Re: [OTlist] Best Practice
I think all of the described professions all facilitate function for their particular scope of practice.? As OTs we can facilitate function for a particular personal occupational goal.? The beauty of it comes when the patient can actually perform their desired goal.? The actual activity goal can also be used as a therapetic means to acheive the personal occupational goal, if the patient is at the point in which this is beneficial from a therapeutic point of view (ie I wouldn't have a patient work on buttoning a shirt with both hands if their hand is completely flaccid, because this would be a?waste of time.? Instead I would use compensation and restorative tecniques unil the actual goal of the patient can be practiced). Chris Nahrwold MS, OTR -Original Message- From: Ron Carson <[EMAIL PROTECTED]> To: [EMAIL PROTECTED] Sent: Wed, 29 Oct 2008 9:46 am Subject: Re: [OTlist] Best Practice Chris, unfortunately I don't have time to respond in length but let me quickly say this. If we extrapolating out the contention that FOCUSED work at the component level to facilitate function is considered OT, then many different professions are doing OT! PT, RT, RN, Surgeon, etc all focus treatment at the component level with the belief that increased component-level function will increase overall function. Ron -- Ron Carson MHS, OT - Original Message - From: [EMAIL PROTECTED] <[EMAIL PROTECTED]> Sent: Wednesday, October 29, 2008 To: OTlist@OTnow.com Subj: [OTlist] Best Practice Ron>> And, I do not think? a? therapist? can? mentally? switch? from? Ron>> component? level? to occupation? level? treatment. Maybe I'm Ron>> wrong, but I think it's one or the other. cac> But in your case study you are switching back and forth from the cac> component level to eventually the occupational level.? Standing cac> tolerance=component level (cardiovasular, quad strength, static cac> standing balance).? Ambulation=componet level (cardiovascular, quad cac> strength both concentric and eccentric contractions, dynamic cac> balance).? All of this was leading to the individual's personal cac> occupational goal. cac> In my case study I was switching back and forth from the component cac> level to eventually the occupational level.? Estim to the digit cac> extensors=component level (facilitation of the neural pathway to cac> enhance neuroplasticity which in turn leads to digit extensor strength cac> and control).? All of this leading? to the individual's personal cac> occupational goal. cac> Chris Nahrwold MS, OTR 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 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Best Practice
Chris, unfortunately I don't have time to respond in length but let me quickly say this. If we extrapolating out the contention that FOCUSED work at the component level to facilitate function is considered OT, then many different professions are doing OT! PT, RT, RN, Surgeon, etc all focus treatment at the component level with the belief that increased component-level function will increase overall function. Ron -- Ron Carson MHS, OT - Original Message - From: [EMAIL PROTECTED] <[EMAIL PROTECTED]> Sent: Wednesday, October 29, 2008 To: OTlist@OTnow.com Subj: [OTlist] Best Practice Ron>> And, I do not think a therapist can mentally switch from Ron>> component level to occupation level treatment. Maybe I'm Ron>> wrong, but I think it's one or the other. cac> But in your case study you are switching back and forth from the cac> component level to eventually the occupational level. Standing cac> tolerance=component level (cardiovasular, quad strength, static cac> standing balance). Ambulation=componet level (cardiovascular, quad cac> strength both concentric and eccentric contractions, dynamic cac> balance). All of this was leading to the individual's personal cac> occupational goal. cac> In my case study I was switching back and forth from the component cac> level to eventually the occupational level. Estim to the digit cac> extensors=component level (facilitation of the neural pathway to cac> enhance neuroplasticity which in turn leads to digit extensor strength cac> and control). All of this leading to the individual's personal cac> occupational goal. cac> Chris Nahrwold MS, OTR 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
Re: [OTlist] Best Practice
Thought you might all be interested in an international discussion on very much the same thing I just cut a piece of the conversation out of the Australian stroke list serve to post. It is happening with OT everywhere. What a great conversation...reviving the lost art of creative activities in OT! Wouldn't it be great if OTs had easy access to a broad range of DIY activities/projects that could be adapted to achieve therapeutic goals. I have stated doing this with a working age stroke survivor (cutting, painting and attaching a picket fence) and plan to search the internet, check out the Bunnings book etcIf anyone knows of accessible resources, please share. Regards, Ken McKenzie Occupational Therapist Rural Stroke Team > "Clarissa Wilson" <[EMAIL PROTECTED]> I've been watching how Mum's admitted on ward with pregnancy complications(sometimes for weeks) intuitively do D-I-Y occupational interventions, often with a creative streak, to respond to role loss or change etc. (eg writing story for child at home about getting a new sister, craft to say thank you etc) And then I've been reflecting on how OTs gather that D-I-Y information and build on it for problems that have overwhelmed those intuitive D-I-Y OT resources and capabilities. So reflecting about Sandra's comments on creativity/artistic and OT practice(the "art and science" of the process) "enable people to engage with meaningful occupation, particularly reflection on artistic practice (the part of OT that somehow has slipped off the radar). . ." I'm interested in pursuing this conversation and would be interested to hear more about the Arts Health Symposium and Music Therapy conference. . .is this inappropriate space/ are others interested also? Do tell more Sandra :-) And how do others harness D-I-Y occupational interventions? Or incorporate creativity into practice? Particularly in neuro and/or traditional settings? Sincerely, Clarissa -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Best Practice
Ron> And, I do not think a therapist can mentally switch from Ron> component level to occupation level treatment. Maybe I'm Ron> wrong, but I think it's one or the other. But in your case study you are switching back and forth from the component level to eventually the occupational level. Standing tolerance=component level (cardiovasular, quad strength, static standing balance). Ambulation=componet level (cardiovascular, quad strength both concentric and eccentric contractions, dynamic balance). All of this was leading to the individual's personal occupational goal. In my case study I was switching back and forth from the component level to eventually the occupational level. Estim to the digit extensors=component level (facilitation of the neural pathway to enhance neuroplasticity which in turn leads to digit extensor strength and control). All of this leading to the individual's personal occupational goal. Chris Nahrwold MS, OTR -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Best Practice
