Hi, I work in a small community hospital where we have 4 OT's and 1 Speech Therapist. We are trying to inquire with various OT's as to their experience/hospital policy with performing swallow evaluations. We have occasions where our Speech Therapist is gone, and a swallow evaluation is put through. We are questioning if other hospitals have their occupational therapist perform the swallow eval or do they find a PRN/contract speech therapist to complete this.
Thanks, Miranda > Date: Mon, 23 Feb 2009 12:17:21 -0500 > From: rdcar...@otnow.com > To: OTlist@OTnow.com > Subject: Re: [OTlist] The Timing of OT... > > Hey Chris: > > Base on my limited time with the patient and his mother, I think they > are very knowledgeable about strengthening. The mother was very matter of > fact in stating that her son was beginning to dwindle down. In fact, the > the patient's form of muscular dystrophy is genetic and his father died > from the disease and his sister also has it. All and all, I think they > have a good handle on his disease but not on OT. At least I wasn't able > to convince him to focus on occupation. Interestingly, the > patient/caregiver stated how much progress PT was making by teaching the > patient better bed mobility. > > I don't know, the entire situation is confusing to me!! > > Ron > > ----- Original Message ----- > From: cmnahrw...@aol.com <cmnahrw...@aol.com> > Sent: Saturday, February 21, 2009 > To: OTlist@OTnow.com <OTlist@OTnow.com> > Subj: [OTlist] The Timing of OT... > > cac> It is ironic though that the man has muscular dystrophy though and > cac> wants to focus only on PT. I wonder if the man realizes the > cac> progression of his disease and how aggressive strength training can > cac> cause problems. It seems as though the man is in denial about his > cac> disease and wants to fight it by building up his body, but in reality > cac> the nature of his disease will most likely force him to compensate > cac> during his daily occupations. This would be the perfect oppurtunity > cac> for early OT to pave the way for this man's unfortunate future to help > cac> in his quality of life. I have a feeling that this man will encounter > cac> OT again in the future ,but this time he will have a new appreciation > cac> for our role. A strong educational program including the neurologist, > cac> PT, psycologist, and nursing would alleviate this problem in educating > cac> this man on the common progression of the disease and how an OT can > cac> help with the occupational issues for the future. > > cac> -----Original Message----- > cac> From: Ron Carson <rdcar...@otnow.com> > cac> To: Mary Alice Cafiero <OTlist@OTnow.com> > cac> Sent: Sat, 21 Feb 2009 8:03 am > cac> Subject: Re: [OTlist] The Timing of OT... > > cac> Hello Mary Alice: > > cac> Let me be the 1st to say "Thanks" for writing. I understand what you > cac> mean about taking time to write and then not getting any responses. But, > cac> such is the nature of listserves!<smile>. > > cac> I think you've touched on at least ONE area that can frustrate the OT > cac> process. IF an OT is focused on improving occupation but the patient is > cac> focused on improving strength/ROM there is inconsistency. Notice that I > cac> say FOCUS because as you correctly identified, improving occupation > cac> usually results in improving the underlying impairments. But in this > cac> case, the patient stated he was doing all he could. > > cac> OT is a "bizzaro" world! <smile> > > cac> Ron > > cac> ----- Original Message ----- > cac> From: Mary Alice Cafiero <m...@mac.com> > cac> Sent: Saturday, February 21, 2009 > cac> To: OTlist@OTnow.com <OTlist@OTnow.com> > cac> Subj: [OTlist] The Timing of OT... > > MAC>> I think that patients often equate PT not only with walking, but > cac> also > MAC>> with strengthening. It seems they often feel that the majority of > MAC>> their problems doing things are because of weakness. If they can > cac> just > MAC>> get stronger, all else will fix itself. I can see this especially > MAC>> being true with a diagnosis like MS or other progressive > cac> neuromuscular > MAC>> disease. > > MAC>> We, as OTs, can clearly see that learning to do the things you > cac> need to > MAC>> do for yourself has inherent value. It also ends up addressing > MAC>> strengthening without doing a straight exercise program. I tend to > > MAC>> think that patients often prescribe to the "no pain, no gain" > cac> theory > MAC>> and feel that they have to do multiple reps of an exercise in > cac> order to > MAC>> address weak muscles. > > MAC>> My two cents. I'll be curious to see if anyone responds. The > cac> majority > MAC>> of times that I post a response on this board, no one directly > MAC>> responds, and my answers just get shuffled over. Not sure of the > MAC>> reason for that, but it is certainly frustrating. Makes me > cac> reluctant > MAC>> to post because it doesn't seem to add to or lead to further > cac> discussion. > > MAC>> Mary Alice > > MAC>> Mary Alice Cafiero, MSOT/L, ATP > MAC>> m...@mac.com > MAC>> 972-757-3733 > MAC>> Fax 888-708-8683 > > MAC>> This message, including any attachments, may include confidential, > > MAC>> privileged and/or inside information. Any distribution or use of > cac> this > MAC>> communication by anyone other than the intended recipient(s) is > MAC>> strictly prohibited and may be unlawful. If you are not the > cac> recipient > MAC>> of this message, please notify the sender and permanently delete > cac> the > MAC>> message from your system. > > > > > > MAC>> On Feb 21, 2009, at 1:21 AM, Ron Carson wrote: > > >>> I had an interesting experience that I want to share. > >>> > >>> Last week, I evaluated a middle-aged man with muscular dystrophy. He > > >>> had > >>> recently moved back home with his parent and was started on home > >>> health. > >>> > >>> The man essentially told me that there was nothing I could do for > >>> him. > >>> He said that PT was all he needed. I explained that as an OT, my job > > >>> was > >>> to teach him to take care of himself as much as possible and > >>> desired. > >>> But, he still felt that PT is what he needed. > >>> > >>> I am really perplexed as to why someone might value PT instead of > >>> OT? I > >>> have some ideas, which I'll share, but I hope readers are > >>> willing to > >>> discuss this situation. > >>> > >>> 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 > > MAC>> -- > MAC>> Options? > MAC>> www.otnow.com/mailman/options/otlist_otnow.com > > MAC>> Archive? > MAC>> 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 > > > > 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 _________________________________________________________________ Access your email online and on the go with Windows Live Hotmail. http://windowslive.com/online/hotmail?ocid=TXT_TAGLM_WL_HM_AE_Access_022009 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
