Re: [OTlist] I still can't explain OT
BrentFUNNY Neal C. Luther,OTR/L Rehab Program Coordinator Advanced Home Care 1-336-878-8824 xt 3205 [EMAIL PROTECTED] Home Care is our Business...Caring is our Specialty The information contained in this electronic document from Advanced Home Care is privileged and confidential information intended for the sole use of [EMAIL PROTECTED] If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify the person listed above and discard the original.-Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Brent Cheyne Sent: Thursday, November 13, 2008 6:33 PM To: Ron Carson Subject: Re: [OTlist] I still can't explain OT I've been an OT for a long time and I still can NOT explain my profession in a way that is: * Concise * CLEARLY differentiates OT from other professions * Makes sense to other people (i.e. patients, MD's, nurses, etc) * Consistent: - With others - Across patient populations - Supported by practice - Supported by documentation * Satisfies me Other professions with identity crisis, (job the club) Physical Therapist vs athletic trainer vs massage therapist vs chiropractor, vs exercise physiologist,vs kinesiologist, vs personal trainer vs body worker, yoga instructor vs pilates instructor vs fitness personality Chiropractor vs Osteopath vs Naturopath vs Homeopath vs Acupuncturist vs Oriental Medicine Specialist vs Natural Healer Psychiatrist vs Psychologist vs Mental Health Counsellor vs Psychotherapist vs addiction cousellors vs Personal Coach vs Personal Shopper vs Personal Assistant :) Physicians assistant vs Nurse Practitioner, Nurse Anasthestatists, Nurse Midwives, Nutritionist vs Dietitian vs Sports Nutrition Counsellor vs Dietary services manager Nurse Case Manager vs Social Worker vs Geriatric Care Manager vs Life Care Managers vs Disablilty Managers Speech Language Pathologist vs Audiologists vs Special Education Teachers vs Learning Disabled Specialist vs Educaitonal Psychologist Computer Engineer vs Software Engineer vs Network Management specialist vs information technology manager, vs systems analyst vs data base manager vs website developer. Engineers: Civil vs Mechanical vs Electrical vs Structural vs Chemical vs Biomedical vs Architects vs Urban Planners Optometrists vs Opthamologists Lawyers: Corporate Lawyers vs Environmental Lawyers vs Estate Lawyers vs Criminal Lawyers vs Constitutional Lawyers vs Personal Injury Lawyers vs Entertainment and Intellectual Property Lawyers Business: CEO, COO, CFO, CIO, Chairman, President, Owner, Majority Holder CIA vs FBI vs Department of Homeland Security vs Sheriffs Department vs City Police Department vs NSA,vs FEMA Publicist vs Public Relations Specialist vs Advisor/handler vs Agent Journalist vs Columnist vs Pundit vs Blogger vs Poparrattzzi vs TV/Radio Talk Show Host Rabbi vs Priest vs Pastor vs Guru vs Eman vs Shaman vs Minister vs Spiritual Advisor Compassionate Social Conservative Republican vs Fiscally Responsible Progressive Liberal Democrat vs...dare I go on? Sorry, this was just a fun mental exercise for me, there are a lot of professions that overlap in areas of expertise and infuence and turf...the boundries can be social, legal, or cultural, and even political. OT is not alone in the search for a universally understood definition. Stay relevant by being useful and effective with your clients. I try to remain content in my career and enjoy my work despite a lack of concrete and defined professional boundries. Brent -- 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] I still can't explain OT
Brent, that was awesome! Over the years I have become?simplistic with my definition of OT when describing it to my clients prior to their reheb program.? OT on Bennett rehab typically helps patients to become more independent with all of the actvities that occupy a person's life in order to get home safely ( I work on an acute rehab unit)? I then explain how we use the actual goal as a treatment activity, and how we can use exercise/therapeutic activity/compensation strategy, etc to achieve the individual's identified goals. Chris Nahrwold MS, OTR -Original Message- From: Neal Luther [EMAIL PROTECTED] To: OTlist@OTnow.com Sent: Fri, 14 Nov 2008 8:16 am Subject: Re: [OTlist] I still can't explain OT BrentFUNNY Neal C. Luther,OTR/L Rehab Program Coordinator Advanced Home Care 1-336-878-8824 xt 3205 [EMAIL PROTECTED] Home Care is our Business...Caring is our Specialty The information contained in this electronic document from Advanced Home Care is privileged and confidential information intended for the sole use of [EMAIL PROTECTED] If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify the person listed above and discard the original.-Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Brent Cheyne Sent: Thursday, November 13, 2008 6:33 PM To: Ron Carson Subject: Re: [OTlist] I still can't explain OT I've been an OT for a long time and I still can NOT explain my profession in a way that is: * Concise * CLEARLY differentiates OT from other professions * Makes sense to other people (i.e. patients, MD's, nurses, etc) * Consistent: - With others - Across patient populations - Supported by practice - Supported by documentation * Satisfies me Other professions with identity crisis, (job the club) Physical Therapist vs athletic trainer vs massage therapist vs chiropractor, vs exercise physiologist,vs kinesiologist, vs personal trainer vs body worker, yoga instructor vs pilates instructor vs fitness personality Chiropractor vs Osteopath vs Naturopath vs Homeopath vs Acupuncturist vs Oriental Medicine Specialist vs Natural Healer Psychiatrist vs Psychologist vs Mental Health Counsellor vs Psychotherapist vs addiction cousellors vs Personal Coach vs Personal Shopper vs Personal Assistant :) Physicians assistant vs Nurse Practitioner, Nurse Anasthestatists, Nurse Midwives, Nutritionis t vs Dietitian vs Sports Nutrition Counsellor vs Dietary services manager Nurse Case Manager vs Social Worker vs Geriatric Care Manager vs Life Care Managers vs Disablilty Managers Speech Language Pathologist vs Audiologists vs Special Education Teachers vs Learning Disabled Specialist vs Educaitonal Psychologist Computer Engineer vs Software Engineer vs Network Management specialist vs information technology manager, vs systems analyst vs data base manager vs website developer. Engineers: Civil vs Mechanical vs Electrical vs Structural vs Chemical vs Biomedical vs Architects vs Urban Planners Optometrists vs Opthamologists Lawyers: Corporate Lawyers vs Environmental Lawyers vs Estate Lawyers vs Criminal Lawyers vs Constitutional Lawyers vs Personal Injury Lawyers vs Entertainment and Intellectual Property Lawyers Business: CEO, COO, CFO, CIO, Chairman, President, Owner, Majority Holder CIA vs FBI vs Department of Homeland Security vs Sheriffs Department vs City Police Department vs NSA,vs FEMA Publicist vs Public Relations Specialist vs Advisor/handler vs Agent Journalist vs Columnist vs Pundit vs Blogger vs Poparrattzzi vs TV/Radio Talk Show Host Rabbi vs Priest vs Pastor vs Guru vs Eman vs Shaman vs Minister vs Spiritual Advisor Compassionate Social Conservative Republican vs Fiscally Responsible Progressive Liberal Democrat vs...dare I go on? Sorry, this was just a fun mental exercise for me, there are a lot of professions that overlap in areas of expertise and infuence and turf...the boundries can be social, legal, or cultural, and even political. OT is not alone in the search for a universally understood definition. Stay relevant by being useful and effective with your clients. I try to remain content in my career and enjoy my work despite a lack of concrete and defined professional boundries. Brent -- 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] I still can't explain OT
That is why I became an OT after being a Recreational Therapist for 17 years. - We came from the same roots - and made transition in to the medical model. We often have more skills than others - however, when we look at the educational opportunities around - we don't have some of the same courses that PTs have for example ICU training. We as OTs have the wonderful skills to make a difference - in the whole person. We as OTs have the training and expertise to get anyone to and from point A to point B to perform their occupation - of LIFE. Task analysis will show you everything that we do has a reason. You have to have the clinical skills to apply what you know and document it appropriately. Connie S. Boggess, MS, CTRS, OTR/L Certified Therapeutic Recreation Specialist Occupational Therapist Registered/Licensed Confidentiality Notice: This message, including any attachments, is for the sole use of the individual or entity named above. This message may contain confidential health information that is legally protected by the Health Information Portability and Accountability Act (HIPAA), the Family Education Rights Privacy Act (FERPA) and/or the Individuals with Disabilities Act (IDEA). It is intended solely for the recipient named above. If you are not the intended recipient and/or have received this information and its contents in error, you are herby notified that any review, use, disclosure and/or distribution of this information is strictly prohibited. Please notify sender immediately and destroy the information. Thank you. **Get the Moviefone Toolbar. Showtimes, theaters, movie news more!(http://pr.atwola.com/promoclk/10075x1212774565x1200812037/aol?redir=htt p://toolbar.aol.com/moviefone/download.html?ncid=emlcntusdown0001) -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] I still can't explain OT
