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Toni Talks about PT Today

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...
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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...
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What Do I Include in CEUs?
by Toni Patt
Recently I took on another challenge, writing a CEU module. When I agreed to do it, I thought no problem. This is what I teach. I already have an outline and references. I can just fill in the words. After I started writing, I realized something. When Read More...
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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...
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Time and Money
by Toni Patt
Now that I'm home from CSM, I've had an opportunity to process all of the information. Most of the presentations were excellent. Those that weren't purely theoretical had a common theme. We have to maximize what we do because we're spending less and less Read More...
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Learning from My Mistake
by Toni Patt
Because I ride horses competitively, I spend many hours taking lessons. Just like my patients, I'm trying to learn and master motor skills. Sometimes I get it right, sometimes not. This morning it hit me how similar my learning experiences are to those Read More...
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What Is a Physical Therapist Extender?
by Toni Patt
Reading Jason Marketti's blog last week reminded me of a discussion we're having here in Texas. It's called RC-3 and is an amendment to the Texas Physical Therapy Practice Act. It proposes unlicensed individuals such as athletic trainers and massage therapists Read More...
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Biting Off More Than I Can Chew
by Toni Patt
Last week, I wrote about my experiences teaching my first CEU course. I mentioned how much work it was but didn't go into details. It took me nearly four months to finish, including two months of working at least an hour or two every night. Now I'm going Read More...
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How Much Help Is Too Much?
by Toni Patt
I've been using the Nintendo Wii with more of my patients. This has created a dilemma for me. I don't know how much help to give my patients. At first I didn't help them at all but that wasn't successful. Since then I have alternated between verbal cues Read More...
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How Do You Define Functional?
by Toni Patt
I'm having a debate with the PTA I work with. We can't agree on the definition of functional. I want to use it to describe activities, as in they are functional. She wants to use it to describe actions as functional, such as in functional ROM or strength. Read More...
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Combining PT and ST
by Toni Patt
Lately I've had the opportunity to work with a wonderful ST. We bounce ideas off each other. We've even managed to co-treat a few times. In the course of working together, we've observed that improvement in one discipline carries over to improvement in Read More...
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My New Pet Peeve
by Toni Patt
We all have things that annoy us. I have a new one at work, the assisted ergometer. It can be used for the UEs or LEs and programmed to provide either resistance or assistance to whoever is working the pedals. To me it is a glorified restorator. What Read More...
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Don't Count These Patients Out
by Toni Patt
It's been a while since I've had more than a few geriatric patients on my caseload. Now that my caseload is all geriatric, I've had to readjust. It's a good thing I didn't forget the first rule of geriatric care. Elderly patients are people, too. They Read More...
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Caring for the Severely Impaired Patient
by Toni Patt
There is new evidence in the physical therapy world that creates a paradox. The patients who benefit the most are the patients who receive the least therapy. Everything I read demonstrated that the more impaired patients made the greatest improvement Read More...
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