Ron> But I think calling such focal treatments occupational Ron> therapy, is not consistent with our history, framework, payers, Ron> patients and outcomes. I'm not sure what history you are talking about, but we were primarily created from a mental health framework, in which "occupations" were utilized for a mental therapeutic response. This mental therapeutic response could be argued to be a "body segment", this being of course the brain. These "occupations" used to create a mental therapeutic ressponse were arts and crafts. Clearly not the same occupations you are defining. Not sure which framework you are talking about, because the framework in which I have states that we should focus on the body functions and structures that impede function. In fact, AOTA has endorsed the use of physical agent modalities through a position paper a number of years back. So in your case study, in which the goal for the patient was to make it to the toilet. Was that specifically occupational therapy when you worked on standing tolerance and ambulation the entire session? If you agree that it was occupational therapy, how can you justify that estim to the digit extensors in prep for functional reaching in which the patient's goal is to reach for items easier. The patient wants to be able to reach easier for the following self identified goals for treatment a) self feeding efficiency b) dressing efficiency c)social greetings. If you do not agree that what you did in your session was not occupational therapy how can you ethically bill for the service? Chris Nahrwold MS, OTR -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Best Practice
Sorry about the typo: If you agree that it was occupational therapy, how can you justify that estim to the digit extensors in prep for functional reaching in which the patient's goal is to reach for items easier, is not occupational therapy. -Original Message- From: [EMAIL PROTECTED] To: OTlist@OTnow.com Sent: Tue, 28 Oct 2008 8:46 pm Subject: Re: [OTlist] Best Practice Ron> But I think calling such focal treatments occupational Ron> therapy, is not consistent with our history, framework, payers, Ron> patients and outcomes. I'm not sure what history you are talking about, but we were primarily created from a mental health framework, in which "occupations" were utilized for a mental therapeutic response. This mental therapeutic response could be argued to be a "body segment", this being of course the brain. These "occupations" used to create a mental therapeutic ressponse were arts and crafts. Clearly not the same occupations you are defining. Not sure which framework you are talking about, because the framework in which I have states that we should focus on the body functions and structures that impede function. In fact, AOTA has endorsed the use of physical agent modalities through a position paper a number of years back. So in your case study, in which the goal for the patient was to make it to the toilet. Was that specifically occupational therapy when you worked on standing tolerance and ambulation the entire session? If you agree that it was occupational therapy, how can you justify that estim to the digit extensors in prep for functional reaching in which the patient's goal is to reach for items easier. The patient wants to be able to reach easier for the following self identified goals for treatment a) self feeding efficiency b) dressing efficiency c)social greetings. If you do not agree that what you did in your session was not occupational therapy how can you ethically bill for the service? Chris Nahrwold MS, OTR -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Mind Mapping
Thank you David. I don't work with kids, but I find all of this very interesting. Pat At 03:53 AM 10/29/2008, you wrote: Hope it's ok to mention product names. They'd likely come up anyway via a search engine. Kidspiration is one of the more commonly used programs of this type and there's a demo version. Teachers sometimes use these programs. A lot of fun to play with. Draft Builder is similar but less graphical - more for essay writing- it lets you add in references, that kind of thing too. David pat wrote: Thank you Veronica. It sounds interesting, I think I will google it to read more. Pat -Original Message- From: Veronica <[EMAIL PROTECTED]> Sent: Oct 28, 2008 2:57 PM To: OTlist@OTnow.com Subject: Re: [OTlist] Mind Mapping Pat, mind mapping is a technique for recording and recalling large amounts of information. It uses the idea that you take a central theme and then links various thoughts to it e.g. if the main idea is 'my family' there could be branches like siblings, pets, holidays, etc. Each of those ideas can have additional 'branches' added forming a 'map'. It's a technique often tought to students who are having to recall large amounts of information and something I used at university as a studying technique. Ron, I sometimes use it with some of the older children I work with especially those who are struggling with their memory and organisational skills. Veronica -- 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 __ NOD32 3565 (20081029) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- 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
Re: [OTlist] Mind Mapping
Hope it's ok to mention product names. They'd likely come up anyway via a search engine. Kidspiration is one of the more commonly used programs of this type and there's a demo version. Teachers sometimes use these programs. A lot of fun to play with. Draft Builder is similar but less graphical - more for essay writing- it lets you add in references, that kind of thing too. David pat wrote: Thank you Veronica. It sounds interesting, I think I will google it to read more. Pat -Original Message- From: Veronica <[EMAIL PROTECTED]> Sent: Oct 28, 2008 2:57 PM To: OTlist@OTnow.com Subject: Re: [OTlist] Mind Mapping Pat, mind mapping is a technique for recording and recalling large amounts of information. It uses the idea that you take a central theme and then links various thoughts to it e.g. if the main idea is 'my family' there could be branches like siblings, pets, holidays, etc. Each of those ideas can have additional 'branches' added forming a 'map'. It's a technique often tought to students who are having to recall large amounts of information and something I used at university as a studying technique. Ron, I sometimes use it with some of the older children I work with especially those who are struggling with their memory and organisational skills. Veronica -- 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 __ NOD32 3565 (20081029) Information __ This message was checked by NOD32 antivirus system. http://www.eset.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