So are you saying it was a good choice or not? Neal C. Luther,OTR/L Rehab Program Coordinator Advanced Home Care 1-336-878-8824 xt 3205 [EMAIL PROTECTED] Home Care is our Business...Caring is our Specialty The information contained in this electronic document from Advanced Home Care is privileged and confidential information intended for the sole use of [EMAIL PROTECTED] If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify the person listed above and discard the original.-Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Wednesday, November 12, 2008 3:29 PM To: OTlist@OTnow.com Subject: Re: [OTlist] I still can't explain OT Nope - what you did was Recreational Therapy - but since OTs have a monster leisure component to Occupation - then that is what occurred. In order to socialize with peers/family - you have to walk - you also have to obtain items and network - which is again - occupation. You did endurance activities and not PT - you took what she was vested in and ran with it. Connie S. Boggess, MS, CTRS, OTR/L Certified Therapeutic Recreation Specialist Occupational Therapist Registered/Licensed Confidentiality Notice: This message, including any attachments, is for the sole use of the individual or entity named above. This message may contain confidential health information that is legally protected by the Health Information Portability and Accountability Act (HIPAA), the Family Education Rights Privacy Act (FERPA) and/or the Individuals with Disabilities Act (IDEA). It is intended solely for the recipient named above. If you are not the intended recipient and/or have received this information and its contents in error, you are herby notified that any review, use, disclosure and/or distribution of this information is strictly prohibited. Please notify sender immediately and destroy the information. Thank you. **Get the Moviefone Toolbar. Showtimes, theaters, movie news more!(http://pr.atwola.com/promoclk/10075x1212774565x1200812037/aol? redir=htt p://toolbar.aol.com/moviefone/download.html?ncid=emlcntusdown0001) -- 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] I still can't explain OT
I've been an OT for a long time and I still can NOT explain my profession in a way that is: * Concise * CLEARLY differentiates OT from other professions * Makes sense to other people (i.e. patients, MD's, nurses, etc) * Consistent: - With others - Across patient populations - Supported by practice - Supported by documentation * Satisfies me Other professions with identity crisis, (job the club) Physical Therapist vs athletic trainer vs massage therapist vs chiropractor, vs exercise physiologist,vs kinesiologist, vs personal trainer vs body worker, yoga instructor vs pilates instructor vs fitness personality Chiropractor vs Osteopath vs Naturopath vs Homeopath vs Acupuncturist vs Oriental Medicine Specialist vs Natural Healer Psychiatrist vs Psychologist vs Mental Health Counsellor vs Psychotherapist vs addiction cousellors vs Personal Coach vs Personal Shopper vs Personal Assistant :) Physicians assistant vs Nurse Practitioner, Nurse Anasthestatists, Nurse Midwives, Nutritionist vs Dietitian vs Sports Nutrition Counsellor vs Dietary services manager Nurse Case Manager vs Social Worker vs Geriatric Care Manager vs Life Care Managers vs Disablilty Managers Speech Language Pathologist vs Audiologists vs Special Education Teachers vs Learning Disabled Specialist vs Educaitonal Psychologist Computer Engineer vs Software Engineer vs Network Management specialist vs information technology manager, vs systems analyst vs data base manager vs website developer. Engineers: Civil vs Mechanical vs Electrical vs Structural vs Chemical vs Biomedical vs Architects vs Urban Planners Optometrists vs Opthamologists Lawyers: Corporate Lawyers vs Environmental Lawyers vs Estate Lawyers vs Criminal Lawyers vs Constitutional Lawyers vs Personal Injury Lawyers vs Entertainment and Intellectual Property Lawyers Business: