[OTlist] Hello
Hey Ron, Well I'm back. How is the list coming along? I look forward to participating in future discussions. Jimmie Arceneaux - Do you Yahoo!? Everyone is raving about the all-new Yahoo! Mail Beta. -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com Help? [EMAIL PROTECTED]
[OTlist] Hello!
Just want to say hi My name is Becky and I'm a OT student on the Eastbourne masters course. In my first year and currently doing an assignment so ever slightly stressed! Are there other OT students here or are you all OT techs, OTA's and OT's? I'm looking forward to lots of discussions :-) Best wishes for a Happy Easter Becky _ Get Hotmail, News, Sport and Entertainment from MSN on your mobile. http://www.msn.txt4content.com/ -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
[OTlist] hello
just wanted to see if this was still active -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Hello
Hello Jimmie: Welcome back. As you can tell, the list is rather slow. Seems like we go for weeks without any discussion and then there's a sudden flurry of messages. Ron - Original Message - From: Jim Arceneaux <[EMAIL PROTECTED]> Sent: Tuesday, August 08, 2006 To: otlist@otnow.com Subj: [OTlist] Hello JA> Hey Ron, JA> Well I'm back. How is the list coming along? I look JA> forward to participating in future discussions. JA> Jimmie Arceneaux JA> - JA> Do you Yahoo!? JA> Everyone is raving about the all-new Yahoo! Mail Beta. -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com Help? [EMAIL PROTECTED]
Re: [OTlist] Hello
Hey everyone, Does anyone have any information to share relative to dealing with an individual with occupational performance limitations in social participation due to executive function dysfunction subsequent to TBI? Basically the young man I'm working with has difficulty with social situations due to poor impulse control and a tendency to speak his mind (i.e. non filtered). any help would be great. Thanks Jim Ron Carson <[EMAIL PROTECTED]> wrote: Hello Jimmie: Welcome back. As you can tell, the list is rather slow. Seems like we go for weeks without any discussion and then there's a sudden flurry of messages. Ron - Original Message - From: Jim Arceneaux Sent: Tuesday, August 08, 2006 To: otlist@otnow.com Subj: [OTlist] Hello JA> Hey Ron, JA> Well I'm back. How is the list coming along? I look JA> forward to participating in future discussions. JA> Jimmie Arceneaux JA> - JA> Do you Yahoo!? JA> Everyone is raving about the all-new Yahoo! Mail Beta. -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com Help? [EMAIL PROTECTED] - Do you Yahoo!? Everyone is raving about the all-new Yahoo! Mail. -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com Help? [EMAIL PROTECTED]
Re: [OTlist] Hello
Hello Jimmy: I don't have any significant experience with your setting. However, having worked with several patients with similar behavior I think the best approach you can offer is a multi-disciplinary approach to behavior management. Setting up a (+) reinforcement system that is both fair and consistently applied MAY go a long way in helping this man re-establish some self-control. Keep us informed. Ron - Original Message - From: Jim Arceneaux <[EMAIL PROTECTED]> Sent: Sunday, September 10, 2006 To: OTlist@OTnow.com Subj: [OTlist] Hello JA> Hey everyone, JA> Does anyone have any information to share relative to JA> dealing with an individual with occupational performance JA> limitations in social participation due to executive function JA> dysfunction subsequent to TBI? Basically the young man I'm JA> working with has difficulty with social situations due to poor JA> impulse control and a tendency to speak his mind (i.e. non JA> filtered). JA> any help would be great. JA> Thanks JA> Jim JA> Ron Carson <[EMAIL PROTECTED]> wrote: JA> Hello Jimmie: JA> Welcome back. As you can tell, the list is rather slow. Seems like we JA> go for weeks without any discussion and then there's a sudden flurry JA> of messages. JA> Ron JA> - Original Message - JA> From: Jim Arceneaux JA> Sent: Tuesday, August 08, 2006 JA> To: otlist@otnow.com JA> Subj: [OTlist] Hello JA>> Hey Ron, JA>> Well I'm back. How is the list coming along? I look JA>> forward to participating in future discussions. JA>> Jimmie Arceneaux JA>> - JA>> Do you Yahoo!? JA>> Everyone is raving about the all-new Yahoo! Mail Beta. JA> -- JA> Unsubscribe? JA> [EMAIL PROTECTED] JA> Change options? JA> www.otnow.com/mailman/options/otlist_otnow.com JA> Archive? JA> www.mail-archive.com/otlist@otnow.com JA> Help? JA> [EMAIL PROTECTED] JA> - JA> Do you Yahoo!? JA> Everyone is raving about the all-new Yahoo! Mail. Paid Ad-- Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow -- Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Hello
Hey Ron, Unfortunately this is an outpatient setting, so multidisciplinary means OT, ST and PT. The other problem for this young fellow is poor carryover by his family and caregivers. He also gets a lot of encouragement from peers as they feel his behavior is funny. It does prevent any meaningful level of interaction though. Ron Carson <[EMAIL PROTECTED]> wrote: Hello Jimmy: I don't have any significant experience with your setting. However, having worked with several patients with similar behavior I think the best approach you can offer is a multi-disciplinary approach to behavior management. Setting up a (+) reinforcement system that is both fair and consistently applied MAY go a long way in helping this man re-establish some self-control. Keep us informed. Ron - Original Message - From: Jim Arceneaux Sent: Sunday, September 10, 2006 To: OTlist@OTnow.com Subj: [OTlist] Hello JA> Hey everyone, JA> Does anyone have any information to share relative to JA> dealing with an individual with occupational performance JA> limitations in social participation due to executive function JA> dysfunction subsequent to TBI? Basically the young man I'm JA> working with has difficulty with social situations due to poor JA> impulse control and a tendency to speak his mind (i.e. non JA> filtered). JA> any help would be great. JA> Thanks JA> Jim JA> Ron Carson wrote: JA> Hello Jimmie: JA> Welcome back. As you can tell, the list is rather slow. Seems like we JA> go for weeks without any discussion and then there's a sudden flurry JA> of messages. JA> Ron JA> - Original Message - JA> From: Jim Arceneaux JA> Sent: Tuesday, August 08, 2006 JA> To: otlist@otnow.com JA> Subj: [OTlist] Hello JA>> Hey Ron, JA>> Well I'm back. How is the list coming along? I look JA>> forward to participating in future discussions. JA>> Jimmie Arceneaux JA>> - JA>> Do you Yahoo!? JA>> Everyone is raving about the all-new Yahoo! Mail Beta. JA> -- JA> Unsubscribe? JA> [EMAIL PROTECTED] JA> Change options? JA> www.otnow.com/mailman/options/otlist_otnow.com JA> Archive? JA> www.mail-archive.com/otlist@otnow.com JA> Help? JA> [EMAIL PROTECTED] JA> - JA> Do you Yahoo!? JA> Everyone is raving about the all-new Yahoo! Mail. Paid Ad-- Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow -- Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com - Get your own web address for just $1.99/1st yr. We'll help. Yahoo! Small Business. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow **
Re: [OTlist] Hello
