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Toni Talks about PT Today

Volunteering Update
by Toni Patt
In past posts, I've expressed frustration at volunteering for various opportunities within the APTA and the Neurology Section. A few months ago, I was nominated for a position on the nominating committee for the stroke special interest group. The results Read More...
1 comments »     
My Fear of Maintenance Therapy
by Toni Patt
Last week in his post, fellow ADVANCE blogger Dean Metz shared some good news . CMS has ruled the need for skilled intervention, not functional improvement, makes therapy reimbursable. This means, as he pointed out, patients with chronic conditions can Read More...
1 comments »     
Group Think Evidence
by Toni Patt
When I was at the horse show last weekend, I learned one of the show kid mothers is a PT. I learned this because she was treating another of the mothers using cranio-sacral therapy. I'm not sure what pushed more of my buttons, her treating someone on Read More...
1 comments »     
It's All About the Money
by Toni Patt
If I had any doubt that patient-focused healthcare was a thing of the past, I don't anymore. Last weekend, a situation arose that showed me charging for services was more important than patient care. I work full-time at one facility and help out at another. Read More...
7 comments »     
'I Am a Troublemaker'
by Toni Patt
Last week I described being warned not to make trouble by reporting the nurses watching the baby camera while at work. I've been thinking about that. Why would I be the troublemaker for reporting someone else doing something wrong? Shouldn't it be the Read More...
2 comments »     
The Baby Cam is Not Skilled Therapy
by Toni Patt
There has always been some conflict between therapy and nursing. Each complains about what the other does or doesn't do. Last week I saw something that floored me. I went into the nursing office looking for a chart. I didn't find the chart. I did find Read More...
1 comments »     
Old School and New School
by Toni Patt
No matter where I am, I hear the old school/new school discussion. In simplest terms, it's a comparison of how we did something years ago compared with how we do it now. In more unkind terms, it can become a condemnation of those who went to school back Read More...
5 comments »     
Finally Something I Enjoy
by Toni Patt
Anyone who reads my blog with regularity knows the last year has been a struggle for me. I lost my beloved job. I was fired for being ethical. I encountered more than my share of unethical and self-serving people. During all of that, I hung on and kept Read More...
3 comments »     
How Many Minutes Are Enough?
by Toni Patt
This morning I was involved in a discussion about getting the most minutes from each patient. This can be taken two ways. Financially more minutes translates into better reimbursement. Therapeutically it results from the belief that every patient should Read More...
3 comments »     
Continuing Education Should Be Evidence-Based
by Toni Patt
I'm a peer reviewer for the Texas continuing education program. I review submissions for neuro, geriatric, acute and general so I get to see a lot what is being proposed for continuing education. Texas has a specific form that must be completed for each Read More...
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‘I Can't Help, My Back Hurts'
by Toni Patt
This morning there was a patient on the floor so the request went out for lifting help. Four people responded, including me, a PTA, a male CNA and the patient's nurse. The patient was a big man, weak and in a narrow space so it wasn't going to be easy. Read More...
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Not All Patients Work on the Weekend
by Toni Patt
This morning while I was walking a patient, I overheard another patient walking behind us. She was telling the CNA taking her to the dining room that she recognized me from the weekend. She was upset with me because I came to take her to therapy and she Read More...
1 comments »     
Maybe it's a Question of Time
by Toni Patt
Last week I questioned what the definition of skilled therapy was . I had worked with several patients the previous weekend whose only deficit was the need for supervision. I've realized I wasn't clear in describing those patients. All of them had been Read More...
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What Is the Definition of Skilled Therapy?
by Toni Patt
I've been noticing a disturbing trend lately. More and more facilities are considering the need for supervision as a need for skilled therapy. Back in the day, patients referred to SNFs and outpatient had an obvious need. They had trouble walking. They Read More...
10 comments »     
It's Legal but Is It Ethical?
by Toni Patt
Someone was fired last week. The rumor is going around that she was fired because she didn't smile. I don't know if that's true or not but in Texas it is legal. Here an employer can fire an employee for any reason, even if they make it up. Nor do they Read More...
3 comments »     
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