Miranda,
What occupations does the patient desire to improve on?
Chris
-----Original Message-----
From: Miranda Hayek <mltaylo...@hotmail.com>
To: otlist@otnow.com
Sent: Tue, Jul 14, 2009 7:00 pm
Subject: Re: [OTlist] Why OT's Should NOT Focus on the UE
I find the information being shared between Diane and others is
helpful. I too am new to the profession and feel that we learn
interventions/treatments on the job (my schooling taught me the theory
of OT more than hands on!). At my job I learn from the other
therapists, and find our afternoon treatments involve dowel, theraband
exercises. Morning treatments involve ADL's. (acute and skilled
hospital setting). We are also limited on our space for opportunities
for more home management or other activities. So was wondering if
anyone can provide some examples of treatments they do with their
patients. Generally my patients are in the hospital for TKA, THA, CVA
(mild-mod), deconditioned due to pneumonia, etc.
Thanks.
From: spark...@rcn.com
To: OTlist@OTnow.com
Date: Mon, 13 Jul 2009 12:30:41 -0400
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?"
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.
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