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Another Example of OT Ever Shrinking Home Health Role

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Another Example of OT Ever Shrinking Home Health Role

  • Look at the original quote: "Yes, home health PT has been ordered.  I was just up at dad's room and the PT person was there working with him.  She mentioned to me that the PT who comes out to dad's house could go over a "home assessment" with us to determine what items we should acquire, etc for safety and functional help purposes."

    How and why does this situation exist? How many balls have been dropped over the years allowing PT to be elevated beyond OT in this situation?

    Ron Carson MHS, OT

  • Yes, all of the issues that have been brought up are problems. We each have different problems in our own areas of practice and most of it boils down to productivity and unrealistic expectations from management. The therapists that respond to this website want to make improvements to our profession and we understand that we need to do functional tasks w/ our patients. Because I see patients 3 days after surgery many of them are weak and need to do a certain amount of strengthening to progress to doing functional tasks, but my main focus is on ADLs. By the time they go home I should ideally have given them a home exercise program to maintain their strength after D/C. You, the home health therapist, would then treat the safety issues in the home, not UE strength. Therapists in all areas of practice are having managers who control the purse strings telling us to do things if we want to keep our jobs. Inexperienced therapists are doing what their supervisors ask and it is up to us who have been around a while to mentor them. I am well aware that strengthening can be done by purchasing a gym membership and doesn't take a skilled healthcare professional, OT or PT. Medicare is aware of the same thing.

    Joanne

  • This sentence puzzles me. When I look at the classes offered at the upcoming AOTA conference I do not see that many courses on UE . I see a lot of courses on emerging practice areas and occupation based treatments for all ages in all settings. That is what I see in my practice and at our state conferences also. Are we on different planets? I'm confused.Confused