I am with you about the UE problem in rehab but I really need to know how we 
can fix this...I have 14 patients to see within 6 hours, some are ADL's but I 
cannot have one on one treatments most of the time. I cannot do a shower 
transfer and have 6 patients waiting in the gym. I am kind of at a loss and 
wondering what a typical gym SNF would look like in ideal circumstances. I 
think a lot of blame is one therapists when we are the ones in the trenches 
just trying to get the minutes in and figuring out how to do it and it is the 
corporate structure that has forced UE rehab into the SNFs as a majority 
treatment by packing the gym full of patients each day. Home health is totally 
different. There is so much you can do one on one especially within the home. I 
am doing my best and frankly...I am Peds is my first love and I will be dong 
outpatient one on one in a a clinic full-time by sept. I will continue PRN in 
the SNF but it is overwhelming at times.

-----Original Message-----
From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com]on
Behalf Of cmnahrw...@aol.com
Sent: Thursday, July 23, 2009 18:02
To: OTlist@OTnow.com
Subject: Re: [OTlist] Vision ~vs~ Reality


Well put Shirley!  I wish all OTs would have an understanding of their 
own profession.  You seem to understand the concept, and you are not 
even in the profession.  What has Ron done in his treatment sessions 
with your daughter that has made the most impact for her well being and 
her independence?  Thank you so much for sharing your insight.

Chris Nahrwold

-----Original Message-----
From: shirley roberson <lrih...@yahoo.com>
To: OTlist@OTnow.com
Sent: Thu, Jul 23, 2009 7:40 am
Subject: Re: [OTlist] Vision ~vs~ Reality

Unfortunatly I probably would not have been inpressed.  I say that 
because we had OT's in the hospital and in rehab, they did just what 
you explained....focused on the upper extremities and it did not help 
my daughter very much.  By that I mean it did not help her to get back 
to the normal way of doing things, it did not put her whole body 
together.  I know that sounds a little unprofessional, but that's the 
way I see it.  Seems when a patient, especially like my daughter,  has 
been in bed for so long, they have forgotten how everything works 
together.
Shirley

--- On Thu, 7/23/09, Ron Carson <rdcar...@otnow.com> wrote:


From: Ron Carson <rdcar...@otnow.com>
Subject: Re: [OTlist] Vision ~vs~ Reality
To: "shirley roberson" <OTlist@OTnow.com>
Date: Thursday, July 23, 2009, 7:41 AM


Shirley,  what  if  I  did  OT  the way past20OT's had done? If I focused
treatment  on  the upper extremity would you still say "we are beginning
to see how well OT works for our loved ones"?

Just  to  remind  everyone,  Shirley is the mother of a patient that I'm
seeing. She has been exposed to a LOT a therapy.


----- Original Message -----
From: shirley roberson <lrih...@yahoo.com>
Sent: Wednesday, July 22, 2009
To:   OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Vision ~vs~ Reality

sr> Ron,
sr>  
sr> Maybe somehow you could inform the public..?  I sure have learned
sr> about OT this past year.   I know this week when I told my
sr> son-in-law to contact the agency and ask for you, he was given first
sr> a CNA and then a PT, but I had to have him call again to get you,
sr> the OT.  It seems that as patients and family we are beginning to
sr> see how well OT works for our loved ones, but for whatever reason,
sr> the agencies want to send out personnel as ie: 1,2,3 and the OT 
seems to be 3.

sr> Shirley



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