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  • Re: Acute Care Overload...some thoughts

    I usually write a goal for pt education and this tx goal can begin during the eval. Handouts can be used with the clients, so that even if there are no further treatment sessions, it can be documented that tx intervention was initiated. And in my eval summary I usually put goals pending LOS. So that should the pt be d/c'd before further treatment, ...
    Posted to OT POV: Forums (Forum) by Tim Mancino on April 1, 2008
  • Re: OT vs. PT issues

    Yes, I think we have all worked with PT's like that, and now that the APTA has written 'functional' into their frame of reference it does make it harder to differentiate the goals to work on. At the core of both philosophies though, is the fact that PT needs to get the patient stronger and more mobile so that the OT can make them more functional ...
    Posted to OT POV: Forums (Forum) by Tim Mancino on March 2, 2008
  • Re: End Stage conditions in the SNF setting

    I would agree that sometimes there is borderline Medicare abuse for residents who have no functional outcome. I do look at other issues if I do a screening on them, and am sure you do this also. I check for positioning and comfort, especially if there are concerns for skin breakdown. I may need to address contracture management, etc. Sometimes I ...
    Posted to OT POV: Forums (Forum) by Tim Mancino on March 2, 2008
  • Re: OT and Ergonomics

    Here is a link you might find interesting. &nbsp; It can be challenging to be an independent consultant because of the marketing needed to get a foot in the door in business and industry. But it can be very rewarding. Good luck here, Tim
    Posted to OT POV: Forums (Forum) by Tim Mancino on February 7, 2008
  • I must disagree with this premise

    I have been an OTR 12 years now, and I have had some real problems with the use of COTA's, as currently seen in most adult and geriatric facilities. The problems include: 1. The lack of sound education in cognitive, neuro-rehab, &nbsp;and mental health components&nbsp;of Occupational Therapy 2. The desire by facilities for extensive billable ...
    Posted to OT POV: Forums (Forum) by Tim Mancino on November 16, 2007
  • Re: OT Direct access to patients

    The last time I had checked, I do know in OH that an OTR can provide treatment without an MD order. This could be used in an outpatient facility or as a consultant&nbsp;if the person who recieves treatment would be paying directly (as opposed to having tx covered by ins, medicare, etc). Some OTs work outside of the 'medical model', and I used to ...
    Posted to OT POV: Forums (Forum) by Tim Mancino on October 27, 2007
  • Re: Personal Definition of Occupational Therapy

    The one that I like to use is: ''Enhancing human&nbsp;task performance across&nbsp;the lifespan'' Seeing that OTs work with peds, adults or geriatric populations, this simple phrase seems to show the holistic aspect of OT. Not just for physical disability, but helping people cope and adjust to life changes. As an OTA student, I would encourage ...
    Posted to OT POV: Forums (Forum) by Tim Mancino on October 27, 2007