Based on what you just wrote, I think there is about zero percent chance that you will be able to have any significant impact on this particular person. I really sounds like a bad and sad situation! Ron - Original Message - From: Jim Arceneaux <[EMAIL PROTECTED]> Sent: Friday, September 15, 2006 To: OTlist@OTnow.com Subj: [OTlist] Hello JA> Hey Ron, JA> Unfortunately this is an outpatient setting, so JA> multidisciplinary means OT, ST and PT. The other problem for this JA> young fellow is poor carryover by his family and caregivers. He JA> also gets a lot of encouragement from peers as they feel his JA> behavior is funny. It does prevent any meaningful level of JA> interaction though. JA> Ron Carson <[EMAIL PROTECTED]> wrote: JA> Hello Jimmy: JA> I don't have any significant experience with your setting. However, JA> having worked with several patients with similar behavior I think the JA> best approach you can offer is a multi-disciplinary approach to JA> behavior management. Setting up a (+) reinforcement system that is JA> both fair and consistently applied MAY go a long way in helping this JA> man re-establish some self-control. JA> Keep us informed. JA> Ron JA> - Original Message - JA> From: Jim Arceneaux JA> Sent: Sunday, September 10, 2006 JA> To: OTlist@OTnow.com JA> Subj: [OTlist] Hello JA>> Hey everyone, JA>> Does anyone have any information to share relative to JA>> dealing with an individual with occupational performance JA>> limitations in social participation due to executive function JA>> dysfunction subsequent to TBI? Basically the young man I'm JA>> working with has difficulty with social situations due to poor JA>> impulse control and a tendency to speak his mind (i.e. non JA>> filtered). JA>> any help would be great. JA>> Thanks JA>> Jim JA>> Ron Carson wrote: JA>> Hello Jimmie: JA>> Welcome back. As you can tell, the list is rather slow. Seems like we JA>> go for weeks without any discussion and then there's a sudden flurry JA>> of messages. JA>> Ron JA>> - Original Message - JA>> From: Jim Arceneaux JA>> Sent: Tuesday, August 08, 2006 JA>> To: otlist@otnow.com JA>> Subj: [OTlist] Hello JA>>> Hey Ron, JA>>> Well I'm back. How is the list coming along? I look JA>>> forward to participating in future discussions. JA>>> Jimmie Arceneaux JA>>> - JA>>> Do you Yahoo!? JA>>> Everyone is raving about the all-new Yahoo! Mail Beta. JA>> -- JA>> Unsubscribe? JA>> [EMAIL PROTECTED] JA>> Change options? JA>> www.otnow.com/mailman/options/otlist_otnow.com JA>> Archive? JA>> www.mail-archive.com/otlist@otnow.com JA>> Help? JA>> [EMAIL PROTECTED] JA>> - JA>> Do you Yahoo!? JA>> Everyone is raving about the all-new Yahoo! Mail. JA> Paid Ad-- JA> Enroll in Boston University's post-professional Master of JA> Science for OTs Online. Gain the skills and credentials to propel JA> your career. JA> www.otdegree.com/otnow JA> -- JA> Change options? JA> www.otnow.com/mailman/options/otlist_otnow.com JA> Archive? JA> www.mail-archive.com/otlist@otnow.com JA> - JA> Get your own web address for just $1.99/1st yr. We'll help. Yahoo! Small Business. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow **
Re: [OTlist] Hello
You may need to focus on family/caregiver education on the long term effects of this individual's behaviors. Hopefully, they will buy into a behavior type of program to help demish the out of controll behaviors. I have worked in simular settings and have seen many families in denial, which soo impacts treatment. Also, the SPL might be very helpful. Good Luck Peace, Pat Jim Arceneaux wrote: Unfortunately this is an outpatient setting, so multidisciplinary means OT, ST and PT. The other problem for this young fellow is poor carryover by his family and caregivers. He also gets a lot of encouragement from peers as they feel his behavior is funny. It does prevent any meaningful level of interaction though. Ron Carson wrote: Hello Jimmy: I don't have any significant experience with your setting. However, having worked with several patients with similar behavior I think the best approach you can offer is a multi-disciplinary approach to behavior management. Setting up a (+) reinforcement system that is both fair and consistently applied MAY go a long way in helping this man re-establish some self-control. Keep us informed. Ron - Original Message - From: Jim Arceneaux Sent: Sunday, September 10, 2006 To: OTlist@OTnow.com Subj: [OTlist] Hello JA> Hey everyone, JA> Does anyone have any information to share relative to JA> dealing with an individual with occupational performance JA> limitations in social participation due to executive function JA> dysfunction subsequent to TBI? Basically the young man I'm JA> working with has difficulty with social situations due to poor JA> impulse control and a tendency to speak his mind (i.e. non JA> filtered). JA> any help would be great. JA> Thanks JA> Jim JA> Ron Carson wrote: JA> Hello Jimmie: JA> Welcome back. As you can tell, the list is rather slow. Seems like we JA> go for weeks without any discussion and then there's a sudden flurry JA> of messages. JA> Ron JA> - Original Message - JA> From: Jim Arceneaux JA> Sent: Tuesday, August 08, 2006 JA> To: otlist@otnow.com JA> Subj: [OTlist] Hello JA>> Hey Ron, JA>> Well I'm back. How is the list coming along? I look JA>> forward to participating in future discussions. JA>> Jimmie Arceneaux JA>> - JA>> Do you Yahoo!? JA>> Everyone is raving about the all-new Yahoo! Mail Beta. JA> -- JA> Unsubscribe? JA> [EMAIL PROTECTED] JA> Change options? JA> www.otnow.com/mailman/options/otlist_otnow.com JA> Archive? JA> www.mail-archive.com/otlist@otnow.com JA> Help? JA> [EMAIL PROTECTED] JA> - JA> Do you Yahoo!? JA> Everyone is raving about the all-new Yahoo! Mail. Paid Ad-- Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow -- Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com - Get your own web address for just $1.99/1st yr. We'll help. Yahoo! Small Business. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow ** - Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow **
Re: [OTlist] Hello
Thanks Pat and Ron. I have been working on instructing the family and his regulr caregiver. Lets not go there with the speech thing. They gave up on him rather early. Jim pat leegan <[EMAIL PROTECTED]> wrote: You may need to focus on family/caregiver education on the long term effects of this individual's behaviors. Hopefully, they will buy into a behavior type of program to help demish the out of controll behaviors. I have worked in simular settings and have seen many families in denial, which soo impacts treatment. Also, the SPL might be very helpful. Good Luck Peace, Pat Jim Arceneaux wrote: Unfortunately this is an outpatient setting, so multidisciplinary means OT, ST and PT. The other problem for this young fellow is poor carryover by his family and caregivers. He also gets a lot of encouragement from peers as they feel his behavior is funny. It does prevent any meaningful level of interaction though. Ron Carson wrote: Hello Jimmy: I don't have any significant experience with your setting. However, having worked with several patients with similar behavior I think the best approach you can offer is a multi-disciplinary approach to behavior management. Setting up a (+) reinforcement system that is both fair and consistently applied MAY go a long way in helping this man re-establish some self-control. Keep us informed. Ron - Original Message - From: Jim Arceneaux Sent: Sunday, September 10, 2006 To: OTlist@OTnow.com Subj: [OTlist] Hello JA> Hey everyone, JA> Does anyone have any information to share relative to JA> dealing with an individual with occupational performance JA> limitations in social participation due to executive function JA> dysfunction subsequent to TBI? Basically the young man I'm JA> working with has difficulty with social situations due to poor JA> impulse control and a tendency to speak his mind (i.e. non JA> filtered). JA> any help would be great. JA> Thanks JA> Jim JA> Ron Carson wrote: JA> Hello Jimmie: JA> Welcome back. As you can tell, the list is rather slow. Seems like we JA> go for weeks without any discussion and then there's a sudden flurry JA> of messages. JA> Ron JA> - Original Message - JA> From: Jim Arceneaux JA> Sent: Tuesday, August 08, 2006 JA> To: otlist@otnow.com JA> Subj: [OTlist] Hello JA>> Hey Ron, JA>> Well I'm back. How is the list coming along? I look JA>> forward to participating in future discussions. JA>> Jimmie Arceneaux JA>> - JA>> Do you Yahoo!? JA>> Everyone is raving about the all-new Yahoo! Mail Beta. JA> -- JA> Unsubscribe? JA> [EMAIL PROTECTED] JA> Change options? JA> www.otnow.com/mailman/options/otlist_otnow.com JA> Archive? JA> www.mail-archive.com/otlist@otnow.com JA> Help? JA> [EMAIL PROTECTED] JA> - JA> Do you Yahoo!? JA> Everyone is raving about the all-new Yahoo! Mail. Paid Ad-- Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow -- Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com - Get your own web address for just $1.99/1st yr. We'll help. Yahoo! Small Business. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow ** - Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow ** - Do you Yahoo!? Get on board. You're invited to try the new Yahoo! Mail. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow **
