Re: [OTlist] Fn. Mobility ~vs~ Gait Training
Myself, I feel as though this is when PT and OT become a team and tackle these things together. I work on functional transfers starting with stand pivot and try to build on those skills daily. If it is important to the patient, and that's their central focus, then I feel it is my job to assist with regaining those skills. I am not going to step on PT's toes in any way...I am pleased to say that as a first year student my PT coworkers have been very instrumental in my understanding of PT vs. OT and only wish that all facilities could find a way to build a team rather than look for any excuse to draw the line in the sand. My coworkers are very secure in their role and we work together for the good of the patient. I don't want to sound like a newbie with rose colored glasses on, I just feel blessed that I get to work closely with PT and we are able to get our patients the holistic treatment they so need and deserve... I love this list, I look forward to reading it, but it seems that it always comes back to the PT vs OT debate rather than the educational tool I was looking for when I signed up. I would love to hear from some practitioners that share my experience...am I alone in this??? Beth W. COTA/L -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Fn. Mobility ~vs~ Gait Training
I don't have a direct answer to that.? I guess it depends on where your level of expertise falls in this area.? I have it easy, because I work with an amazing group of PTs who teach me on each patient how they want them to walk.? That way I can help the patient receive the much needed practice in this area,but at the same time I can consult with the PT since I did not have this area taught in school.? I always attempt to complete the sit to stands and the low level functional mobility in a context of an occupation that the patient has determined important a) walking to dresser to gather clothes b) walking to the toilet to complete toileting c) walking to the dining room chair for meal time. It is then amazing when the patient can perform the functional mobility, and then carryout out the occupation!.? Ninety nine percent of the time when I ask a patient what their goals are for rehab they state to "walk better".? I then ask them why they want to walk better.? They often look at me strangely and then state so I can get to the kitchen and cook, do the laundry, go out to eat with my friends, etc etc.? The occupational goals nearly write themselves. Chris Nahrwold MS, OTR -Original Message- From: Ron Carson To: cmnahrw...@aol.com Sent: Sat, 17 Jan 2009 7:38 pm Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training I like your definitions. In the two cases you mention, the patients are already ambulatory. What if they weren't and still wanted to achieve the same outcomes? - Original Message - From: cmnahrw...@aol.com Sent: Saturday, January 17, 2009 To: OTlist@OTnow.com Subj: [OTlist] Fn. Mobility ~vs~ Gait Training cac> To me functional mobility is the process of getting to point A to cac> point B regardless of compensation techniqes in the context of an cac> activity or a desired functional outcome.? Just the other day I cac> had a patient who wanted to cook and set the table for her cac> family, to achieve this desired outcome a walker tray had to cac> implemented with further practice of safe strategies.? Just the cac> other day I had a hip replacement patient who wanted to be able cac> to get to the bathroom safely without breaking her hip cac> precautions, so? raised toilet was implemented with further cac> practice of safe strategies. cac> Gait training is when a therapist observes a patient's gait and cac> objectively determines what movement functions?cause the patient cac> to walk "abnormally".? They then use therapeutic techniques to cac> faciliate a normal gait pattern.? I see this being used by PT in cac> neurological rehabilitation.? cac> Chris -- 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] MND - relaxation techniques
