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  • Re: Medicare question

    Our company is telling us that we still have to get scripts every 30 days. I think it is easier to err on the side of caution.
    Posted to OT POV: Forums (Forum) by audramray on June 9, 2008
  • Re: The Best and Worst thing about Being an OT

    The Best thing about being an OT is watching people progress and be satisfied. &nbsp;There are actually 2 things that&nbsp;are the worst about being an OT. 1. People sometimes expect you to be a miracle worker. 2. We are limited by payer sources and prejudices within the insurance/Medicare field.
    Posted to OT POV: Forums (Forum) by audramray on March 21, 2008
  • Re: End Stage conditions in the SNF setting

    At those times, I ask what is important to the patient. What are they most concerned about? Contacting family - can they use/dial the phone/computer? Being able to feed themselves? Being able to work the remote control to the tv? being able to get to the bathroom? Etc. The main point of end-stage is what is of significance to the patient and ...
    Posted to OT POV: Forums (Forum) by audramray on March 21, 2008
  • Re: OT and ADLS

    In SNF there is a big push for concurrent therapy and productivity - all to the company's benefit and not the patients. I am struggling with this as a rehab manager. Where is the line for sloppy/impersonal therapy and good/appropriate/goal-driven therapy? Apparently my boss (regional manager) thinks there is a big gray area. I tell my therapists ...
    Posted to OT POV: Forums (Forum) by audramray on November 25, 2007
  • Re: RE:When Your Boss Isn't Ethical

    There are no guidelines on how many you can treat concurrently. But if they are all doing the same thing, they should be charged as group treatment. The tech should not be treating anyone. The tech should be used only to supplement the therapist. I am a rehab manager&nbsp;and am having a hard time right now with the productivity standards imposed ...
    Posted to OT POV: Forums (Forum) by audramray on November 23, 2007
  • Re: Resident with alzhiemer's

    I would definitely go with a toileting schedule. A major difficulty with Alzheimer's Disease is that they only understand 1 or 2 out of 4 words spoken, depending on the level. We have a patient that will fight you to the death when he doesn't understand what is going on. When he understands,&nbsp;by the therapist using&nbsp;very few words and ...
    Posted to OT POV: Forums (Forum) by audramray on November 23, 2007
  • Re: What is in a title... OTA/OTR

    I have been an OT for a little over 2 years now. I have been a supervisor for all three levels of COTAs (supervision for entry, intermediate, and advanced level COTAs.) I respect the COTA's opinions, instincts, and experience&nbsp;at all levels. I never feel and have never felt I am better than any of them. We are coworkers. They see things I ...
    Posted to OT POV: Forums (Forum) by audramray on November 23, 2007
  • RE:OT ambulation and Ordering walking devices

    'Can OTs order Walker cane and other ambulation assitive devices? If yes, then please show me evidence and if not then please say why not and where in any legislation does it say that.' The answer is yes, as functional mobility is part of our domain - see OT Framework - as well as occupation (anything important to the patient) which may include ...
    Posted to OT POV: Forums (Forum) by audramray on June 15, 2007