Has anyone used the Rivermead Behavioral Memory Test and the Test of
Everyday Attention? If so do you think it would work well for an acute
rehab floor that works with many neurological patients especialy stroke
clients?
--
Options?
www.otnow.com/mailman/options/otlist_otnow.com
Archive?
Some conflicing evidence, but from my brief lit review it looks like
practice is the major factor. In the second study the intervention was
only to meet with the student twice a week for 30 minutes lasting 10
weeks. The intervention consisted of biomechanical, sensorimotor, and
teaching learni
Difficult situation. I assume that he has not grip strength because
his triceps won't work. I think I would first recommend a bed rail and
then I would come up with a lasso/belt like system that I would
harness to the bed rail and then practice use his deltoid and biceps
for your advantage b
I bet if you get a string of people like Shirley, they would have to
listen. Really dumb not to. Easy for me to say though. All of my
bosses and even the higher ups are OTs, so we have a major advantage.
Perhaps that is another way to get our foot in the door. Become the
door.
-Origi
Because some people do not understand what we truly do. The only way
they will see the contribution is through the voice of the patient.
-Original Message-
From: Ron Carson
To: cmnahrw...@aol.com
Sent: Sat, Aug 29, 2009 3:34 pm
Subject: Re: [OTlist] Standing
Oh Chris, I so val
"The obvious answer is OT services are NOT invaluable and that
patients
apparently do just fine when receiving PT only."
Hmmm.I wonder why there is such a continued prevelance of falls at
home and readmits into hospitals, because people have not been able to
take care of themselves
The whole backpack awareness day in my opinion is a little on the shady
side. OTs are educating students and teachers that there should be a
10% body weight limit placed in back packs and often have students use
a scale to weigh themselves and then their backpacks. The problem is
from my und
Yes, especially since there is little research to back it up.
-Original Message-
From: Ron Carson
To: OTlist
Sent: Tue, Aug 18, 2009 7:17 pm
Subject: [OTlist] Backpack Unawareness
Does anyone else think that AOTA's dribble on Backpack Awareness is a
total
waste of time and money?
I'm not a big fan of that breakdown in components either, but what I
did gather from that quote was the agitated person wouldn't do anything
but shoot baskets, so I think that both PT and OT had to stretch a bit
in order for the patient to get through the agitated stage from an
inurance point o
Ron,
Please do not be discouraged by the most recent ex-members. Sometimes
the truth hurts, but hopefully we all left a lasting impression prior
to their departure.
-Original Message-
From: jcd...@gmail.com
To: OTlist@OTnow.com
Sent: Fri, Aug 14, 2009 12:39 pm
Subject: Re: [OTlist] Bu
They talk, but we do.
-Original Message-
From: Ron Carson
To: OTlist
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 a
Just a short reference list
1 http://www.springerlink.com/content/t1lp7wh87wm71t70/
Motor and functional recovery of stroke patients with neglect seems to
be significantly improved by the simultaneous presence of a treatment
specifically focused on neglect.
2.http://cat.inist.fr/?aModele=aff
"there is nothing YOU can do to SIGNIFICANTLY increase
his awareness."
Agree with everything except this statement, because of what research
has taught us. Check out strokengine.com for specific evidence based
reviews on neglect training.
Chris Nahrwold MS, OTR
-Original Message-
Fr
Ron,
Usually the answer to those types of questions come from within. Why
do you think that your personalities clashed?
Chris
-Original Message-
From: Ron Carson
To: OTlist@OTnow.com
Sent: Tue, Aug 4, 2009 5:58 am
Subject: [OTlist] Patient Requests Different Therapist
Yesterday
Wow Joan, well put. Wish I could shadow you for a month or two. I
also have a heart for people and their families who suffer from
dementia, but sometimes I am at a loss for what to do.