I am an avid reader of this list, and now seek some advice! I am a Physical disability community OT and am currently seeing an MND patient. We are addressing her environmental/adaptaion needs as they arise she is having a wet room installed, and a closomat toilet currently. She is now wheelchair dependent, but independent with transfers. We are also looking at symptom management and quality of life. One area we are looking at is fatigue and anxiety management. Fortunately this patient is very realistic and fully engaging in therapy. I am aware of basic relaxation techniques, and deep breathing is a core element of these techniques. I have heard that as MND is synonimous with breathing difficulties, teaching deep breathing techniques can actually result in increasing anxiety as it draws attention to an area of concern.. Does anyone have advice on MND specific relaxation techniques or re general relaxation resources? be grateful for any input Kind Regards Lucy Payne For Quality Stationery and Greetings Cards check out this website: www.phoenix-trading.co.uk/web/lucysimpson Save it in your favourites for the next time you need cards. --- On Sun, 18/1/09, cmnahrw...@aol.com wrote: From: cmnahrw...@aol.com Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training To: OTlist@OTnow.com Date: Sunday, 18 January, 2009, 7:29 PM I don't have a direct answer to that.? I guess it depends on where your level of expertise falls in this area.? I have it easy, because I work with an amazing group of PTs who teach me on each patient how they want them to walk.? That way I can help the patient receive the much needed practice in this area,but at the same time I can consult with the PT since I did not have this area taught in school.? I always attempt to complete the sit to stands and the low level functional mobility in a context of an occupation that the patient has determined important a) walking to dresser to gather clothes b) walking to the toilet to complete toileting c) walking to the dining room chair for meal time. It is then amazing when the patient can perform the functional mobility, and then carryout out the occupation!.? Ninety nine percent of the time when I ask a patient what their goals are for rehab they state to "walk better".? I then ask them why they want to walk better.? They often look at me strangely and then state so I can get to the kitchen and cook, do the laundry, go out to eat with my friends, etc etc.? The occupational goals nearly write themselves. Chris Nahrwold MS, OTR -Original Message- From: Ron Carson To: cmnahrw...@aol.com Sent: Sat, 17 Jan 2009 7:38 pm Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training I like your definitions. In the two cases you mention, the patients are already ambulatory. What if they weren't and still wanted to achieve the same outcomes? - Original Message - From: cmnahrw...@aol.com Sent: Saturday, January 17, 2009 To: OTlist@OTnow.com Subj: [OTlist] Fn. Mobility ~vs~ Gait Training cac> To me functional mobility is the process of getting to point A to cac> point B regardless of compensation techniqes in the context of an cac> activity or a desired functional outcome.? Just the other day I cac> had a patient who wanted to cook and set the table for her cac> family, to achieve this desired outcome a walker tray had to cac> implemented with further practice of safe strategies.? Just the cac> other day I had a hip replacement patient who wanted to be able cac> to get to the bathroom safely without breaking her hip cac> precautions, so? raised toilet was implemented with further cac> practice of safe strategies. cac> Gait training is when a therapist observes a patient's gait and cac> objectively determines what movement functions?cause the patient cac> to walk "abnormally".? They then use therapeutic techniques to cac> faciliate a normal gait pattern.? I see this being used by PT in cac> neurological rehabilitation.? cac> Chris -- 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 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] MND - relaxation techniques
What is MND? Mary -Original Message- From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com] On Behalf Of Lucy Simpson Sent: Sunday, January 18, 2009 5:36 PM To: OTlist@OTnow.com Subject: Re: [OTlist] MND - relaxation techniques I am an avid reader of this list, and now seek some advice! I am a Physical disability community OT and am currently seeing an MND patient. We are addressing her environmental/adaptaion needs as they arise she is having a wet room installed, and a closomat toilet currently. She is now wheelchair dependent, but independent with transfers. We are also looking at symptom management and quality of life. One area we are looking at is fatigue and anxiety management. Fortunately this patient is very realistic and fully engaging in therapy. I am aware of basic relaxation techniques, and deep breathing is a core element of these techniques. I have heard that as MND is synonimous with breathing difficulties, teaching deep breathing techniques can actually result in increasing anxiety as it draws attention to an area of concern.. Does anyone have advice on MND specific relaxation techniques or re general relaxation resources? be grateful for any input Kind Regards Lucy Payne For Quality Stationery and Greetings Cards check out this website: www.phoenix-trading.co.uk/web/lucysimpson Save it in your favourites for the next time you need cards. --- On Sun, 18/1/09, cmnahrw...