CEO, COO, CFO, CIO, Chairman, President, Owner, Majority Holder CIA vs FBI vs Department of Homeland Security vs Sheriffs Department vs City Police Department vs NSA,vs FEMA Publicist vs Public Relations Specialist vs Advisor/handler vs Agent Journalist vs Columnist vs Pundit vs Blogger vs Poparrattzzi vs TV/Radio Talk Show Host Rabbi vs Priest vs Pastor vs Guru vs Eman vs Shaman vs Minister vs Spiritual Advisor Compassionate Social Conservative Republican vs Fiscally Responsible Progressive Liberal Democrat vs...dare I go on? Sorry, this was just a fun mental exercise for me, there are a lot of professions that overlap in areas of expertise and infuence and turf...the boundries can be social, legal, or cultural, and even political. OT is not alone in the search for a universally understood definition. Stay relevant by being useful and effective with your clients. I try to remain content in my career and enjoy my work despite a lack of concrete and defined professional boundries. Brent -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] I still can't explain OT
Wow! Thanks for that reality check Brent! It's amazing how a single e-mail can totally change the direction of a person's thought. I've been so overwhelmed for so long about trying to define our profession, including separating from PT, that I've really gotten bogged down. Your message sort of took a LOAD off my back. Ron -- Ron Carson MHS, OT - Original Message - From: Brent Cheyne [EMAIL PROTECTED] Sent: Thursday, November 13, 2008 To: Ron Carson otlist@otnow.com Subj: [OTlist] I still can't explain OT BC I've been an OT for a long time and I still can NOT explain my BC profession in a way that is: BC * Concise BC * CLEARLY differentiates OT from other professions BC * Makes sense to other people (i.e. patients, MD's, nurses, etc) BC * Consistent: BC - With others BC - Across patient populations BC - Supported by practice BC - Supported by documentation BC * Satisfies me BC BC Other professions with identity crisis, (job the club) BC BC Physical Therapist vs athletic trainer vs massage therapist vs BC chiropractor, vs exercise physiologist,vs kinesiologist, vs BC personal trainer vs body worker, yoga instructor vs pilates BC instructor vs fitness personality BC BC Chiropractor vs Osteopath vs Naturopath vs Homeopath vs BC Acupuncturist vs Oriental Medicine Specialist vs Natural Healer BC BC Psychiatrist vs Psychologist vs Mental Health Counsellor vs BC Psychotherapist vs addiction cousellors vs Personal Coach vs BC Personal Shopper vs Personal Assistant :) BC BC Physicians assistant vs Nurse Practitioner, Nurse BC Anasthestatists, Nurse Midwives, BC BC Nutritionist vs Dietitian vs Sports Nutrition Counsellor vs Dietary services manager BC BC Nurse Case Manager vs Social Worker vs Geriatric Care Manager vs BC Life Care Managers vs Disablilty Managers BC BC Speech Language Pathologist vs Audiologists vs Special Education BC Teachers vs Learning Disabled Specialist vs Educaitonal Psychologist BC BC BC Computer Engineer vs Software Engineer vs Network Management BC specialist vs information technology manager, vs systems analyst BC vs data base manager vs website developer. BC BC Engineers: Civil vs Mechanical vs Electrical vs Structural vs BC Chemical vs Biomedical vs Architects vs Urban Planners BC BC Optometrists vs Opthamologists BC BC Lawyers: Corporate Lawyers vs Environmental Lawyers vs Estate BC Lawyers vs Criminal Lawyers vs Constitutional Lawyers vs Personal BC Injury Lawyers vs Entertainment and Intellectual Property Lawyers BC BC Business: CEO, COO, CFO, CIO, Chairman, President, Owner, Majority Holder BC BC CIA vs FBI vs Department of Homeland Security vs Sheriffs BC Department vs City Police Department vs NSA,vs FEMA BC BC Publicist vs Public Relations Specialist vs Advisor/handler vs Agent BC BC Journalist vs Columnist vs Pundit vs Blogger vs Poparrattzzi vs TV/Radio Talk Show Host BC BC Rabbi vs Priest vs Pastor vs Guru vs Eman vs Shaman vs Minister vs Spiritual Advisor BC BC Compassionate Social Conservative Republican vs Fiscally BC Responsible Progressive Liberal Democrat vs...dare I go on? BC BC Sorry, this was just a fun mental exercise for me, there are a BC lot of professions that overlap in areas of expertise and infuence BC and turf...the boundries can be social, legal, or cultural, and even political. BC OT is not alone in the search for a universally understood BC definition. Stay relevant by being useful and effective with your BC clients. I try to remain content in my career and enjoy my work BC despite a lack of concrete and defined professional boundries. BC BC Brent BC BC BC BC BC BC BC BC -- BC Options? BC www.otnow.com/mailman/options/otlist_otnow.com BC Archive? BC 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] I still can't explain OT
