Re: [OTlist] Elbow Break, Referral...
I agree with Chris, I would take this patient and right all 4 goals. The only exception is i would state why i was going to decrease the pain or increase ROM. I would probably say something like: Pt. will increase active elbow extension to -20 degrees to allow for increased independence with upper body dressing or decrease reports or pain to increase functional performance with bilateral upper extremity tasks (grooming, bathing, dressing, etc.) Ron, you have now given us examples of 2 patients you would not treat, I too am wondering what kind of patient would you see? Kari, MOT, OTR/L Hollywood, Florida --- On Sat, 8/30/08, [EMAIL PROTECTED] [EMAIL PROTECTED] wrote: From: [EMAIL PROTECTED] [EMAIL PROTECTED] Subject: Re: [OTlist] Elbow Break, Referral... To: OTlist@OTnow.com Date: Saturday, August 30, 2008, 5:21 PM I would write all 4 goals.? Why in the world would you not take this patient?? I shouldn't have taken it but I did.? What patient's do you take? Chris Nahrwold MS, OTR St. John's Hospital Anderson, Indiana -Original Message- From: Ron Carson [EMAIL PROTECTED] To: OTlist OTlist@OTnow.com Sent: Sat, 30 Aug 2008 2:48 pm Subject: [OTlist] Elbow Break, Referral... Received a new referral for a elbow fracture. I shouldn't have taken it but I did. And here is the dilemma facing our profession. The patient is 95, previously living independently. Fractured elbow in a fall. Now living with daughter. She is in a large amount of pain. Obviously, she is dependent for most of her occupations. She currently uses a cane but is not safe. The patient's immediate concerns are her elbow. When pressed, she of course wants to go back home, but that is not an immediate goal. So what do I write for goals? For example should I write: Patient will self-report pain as 3 out of 10 Patient's will increase active elbow extension to -20 degrees These goals seem to direct the patients and doctor's concerns but are not occupationally oriented. So, should I write: Patient will safely and independently dress lower body Patient will safely and independently ambulate to the bathroom using the least restrictive mobility aid I like these goals but they don't address the immediate concerns. Ron -- Ron Carson MHS, OT -- 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] Would You Treat For Refer to PT?
Ron, I noticed that you said you asked the patient. I find that usually when i have them perform specific tasks instead of asking, the findings don't match what is reported. Don't you think she is entitled to an evaluation at least and then decide which way to go. It is hard for me to believe that she is safe and Independent with all daily living tasks. If her dominant side is affected( I'm assuming she is right dominant), it makes me wonder how she is lifting things or carrying things with that side. Is she using proper compensatory techniques or is she going to cause damage elsewhere? --- On Tue, 8/26/08, Ron Carson [EMAIL PROTECTED] wrote: From: Ron Carson [EMAIL PROTECTED] Subject: [OTlist] Would You Treat For Refer to PT? To: OTlist OTlist@OTnow.com Date: Tuesday, August 26, 2008, 4:15 PM Received a new home health referral. Patient's diagnosis is right shoulder pain. Patient presents with bicep tendon pain during AROM, PROM and palpation. She lives alone and is independent with all her daily living tasks. I referred the patient to PT for the shoulder pain. Would you, as an OT, treat this patient? Thanks, Ron -- 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: Ramp resources
Jimmie, There is a great website : www.wheelchairramp.org/rampman/rampcov.htm It offers alot of information regarding ramps and accessibility. It is part of the home ramp project. I came across it a few years ago while I was in OT school. I hope it helps Kari - Original Message - From: Jimmie Arceneaux [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Thursday, August 30, 2001 8:03 PM Subject: Ramp resources Goodevening everyone, Would anyone know of a good resource for funding of a ramp for a patient I have with quadraplegia. He is presently residing in a assisted living setting, however wishes to move home. Ramp access is a problem as there are steps to access the home. His electric wheelchair is a center wheel drive making it impossible to jump the steps. Jimmie Arcenaux Find the best deals on the web at AltaVista Shopping! http://www.shopping.altavista.com Unsubscribe by sending a message to [EMAIL PROTECTED] In the message's body, put the following text: unsubscribe OTlist -- OTnow messages are archived at: http://www.mail-archive.com/list@otnow.com (and) http://www.mail-archive.com/otlist@otnow.com rC*** Unsubscribe by sending a message to [EMAIL PROTECTED] In the message's body, put the following text: unsubscribe OTlist -- OTnow messages are archived at: http://www.mail-archive.com/list@otnow.com (and) http://www.mail-archive.com/otlist@otnow.com rC***
Re: OT Publicity
Rosie O'donell mentioned OT, specifically CHT on her show and the NBC show Providence had an episode with an OT but carried the story line of the PT on (figures). It was amusing but disheartening to see them say that the PT uses meaningful activities for treatment, I kind of thought that was what OT's do? I think they got their characters mixed up. We definitely do not get the recognition that we deserve!!! Kari - Original Message - From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, July 04, 2001 12:05 PM Subject: OT Publicity Last night I went to the theater to see One Flew Over The Cuckoo's Nest, with Gary Senise. The production was great; true to the original show and movie. Although it was briefly mentioned in passing, I was pleasently surprised to hear Occupational Therapy mentioned on three different occasions, referring to the patients going to their OT sessions. We are mentioned so infrequently in the media that I was ready to stand up and cheer, but thought better of it at the time. I am always disappointed when I am watching medical TV shows, such as ER or St Elsewhere, and they mention PT only, or include a Physical Therapist (Jeannie Boulet) rather than an Occupational Therapist. Or in Gorillas in the Mist when they portrayed Dianne Fosse as a Physical Therapist rather than the Occupational Therapist she really was. Up until now, one of our only representations in entertainment has been Pepe La Pew saying he is performing his Occupational Therapy. I remember some time ago when AOTA requested submissions from the membership asking for possible story lines about OT that can be submitted to TV shows. I don't remember seeing anything on TV shows. Does anyone recall seeing OT story lines on TV? Does anyone else know of any times OT is mentioned in entertainment? Please share it with us! As for now, I was very happy to hear OT mentioned on Broadway. If you can, go see this production of Cuckoo's Nest, which I believe is closing at the end of the month. Richard Russ
Parkinson's
Hi group, Recently, I started working in an ALF/SNF which has a high number of patients with Parkinson's disease. I have not worked with this population in the past and I was wondering if you can share some resources with me. Anything will be helpful. Thank you in advance, Kari
