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Toni Talks about PT Today

Customer Service
by Toni Patt
I don't think you can work in healthcare for any length of time without attending the mandatory customer service inservice. It usually includes a segment on making upset customers happy. In our case, that would be patients and families. One strategy is Read More...
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Agitation or Aggression?
by Toni Patt
Recently we had an elderly man on caseload with a diagnosis of advanced dementia. It was obvious he was in the later stages of the process. He couldn't follow commands. His swallow was diminished. He was disoriented times three and demonstrated poor motor Read More...
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Dosage Matters
by Toni Patt
There were two common themes at CSM this year: dosage and intensity. Every clinical presentation I attended mentioned one or the other. Intensity was defined as how hard the patient is working. Dosage referred to the number or reps or duration in the Read More...
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An Attendee's Perspective
by Toni Patt
LAS VEGAS -- The 2014 Combined Sections Meeting is getting started. I've been in Las Vegas since Saturday evening for my preconference course. It was two days of sitting for eight hours listening to people read information off slides. The next three days Read More...
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It's Time for CSM
by Toni Patt
It's almost that time of year again when thousands of us gather for the APTA Combined Sections Meeting. This year we're in Las Vegas. According to what I've read, they're expecting more than 10,000 PTs and PTAs to attend. I'm going. To use a Texas-like Read More...
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Is Diathermy a Skilled Therapy?
by Toni Patt
One of my OT coworkers and I have fallen into bicker back and forth in fun. We have an unspoken agreement to agree to disagree. Usually we find some middle ground until the topic of diathermy came up. We disagree about whether this is a skilled therapy Read More...
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How Not to Prioritize
by Toni Patt
Over the past weeks, I've been blogging my concerns about staffing levels and quality of care . More and more it looks like staffing will continue to be diminished in cost-cutting efforts. In one blog , I posed the question of how to prioritize patients Read More...
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‘Passive ROM Is Not a Skilled Therapy'
by Toni Patt
Let me clarify that statement before I go any further. I refer to performing PROM as the only treatment on patients who are sedated, minimally responsive, have significant neurological involvement and the like. I'm not referring to outpatient settings, Read More...
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Well-Meaning Relatives
by Toni Patt
The first thing I heard when I got to work Monday morning were tales of the well-meaning relatives. We all know the type. They try to help but only make things worse. Or, with the patient's best interest in mind, they interfere with just about everything Read More...
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Prioritizing Patients
by Toni Patt
In order to compensate for escalating case loads and inadequate staffing, prioritizing who to see each day has become a way of life. Sometimes my day is easier because patients are unavailable. Generally I start every day deciding who needs therapy the Read More...
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My Visit to the Emergency Room
by Toni Patt
Last week while I was in New Jersey to teach seminars, I was involved in a motor-vehicle accident. I hit my head on the steering wheel, was taken to the emergency room and diagnosed with a concussion. During the time immediately following the accident, Read More...
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Nursing Isn't the Problem
by Toni Patt
There's an ongoing struggle between PTs and nursing over who is responsible for getting patients out of bed. Both agree patients need to get out of bed. Easily transferred patients get out of bed regularly. The disagreement arises over max and total-assist Read More...
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I'm Not Alone
by Toni Patt
I just finished my first conference call as a member of the Advocacy Committee of the Neurological Section. It was very refreshing. The other members of the committee were voicing the same frustrations and experiences I do. We may not have accomplished Read More...
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MRSA and Football
by Toni Patt
While I was driving home this evening, a news report came on the radio. Some professional football players have been placed on the injured list because they developed MRSA. I had to chuckle at the reporter as he conveyed the gravity of the situation. Read More...
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Sharing Knowledge
by Toni Patt
When I teach, I describe using mental imagery in motor learning and as anti-neglect strategy. One of the main tenets of motor learning is repetition or as I say, practice, practice and practice some more. The concept of using mental imagery isn't new. Read More...
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