Diane,
Can you work on creating a schedule board for the department. This is
what we use in rehab, and it works out well. With fourteen patients
you can have one group treatment (3-4 pateints) once a day focusing on
a general conditioning program for an hour or so. This group wuld
rotate every day so only 25% of the time is devoted to group therapy
per week. You then would have five hours to see the rest of other ten
patients in which you can double and work on personal occupations.
would only work if you have a rehab tech though, or you will be using
all of your time seeking patients, and we all know how that works.
-----Original Message-----
From: Diane Randall <spark...@rcn.com>
To: OTlist@OTnow.com
Sent: Thu, Jul 23, 2009 9:21 pm
Subject: Re: [OTlist] Vision ~vs~ Reality
The problem that I have noticed is that there is no set time where I am
at.
Patients just start showing up at random. Sometimes I have to go get
them
myself. I never know when someone will arrive and I can have six or
more at
a time in the gym that I have to share with PT and Speech. I am right
out of
school and certainly not superwoman. One or two at a time is managable
but
SIX. It is not that I think I would be fired for doing the right thing,
I
just just think it is darn near impossible with the way everything is
set
up. I have only been doing this a month. I think I
am looking forward to
working in Peds.
-----Original Message-----
From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com]on
Behalf Of shirley roberson
Sent: Thursday, July 23, 2009 20:21
To: OTlist@OTnow.com
Subject: Re: [OTlist] Vision ~vs~ Reality
Diane, I do know how demanding your work is in rehab. I have seen the
OT's
and PT's running around trying to get to everyone. The trouble with it
from
the patients side is when one of them comes to your room (with no set
time
given) and the patient is not ready, off they go never to return that
day.
If the patient is mobile, they can come to the therapy room and "wait"
until
someone can get to them, jumping back and forth between other patients.
There is no continuity of treatment. This is not your fault, I am not
blaming any therapist. I blame the system that is so greedy to get the
dollars that they sacrifice the patient and do not allow the
professionals
to do their job correctly. It really makes me angry.
I really do not know or have any idea how you could change that. If you
tried to do what you know is right, you would probably get fired.
Chris, When Ron first came to my daughters home, he sat done and talked
with us about what Susan wanted to accomplish and how he would go about
it.
He also stated, very kindly I might add, that if in 3 or 4 weeks he
didn't
see
that she was progressing or was not trying, he would feel that he
needed
to discharge her. I don't know if it got my daughters attention, but it
sure got mine! I believe that you need to have people, family, whoever,
interested in the progress of the patient. That being said, Ron
developed a
relationship with her. She saw that he wanted her to get better and he
worked very hard for a full hour with her 5 days a week for over 3
months.
He didn't let her slack, reprimanded her when she balked some. Had her
trying to do things that she would be doing when he is gone. Gives her
cognition tests to see where she is mentally. In other words, he is
working
to get her better all around. The family gives credit to Susan
coming so far to the treatment that has come from Ron. He does
whatever he
thinks will help. The balancing ball, the standing disc, walking,
getting
up from the bed and chair, playing catch, talking and listening when
she is
down, you name it, I think Ron has tried it...
I commend all of you for trying to find ways to do your job better for
the
help of others......My thanks go to all of you..
Shirley
--- On Thu, 7/23/09, Diane Randall <spark...@rcn.com> wrote:
From: Diane Randall <spark...@rcn.com>
Subject: Re: [OTlist] Vision ~vs~ Reality
To: OTlist@OTnow.com
Date: Thursday, July 23, 2009, 6:24 PM
0D
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=2
0treatment 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: otl...@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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