Neal...what I think you did was not a professional act but a human actyou can call it PT or OT.this is how I address my patients in the SNF I work at. Most times the OT is on top of the pt's life goals but, together we both address the life situation via our treatment (whether improvment in function or impairments). We have the ole' division of the body (if OT is seeing pt, I cannot address UE impairments/function, so, I relate it to LE impairments and overall function based on what the pt will be doing at discharge, whether staying in SNF or going home). I think we can all play the modern medical game to appease administration and insurance companies, but, knowing we are all actually looking our for the life improvement outcomes. Peace, David David A. Lehman, PhD, PT Associate Professor Tennessee State University Department of Physical Therapy 3500 John A. Merritt Blvd. Nashville, TN 37209 615-963-5946 [EMAIL PROTECTED] Visit my website: http://www.tnstate.edu/interior.asp?mid=2410ptid=1 This email and any files transmitted with it may contain confidential information and is intended solely for use by the individual to whom it is addressed. If you receive this correspondence in error, please notify the sender and delete the email from your system. Do not disclose its contents with others. From: [EMAIL PROTECTED] [EMAIL PROTECTED] On Behalf Of Neal Luther [EMAIL PROTECTED] Sent: Wednesday, November 12, 2008 9:51 AM To: OTlist@OTnow.com Subject: Re: [OTlist] I still can't explain OT I have one for you, Ron. I do some PRN work at a small community hospital that also has it's own SNF. Routinely, they will eval pt's who are being transferred to the SNF in the hospital before they leave. In addition, they are in the habit of telling pt's/families the pt. has to stay a minimum of 21 days for the insurance to pay. Under this working model I saw a pt. last weekend who was admitted with respiratory failure thru their ED--went to the floor for a few days--xfered to the SNF. When I saw her she had been in the SNF for three days. She was completely I with all BADL albeit she needed to tale rest breaks. Tx. plan involved IADL home mgmt. tasks. As is my habit when I do weekend work I asked the pt. what she does for fun (I usually get some very strange looks, but have found it to be a great way to build quick repoire). As it turns out the pt. had no interest at all in meal planning/prep. What was important to her was relationships and socializing with friends/family. So, I re-directed her tx. that day to simply walking through the entire SNF looking for people she had played bingo with and talking/socializing. She even pushed another pt. to the dining room in their w/c. Was I right in my choice? Was what I did really PT? Neal C. Luther,OTR/L Rehab Program Coordinator Advanced Home Care 1-336-878-8824 xt 3205 [EMAIL PROTECTED] Home Care is our Business...Caring is our Specialty The information contained in this electronic document from Advanced Home Care is privileged and confidential information intended for the sole use of [EMAIL PROTECTED] If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify the person listed above and discard the original.-Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Wednesday, November 12, 2008 7:07 AM To: OTlist@OTnow.com Subject: [OTlist] I still can't explain OT I've been an OT for a long time and I still can NOT explain my profession in a way that is: * Concise * CLEARLY differentiates OT from other professions * Makes sense to other people (i.e. patients, MD's, nurses, etc) * Consistent: - With others - Across patient populations - Supported by practice - Supported by documentation * Satisfies me Yesterday, I evaled a patient s/p shoulder replacement. PT was already on the case. I struggled understanding my OT role with this patient and how it might be different if PT wasn't already seeing the patient. I wondered how other OT's would approach the patient. The patient is a retired nurse and her daughter is a retired special needs kids. Both of them had knowledge of OT, which sometimes is a bad thing. The patient was recently d/c'd from rehab for her shoulder surgery. The shoulder became dislocated while in rehab and when I asked the daughter if OT or PT worked on the shoulder, she said OT. When I asked her what they did once the shoulder was dislocated, she said they had her mom sitting at a table doing pegs, cards, etc with her unaffected arm to keep it strong. I love being an OT but it is such a confusing