-Original Message-
From: Joan Riches
To: OTlist@OTnow.com
Sent: Thu, Jul 23, 2009 10:07 pm
Subject:
Diane,
Can you work on creating a schedule board for the department. This is
what we use in rehab, and it works out well. With fourteen patients
you can have one group treatment (3-4 pateints) once a day focusing on
a general conditioning program for an hour or so. This group wuld
rotate ever
Well put Shirley! I wish all OTs would have an understanding of their
own profession. You seem to understand the concept, and you are not
even in the profession. What has Ron done in his treatment sessions
with your daughter that has made the most impact for her well being and
her independen
So the essentials for going home safely is what I gather
A) Dressing and bathing themselves. Not only should we OTs practice
these skills with possible compensation techniques and environmental
adaptation, we should also analyze what part of the activity is
difficult. For example a patient m
Miranda,
What occupations does the patient desire to improve on?
Chris
-Original Message-
From: Miranda Hayek
To: otlist@otnow.com
Sent: Tue, Jul 14, 2009 7:00 pm
Subject: Re: [OTlist] Why OT's Should NOT Focus on the UE
I find the information being shared between Diane and others is
Can you further explain "1. Proper placement is critical". Are you
talking about certain places found in fiberglass showers that are not a
good idea to place, or are you talking about proper placement that will
optimize the safety during the transfer? Are there some types of
showers or tubs i
Very good to know. Thanks Susan. Do you give them any information
about "professionally installed grab bars", like a list of these
professionals? Or do you refer them to the yellow pages? Hard to know
who is trustworthy.
-Original Message-
From: Sue
To: otlist@otnow.com; OTlist@OT
In this case I would practice both a walk in shower and bathtub shower
combo transfers. I am sure he will have either or. When the apartment
is finalized, schedule a home evaluation and make sure your
recommendations are well known and documented. Sounds like he will
need a heavy duty shower
Sounds like you are working him pretty hard. Hard to get around
barriers when patients' refuse dressing equipment. Try a large sock
aide or a soft sock aide for the pain issues of his feet.
-Original Message-
From: Diane Randall
To: OTlist@OTnow.com
Sent: Mon, Jul 13, 2009 11:30 am
S
Diane,
I am not saying that an UE therex program is inappropriate. In fact it
is very beneficial treatment concept in OT for individuals who have
been bed bound and have experienced muscle atrophy because of the
immobilization. I am saying that you need to be careful how you
educate your pa
Diane,
I hate to be the devil's advocate, but because I veiw you as a very
compassionate young clinician, I think you might benefit from my
suggestions. With that being said, I am not sure that your UE strength
exercises helped this person with their ability to transfer into a
shower or comp
"...home care area the ratio is 3 to 1 in favour of
OCCUPATIONAL THERAPY if we have a PT at all. The situation is reversed
in acute care. I think this is as it should be". I agree with Joan.
I also think that it should be 1:1 in acute rehab hospitals. Patients
get three hours of therapy per da
Ron and the gang,
Yes, I would work on mobility and functional ambulation. I choose to
complete them in a "functional dynamic", in which the patient clearly
knows why we are working on walking (example walking from the family
room recliner to the kitchen so the patient can cook, etc etc). Y
I most certainly address the LE. Usually it is through practice of
occupations, but occasionally I will work on specific leg movements and
standing balance in order to eventually achieve an occupational goal.
I only mentioned flaccid arm, because that is what the prior OTs worked
on with the
Sounds like the man has given up on life. Perhaps he has no goals
because he has no expectations of getting "better". Perhaps you can
show him the way on a few self generated goals, and then watch out the
flood gate of goals may come open. Sad that the prior OTs only focused
on UE ROM. Soun
I agree with Ron, but I bet the nursing home company in which you work
for will not like that idea much.
-Original Message-
From: Ron Carson
To: Diane Randall
Sent: Wed, Jul 1, 2009 8:31 am
Subject: Re: [OTlist] Just About To Give UP
Hello Diane and other:
Diane, I stro
Thanks for clarifying Ron and Joan!
-Original Message-
From: Joan Riches
To: OTlist@OTnow.com
Sent: Thu, Jun 18, 2009 7:47 am
Subject: Re: [OTlist] Dental Hygienst Knows About OT...