Re: [OTlist] Hello
Yep...I'm coming to the same conclusion. Jim Ron Carson <[EMAIL PROTECTED]> wrote: Based on what you just wrote, I think there is about zero percent chance that you will be able to have any significant impact on this particular person. I really sounds like a bad and sad situation! Ron - Original Message - From: Jim Arceneaux Sent: Friday, September 15, 2006 To: OTlist@OTnow.com Subj: [OTlist] Hello JA> Hey Ron, JA> Unfortunately this is an outpatient setting, so JA> multidisciplinary means OT, ST and PT. The other problem for this JA> young fellow is poor carryover by his family and caregivers. He JA> also gets a lot of encouragement from peers as they feel his JA> behavior is funny. It does prevent any meaningful level of JA> interaction though. JA> Ron Carson wrote: JA> Hello Jimmy: JA> I don't have any significant experience with your setting. However, JA> having worked with several patients with similar behavior I think the JA> best approach you can offer is a multi-disciplinary approach to JA> behavior management. Setting up a (+) reinforcement system that is JA> both fair and consistently applied MAY go a long way in helping this JA> man re-establish some self-control. JA> Keep us informed. JA> Ron JA> - Original Message - JA> From: Jim Arceneaux JA> Sent: Sunday, September 10, 2006 JA> To: OTlist@OTnow.com JA> Subj: [OTlist] Hello JA>> Hey everyone, JA>> Does anyone have any information to share relative to JA>> dealing with an individual with occupational performance JA>> limitations in social participation due to executive function JA>> dysfunction subsequent to TBI? Basically the young man I'm JA>> working with has difficulty with social situations due to poor JA>> impulse control and a tendency to speak his mind (i.e. non JA>> filtered). JA>> any help would be great. JA>> Thanks JA>> Jim JA>> Ron Carson wrote: JA>> Hello Jimmie: JA>> Welcome back. As you can tell, the list is rather slow. Seems like we JA>> go for weeks without any discussion and then there's a sudden flurry JA>> of messages. JA>> Ron JA>> - Original Message - JA>> From: Jim Arceneaux JA>> Sent: Tuesday, August 08, 2006 JA>> To: otlist@otnow.com JA>> Subj: [OTlist] Hello JA>>> Hey Ron, JA>>> Well I'm back. How is the list coming along? I look JA>>> forward to participating in future discussions. JA>>> Jimmie Arceneaux JA>>> - JA>>> Do you Yahoo!? JA>>> Everyone is raving about the all-new Yahoo! Mail Beta. JA>> -- JA>> Unsubscribe? JA>> [EMAIL PROTECTED] JA>> Change options? JA>> www.otnow.com/mailman/options/otlist_otnow.com JA>> Archive? JA>> www.mail-archive.com/otlist@otnow.com JA>> Help? JA>> [EMAIL PROTECTED] JA>> - JA>> Do you Yahoo!? JA>> Everyone is raving about the all-new Yahoo! Mail. JA> Paid Ad-- JA> Enroll in Boston University's post-professional Master of JA> Science for OTs Online. Gain the skills and credentials to propel JA> your career. JA> www.otdegree.com/otnow JA> -- JA> Change options? JA> www.otnow.com/mailman/options/otlist_otnow.com JA> Archive? JA> www.mail-archive.com/otlist@otnow.com JA> - JA> Get your own web address for just $1.99/1st yr. We'll help. Yahoo! Small Business. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow ** - Get your email and more, right on the new Yahoo.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow **
Re: [OTlist] Hello!
Hello and Welcome to the OTlist. I don't really know the makeup of list demographics. I do believe there are representatives from all factions of our profession and even from other professions. There are non-therapists as well. All and all, it's an eclectic place. Ron - Original Message - From: Becky Heath <[EMAIL PROTECTED]> Sent: Thursday, April 05, 2007 To: otlist@otnow.com Subj: [OTlist] Hello! BH> Just want to say hi BH> My name is Becky and I'm a OT student on the Eastbourne masters course. In BH> my first year and currently doing an assignment so ever slightly stressed! BH> Are there other OT students here or are you all OT techs, OTA's and OT's? BH> I'm looking forward to lots of discussions :-) BH> Best wishes for a Happy Easter BH> Becky BH> _ BH> Get Hotmail, News, Sport and Entertainment from MSN on your mobile. BH> http://www.msn.txt4content.com/ -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
Re: [OTlist] Hello!
Hi Becky! I first joined when I was a student and am now an OTR working in an SNF. I definitely agree that OT school is stressful! Mary -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Becky Heath Sent: Thursday, April 05, 2007 3:34 AM To: otlist@otnow.com Subject: [OTlist] Hello! Just want to say hi My name is Becky and I'm a OT student on the Eastbourne masters course. In my first year and currently doing an assignment so ever slightly stressed! Are there other OT students here or are you all OT techs, OTA's and OT's? I'm looking forward to lots of discussions :-) Best wishes for a Happy Easter Becky _ Get Hotmail, News, Sport and Entertainment from MSN on your mobile. http://www.msn.txt4content.com/ -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn ** -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.25/745 - Release Date: 4/3/2007 12:48 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.26/746 - Release Date: 4/4/2007 1:09 PM -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
Re: [OTlist] Hello!
Hi Mary :-) I'm really intrigued, what is an OTR and SNF >From: "Mary Giarratano" <[EMAIL PROTECTED]> >Reply-To: OTlist@OTnow.com >To: >Subject: Re: [OTlist] Hello! >Date: Thu, 5 Apr 2007 17:53:33 -0400 > >Hi Becky! > >I first joined when I was a student and am now an OTR working in an SNF. I >definitely agree that OT school is stressful! > >Mary > >-Original Message- >From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf >Of >Becky Heath >Sent: Thursday, April 05, 2007 3:34 AM >To: otlist@otnow.com >Subject: [OTlist] Hello! > > >Just want to say hi > >My name is Becky and I'm a OT student on the Eastbourne masters course. In >my first year and currently doing an assignment so ever slightly stressed! > >Are there other OT students here or are you all OT techs, OTA's and OT's? > >I'm looking forward to lots of discussions :-) > >Best wishes for a Happy Easter > >Becky > >_ >Get Hotmail, News, Sport and Entertainment from MSN on your mobile. >http://www.msn.txt4content.com/ > > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/otlist@otnow.com > > >** >Enroll in Boston University's post-professional Master of Science for OTs >Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn > >** > >-- >No virus found in this incoming message. >Checked by AVG Free Edition. >Version: 7.5.446 / Virus Database: 268.18.25/745 - Release Date: 4/3/2007 >12:48 >PM > > >-- >No virus found in this outgoing message. >Checked by AVG Free Edition. >Version: 7.5.446 / Virus Database: 268.18.26/746 - Release Date: 4/4/2007 >1:09 >PM > > > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/otlist@otnow.com > >** >Enroll in Boston University's post-professional Master of Science for OTs >Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >** _ MSN Hotmail is evolving - check out the new Windows Live Mail. http://ideas.live.co.uk/ -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
Re: [OTlist] Hello!