Re: [OTlist] I still can't explain OT
Thank-you , David. Neal C. Luther,OTR/L Rehab Program Coordinator Advanced Home Care 1-336-878-8824 xt 3205 [EMAIL PROTECTED] Home Care is our Business...Caring is our Specialty -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lehman, David Sent: Wednesday, November 12, 2008 10:54 AM To: OTlist@OTnow.com Subject: Re: [OTlist] I still can't explain OT Neal...what I think you did was not a professional act but a human actyou can call it PT or OT.this is how I address my patients in the SNF I work at. Most times the OT is on top of the pt's life goals but, together we both address the life situation via our treatment (whether improvment in function or impairments). We have the ole' division of the body (if OT is seeing pt, I cannot address UE impairments/function, so, I relate it to LE impairments and overall function based on what the pt will be doing at discharge, whether staying in SNF or going home). I think we can all play the modern medical game to appease administration and insurance companies, but, knowing we are all actually looking our for the life improvement outcomes. Peace, David David A. Lehman, PhD, PT Associate Professor Tennessee State University Department of Physical Therapy 3500 John A. Merritt Blvd. Nashville, TN 37209 615-963-5946 [EMAIL PROTECTED] Visit my website: http://www.tnstate.edu/interior.asp?mid=2410ptid=1 This email and any files transmitted with it may contain confidential information and is intended solely for use by the individual to whom it is addressed. If you receive this correspondence in error, please notify the sender and delete the email from your system. Do not disclose its contents with others. From: [EMAIL PROTECTED] [EMAIL PROTECTED] On Behalf Of Neal Luther [EMAIL PROTECTED] Sent: Wednesday, November 12, 2008 9:51 AM To: OTlist@OTnow.com Subject: Re: [OTlist] I still can't explain OT I have one for you, Ron. I do some PRN work at a small community hospital that also has it's own SNF. Routinely, they will eval pt's who are being transferred to the SNF in the hospital before they leave. In addition, they are in the habit of telling pt's/families the pt. has to stay a minimum of 21 days for the insurance to pay. Under this working model I saw a pt. last weekend who was admitted with respiratory failure thru their ED--went to the floor for a few days--xfered to the SNF. When I saw her she had been in the SNF for three days. She was completely I with all BADL albeit she needed to tale rest breaks. Tx. plan involved IADL home mgmt. tasks. As is my habit when I do weekend work I asked the pt. what she does for fun (I usually get some very strange looks, but have found it to be a great way to build quick repoire). As it turns out the pt. had no interest at all in meal planning/prep. What was important to her was relationships and socializing with friends/family. So, I re-directed her tx. that day to simply walking through the entire SNF looking for people she had played bingo with and talking/socializing. She even pushed another pt. to the dining room in their w/c. Was I right in my choice? Was what I did really PT? Neal C. Luther,OTR/L Rehab Program Coordinator Advanced Home Care 1-336-878-8824 xt 3205 [EMAIL PROTECTED] Home Care is our Business...Caring is our Specialty The information contained in this electronic document from Advanced Home Care is privileged and confidential information intended for the sole use of [EMAIL PROTECTED] If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify the person listed above and discard the original.-Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Wednesday, November 12, 2008 7:07 AM To: OTlist@OTnow.com Subject: [OTlist] I still can't explain OT I've been an OT for a long time and I still can NOT explain my profession in a way that is: * Concise * CLEARLY differentiates OT from other professions * Makes sense to other people (i.e. patients, MD's, nurses, etc) * Consistent: - With others - Across patient populations - Supported by practice - Supported by documentation * Satisfies me Yesterday, I evaled a patient s/p shoulder replacement. PT was already on the case. I struggled understanding my OT role with this patient and how it might be different if PT wasn't already seeing the patient. I wondered how other OT's would approach the patient. The patient is a retired nurse and her daughter is a retired special needs kids. Both of them had knowledge of OT, which sometimes is a bad thing. The patient was recently d/c'd from