None of Ron's points preclude either treatment approach stated by Chris
but occupation is always the 'end'
Ron,
I agree with with 95% of what you are saying the only things that I
disagree with are: I concede that it is not occupational therapy, but
we should not call it PT either. Gray area of practice.
1. It is not UE PT. It is UE therapy. I concede that it is not
occupational therapy, but
Ron,
Not sure where the disagreement is found "Chris, so of what you say is
correct, but much isn't"
So it is ok to step out of your traditional role as an OT to complete
lymphedma treatment, but it is not ok to step out of the traditional
role as an OT to complete UE orthopedic treatment?
I see the horse is not dead yet
This age old debate revolves around the top down approach and the
bottom up approach to treatment, or the occupation as a means or an
end. We as OTs in physical disabilities can choose either to treat
occupational dysfunction in two ways a) Use occupations
Have a patient in rehab this week who has parkinson's disease and
suffered a fall while gathering a drink out of the fridge.. Yesterday
we made a list of all of the occupations he wants to be able to do in
order to make it home and to improve his quality of life again. So far
we have the basi
You go Ron!
-Original Message-
From: Ron Carson
To: OTlist@OTnow.com
Sent: Mon, 27 Apr 2009 10:04 pm
Subject: [OTlist] "Healing the Splintered Mind"
>From Advance for Directors in Rehabilitation, Vol 18, No.4
Here's a great quote from the article on page 33:
"the role of a
Arley.
Good points. Thanks for bringing me back to reality.
-Original Message-
From: Johnson, Arley
To: OTlist@OTnow.com
Sent: Fri, 24 Apr 2009 8:17 pm
Subject: Re: [OTlist] Breaking the Bonds of Upper Extremity OT; Is it
even
Having some experience with a RAC review a few years ag
Listened to a medicare teleconference describing why CMS is denying
debility patients from acute rehab stays. When asked why this is so,
the medicare communicater stated that they did not have medical
necessity for occupational therapy. When debating this issue and how
occupational therapy wo
Lets face the facts. Most PTs do not know how to treat stroke shoulder
dysfunction. Most OTs do not know how to properly treat stroke
shoulder dysfunction. They think they can, but most of them do a
botched up waste of time job. It is a specialized skill, that warrents
continued education.
Depends on what your definition of branding is. From how she desribes
it the OT practitioner being "honed in" is the first step to this
branding process. Not sure if they should go forward with the second
phase until the first step is complete. I am certainly in agreement on
this one. Seems
That is the key to the President's statement. We must "start". If
that does not occur we can forget it. Not sure what they have planned
for this aspect. It would be a good question to ask her on her blog.
-Original Message-
From: Ron Carson
To: cmnahrw...@aol.com
Sent: Wed, 15 Apr
Sounds like some overtime to me. Not appropriate to complete within a
8 hour work day with time for notes and conferences.
-Original Message-
From: Brent Cheyne
To: Ron Carson
Sent: Wed, 15 Apr 2009 6:53 am
Subject: [OTlist] A Typical Day, Is this Normal?
There have been some very ex
Here is a quote from the AOTA president that supports my statements
"As a profession, we seem to understand marketing more than we
understand a branding process. Branding is about building the emotional
reaction to a product or service over time. Branding actually starts
with the occupational
Nike made an even more incredible amount of money on top of its
gazilion because of the power of branding. Branding is not just a
picture or a slogan but a campaign to subconsiously get into the mind
of the public. The "Just Do It" campaign made some of us believe that
we needed a pair of dif
Well branding does not work on everyone, but AOTA sources say that the
poster evoked an emotional response on a significant amount of
marketing voluenteers.
