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Toni Talks about PT Today

My Patient Doesn’t Want to Work With Me
by Toni Patt
Last week I inherited an interesting patient from a therapist who went on vacation. The patient is an 87-year-old Chinese female admitted with a diagnosis of right MCA infarct. She has a history of undiagnosed dementia. She lives with her husband and Read More...
213 views     3 comments »     
Informed Consent
by Toni Patt
While I was researching an assignment for my latest class, I ran across an article about informed consent and physical therapy. The article stated that in a patient centered environment, consent must be granted for any procedure or activity that is outside Read More...
200 views     1 comments »     
We Should Always Be Professional
by Toni Patt
This week my assignment is a smaller hospital in the suburbs of Houston. I've been there before on weekends and some holidays. I was looking forward to being there. Now I'm looking forward to leaving. The lack of professionalism I've experienced there Read More...
211 views     1 comments »     
Don’t Tell Me to Ignore the Practice Act
by Toni Patt
I heard something today I just couldn't believe. I was talking to the department manager about who is responsible for putting patients back to bed. My point was in order for physical therapy to be physical therapy, a skilled intervention must be involved. Read More...
483 views     3 comments »     
Patient Abandonment
by Toni Patt
The hot topic at lunch this week was the definition of patient abandonment. We all agreed that it involved leaving a patient who needs therapy without it. What we can't agree on is at what point does the abandonment occur? Taken to an extreme it could Read More...
1065 views     2 comments »     
We Need to Limit Our Use of Modalities
by Toni Patt
In the most recent print issue of Advance for Physical Therapists and PT Assistants (vol 19, # 18, p. 138) the Rehab Roundtable section poses an interesting question. Should physical modalities be removed from physical therapy practice? This is a legitimate Read More...
343 views     0 comments »     
The Right to Decide
by Toni Patt
In the May 2008 issue of GeriNotes , William H. Staples PT, DPT, GCS tackles the topic of informed consent and cognitively impaired individuals. Mr. Staples talks about the importance of determining if a patient is capable of giving informed consent. Read More...
307 views     0 comments »     
My Cat Died
by Toni Patt
My cat died last night. He was old. He lived a full kitty life. He died last night in my lap and I gently petted him. I could have taken him to the vet but all that would have happened is he would have been put to sleep. I couldn't do that to him. He Read More...
641 views     1 comments »     
Who is Responsible?
by Toni Patt
Like most therapists, I'm a veteran of interdisciplinary turf battles. Usually the problem is PT and nursing going around over getting a patient out of bed. Sometimes it's about whether out of bed to chair is a PT or a nursing order. This time was a little Read More...
541 views     1 comments »     
Vision 2020
by Toni Patt
In his 11/07/07 blog Brian Ferrie discusses Preview 2020. Preview 2020 is a statement of where the profession is expected to be in 2020. In his blog, Brian asked for opinions about the vision. I have an opinion. It may not be popular. I think someone Read More...
1844 views     15 comments »     
The Memo
by Toni Patt
I received a memo recently that reviewed guidelines for documentation on Medicare patients. It told us what to write to prevent denials. Anyone who has ever treated a Medicare patient is familiar with the word games we play with documentation. Medicare Read More...
477 views     0 comments »     
Now Hear This
by Toni Patt
I've been a therapist for many years having graduated in the 1980s. I've seen things change. Trends have come and gone. In many cases what we do now didn't exist then. I've seen my profession grow to a major component in modern health care. I've seen Read More...
690 views     3 comments »