@aol.com wrote: From: cmnahrw...@aol.com Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training To: OTlist@OTnow.com Date: Sunday, 18 January, 2009, 7:29 PM I don't have a direct answer to that.? I guess it depends on where your level of expertise falls in this area.? I have it easy, because I work with an amazing group of PTs who teach me on each patient how they want them to walk.? That way I can help the patient receive the much needed practice in this area,but at the same time I can consult with the PT since I did not have this area taught in school.? I always attempt to complete the sit to stands and the low level functional mobility in a context of an occupation that the patient has determined important a) walking to dresser to gather clothes b) walking to the toilet to complete toileting c) walking to the dining room chair for meal time. It is then amazing when the patient can perform the functional mobility, and then carryout out the occupation!.? Ninety nine percent of the time when I ask a patient what their goals are for rehab they state to "walk better".? I then ask them why they want to walk better.? They often look at me strangely and then state so I can get to the kitchen and cook, do the laundry, go out to eat with my friends, etc etc.? The occupational goals nearly write themselves. Chris Nahrwold MS, OTR -Original Message- From: Ron Carson To: cmnahrw...@aol.com Sent: Sat, 17 Jan 2009 7:38 pm Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training I like your definitions. In the two cases you mention, the patients are already ambulatory. What if they weren't and still wanted to achieve the same outcomes? - Original Message - From: cmnahrw...@aol.com Sent: Saturday, January 17, 2009 To: OTlist@OTnow.com Subj: [OTlist] Fn. Mobility ~vs~ Gait Training cac> To me functional mobility is the process of getting to point A to cac> point B regardless of compensation techniqes in the context of an cac> activity or a desired functional outcome.? Just the other day I cac> had a patient who wanted to cook and set the table for her cac> family, to achieve this desired outcome a walker tray had to cac> implemented with further practice of safe strategies.? Just the cac> other day I had a hip replacement patient who wanted to be able cac> to get to the bathroom safely without breaking her hip cac> precautions, so? raised toilet was implemented with further cac> practice of safe strategies. cac> Gait training is when a therapist observes a patient's gait and cac> objectively determines what movement functions?cause the patient cac> to walk "abnormally".? They then use therapeutic techniques to cac> faciliate a normal gait pattern.? I see this being used by PT in cac> neurological rehabilitation.? cac> Chris -- 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 -- 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] MND - relaxation techniques
I'll be the "dumb"one and ask, what's MND? - Original Message - From: Lucy Simpson Sent: Sunday, January 18, 2009 To: OTlist@OTnow.com Subj: [OTlist] MND - relaxation techniques LS> I am an avid reader of this list, and now seek some advice! LS> I am a Physical disability community OT and am currently seeing LS> an MND patient. We are addressing her environmental/adaptaion LS> needs as they arise she is having a wet room installed, and a LS> closomat toilet currently. She is now wheelchair dependent, but independent with transfers. LS> LS> We are also looking at symptom management and quality of life. LS> One area we are looking at is fatigue and anxiety management. LS> Fortunately this patient is very realistic and fully engaging in therapy. LS> LS> I am aware of basic relaxation techniques, and deep breathing is LS> a core element of these techniques. I have heard that as MND is LS> synonimous with breathing difficulties, teaching deep breathing LS> techniques can actually result in increasing anxiety as it draws LS> attention to an area of concern.. LS> LS> Does anyone have advice on MND specific relaxation techniques or re general relaxation resources? LS> LS> be grateful for any input LS> Kind Regards LS> Lucy Payne LS> For Quality Stationery and Greetings Cards check out this website: LS> www.phoenix-trading.co.uk/web/lucysimpson LS> Save it in your favourites for the next time you need cards. LS> LS> --- On Sun, 18/1/09, cmnahrw...@aol.com wrote: LS> From: cmnahrw...