Thanks Ron I guess that there are people on here from all over the world as well. Okay back to my assignment! I look forward to being on the list! >From: Ron Carson <[EMAIL PROTECTED]> >Reply-To: OTlist@OTnow.com >To: Becky Heath >Subject: Re: [OTlist] Hello! >Date: Thu, 5 Apr 2007 15:41:45 -0400 > >Hello and Welcome to the OTlist. > >I don't really know the makeup of list demographics. I do believe >there are representatives from all factions of our profession and even >from other professions. There are non-therapists as well. All and all, >it's an eclectic place. > >Ron > >- Original Message - >From: Becky Heath <[EMAIL PROTECTED]> >Sent: Thursday, April 05, 2007 >To: otlist@otnow.com >Subj: [OTlist] Hello! > > >BH> Just want to say hi > >BH> My name is Becky and I'm a OT student on the Eastbourne masters course. >In >BH> my first year and currently doing an assignment so ever slightly >stressed! > >BH> Are there other OT students here or are you all OT techs, OTA's and >OT's? > >BH> I'm looking forward to lots of discussions :-) > >BH> Best wishes for a Happy Easter > >BH> Becky > >BH> _ >BH> Get Hotmail, News, Sport and Entertainment from MSN on your mobile. >BH> http://www.msn.txt4content.com/ > > > > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/otlist@otnow.com > >** >Enroll in Boston University's post-professional Master of Science for OTs >Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >** _ Txt a lot? Get Messenger FREE on your mobile. https://livemessenger.mobile.uk.msn.com/ -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
Re: [OTlist] Hello!
OTR = Occupational Therapist/Registered SNF = Skilled Nursing Facility -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
Re: [OTlist] Hello!
Becky I am guessing you are in the UK. Is that right? The acronyms below are US. In Canada a qualified occupational therapist is OT(C) for certified with perhaps another letter that designates a provincial practice licence. Our qualified assistants are OTA. We don't call anyone an OT tech at least not in this province. What is their scope of practice where you are? We would refer to an SNF here in Alberta as a Long Term Care facility ie with 24 hr qualified nursing and therapy staff as opposed to supported or assisted living with some care staff. Joan -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Jenny Daup Sent: Friday, April 06, 2007 6:43 AM To: OTlist@OTnow.com Subject: Re: [OTlist] Hello! OTR = Occupational Therapist/Registered SNF = Skilled Nursing Facility -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn ** -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.26/748 - Release Date: 4/5/2007 3:33 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.446 / Virus Database: 268.18.26/748 - Release Date: 4/5/2007 3:33 PM -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
Re: [OTlist] Hello!
Yes I'm from the UK, sorry I should have mentioned that! we have OTA's - I was one in a orthopaedics team in a hospital the next step is OT techs Everything has recently changed due to government policy so instead of basic grade or junior OT's they are called Band 5 next is Band 6 which was senior two then Band 7 which is your senior OT then you have lead and specialist OT's as well, but I'm not entirely sure if they have a banding. I left my job to start my training when all of this was finally ironed out - I prefer basic grade, senior two and senior rather than numbers I'm afraid. We have long term facilities here, but they are called rehabilitation wards or intermediate care - I'm sure any other English members will correct me if I am wrong. :-) >From: "Joan Riches" <[EMAIL PROTECTED]> >Reply-To: OTlist@OTnow.com >To: >Subject: Re: [OTlist] Hello! >Date: Fri, 6 Apr 2007 13:40:09 -0600 > >Becky >I am guessing you are in the UK. Is that right? >The acronyms below are US. In Canada a qualified occupational therapist is >OT(C) for certified with perhaps another letter that designates a >provincial >practice licence. Our qualified assistants are OTA. We don't call anyone an >OT tech at least not in this province. What is their scope of practice >where >you are? We would refer to an SNF here in Alberta as a Long Term Care >facility ie with 24 hr qualified nursing and therapy staff as opposed to >supported or assisted living with some care staff. Joan > >-Original Message- >From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf >Of Jenny Daup >Sent: Friday, April 06, 2007 6:43 AM >To: OTlist@OTnow.com >Subject: Re: [OTlist] Hello! > >OTR = Occupational Therapist/Registered >SNF = Skilled Nursing Facility > > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/otlist@otnow.com > > >** >Enroll in Boston University's post-professional Master of Science for OTs >Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn > >** > >-- >No virus found in this incoming message. >Checked by AVG Free Edition. >Version: 7.5.446 / Virus Database: 268.18.26/748 - Release Date: 4/5/2007 >3:33 PM > > >-- >No virus found in this outgoing message. >Checked by AVG Free Edition. >Version: 7.5.446 / Virus Database: 268.18.26/748 - Release Date: 4/5/2007 >3:33 PM > > > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/otlist@otnow.com > >** >Enroll in Boston University's post-professional Master of Science for OTs >Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >** _ Match.com - Click Here To Find Singles In Your Area Today! http://msnuk.match.com/ -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
Re: [OTlist] Hello!
On 4/6/07, Becky Heath <[EMAIL PROTECTED]> wrote: we have OTA's - I was one in a orthopaedics team in a hospital the next step is OT techs [Michael] Hi Becky: I am a Canadian OT. Can you tell us more about the educational requirements to be an OTA in the UK and are the OTAs licensed or regulated in any fashion by the government? Thanks. <><><><><><><><> Michael W. K. Chan Global Village. Somewhere out there. Third rock from the sun. <><><><><><><><><> -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
Re: [OTlist] Hello!
Hi Michael There isn't any educational requirements to become an OTA in England, although I believe it is different for Scotland. In my experience you just needed a background with working with people or have some caring background and you train whilst on the job. The hospital I worked for could not have technicians - this was to do with politics and money. However during the period when I was working at the hospital, the assistants who wanted a chance to become technicians could do competencies - i.e. prove they could do their job and provide evidence based practice, which if passed and there was enough money the assistant would become a technician. working for the NHS sometimes feels as if you have to jump through hoops. I know it is very different for the States and Canada? Becky :-) _ Match.com - Click Here To Find Singles In Your Area Today! http://msnuk.match.com/ -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
Re: [OTlist] Hello!
On 4/7/07, Becky Heath <[EMAIL PROTECTED]> wrote: > > > Hi Michael > There isn't any educational requirements to become an OTA in England, > although I believe it is different for Scotland. [Michael] Hi Becky: Thank you for your response. However during the period when I was working at the hospital, the assistants who wanted a chance to become technicians could do competencies - [Michael] This is indeed interesting. So a technician is 'ranked' higher than an assistant? I know it is very different for the States and Canada? [Michael] Well, yes and no. In the States, it is a two year accredited associate degree program for OTAs. They have to take a national exam to become a COTA - Certified Occupational Therapy Assistant - and they are regulated in most cases by state licensure. In Canada, there are two year diploma programs (many if not most are combined OTA & PTA), but the programs are not accredited as yet and there is no national exams. Hence no regulation either. <><><><><><><><> Michael W. K. Chan Global Village. Somewhere out there. Third rock from the sun. <><><><><><><><><> -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
Re: [OTlist] Hello!
