homemaking activites, and the list goes on..the > point is that is has some functional application to the patient...so it is > always different and changing. > > -----Original Message----- > From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com]on > Behalf Of bbh1...@comcast.net > Sent: Thursday, February 12, 2009 19:06 > To: OTlist@OTnow.com > Subject: Re: [OTlist] The Saddest OT Statement I've Ever Heard > > > > > How about sharing some specifics - some typical tx sessions. > > When you say adult rehab, do you mean outpatient,..home health...? > > > > This is becoming a mantra - Productivity requirements impose cookie cutter > approaches. > > Therapists are caught in the middle and many give up swimming upstream. I > haven't given up, but > > I know I have to go elsewhere to accomplish this. I'd like to run my own > department someday, but > > I want to learn as much as I can specifically about functional treatment, > that is, in addition to doing ADLs > > with patients. > > Any info would be appreciated. > > Barb Howard, COTA > > > > > ----- Original Message ----- > From: "Diane Randall" <spark...@rcn.com> > To: OTlist@OTnow.com > Sent: Thursday, February 12, 2009 6:31:35 PM GMT -05:00 US/Canada Eastern > Subject: Re: [OTlist] The Saddest OT Statement I've Ever Heard > > Wow..I am interning in adult rehab right now and UE therex is only used for > people who really need it. Been there six weeks and everything revolves > around function. > > -----Original Message----- > From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com]on > Behalf Of Ron Carson > Sent: Wednesday, February 11, 2009 18:40 > To: OTlist@OTnow.com > Subject: [OTlist] The Saddest OT Statement I've Ever Heard > > > Today, I met a new PT assistant who was just starting with our home > health company. He was just finishing with a patient as I was starting > my evaluation. The PTA came from 20 years of geriatric rehab and rehab > experiences. > > About 1/2 through my eval he said to me, and I quote: "I'm not use to > OT's working on functional things". He went on to say that at his rehab > facility, the OT's mainly did UE exercises. > > "Living life to the fullest". What a crock! > > 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 > > > > -- > 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 > > > > -- > 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 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