@aol.com LS> Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training LS> To: OTlist@OTnow.com LS> Date: Sunday, 18 January, 2009, 7:29 PM LS> I don't have a direct answer to that.? I guess it depends on where your LS> level of expertise falls in this area.? I have it easy, because I work with an LS> amazing group of PTs who teach me on each patient how they want them to walk.? LS> That way I can help the patient receive the much needed practice in this LS> area,but at the same time I can consult with the PT since I did not have this LS> area taught in school.? I always attempt to complete the sit to stands and the LS> low level functional mobility in a context of an occupation that the patient has LS> determined important a) walking to dresser to gather clothes b) walking to the LS> toilet to complete toileting c) walking to the dining room chair for meal time. LS> It is then amazing when the patient can perform the functional mobility, and LS> then carryout out the occupation!.? LS> Ninety nine percent of the time when I ask a patient what their goals are for LS> rehab they state to "walk better".? I then ask them why they want to LS> walk better.? They often look at me strangely and then state so I can get to the LS> kitchen and cook, do the laundry, go out to eat with my friends, etc etc.? The LS> occupational goals nearly write themselves. LS> Chris Nahrwold MS, OTR LS> -Original Message- LS> From: Ron Carson LS> To: cmnahrw...@aol.com LS> Sent: Sat, 17 Jan 2009 7:38 pm LS> Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training LS> I like your definitions. LS> In the two cases you mention, the patients are already ambulatory. LS> What if they weren't and still wanted to achieve the same outcomes? LS> - Original Message - LS> From: cmnahrw...@aol.com LS> Sent: Saturday, January 17, 2009 LS> To: OTlist@OTnow.com LS> Subj: [OTlist] Fn. Mobility ~vs~ Gait Training cac>> To me functional mobility is the process of getting to point A to cac>> point B regardless of compensation techniqes in the context of an cac>> activity or a desired functional outcome.? Just the other day I cac>> had a patient who wanted to cook and set the table for her cac>> family, to achieve this desired outcome a walker tray had to cac>> implemented with further practice of safe strategies.? Just the cac>> other day I had a hip replacement patient who wanted to be able cac>> to get to the bathroom safely without breaking her hip cac>> precautions, so? raised toilet was implemented with further cac>> practice of safe strategies. cac>> Gait training is when a therapist observes a patient's gait and cac>> objectively determines what movement functions?cause the patient cac>> to walk "abnormally".? They then use therapeutic LS> techniques to cac>> faciliate a normal gait pattern.? I see this being used by PT in cac>> neurological rehabilitation.? cac>> Chris LS> -- LS> Options? LS> www.otnow.com/mailman/options/otlist_otnow.com LS> Archive? LS> www.mail-archive.com/otlist@otnow.com LS> -- LS> Options? LS> www.otnow.com/mailman/options/otlist_otnow.com LS> Archive? LS> www.mail-archive.com/otlist@otnow.com LS> LS> -- LS> Options? LS> www.otnow.com/mailman/options/otlist_otnow.com LS> Archive? LS> www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.co
Re: [OTlist] MND - relaxation techniques
is desired outcome a walker tray had to cac>> implemented with further practice of safe strategies.? Just the cac>> other day I had a hip replacement patient who wanted to be able cac>> to get to the bathroom safely without breaking her hip cac>> precautions, so? raised toilet was implemented with further cac>> practice of safe strategies. cac>> Gait training is when a therapist observes a patient's gait and cac>> objectively determines what movement functions?cause the patient cac>> to walk "abnormally".? They then use therapeutic LS> techniques to cac>> faciliate a normal gait pattern.? I see this being used by PT in cac>> neurological rehabilitation.? cac>> Chris LS> -- LS> Options? LS> www.otnow.com/mailman/options/otlist_otnow.com LS> Archive? LS> www.mail-archive.com/otlist@otnow.com LS> -- LS> Options? LS> www.otnow.com/mailman/options/otlist_otnow.com LS> Archive? LS> www.mail-archive.com/otlist@otnow.com LS> LS> -- LS> Options? LS> www.otnow.com/mailman/options/otlist_otnow.com LS> Archive? LS> 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 3775 (20090118) 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
Re: [OTlist] MND - relaxation techniques