-Original Message-
From: Caryn Carson
To: cmnahrw...@aol.com
Sent: Tue, 14 Apr 2009 8:46 pm
Subject: Re: [OTlist] AOTA's "BRAN"
Branding is not a way to describe a product it is a way to evoke an
emotional trigger. Nike's "Just do it" clearly does not explain that
Nike makes shoe, but it clealy evokes an emotional trigger. AOTA has
been trying for many many many years to explain the concept of OT to
the general public
Ron,
How does she currently perform in the kitchen (min/mod/ max assist/or
verbal cues?). If the patient had completed the cooking prior to the
dementia it is possible that this will be an automatic task for her
like bathing and dressing is still generrally easy for her. I would
then find s
Ron,
Why can't we open a home health episode or become a required discipline
for CORF? Sounds like a lobbyist issue. They said we would never get
OT liscensure in the state of Indiana, but after 20 years of trying it
finally passed.
Really love the way you operate Ron. I think you are a ma
Brent,
Glad you are feeling better! We all have days like yours once in a
while. I have changed my perspective the past three years. I used to
get hung up on defining what my profession was and if I was making a
difference. All that led to was anxiety, overly neurotic thoughts that
other
Facebook is a really neat thing. Not too hard once you get the hang of
it.
-Original Message-
From: Ron Carson
To: angela jones
Sent: Sun, 22 Mar 2009 6:15 am
Subject: Re: [OTlist] Facebook
Good question. Angie I have a facebook presence but I don't use it
because I find fac
I am so excited. Our acute inpatient unit just purchased a Nintendo
Wii and a big screen TV. So far we have the sports games and the Wii
Fit. Does anyone have any experience with this and its application to
OT? Do you know of any other games that would benefit the patient in
OT?
--
Op
PART TWO:
I just wanted to offer some treatment suggestions to all of the members
of the group so we can start to get out of the topic of philosophy and
into real world suggestions for OTs working with the stroke population.
I want to make it clear that I do not spend a lot of time working with
Sorry Ron but the great debate continue
There is a budding branch of research that does support the use of
impairment based OT to improve occupational outcomes post stroke. This
is a very short list, due to time constraints. I can offer more
research to you if you wantme to. I really enjo
That was the funniest thing I have read in a long time!
-Original Message-
From: Brent Cheyne
To: Ron Carson
Sent: Fri, 20 Mar 2009 5:30 pm
Subject: [OTlist] What's so sad about folding clothes?
Dear Colleagues,
Regarding the comment...
"Isn't it a bit "childish" that OT is remembered
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 t
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
The name of the person that I am thinking of is by the name Cohen.
Check out OTseeker.com to review article abstracts that you may find
interesting and then take a few abstracts to a librarian for assistance
of finding them, perferably a hospital librarian or a university
librarian. Here is o
I am not a big fan of bed pans or urinals but I undestand how useful
they are in "emergencies" especially at night. I would strongly
suggest a bed side commode for that needed out of bed activity during
the day, and perhaps a female urinal and a standard bed pan at night.
I have used a female
I think it might be common for PTs to work on vestibular rehab in the
adult population when people are suffering from inner ear impairments
and neurological impairments that effect the vestibular system. The
clinic I work for has a specialized program dealing with this with
about a million dol
Here are my thoughts about the Branding Campaign that I sent to the
AOTA president.
Penny,
I think the idea of branding is an excellent idea, primarily because
the idea has not been attempted before. I think the idea of taking an
absract symbol to facilitate an emotional memory is genius. T
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
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
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
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
Ron,
Great outline.? Can you next explain how the treatment will differ?
Chris
-Original Message-
From: Ron Carson
To: OTlist@OTnow.com
Sent: Mon, 16 Feb 2009 7:52 am
Subject: [OTlist] Occupation as THE goal: Does it matter
Hello All:
What follows are thoughts and opinion about u
One?technique that I use is partial patching of the eye by using transpore tape
(found in most nursing stations)? I simply place the tape on the medial aspect
of the patient's pair of glasses.? This will compensate for the double vision
but at the same time allow stimulation to the eye to preven
Ron,
?I never did apologize. Just stated a fact that I was not criticizing you for
your treatment plan.