> > > > > > Hi Michael > > There isn't any educational requirements to become an OTA in England, > > although I believe it is different for Scotland. > > >[Michael] >Hi Becky: Thank you for your response. > >Becky says: -Thats ok it is really lovely chatting with other OT folk >around the world > > >However during the period when I was working at the hospital, the >assistants >who wanted a chance to become technicians could do competencies - > >[Michael] >This is indeed interesting. So a technician is 'ranked' higher than an >assistant? > >Becky says: -yes. Technicians also have levels. Level one is the lowest and >it goes up to level three - where you are practically an OT. > > >I know it is very different for the States and Canada? > >[Michael] >Well, yes and no. In the States, it is a two year accredited associate >degree program for OTAs. They have to take a national exam to become a >COTA >- Certified Occupational Therapy Assistant - and they are regulated in most >cases by state licensure. In Canada, there are two year diploma programs >(many if not most are combined OTA & PTA), but the programs are not >accredited as yet and there is no national exams. Hence no regulation >either. > Becky says: -But atleast there are programmes set in place, thats a start. > > > > > ><><><><><><><><> >Michael W. K. Chan >Global Village. >Somewhere out there. >Third rock from the sun. ><><><><><><><><><> >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/otlist@otnow.com > >** >Enroll in Boston University's post-professional Master of Science for OTs >Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >** _ MSN Hotmail is evolving - check out the new Windows Live Mail. http://ideas.live.co.uk/ -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
Re: [OTlist] Hello!
On 4/7/07, Becky Heath <[EMAIL PROTECTED]> wrote: > > > >Becky says: -yes. Technicians also have levels. Level one is the lowest > and > >it goes up to level three - where you are practically an OT. [Michael] I see. What kind of education do the technician need to progress through the levels? Then after level three, what can they do to become a full fledged OT? > Becky says: -But atleast there are programmes set in place, thats a start. [Michael] Thanks. Yes, it is a very exciting time to be involved in OTA (and PTA) education in Canada right now. All the best for the Easter Weekend. -- <><><><><><><><> Michael W. K. Chan Global Village. Somewhere out there. Third rock from the sun. <><><><><><><><><> -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
Re: [OTlist] Hello!
Hi Michael Unfortunately after the technicians get to level 3 they are stuck. If they want to become a fully fledged OT they have to go off and train. As for education - again all I know is for my area. It is all on the job training and experience and if there is money. You have set tasks they want you to achieve so you go onto the next level. There was a course for OTA's that can be taken, but this was just being implemented before I left. It was called a foundation course. It does sound very exciting being involved with OTA education :-) >From: "Michael W. K. Chan" <[EMAIL PROTECTED]> >Reply-To: [EMAIL PROTECTED] >To: [EMAIL PROTECTED] >Subject: Re: [OTlist] Hello! >Date: Sat, 7 Apr 2007 23:16:25 -0400 > >On 4/7/07, Becky Heath <[EMAIL PROTECTED]> wrote: > > > > > > >Becky says: -yes. Technicians also have levels. Level one is the lowest > > and > > >it goes up to level three - where you are practically an OT. > > >[Michael] >I see. What kind of education do the technician need to progress through >the levels? Then after level three, what can they do to become a full >fledged OT? > > > > > > > Becky says: -But atleast there are programmes set in place, thats a >start. > >[Michael] >Thanks. Yes, it is a very exciting time to be involved in OTA (and PTA) >education in Canada right now. > >All the best for the Easter Weekend. > > > >-- ><><><><><><><><> >Michael W. K. Chan >Global Village. >Somewhere out there. >Third rock from the sun. ><><><><><><><><><> >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/[EMAIL PROTECTED] > >** >Enroll in Boston University's post-professional Master of Science for OTs >Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >** _ Get Hotmail, News, Sport and Entertainment from MSN on your mobile. http://www.msn.txt4content.com/ -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[EMAIL PROTECTED] ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
Re: [OTlist] Hello!
On 4/13/07, Becky Heath <[EMAIL PROTECTED]> wrote: > > > Hi Michael > Unfortunately after the technicians get to level 3 they are stuck. If they > want to become a fully fledged OT they have to go off and train. [Michael] Hi Becky: Thank you for your continued responses and educating us on the OTA situation in the US. It does sound very exciting being involved with OTA education :-) [Michael] Yes, I taught at the OT (Master's) level for five years and two years at the OTA level. This is my first year in a combined OTA & PTA programme. They are all very rewarding tracks. All the best. <><><><><><><><> Michael W. K. Chan Global Village. Somewhere out there. Third rock from the sun. <><><><><><><><><> -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[EMAIL PROTECTED] ** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **
[OTlist] Hello Everyone
I haven't written much because I don't know much... but what do you guys think about the comments made by Dennis Leary?How do you think people with mental disabilities are maligned compared to people with obvious physical disabilities?Discuss :) Victoria -- Be Yourself @ mail.com! Choose From 200+ Email Addresses Get a Free Account at www.mail.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] hello
It's only as active as the members make it! - Original Message - From: Juan Turcios Sent: Wednesday, September 23, 2009 To: OTlist@otnow.com Subj: [OTlist] hello JT> just wanted to see if this was still active JT> -- JT> Options? JT> www.otnow.com/mailman/options/otlist_otnow.com JT> Archive? JT> 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] Hello Everyone
I don't mean sound dense, but refresh my memory about Mr. Leary's comments. Thanks, Ron -- Ron Carson MHS, OT - Original Message - From: [EMAIL PROTECTED] <[EMAIL PROTECTED]> Sent: Wednesday, October 15, 2008 To: otlist@otnow.com Subj: [OTlist] Hello Everyone vpc> I haven't written much because I don't know much... but what do you guys vpc> think about the comments made by Dennis Leary?How do you think people vpc> with mental disabilities are maligned compared to people with obvious vpc> physical disabilities?Discuss :) Victoria -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] hello company...it's misery calling!
