Re: [OTlist] One Example of How Other Dispciplines Address Function...
Joan: I like your statement of expertise. I fits well with something that I occasionally use. Sometimes, I describe OT as being a bridge builder between what patients want to do and what they are currently able to do. I sort of use this idea when deciding if a treatment is OT or something else. For example, when I provide lymphedema tx. I am NOT providing OT. Instead, I am doing something to the patient to help control symptoms of a disease. Conversely, when I provide OT, I am doing something FOR the patient to help them better do what they want. For me, it's all about goals. Goals define the direction, progress and final outcome of treatment. If the goal is improving a stated occupation, then in my mind it's OT. If the goal is anything else, then it's OT doing something - lymphedema in my case. Thanks, Ron ~~~ Ron Carson MHS, OT www.OTnow.com - Original Message - From: Joan Riches jric...@telusplanet.net Sent: Tuesday, August 11, 2009 To: OTlist@OTnow.com OTlist@OTnow.com Subj: [OTlist] One Example of How Other Dispciplines Address Function... JR Hi Ron JR Some time ago there was a discussion about the expertise of OT with very JR good input. At that time I offered the following definition. There was JR no reaction to it. I challenge everyone to find an OT practice of which JR they approve that does not fit this statement about our expertise. JR My formulation of the expertise of the profession of Occupational JR Therapy (not necessarily the expertise of individual therapists) is; JR 1. to become CONSCIOUSLY aware of mismatches between client abilities JR and task demands (cognitive, psychological, social and physical), which JR interfere with the performance of needed, wanted, expected or potential JR occupations; JR 2. to analyze the mismatches; and JR 3. to design and offer interventions to mediate the mismatches. JR In various contexts and circumstances there is much more to say, of JR course, but what does not fit? JR I acknowledge the thinking from this list, the Canadian practice JR document (Enabling Occupation II)especially the Taxonomic Code of JR Occupational Performance (TCOP), and the work I have been doing with JR Sarah Austin to articulate the theory of the cognitive disabilities JR model developed by Claudia Kay Allen in seeing that our expertise is a JR particular application of the concept of occupation. JR Blessings, Joan JR 403 652 7928 JR -Original Message- JR From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com] On JR Behalf Of Ron Carson JR Sent: August 11, 2009 7:20 AM JR To: OTlist JR Subject: [OTlist] One Example of How Other Dispciplines Address JR Function... JR This is a partial quote from a PT on a different listserve: One thing to note is that this guy is an avid marathoner. He runs several a year, including Boston. His surgeon actually said he was more worried about his scapula than his lungs regarding returning to running. JR I have previously argued that all healthcare disciplines address JR function. And this is just one example. Often OT claims to be JR experts in function, but that is just not the case. Anymore, every JR discipline is an expert in function. Everyone from surgeons to OT's JR claim to restore people back to daily living. JR So, what is OT's expertise that separates us from everyone else JR Thanks, JR Ron JR ~~~ JR Ron Carson MHS, OT JR www.OTnow.com JR -- JR Options? JR www.otnow.com/mailman/options/otlist_otnow.com JR Archive? JR www.mail-archive.com/otlist@otnow.com JR No virus found in this incoming message. JR Checked by AVG - www.avg.com JR Version: 8.5.392 / Virus Database: 270.13.49/2294 - Release Date: JR 08/11/09 06:10:00 JR No virus found in this outgoing message. JR Checked by AVG - www.avg.com JR Version: 8.5.392 / Virus Database: 270.13.49/2294 - Release Date: JR 08/11/09 06:10:00 JR -- JR Options? JR www.otnow.com/mailman/options/otlist_otnow.com JR Archive? JR 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] One Example of How Other Dispciplines Address Function...
