I had an interesting experience that I want to share.
Last week, I evaluated a middle-aged man with muscular dystrophy. He had
recently moved back home with his parent and was started on home health.
The man essentially told me that there was nothing I could do for him.
He said that PT was all
Chris, after thinking about your question, I conclude that the best I
can offer is a hypothetical situation. So, here goes
Take my patient today. A CVA patient. He has a flaccid UE with no
functional use. He requires assist for sit/stand and ambulates with a
quad cane with supervi
I think that patients often equate PT not only with walking, but also
with strengthening. It seems they often feel that the majority of
their problems doing things are because of weakness. If they can just
get stronger, all else will fix itself. I can see this especially
being true with a d
Hello Mary Alice:
Let me be the 1st to say "Thanks" for writing. I understand what you
mean about taking time to write and then not getting any responses. But,
such is the nature of listserves!.
I think you've touched on at least ONE area that can frustrate the OT
process. IF an OT is foc
Hello Ilene,
Your post was satisfying to me, as I work in the same setting and am faced with
the same concerns re tx. Put my reaction down to "misery loves company",
although I am not miserable in my position. What I do with patients may not be
strictly OT as defined by most of those who c
Mary Catherine
I don't think I have ever replied directly to you before. I want to tell
you that I feel the same way about the lack of reaction to most of my
posts. I always value your comments and frequently feel, Oh yes, I agree
with that. Generally since I have no difference of opinion with you
Seems like in your example of occupation that the UE is left out of the
equation, although through some improvement it can lead to improvements
in the patient's personal goals of occupation. Just because there is
no function in the flaccid UE does not mean there will not be any
improvement 6 m
Message: 9
Date: Sat, 21 Feb 2009 16:52:49 + (UTC)
From: bbh1...@comcast.net
Subject: Re: [OTlist] Puposeful activity
To: OTlist@OTnow.com
Message-ID:
<
779914147.963901235235169749.javamail.r...@sz0065a.emeryville.ca.mail.comcast.net
>
Hi Barb,
I'm glad it helped. No, you are def
It is ironic though that the man has muscular dystrophy though and
wants to focus only on PT. I wonder if the man realizes the
progression of his disease and how aggressive strength training can
cause problems. It seems as though the man is in denial about his
disease and wants to fight it by
It is hard for me to answer such questions because I do not work in a
skilled nursing facility, and I have not worked in one for over 7years.
I cannot really comment on changing practice patterns in nursing home
any longer because I do not work in that reality. I should only
comment on changi
Hi Ilene
The book Ron Mentioned, "Enabling Occupation: An Occupational Therapy
Perspective", as well as "Enabling Occupation II: Advancing an
Occupational Therapy Vision for Health Well-being and Justice and
Through Occupation" are the official guiding documents for OT in Canada.
They are both publ
I totally agree with you Chris. Very well said!
**
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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!;)
Back again. I didn't catch all the edits I needed to make in my
dictation so I have done that below. I hope you were able to read over
them but if not this may help.
Also I apologise to Mary Alice for getting your name wrong. Obviously I
have a Mary Catherine in my life. Joan
Hi Ilene
The book Ro
Joan,
No worries at all on the name thing. When you have a double name that
starts with Mary, you learn early on to answer to Mary Ann, Mary Beth,
etc., etc. If someone calls me the wrong name, I just always say that
if that is the worst than anyone calls me then I'm doing pretty good!
8-)
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 a
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