Ron, Ilene, and Mary Alice and the rest of you I love reading this listserv and enjoy your comments...though somedays reading it makes me want to quit my OT career and join the Circus or start that pumpkin carving business...(maybe not...too seasonal for steady cash flow!;)) <><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><> MARY ALICE: I wanted to respond to you because you have such good comments and DON"T STOP contributing...I agree with you that patients come to rehab and have a lot of preconcieved notions about what efforts/methods will create what results, they think "I just need strengthening" or " I just need to walk".. they don't make the connections about the rehab process that we know so well. So much of the challenge is to educated people on the process of OT, addressing the goals. This requires very good communication skills on the part of the OT. Pt's with chronic illnesses or even subacute health issues are reluctant to attempt the process of adapting to their condition because of denial of the loss function. They really are in phase of wanting to FIX IT NOW back to normal. As we know this is not always possible or realistic. OTs are superior to most other professions at teaching adaptation to "Enable Occupation". In some cases we fix things in an innovative and effective way.The disadvantage is in the OT concepts where ,of course ,we know that occupation is that complex multifactorial phenomena that is the essence of performing daily life and is so much a part of our lives, and so individually subjective. Peeple don't think about it in the same terms we describe it in but they often get the connection when we do our jobs well. It is a tough job but rewarding. <><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><>< RON: I related so well to your well written response to Ilene (Message 4,2/21/09), I have a similar history to you and worked in the SNFs in the late 1990's, but woe is me... I still do today. As you stated the business model doesn't foster the best that OT can be as a profession. It is very inflexible and stifles innovation, creativity, and quality in favor of effeciency, profit, and bureaucratic compliance to Medicare rules and regs which set the system up to be as lame as it is. Some how I have found a way continue in this practice setting for almost 15 years and have sought out the most high quality employers and facilities with a bit of luck had good results. But I too am growing VERY WEARY of all the issues you so effectively stated. I even spent one week as a Rehab Manager and quit..it made me physically ill, tried o/p hand therapy for 6months and was quite unsatisfied. I have thought of leaving the SNF setting, but every now and then I get a patient or case or two that goes so well and is so satisfying that it draws me back in...it's like trying to leave the Mafia :), Ron do you think home health is the best OT practice setting? <>><><><><><><>><><><><><><><><><><><><><><><><><><>><><><><><><>< ILENE: I could totally relate to you comments about SNF and goal setting and treatment ideas. Isn't this such a challenging population. SPEAKING OF THEORIES:My theory is that people who know the value of occupation to health status "practice what they preach" in that they engage in meaningful occupations and enjoy a high quality of life and health status, and when they do get sick or have issues they are quick to self -treat with the motivation, and goal-oriented mind set to get back to living and and the flexibility to adapt to their condition. And they use their OT as a resource to achieve goals. I see a few of these kinds of patients in SNFS, BUT, the greater majority of the SNF patient's I see have an ongoing Occupation deficit which correlates with their poor health status and issues and lack of ability to adapt. We are often faced with the toughest cases, with people who's prior level of occupation is so dysfunctional/deficient or co-dependent on a caregiving relationship that they just don't have a OT-like outlook. Many clients "outsource" their occupation by expecting spouses, neighbors, hired caregivers, meals on wheels, etc..to provided ADL.So I think we are often faced with the most challenging and ill fitting clients for OT at the SNF setting, Hello company...it's misery calling. <><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><>< So should I begin selling snow cones at the north pole, or take my sock puppet show on a national tour as a new career? What Say you RON? (LOL) Brent -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] hello company...it's misery calling!
Brent, Great comments Do you need an understudy for the sock puppet show? Simply hilarious! Chris -Original Message- From: Brent Cheyne To: OTlist@OTnow.com Sent: Sat, 21 Feb 2009 6:37 pm Subject: Re: [OTlist] hello company...it's misery calling! Ron, Ilene, and Mary Alice and the rest of you I love reading this listserv and enjoy your comments...though somedays reading it makes me want to quit my OT career and join the Circus or start that pumpkin carving business...(maybe not...too seasonal for steady cash flow!;)) <><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><> MARY ALICE: I wanted to respond to you because you have such good comments and DON"T STOP contributing...I agree with you that patients come to rehab and have a lot of preconcieved notions about what efforts/methods will create what results, they think "I just need strengthening" or " I just need to walk".. they don't make the connections about the rehab process that we know so well. So much of the challenge is to educated people on the process of OT, addressing the goals. This requires very good communication skills on the part of the OT. Pt's with chronic illnesses or even subacute health issues are reluctant to attempt the process of adapting to their condition because of denial of the loss function. They really are in phase of wanting to FIX IT NOW back to normal. As we know this is not always possible or realistic. OTs are superior to most other professions at teaching adaptation to "Enable Occupation". In some cases we fix things in an innovative and effective way.The disadvantage is in the OT concepts where ,of course ,we know that occupation is that complex multifactorial phenomena that is the essence of performing daily life and is so much a part of our lives, and so individually subjective. Peeple don't think about it in the same terms we describe it in but they often get the connection when we do our jobs well. It is a tough job but rewarding. <><><><><><><><><><><><><><><><><><><><><><><><><><><><><><><>< RON: I related so well to your well written response to Ilene (Message 4,2/21/09), I have a similar history to you and worked in the SNFs in the late 1990's, but woe is me... I still do today. As you stated the business model doesn't foster the best that OT can be as a profession. It is very inflexible and stifles innovation, creativity, and quality in favor of effeciency, profit, and bureaucratic compliance to Medicare rules and regs which set the system up to be as lame as it is. Some how I have found a way continue in20this practice setting for almost 15 years and have sought out the most high quality employers and facilities with a bit of luck had good results. But I too am growing VERY WEARY of all the issues you so effectively stated. I even spent one week as a Rehab Manager and quit..it made me physically ill, tried o/p hand therapy for 6months and was quite unsatisfied. I have thought of leaving the SNF setting, but every now and then I get a patient or case or two that goes so well and is so satisfying that it draws me back in...it's like trying to leave the Mafia :), Ron do you think home health is the best OT practice setting? <>><><><><><><>><><><><><><><><><><><><><><><><><><>><><><><><><>< ILENE: I could totally relate to you comments about SNF and goal setting and treatment ideas. Isn't this such a challenging population. SPEAKING OF THEORIES:My theory is that people who know the value of occupation to health status "practice what they preach" in that they engage in meaningful occupations and enjoy a high quality of life and health status, and when they do get sick or have issues they are quick to self -treat with the motivation, and goal-oriented mind set to get back to living and and the flexibility to adapt to their condition. And they use their OT as a reso urce to achieve goals. I see a few of these kinds of patients in SNFS, BUT, the greater majority of the SNF patient's I see have an ongoing Occupation deficit which correlates with their poor health status and issues and lack of ability to adapt. We are
Re: [OTlist] hello company...it's misery calling!
Hello Brent: The question of home health being the best practice setting is complicated. In a perfect world, I say unequivocally "yes", but in the real world, I say "no". It seems to me that in home health, like other settings, OT has no TRULY unique and HIGHLY valued role. There seems to be very little that OT does which isn't already covered by either PT, nursing or the aide. Ron -- Ron Carson MHS, OT www.OTnow.com - Original Message - From: Brent Cheyne Sent: Saturday, February 21, 2009 To: OTlist@OTnow.com Subj: [OTlist] hello company...it's misery calling! BC> RON: I related so well to your well written response to Ilene (Message BC> 4,2/21/09), I have a similar history to you and worked in the SNFs in BC> the late 1990's, but woe is me... I still do today. As you stated the BC> business model doesn't foster the best that OT can be as a profession. BC> It is very inflexible and stifles innovation, creativity, and quality in BC> favor of effeciency, profit, and bureaucratic compliance to Medicare BC> rules and regs which set the system up to be as lame as it is. Some how BC> I have found a way continue in this practice setting for almost 15 years BC> and have sought out the most high quality employers and facilities with BC> a bit of luck had good results. But I too am growing VERY WEARY BC> of all the issues you so effectively stated. I even spent one week as a BC> Rehab Manager and quit..it made me physically ill, tried o/p hand BC> therapy for 6months and was quite unsatisfied. I have thought of BC> leaving the SNF setting, but every now and then I get a patient or case BC> or two that goes so well and is so satisfying that it draws me back BC> in...it's like trying to leave the Mafia :), Ron do you think home BC> health is the best OT practice setting? -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] hello company...it's misery calling!
