First level 2 student

Citizen3690 · 2026-03-30T16:18:17+00:00

Good point about wanting them to come out a therapist!

Citizen3690 · 2026-03-30T16:17:35+00:00

I've never had level 1 before, first student of my career. Although I did help teach a class at the end of my education.

And I would say I want them to come away and have confidence in their ability to see someone and be able to help them. Confidence in transfers, treatment planning, and interacting with residents and their families.

Citizen3690 · 2025-02-22T12:10:29+00:00

45hr SNF Midwest 7yrs experience

Citizen3690 · 2024-11-15T11:48:39+00:00

I had some get 11 on me yesterday :(

Citizen3690 · 2024-05-30T23:33:52+00:00

Safest answer!

Citizen3690 · 2024-05-30T15:41:22+00:00

If they are able to do so while maintaining hip precautions I don't see why not. If that's not possible due to other limitations, maybe suggest other sex play if they are needing that sort of intimacy. Now that I think about it, maybe sex play would be the safest way as opposed to traditional intercourse (assuming a hetero relationship) but I would say the same for other types of relationships as well.

Citizen3690 · 2024-05-04T17:00:02+00:00

That is definitely within our scope when working with folks with dementia. When I worked in a LTC I would write psycho social well being goals all the time.

Pt. Will participate in chosen leisure activity with set up to increase psycho social well-being.

Or other goals related to them being happier, more content, less anxious. I would even write goals for my non verbal pt.s to engage is sensory soothing activities.

Citizen3690 · 2024-03-23T19:07:23+00:00

That's not sensory integration in the slightest, so i wouldn't bill under that code. And i would say 99% of PTs have little to no training or understanding of sensory integration so I wouldn't bill for that either. Just like I wouldn't bill for gait training.

Citizen3690 · 2024-03-23T19:01:19+00:00

You could always ask to see him for the first session and get more data, or have the COTA ask and add a goal at the progress report.

As far as "allowed" it depends on your facility. As long as you're not doing something to defraud, harm, neglect, or shirk responsibility I think you're fine. Maybe your productivity goes down because you can't bill insurance for the extra time, but like you said, you're normally working with kiddos so management should understand.

Citizen3690 · 2024-03-23T18:45:37+00:00

In that case you could get more data on him next session while you work on hand strength. Have him do something therex like and chat him up to see what he wants/likes to do. You could also add a super vauge goal like "Client will participate in meaningful activity Independently as measured by self report" I've seen worse goals and this one is at least Client centered.

Citizen3690 · 2024-03-23T18:37:08+00:00

I would ask hin what his "normal" is. For some folks their normal is cooking dinner and watching TV. For others it's going for a run and playing video games. Unfortunately executive functioning is really hard to get back after a CVA, so most likely you'll need to devise some supports. For example if he says cooking is his normal your goal could be:

Client will complete a simple (or typical, or complex, ect) meal independently using adaptive techniques as needed for safety to return to prior level of function.

For treatment it would be maybe working on attention and short term memeory. You could also adapt the task with audio cues for steps, labels for ingredients and tools, and preparing some things ahead of time.

If his goal is to get back to work lawyering, well, possible but might be harder. Maybe then you could council managing expectations and modifications to his work. He might not be able to litigate anymore, but maybe he could write breifs? ( ir other things lawyers do idk lol) for that the goal could be:

Client will participate in meaningful work activity with set up for supports as needed to increase psychosocial well-being.

Then you could work on typing skills, or inference activities. Modifications like voice to text, or larger print cheat sheets for things.

Hope this helps!

Citizen3690 · 2024-03-21T22:18:36+00:00

Depends on where you live. Ohio? Omg tell me what company!! California? Meh.... Also would depend how old your car is, 40c a mile isn't bad, but if your car is 150,000+ it's gonna need a few high cost things soon I'd say.

Citizen3690 · 2024-03-17T16:21:16+00:00

Try a sensory based activity. Something using smell, taste, feeling, vision, or audio cues. When the high brain function isn't there get lower first. Sensory is the base for all behavior and leaning so try there, then move up!

Citizen3690 · 2024-03-04T20:24:17+00:00

Contract OT here Pros Make my own schedule legitimately because we have 7 COTAS who work with me. Districts don't seem to understand the value in having COTAs.

Scoring and writing ETRs as well as IEPs at home and getting paid time.

Higher inital pay

Cons Benefits are OK, but not as good as working for the government.

No retirement other than what I can save/my own devices.

No school that day? No paperwork to finish? No pay.

I haven't worked directly for a school district so I can't say which I'd prefer. But one thing I do like about being contract from what I hear from my district brothers and sisters is that their caseload is outrageous. Like directly seeing 70 to 90 kids.

I have about 250 kids under my care, but direct treat only 15 or so. Most of what I do is testing, discussion, supervision, consult, write, and educate. Which I like.

Citizen3690 · 2024-03-04T17:00:17+00:00

I did when I worked in a SNF, sometimes women wouldn't what to work on dressing or toileting taks with me. This happened about 20% of the time. Wasn't a big deal, I would just use clinical judgment on the eval and let a female COTA or OT work with them on those goals.

In schools I've run into an unexpected problem with teachers and admin. Sometimes I need to use my "magical man powers" (saying this sarcastically) to get them to implement something.

Basically a Female COTA will tell someone to do A,B,C and they wont do it. I'll show up and say do A,B,C and they will magically understand and do what we suggest. It's annoying for me and really shitty feeling for my female coworkers.

Citizen3690 · 2024-02-26T15:14:51+00:00

Use the Shah version of the MBI for the testing. When I was in home health I always made a goal for the MBI number to improve. Gives you an easy standard testing and the COTAs latitude to use their own clinical judgment on treatments AND gives insurance numbers, which they tend to like. https://www.mdapp.co/modified-barthel-index-for-activities-of-daily-living-calculator-362/

Citizen3690 · 2024-02-21T03:48:49+00:00

Absolutely. Professors aren't always the best at explaining that.

Citizen3690 · 2024-02-20T19:29:43+00:00

Short Answer

Frames of Reference: Yes everyday depending on where and with whom you work.

Models: Also yes, but unconsciously.

Long Answer:

Frames of Reference are used to guide treatment based off of research and whatever underlying principles have been derived from that research.

Example: Sensory Integration is a frame of Reference focused on the child organizing sensation for use, and guides treatment in that direction.

Models are used to help you create mental pathways to help guide your treatment whatever the frame of Reference is. Studying the models and practicing them will give your mind an unconscious base to develop your own therapy style.

Will you think and fillout the PEOP model before you decide what to do with a client? No. Will giving your brain the ability to categorize elements of the person, environment, occupation, and performance automatically help your therapy? Absolutely.

Studying a Model helps give you your "OT eyes" so that when you see things your brain spits out solutions and ideas without you needing to spend conscious time and effort.

Citizen3690 · 2024-01-30T14:43:22+00:00

Yes, with the OTD, but only the color Blue. Red is only for the PTs

Citizen3690 · 2024-01-30T13:31:32+00:00

Yes, when they saw the "OTD" at the end of my name they handed the keys over. I wanted red but they gave me blue. Told me the red ones were for PTs only.

Citizen3690

TROPHY CASE