Re: [OTlist] I still can't explain OT
I have one for you, Ron. I do some PRN work at a small community hospital that also has it's own SNF. Routinely, they will eval pt's who are being transferred to the SNF in the hospital before they leave. In addition, they are in the habit of telling pt's/families the pt. has to stay a minimum of 21 days for the insurance to pay. Under this working model I saw a pt. last weekend who was admitted with respiratory failure thru their ED--went to the floor for a few days--xfered to the SNF. When I saw her she had been in the SNF for three days. She was completely I with all BADL albeit she needed to tale rest breaks. Tx. plan involved IADL home mgmt. tasks. As is my habit when I do weekend work I asked the pt. what she does for fun (I usually get some very strange looks, but have found it to be a great way to build quick repoire). As it turns out the pt. had no interest at all in meal planning/prep. What was important to her was relationships and socializing with friends/family. So, I re-directed her tx. that day to simply walking through the entire SNF looking for people she had played bingo with and talking/socializing. She even pushed another pt. to the dining room in their w/c. Was I right in my choice? Was what I did really PT? Neal C. Luther,OTR/L Rehab Program Coordinator Advanced Home Care 1-336-878-8824 xt 3205 [EMAIL PROTECTED] Home Care is our Business...Caring is our Specialty The information contained in this electronic document from Advanced Home Care is privileged and confidential information intended for the sole use of [EMAIL PROTECTED] If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify the person listed above and discard the original.-Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: Wednesday, November 12, 2008 7:07 AM To: OTlist@OTnow.com Subject: [OTlist] I still can't explain OT I've been an OT for a long time and I still can NOT explain my profession in a way that is: * Concise * CLEARLY differentiates OT from other professions * Makes sense to other people (i.e. patients, MD's, nurses, etc) * Consistent: - With others - Across patient populations - Supported by practice - Supported by documentation * Satisfies me Yesterday, I evaled a patient s/p shoulder replacement. PT was already on the case. I struggled understanding my OT role with this patient and how it might be different if PT wasn't already seeing the patient. I wondered how other OT's would approach the patient. The patient is a retired nurse and her daughter is a retired special needs kids. Both of them had knowledge of OT, which sometimes is a bad thing. The patient was recently d/c'd from rehab for her shoulder surgery. The shoulder became dislocated while in rehab and when I asked the daughter if OT or PT worked on the shoulder, she said OT. When I asked her what they did once the shoulder was dislocated, she said they had her mom sitting at a table doing pegs, cards, etc with her unaffected arm to keep it strong. I love being an OT but it is such a confusing profession. When I evaluate people, the only thing that really makes sense is occupation. But, that often leads to mobility issues, and if PT is on the case, they already address this, so there's nothing for me to do. I'll never understand how OT has become so pigeonholed into UE treatment. I can find no good logic or reason why OT as a profession focuses on the UE but it seems to be the predominate pattern. 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
[OTlist] I still can't explain OT
I've been an OT for a long time and I still can NOT explain my profession in a way that is: * Concise * CLEARLY differentiates OT from other professions * Makes sense to other people (i.e. patients, MD's, nurses, etc) * Consistent: - With others - Across patient populations - Supported by practice - Supported by documentation * Satisfies me Yesterday, I evaled a patient s/p shoulder replacement. PT was already on the case. I struggled understanding my OT role with this patient and how it might be different if PT wasn't already seeing the patient. I wondered how other OT's would approach the patient. The patient is a retired nurse and her daughter is a retired special needs kids. Both of them had knowledge of OT, which sometimes is a bad thing. The patient was recently d/c'd from