It is my summation that you write about the "Philosophy of OT".? I do not think
that if you take two seasoned OTs found in the same setting with a strong
dedication to their clients and put t
You may say that you are working on occupation from the beginning of the
session to the end, but it sure sounds to me that you are?at times?working
towards an occupation, especially in the beginning of the treatment process.?
You state that at several times you worked on sit to stands, standing,
As long as the patient knows why they are practicing a specific skill then I am
all for it.? In my experience it usually takes the cognitively intact clients a
few activities to understand how to use a reacher, not an entire session.? They
then can borrow a reacher to use in their room so they c
I second that motion.
-Original Message-
From: Lehman, David
To: OTlist@OTnow.com
Sent: Wed, 4 Feb 2009 12:57 pm
Subject: Re: [OTlist] From Standing to Toilet Transfers
I say combine the professions of PT and OT thus ending the territory issue and
what we can and cannot do. I see w
Bravo!!!? I believe that is task analysis at its absolute best.? Taking the
foundational skills and working up the ladder towards her occupational goal.
I view hand therapy and stroke rehabilitation in the same light. Working on the
foundational skills in order to work towards an occupatioanal g
I have used many of the Saebo equipment that is relatively new in OT for stroke
rehabilitation?a) Saebostretch b) Saeboflex c) Saeboreach.? Check out Saebo.com
for more details.? They even have a budding foundation in the research.? Use
the key terms "Functional tone management" and/or "Saebofle
Yes I am comfortable with faciliating the patient to take steps.??Why???Because
I have been trained to do it the correct way.
And yes I feel comfortable with advancing the patient's mobility aide when they
are improving with ambulating to the toilet.?Why? Because I am an occupational
therapist
I don't have a direct answer to that.? I guess it depends on where your level
of expertise falls in this area.? I have it easy, because I work with an
amazing group of PTs who teach me on each patient how they want them to walk.?
That way I can help the patient receive the much needed practice i
To me functional mobility is the process of getting to point A to point B
regardless of compensation techniqes in the context of an activity or a desired
functional outcome.? Just the other day I had a patient who wanted to cook and
set the table for her family, to achieve this desired outcome a
Can she stand and walk at all? Since her goal is not to complete her
occupations from the wheelchiar, I would certainly make every attempt to adapt
her environment and practice and adapt?her activities with that desired goal in
mind.? Hard to answer without actually seeing the patient for real.?
If the patien'ts functional transfer baseline prior to a hospital admit or new
condition?is to use a wheelchair close to the toilet and transfer and they then
desire to continue to use this same method I would practice this method with
them.? However if they want to change this pattern and if th
What do you mean by "limited bi-lateral LE's"?.? Can she move them at all?? If
she has no control in her LEs at all I would do the following:
1) Find out what the patient's?damage is and the possible?recovery potential by
calling the surgeon's office.
2)Teach and train?her to compensate through
It is certainly not PT.? Our goal as OTs?is to faciliate a positive outcome in
a patient's independence in the activiites that occupy a person's life.?
Getting to the toilet is certainly one of those activiites that a person
usually wants to do for themselves.? Whether walking to the toilet or
Ron,
Just went to a course on Dementia.? Possible goals 1) Decrease agitation while
showering and dressing?2) Decrease agitation during transition of the nursing
staff. 3) Decrease agitation throughout the day by 25%.
I would then make a log, in which Joan mentioned, called a behavioral mapping
I have been thinking how to be "concrete" in treatment ideas that I would use
in a SNF. This is?for the new therapists out there.? This would be for the
general debility patient that we often encounter at SNFs.? I
seperated?everything into?four categories for simplicity.? This is not an
exhaust
Brent,
I believe the criticism originally came from Ron in regards to a therapist in a
rehab hospital.? We?can all be?guilty of poor rehab at times no matter what
practice setting.? I responded to warn people of potential fraud that
therapists might be committing and not even realizing it.