There is much more to the term function than physical functioning and physical task perfomance. The fact that the PT is referencing the occupation of marathon running is good as they are giving the reason they will be doing their intervention. It doesn't lead me to say that every person in health care is working on function. Most are fixing structures and hoping you go off and have no more problems. As a rule OTs incorporate many more aspects into their thought process. The idea that motivational, cognitive abilities, and social needs could be playing into the marathoner's impaired function is not discussed. I have many more questions even about this person's barriers to his physical functioning. The ability barriers to the functional task are often complex and interwoven. Is his running causing ongoing damage to the shoulder or is he guarding his shoulder and throwing off his whole stride. Would a pain management solution help him normalize his movement to allow everything to correct (could we slap an interferrential machine over his scapula and retrain movement?) Does he need to incorporate a recovery period into his training or does he refuse crosstraining for motivational reasons? Does he perform his shoulder stabilizing exercises on his own or is he just going to grind through the pain? Is his workplace set up to accomodate his shoulder injury? Do the other aspects of his personal abilities contibute to these issues? For instance, how does he handle stress and what are its physical manifestations if any? These are functional questions. A holistic approach is essential to finding why a person does what they do and how they do it. That is the leadership that OT can provide when they are involved with these types of cases. How much more effective could a PT be if they had license to dicuss these other issues? As of now we could help this runner and many others but it is unlikely that any OT will be invited to be involved. To use Joan's terms, what are the real mismatches for this guy? What can we do to get him back in the (arm) swing of things? The more we can incorporate in terms of approaches the better. Yours, Ed Kaine, OTR/L, RFT President of the American League of Functional Therapists www.FunctionalTherapist.org http://www.functionaltherapist.org/ -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] One Example of How Other Dispciplines Address Function...
They talk, but we do. -Original Message- From: Ron Carson rdcar...@otnow.com To: OTlist OTlist@OTnow.com Sent: Tue, Aug 11, 2009 9:20 am Subject: [OTlist] One Example of How Other Dispciplines Address Function... This is a partial quote from a PT on a different listserve: One thing to note is that this guy is an avid marathoner. He runs several a year, including Boston. His surgeon actually said he was more worried about his scapula than his lungs regarding returning to running. I have previously argued that all healthcare disciplines address function. And this is just one example. Often OT claims to be experts in function, but that is just not the case. Anymore, every discipline is an expert in function. Everyone from surgeons to OT's claim to restore people back to daily living. So, what is OT's expertise that separates us from everyone else Thanks, Ron ~~~ Ron Carson MHS, OT www.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] One Example of How Other Dispciplines Address Function...
Hi Ron Some time ago there was a discussion about the expertise of OT with very good input. At that time I offered the following definition. There was no reaction to it. I challenge everyone to find an OT practice of which they approve that does not fit this statement about our expertise. My formulation of the expertise of the profession of Occupational Therapy (not necessarily the expertise of individual therapists) is; 1. to become CONSCIOUSLY aware of mismatches between client abilities and task demands (cognitive, psychological, social and physical), which interfere with the performance of needed, wanted, expected or potential occupations; 2. to analyze the mismatches; and 3. to design and offer interventions to mediate the mismatches. In various contexts and circumstances there is much more to say, of course, but what does not fit? I acknowledge the thinking from this list, the Canadian practice document (Enabling Occupation II)especially the Taxonomic Code of Occupational Performance (TCOP), and the work I have been doing with Sarah Austin to articulate the theory of the cognitive disabilities model developed by Claudia Kay Allen in seeing that our expertise is a particular application of the concept of occupation. Blessings, Joan 403 652 7928 -Original Message- From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com] On Behalf Of Ron Carson Sent: August 11, 2009 7:20 AM To: OTlist Subject: [OTlist] One Example of How Other Dispciplines Address Function... This is a partial quote from a PT on a different listserve: One thing to note is that this guy is an avid marathoner. He runs several a year, including Boston. His surgeon actually said he was more worried about his scapula than his lungs regarding returning to running. I have previously argued that all healthcare disciplines address function. And this is just one example. Often OT claims to be experts in function, but that is just not the case. Anymore, every discipline is an expert in function. Everyone from surgeons to OT's claim to restore people back to daily living. So, what is OT's expertise that separates us from everyone else Thanks, Ron ~~~ Ron Carson MHS, OT www.OTnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.392 / Virus Database: 270.13.49/2294 - Release Date: 08/11/09 06:10:00 No virus found in this outgoing message. Checked by AVG - www.avg.com Version: 8.5.392 / Virus Database: 270.13.49/2294 - Release Date: 08/11/09 06:10:00 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
