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, ...

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 ...

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 ...

Here is a link you might find interesting. http://www.ot4life.com/Industry.html   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

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,  and mental health components of Occupational Therapy 2. The desire by facilities for extensive billable ...

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 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 ...

The one that I like to use is: ''Enhancing human task performance across 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 ...