"My concern in this is that you ONLY mention and UE program. If general conditioning prevented the patient from performing occupation, why limit it only to the UE?"
Being that I am new to this and my employment forces me to live in "UE therex" land....perhaps you could give me an indication as to what I can do with this person. Others more experienced than me in the dept go with the flow. He is 500 pounds...can now walk about 50ft with someone following him in a W/C and he is able to stand aboout 2-3 min in a RW. I have done all ADL's..and although he is able to life weights in all planes he does not have the arm length to bipass his midsection to do LE dresssing. He has serious LE PN issues so he cannot use a sock aid. he has refused both a dressing stick and reacher. I have done transfers with him from W/C to bed, W/C to toilet, W/C to shower I have done standing tolerance...he likes to draw so I have him stand in front of a white boards and he draws murals for the department. He does W/C pushups. He lives alone, rarely ever left his home due to his weight, microwaves all his meals, and lives on disbaility. -----Original Message----- From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com]on Behalf Of Ron Carson Sent: Sunday, July 12, 2009 22:08 To: Diane Randall Subject: Re: [OTlist] Why OT's Should NOT Focus on the UE My concern in this is that you ONLY mention and UE program. If general conditioning prevented the patient from performing occupation, why limit it only to the UE? For me, general phy-dys practitioner's focus on the UE while disregarding the rest of the body severely hampers our professional autonomy. We MUST break free from the mold of being UE therapists! Ron ----- Original Message ----- From: Diane Randall <spark...@rcn.com> Sent: Sunday, July 12, 2009 To: OTlist@OTnow.com <OTlist@OTnow.com> Subj: [OTlist] Why OT's Should NOT Focus on the UE DR> I see your point...I was mistaken if I implied in my very first post that I DR> told the patient that he needed UE program in order to transfer. It was DR> justified to increase his overall conditioning. My inital reason for the DR> post was to point out that sometimes our patients assume the things we do in DR> the gym are "therapy" and the functional ADL's are just extras we do...which DR> of course is the very opposite. -- 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