rehab for her shoulder surgery. The shoulder became dislocated while in rehab and when I asked the daughter if OT or PT worked on the shoulder, she said OT. When I asked her what they did once the shoulder was dislocated, she said they had her mom sitting at a table doing pegs, cards, etc with her unaffected arm to keep it strong. I love being an OT but it is such a confusing profession. When I evaluate people, the only thing that really makes sense is occupation. But, that often leads to mobility issues, and if PT is on the case, they already address this, so there's nothing for me to do. I'll never understand how OT has become so pigeonholed into UE treatment. I can find no good logic or reason why OT as a profession focuses on the UE but it seems to be the predominate pattern. Ron -- Ron Carson MHS, OT -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] I still can't explain OT
Nope - what you did was Recreational Therapy - but since OTs have a monster leisure component to Occupation - then that is what occurred. In order to socialize with peers/family - you have to walk - you also have to obtain items and network - which is again - occupation. You did endurance activities and not PT - you took what she was vested in and ran with it. Connie S. Boggess, MS, CTRS, OTR/L Certified Therapeutic Recreation Specialist Occupational Therapist Registered/Licensed Confidentiality Notice: This message, including any attachments, is for the sole use of the individual or entity named above. This message may contain confidential health information that is legally protected by the Health Information Portability and Accountability Act (HIPAA), the Family Education Rights Privacy Act (FERPA) and/or the Individuals with Disabilities Act (IDEA). It is intended solely for the recipient named above. If you are not the intended recipient and/or have received this information and its contents in error, you are herby notified that any review, use, disclosure and/or distribution of this information is strictly prohibited. Please notify sender immediately and destroy the information. Thank you. **Get the Moviefone Toolbar. Showtimes, theaters, movie news more!(http://pr.atwola.com/promoclk/10075x1212774565x1200812037/aol?redir=htt p://toolbar.aol.com/moviefone/download.html?ncid=emlcntusdown0001) -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] I still can't explain OT
What you explained 'she said they had her mom sitting at a table doing pegs, cards, etc with her unaffected arm to keep it strong.?'? is certainly not OT and it is not even UE rehabilitation.? To me it is nonsense, and the evidence of a very lazy therapist without any clinical reasoning ability.? That is why OT sometimes has a bad name! Chris Nahrwold MS, OTR -Original Message- From: Ron Carson [EMAIL PROTECTED] To: OTlist@OTnow.com Sent: Wed, 12 Nov 2008 7:06 am Subject: [OTlist] I still can't explain OT I've been an OT for a long time and I still can NOT explain my profession in a way that is: * Concise * CLEARLY differentiates OT from other professions * Makes sense to other people (i.e. patients, MD's, nurses, etc) * Consistent: - With others - Across patient populations - Supported by practice - Supported by documentation * Satisfies me Yesterday, I evaled a patient s/p shoulder replacement. PT was already on the case. I struggled understanding my OT role with this patient and how it might be different if PT wasn't already seeing the patient. I wondered how other OT's would approach the patient. The patient is a retired nurse and her daughter is a retired special needs kids. Both of them had knowledge of OT, which sometimes is a bad thing. The patient was recently d/c'd from rehab for her shoulder surgery. The shoulder became dislocated while in rehab and when I asked the daughter if OT or PT worked on the shoulder, she said OT. When I asked her what they did once the shoulder was dislocated, she said they had her mom sitting at a table doing pegs, cards, etc with her unaffected arm to keep it strong. I love being an OT but it is such a confusing profession. When I evaluate people, the only thing that really makes sense is occupation. But, that often leads to mobility issues, and if PT is on the case, they already address this, so there's nothing for me to do. I'll never understand how OT has become so pigeonholed into UE treatment. I can find no good logic or reason why OT as a profession focuses on the UE but it seems to be the predominate pattern. 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