Ron, Are you saying that PT, nursing, and nursing aides is working on increased independence in clients' occupations? Or does it appear that they are addressing the issues by completing them for the patient? Perhaps it would be wise to have a tag along day with these disciplines to create a team approarch. I think one of the best things a home OT can do is become friends with the home aides because they can help with the needed correct repetiion of your treatment interventions outside of formal therapy time. You know Ron, I once thought like you in regards to the perception of OT in the setting in which I worked "OT has no TRULY unique and HIGHLY valued role", but there was a time in which I stopped listening to that unproductive self talk, and decided to put all of my efforts into the clients. I learned a few things in the past five years since changing my attitude and to help to chage the culture of a department a) respect is dependent on the hard work you put into your clients b) constant continuuing education and inservicing to the staff has helped change perceptions c) lowering my ego by helping out with toileting and bowel accident clean ups instead of calling the nurse and "running" has helped to build a more team approach and provides an opportunity to share important information d) the better I know the nursing and therapy staff on a personal level the more they learn about OT. A few months ago I had my friend and collegue Pat a nurse talk to me about how her opinion of OT has changed in the past few years. She admitted that she never really had a clear grasp on what we did because she never got the opportunity to see us in action when she worked in home care. But when she transitioned to the rehab unit she was outstounded by the the reality of what we worked on. She regrets that she did not have that knowledge prior and how that could of helped many patients in the home therapy setting. She told me that she once thought physical therapy was the "go to therapy", but now she understands how imperative OT is to the recovery of a client. I now get constant phone calls from Pat and the other nursing staff about certain things they see when they are helping clients with their morning ADLs and how they want my advise to deal with the problems. We then often work together to come up with a solution. Looking back at my career so far I learned it really was not the other hospital staff that devalued OT but in reality it was I whom came to hate what I was doing because my focus and passion was on myself and not on the client. Chris Nahrwold MS, OTR -Original Message- From: Ron Carson To: Brent Cheyne Sent: Wed, 25 Feb 2009 8:41 pm Subject: Re: [OTlist] hello c ompany...it's misery calling! Hello Brent: The question of home health being the best practice setting is complicated. In a perfect world, I say unequivocally "yes", but in the real world, I say "no". It seems to me that in home health, like other settings, OT has no TRULY unique and HIGHLY valued role. There seems to be very little that OT does which isn't already covered by either PT, nursing or the aide. Ron -- Ron Carson MHS, OT www.OTnow.com - Original Message - From: Brent Cheyne Sent: Saturday, February 21, 2009 To: OTlist@OTnow.com Subj: [OTlist] hello company...it's misery calling! BC> RON: I related so well to your well written response to Ilene (Message BC> 4,2/21/09), I have a similar history to you and worked in the SNFs in BC> the late 1990's, but woe is me... I still do today. As you stated the BC> business model doesn't foster the best that OT can be as a profession. BC> It is very inflexible and stifles innovation, creativity, and quality in BC> favor of effeciency, profit, and bureaucratic compliance to Medicare BC> rules and regs which set the system up to be as lame as it is. Some how BC> I have found a way continue in this practice setting for almost 15 years BC> and have sought out the most high quality employe rs and facilities with BC> a bit of luck had good results. But I too am growing VERY WEARY BC> of all the issues you so effectively stated. I even spent one week as a BC> Rehab Manager and quit..it made me physically ill, tried o/p hand BC> therapy for 6months and was quite unsatisfied. I have thought of BC> leaving the SNF setting, but every now and then I get a patient or case BC> or two that goes so well and is so satisfying that it draws me back BC> in...it's like trying to leave the Mafia :), Ron do you think home BC> health is the best OT practice setting? -- 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] hello company...it's misery calling!
Chris, you bring up very good and valued points and that's a great story about your nurse friend. I think it also highlights that EACH and every OT makes an impact. I guess what really matters is the type of impact being made! Now, let me TRY to answer your questions. It seems to me that as aides become better trained through experience, they tend to make equipment recommendations which are designed to improved safety and independence with basic self-care. However, I also find that these equipment recommendations are not what I recommend. Also, my home health agency has a very low utilization rate for aides. In fact, I have a patient now where the LPN is doing bathing. When I say that OT has no unique or highly valued role in home health, I am primarily referring to OTHERS' perceptions of OT. To be sure, I STRONGLY believe that in home health OT, when practiced from an occupation-based approach, is the premier profession. But, and this is quite unfortunate, I think OT has pigeonholed itself into the upper-extremity role and in my experience, VERY few people are homebound because of upper-extremity dysfunction. But, there are problems when practicing OT from an occupation-based perspective. I've previously written that a true occupation-based approach may focus treatment on mobility-related daily occupations. Patient's want and often need to be able to sit to stand, ambulate and perform daily occupations with very little assistance from others. Thus, my treatment focuses on these things. BUT, this approaches encroaches on what is typically PT's domain. And for all the readers on this list who think the profession of PT is our "friend", try stepping on their professional toes and you see just how protective and reactive they can be. And, there's nothing wrong with that, in fact OT should be the same way. Every PTA in my home health agency has complained to the PT about my treatments. One PTA was highly agitated because I did not ask her opinion about getting a patient a knee walker. The patient was supposed to be non- weightbearing but was burning herself while cooking from her wheelchair. So, we talked about a knee walker and I picked one up from a local DME and trialled the patient in her home. She loved it so I contacted the MD. He initially refused an order but I later found out this was because he didn't have any knowledge of the equipment. The patient talked with the MD and after he literally went to the DME and looked at the equipment, he said "sure". In retrospect, I should have at least talked with the PTA but in 100% honest, it never even crossed my mind. I am used to working on my own in private practice and not talking with other professionals about mobility decisions. Once, I was informed of the "problem" with the PTA, I called her about my decision and she was better, at least on the outside. So, there are no easy answers or solutions. The entire "thing" is very confusing to me. Home health is SUPPOSED to be about making people safer and more independent in their homes. This is EXACTLY what OT is also supposed to do. However, there seems to be a BIG disconnect between home health and OT. Perhaps, the sad reality is that home health is really about making money and OT, at least my flavor of OT, isn't exactly a productivity boon. It seems to me that PT is very accustomed to seeing almost every home health patient for doing mindless and unskilled therapeutic exercises. These visits are easy for the PT, patient and make lots of money for the home health agency. I frequently d/c patients who are totally independent in their homes and PT will stay on for weeks and weeks. This of course, brings in big money for the HH agency. It's almost like the PT's goals revolve around the 60 day episode of care rather than the patient's actual needs. Wow, sorry for the long response!! Ron -- Ron Carson MHS, OT www.OTnow.com - Original Message ----- From: cmnahrw...@aol.com Sent: Wednesday, February 25, 2009 To: OTlist@OTnow.com Subj: [OTlist] hello company...it's misery calling! cac> Ron, cac> Are you saying that PT, nursing, and nursing aides is working on cac> increased independence in clients' occupations? Or does it appear that cac> they are addressing the issues by completing them for the patient? cac> Perhaps it would be wise to have a tag along day with these disciplines cac> to create a team approarch. I think one of the best things a home OT cac> can do is become friends with the home aides because they can help with cac> the needed correct repetiion of your treatment interventions outside of cac> formal therapy time. cac> You know Ron, I once thought like you in regards to the percep
Re: [OTlist] hello company...it's misery calling!