I am also an avid reader of this site - Motor Neuron Disease. From: Ron Carson To: Lucy Simpson Sent: Sunday, January 18, 2009 6:33:09 PM Subject: Re: [OTlist] MND - relaxation techniques I'll be the "dumb"one and ask, what's MND? - Original Message - From: Lucy Simpson Sent: Sunday, January 18, 2009 To: OTlist@OTnow.com Subj: [OTlist] MND - relaxation techniques LS> I am an avid reader of this list, and now seek some advice! LS> I am a Physical disability community OT and am currently seeing LS> an MND patient. We are addressing her environmental/adaptaion LS> needs as they arise she is having a wet room installed, and a LS> closomat toilet currently. She is now wheelchair dependent, but independent with transfers. LS> LS> We are also looking at symptom management and quality of life. LS> One area we are looking at is fatigue and anxiety management. LS> Fortunately this patient is very realistic and fully engaging in therapy. LS> LS> I am aware of basic relaxation techniques, and deep breathing is LS> a core element of these techniques. I have heard that as MND is LS> synonimous with breathing difficulties, teaching deep breathing LS> techniques can actually result in increasing anxiety as it draws LS> attention to an area of concern.. LS> LS> Does anyone have advice on MND specific relaxation techniques or re general relaxation resources? LS> LS> be grateful for any input LS> Kind Regards LS> Lucy Payne LS> For Quality Stationery and Greetings Cards check out this website: LS> www.phoenix-trading.co.uk/web/lucysimpson LS> Save it in your favourites for the next time you need cards. LS> LS> --- On Sun, 18/1/09, cmnahrw...@aol.com wrote: LS> From: cmnahrw...@aol.com LS> Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training LS> To: OTlist@OTnow.com LS> Date: Sunday, 18 January, 2009, 7:29 PM LS> I don't have a direct answer to that.? I guess it depends on where your LS> level of expertise falls in this area.? I have it easy, because I work with an LS> amazing group of PTs who teach me on each patient how they want them to walk.? LS> That way I can help the patient receive the much needed practice in this LS> area,but at the same time I can consult with the PT since I did not have this LS> area taught in school.? I always attempt to complete the sit to stands and the LS> low level functional mobility in a context of an occupation that the patient has LS> determined important a) walking to dresser to gather clothes b) walking to the LS> toilet to complete toileting c) walking to the dining room chair for meal time. LS> It is then amazing when the patient can perform the functional mobility, and LS> then carryout out the occupation!.? LS> Ninety nine percent of the time when I ask a patient what their goals are for LS> rehab they state to "walk better".? I then ask them why they want to LS> walk better.? They often look at me strangely and then state so I can get to the LS> kitchen and cook, do the laundry, go out to eat with my friends, etc etc.? The LS> occupational goals nearly write themselves. LS> Chris Nahrwold MS, OTR LS> -Original Message- LS> From: Ron Carson LS> To: cmnahrw...@aol.com LS> Sent: Sat, 17 Jan 2009 7:38 pm LS> Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training LS> I like your definitions. LS> In the two cases you mention, the patients are already ambulatory. LS> What if they weren't and still wanted to achieve the same outcomes? LS> - Original Message - LS> From: cmnahrw...@aol.com LS> Sent: Saturday, January 17, 2009 LS> To: OTlist@OTnow.com LS> Subj: [OTlist] Fn. Mobility ~vs~ Gait Training cac>> To me functional mobility is the process of getting to point A to cac>> point B regardless of compensation techniqes in the context of an cac>> activity or a desired functional outcome.? Just the other day I cac>> had a patient who wanted to cook and set the table for her cac>> family, to achieve this desired outcome a walker tray had to cac>> implemented with further practice of safe strategies.? Just the cac>> other day I had a hip replacement patient who wanted to be able cac>> to get to the bathroom safely without breaking her hip cac>> precautions, so? raised toilet was implemented with further cac>> practice of safe strategies. cac>> Gait training is when a therapist observes a patient's gait and cac>> objectively determines what movement functions?cause the patient cac>> to walk "abnormally".? They then use therapeutic LS> techniques to cac>> faciliate a normal gait pattern.? I see this being used by PT in cac>> neurological rehabilitation.? cac>> Chris LS> -- LS> Options? LS> www.otnow.com/mailman/options/otlist_otnow.com LS> Archive? LS> www.mail-archive.com/otlist@otnow.com LS> -- LS> Options? LS> www.otnow.com/mailman/options/otlist_otnow.com LS> Archive? LS> www.mail-archive.com/otlist@otnow.com LS>