Chri
-PT completes standing challenges so the patient can walk and improve in their
balance.? Treatment usually stops when a certain distance has been reached or a
certain grade of balance has been achieved.? I have rarely (work hardening is
the only example I can think of)?seen a PT use an ADL or an
It is funny in what we consider functional and not functional.? How can
standing not be functional but doing a bunch of crafts, reaching for clothes
pins and cones is considered functional?? Ninety percent of the clients I see
do not like crafts and have no intention of starting crafts, so why i
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 ge
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 abilit
Great point of discussion Brent. I think doubling/dovetailing can be used
ethically, but I also think it can be used unethically. I have seen some rehab
departments use doubling/dovetailing quite well that was actually therapeutic
psychosocially as well. I have also seen rehab departments that
I think doubling and dovetailing in unethical in acute rehab, since it is a
rule from medicare.? I have not read the rules for SNFs.
-Original Message-
From: Brent Cheyne <[EMAIL PROTECTED]>
To: Ron Carson
Sent: Tue, 4 Nov 2008 6:16 pm
Subject: Re: [OTlist] doubling patient in acute reh
Jennifer,
I am talking about inpt rehab.? But none the less your comments about quality
care were highly valued.
-Original Message-
From: McLaughlin, Jennifer <[EMAIL PROTECTED]>
To: OTlist@OTnow.com
Sent: Mon, 3 Nov 2008 5:21 pm
Subject: Re: [OTlist] Doubling patients in acute rehab
Barbara,
That to me is doubling. Whether they are doing the same task or different tasks
it is doubling.
-Original Message-
From: Barbara H. Hale <[EMAIL PROTECTED]>
To: otlist@otnow.com
Sent: Mon, 3 Nov 2008 4:36 pm
Subject: [OTlist] Doubling patients in acute rehab
I also work in a s
Sue,
Can you explain what type of groups you are able to have and how you "clearly
demonstrate that the group was in the clients best interest not the time/staff
management of the unit".? I would love to hear about those forms that you have
developed.
Our unit has been doing great with the thre
Sue,
Right now there is one OT and one OTA, one PT and one PTA, and one ST for the
13 bed rehab unit.? We see each patient for 1 hour to 1.5 hours per day in OT
depending if ST is seeing them.? So with the unit full right now, I can
potentially have 13 treatment sessions per day, which is hard t
Hey gang,
Just a little frustrated from last week at work.? I work in a small 13 bed
acute rehab unit, in which the OTs have had a lot of pride in being
occupationally based.? Just last week we were told we would have to start
"doubling patients" at times because of increased census.? My boss is
I think all of the described professions all facilitate function for their
particular scope of practice.? As OTs we can facilitate function for a
particular personal occupational goal.? The beauty of it comes when the patient
can actually perform their desired goal.? The actual activity goal can
Ron> And, I do not think a therapist can mentally switch from
Ron> component level to occupation level treatment. Maybe I'm
Ron> wrong, but I think it's one or the other.
But in your case study you are switching back and forth from the
component level to eventually the
Ron> But I think calling such focal treatments occupational
Ron> therapy, is not consistent with our history, framework, payers,
Ron> patients and outcomes.
I'm not sure what history you are talking about, but we were primarily
created from a mental health framework, in which "occu
Sorry about the typo:
If you agree that it was occupational therapy, how can you justify
that estim to the digit extensors in prep for functional reaching in
which the patient's goal is to reach for items easier, is not
occupational therapy.
-Original Message-
From: [EMAIL
Ron,
What do you think about OTs that practice as occupation-based therapists but on
occasion can switch gears and become impairment based minded?? I like how you
said "no, I'm an occupational therapist doing
lymphedema treatment".? I guess that is what I do when I help out in the hand
therapy c
I do not think an occupation-based approach to evaluation, treatment and
outcomes limits the practice of OT.? I only think giving up on UE treatment in
hand clinics and with stroke patients would debilitate the field of OT.? I have
not disagreed on very many of your specific case studies that yo
What should an OT do if the patient identifies that they want to be able to
look to the left (attention?=body?function)?because of a right CVA?to their
parietal lobe (body structure)?? They unfortunately do no personally state any
occupations that they want to address in particular.? Should we p
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