Ron, thanks for sharing. Sounds like a difficult situation in which it will take a long time to change the culture. Glad you made that phone call to the PTA. I am so glad that we do not have that problem, we walk patients all of the time around the rehab unit and the PT seems to appreciate the carryover. One habit I have gotten into is asking the PT her advise on how she wants the gait and stairs completed. I also ask her about all changes in mobility aides (walker, canes, rollators) for professional courtesy. Most of the time it is a no brainer, but it has really helped to open up dialogue. The PT in the same respect has asked me on my advise when it comes to ADLs, visual perceptual processing, flaccid arm supports, wheelchair positioning, etc. So it is a win win situation all around. I am really fascinated about this knee walker. We have a lot of non weight bearing patients whom want to go home, but it is nearly impossible to maintain the weightbearing status pending on how weak and cognitively impaired they might be. Chris Nahrwold MS, OTR -Original Message- From: Ron Carson To: cmnahrw...@aol.com Sent: Thu, 26 Feb 2009 6:58 am Subject: Re: [OTlist] hello company...it's misery calling! Chris, you bring up very good and valued points and that's a great story about your nurse friend. I think it also highlights that20EACH and every OT makes an impact. I guess what really matters is the type of impact being made! Now, let me TRY to answer your questions. It seems to me that as aides become better trained through experience, they tend to make equipment recommendations which are designed to improved safety and independence with basic self-care. However, I also find that these equipment recommendations are not what I recommend. Also, my home health agency has a very low utilization rate for aides. In fact, I have a patient now where the LPN is doing bathing. When I say that OT has no unique or highly valued role in home health, I am primarily referring to OTHERS' perceptions of OT. To be sure, I STRONGLY believe that in home health OT, when practiced from an occupation-based approach, is the premier profession. But, and this is quite unfortunate, I think OT has pigeonholed itself into the upper-extremity role and in my experience, VERY few people are homebound because of upper-extremity dysfunction. But, there are problems when practicing OT from an occupation-based perspective. I've previously written that a true occupation-based approach may focus treatment on mobility-related daily occupations. Patient's want and often need to be able to sit to stand, ambulate and perform daily occupations with very little assistance from other s. Thus, my treatment focuses on these things. BUT, this approaches encroaches on what is typically PT's domain. And for all the readers on this list who think the profession of PT is our "friend", try stepping on their professional toes and you see just how protective and reactive they can be. And, there's nothing wrong with that, in fact OT should be the same way. Every PTA in my home health agency has complained to the PT about my treatments. One PTA was highly agitated because I did not ask her opinion about getting a patient a knee walker. The patient was supposed to be non- weightbearing but was burning herself while cooking from her wheelchair. So, we talked about a knee walker and I picked one up from a local DME and trialled the patient in her home. She loved it so I contacted the MD. He initially refused an order but I later found out this was because he didn't have any knowledge of the equipment. The patient talked with the MD and after he literally went to the DME and looked at the equipment, he said "sure". In retrospect, I should have at least talked with the PTA but in 100% honest, it never even crossed my mind. I am used to working on my own in private practice and not talking with other professionals about mobility decisions. Once, I was informed of the "problem" with the PTA, I called her a bout my decision and she was better, at least on the outside. So, there are no easy answers or solutions. The entire "thing" is very confusing to me. Home health is SUPPOSED to be about making people safer and more independent in their homes. This is EXACTLY what OT is also supposed to do. However, there seems to be a BIG disconnect between home health and OT. Perhaps, the sad reality is that home health is really about making money and OT, at least my flavor of OT, isn't exactly a productivity boon. It seems to me that PT is very accustomed to seeing almost every home health patient for doing mindless and unskilled therapeutic exercises. These visits are easy for the PT, patient and make lots of money for the ho
Re: [OTlist] hello company...it's misery calling!
Here's a link to a site with the knee walkers: http://www.activeforever.com/s-127-knee-walkers.aspx My orthopedist used one when he was non-weightbearing from a foot/ankle injury and said it was great for using in the OR during surgery. I've had a pt that used one too and she loved it since she didn't have enough UB strength for crutches or hopping with a walker. Mary -Original Message- From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com] On Behalf Of cmnahrw...@aol.com Sent: Thursday, February 26, 2009 1:18 PM To: OTlist@OTnow.com Subject: Re: [OTlist] hello company...it's misery calling! Ron, thanks for sharing. Sounds like a difficult situation in which it will take a long time to change the culture. Glad you made that phone call to the PTA. I am so glad that we do not have that problem, we walk patients all of the time around the rehab unit and the PT seems to appreciate the carryover. One habit I have gotten into is asking the PT her advise on how she wants the gait and stairs completed. I also ask her about all changes in mobility aides (walker, canes, rollators) for professional courtesy. Most of the time it is a no brainer, but it has really helped to open up dialogue. The PT in the same respect has asked me on my advise when it comes to ADLs, visual perceptual processing, flaccid arm supports, wheelchair positioning, etc. So it is a win win situation all around. I am really fascinated about this knee walker. We have a lot of non weight bearing patients whom want to go home, but it is nearly impossible to maintain the weightbearing status pending on how weak and cognitively impaired they might be. Chris Nahrwold MS, OTR -Original Message- From: Ron Carson To: cmnahrw...@aol.com Sent: Thu, 26 Feb 2009 6:58 am Subject: Re: [OTlist] hello company...it's misery calling! Chris, you bring up very good and valued points and that's a great story about your nurse friend. I think it also highlights that20EACH and every OT makes an impact. I guess what really matters is the type of impact being made! Now, let me TRY to answer your questions. It seems to me that as aides become better trained through experience, they tend to make equipment recommendations which are designed to improved safety and independence with basic self-care. However, I also find that these equipment recommendations are not what I recommend. Also, my home health agency has a very low utilization rate for aides. In fact, I have a patient now where the LPN is doing bathing. When I say that OT has no unique or highly valued role in home health, I am primarily referring to OTHERS' perceptions of OT. To be sure, I STRONGLY believe that in home health OT, when practiced from an occupation-based approach, is the premier profession. But, and this is quite unfortunate, I think OT has pigeonholed itself into the upper-extremity role and in my experience, VERY few people are homebound because of upper-extremity dysfunction. But, there are problems when practicing OT from an occupation-based perspective. I've previously written that a true occupation-based approach may focus treatment on mobility-related daily occupations. Patient's want and often need to be able to sit to stand, ambulate and perform daily occupations with very little assistance from other s. Thus, my treatment focuses on these things. BUT, this approaches encroaches on what is typically PT's domain. And for all the readers on this list who think the profession of PT is our "friend", try stepping on their professional toes and you see just how protective and reactive they can be. And, there's nothing wrong with that, in fact OT should be the same way. Every PTA in my home health agency has complained to the PT about my treatments. One PTA was highly agitated because I did not ask her opinion about getting a patient a knee walker. The patient was supposed to be non- weightbearing but was burning herself while cooking from her wheelchair. So, we talked about a knee walker and I picked one up from a local DME and trialled the patient in her home. She loved it so I contacted the MD. He initially refused an order but I later found out this was because he didn't have any knowledge of the equipment. The patient talked with the MD and after he literally went to the DME and looked at the equipment, he said "sure". In retrospect, I should have at least talked with the PTA but in 100% honest, it never even crossed my mind. I am used to working on my own in private practice and not talking with other professionals about mobility decisions. Once, I was informed of the "problem" with the PTA, I called her a bout my decision and she was better, at least on the outside. So, there are no easy answers or solutions. The entir
