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Toni Talks about PT Today

When a Patient Refuses a Bedside Commode
by Toni Patt
"I'm not sitting on that." This week I have a patient who refuses to use a bedside commode. He refuses to allow us to position the BSC over the toilet to increase the height. He refuses to do anything but use the toilet in his room. Many people feel the Read More...
1 comments »     
Treating a Difficult Patient
by Toni Patt
"I'm paying to be here and be taken care of. You will do what I tell you." It's bad enough we struggle for respect from physicians and occasionally other disciplines. I would say the majority of the population doesn't know what we do or the amount of Read More...
10 comments »     
Offering a Therapist Recommendation
by Toni Patt
"I need therapy. Refer me to someone who knows what they're doing." This was an actual request to me last week. One of our CNAs has an Achilles tendon injury. She has been wearing a moon boot for a few weeks. Last week her physician ordered physical therapy Read More...
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No Lifting Rules
by Toni Patt
I have a new thing to be upset about, mechanical lifts. Yes, they've been around awhile. Yes, we've all used them. It's pretty much a given that any transfer performed with one is not a functional transfer. Still, as therapists we managed to avoid their Read More...
3 comments »     
Things Have Changed Since I Went to PT School
by Toni Patt
Lately I've been getting comments on my blog posts from people seeking advice about entering the PT profession, and asking how or why I became a physical therapist. The answers to both of those questions are complex. The medical environment today is significantly Read More...
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One of My Favorite Patients Died Last Week
by Toni Patt
Bob (not his real name) was one of our facility frequent fliers. His diabetes was out of control. His circulation was terrible. He had a BKA on one leg and the other leg needed one. He refused to wear his oxygen so was always SOB. Nonetheless he was always Read More...
1 comments »     
An Instructor's Perspective on a CEU Course
by Toni Patt
While I was teaching last week, it dawned on me that I have a unique perspective on continuing education courses. I've been on both sides of the projector. When I teach, I'm not listening. I'm trying to remember to say everything I want to on a topic. Read More...
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The Criteria for Our Priority List
by Toni Patt
Last weekend I was at a horse show, which means I was off on Friday. One of the things I do is manage our list for who gets out of bed over the weekend. We start the list on Monday, adding names as the week progresses. We have a tech who works the weekend, Read More...
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Things You Hear at Work
by Toni Patt
Many years ago there was a television show called "Kids Say the Darndest Things." I think the same could be true of our patients and families. Over the last few weeks I've heard many things that make me want to shake my head. I was trying to help a man Read More...
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Making a Successful Case
by Toni Patt
A few weeks ago, I expressed my frustration with our capital budget process . While I was gone, my coworkers submitted a request for, among others things, a stand lift transfer device. To say I was shocked was an understatement. Since that time I've campaigned Read More...
2 comments »     
I'm Not Going to CSM Next Year
by Toni Patt
For the past few weeks, I've been receiving email reminders that early registration for the 2015 APTA Combined Sections Meeting (CSM) is underway. Separate emails inform me of how to reserve housing. Another batch tries to entice me with the various topics. Read More...
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Sometimes You Say the Right Thing
by Toni Patt
Last week I wrote about my latest conflict at work . The others want to use capital budget to purchase a mechanical lift. I am opposed because mechanical lift transfers aren't functional. The patient is a passive participant. Last Saturday I was teaching Read More...
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Promoting Functional Transfers
by Toni Patt
My facility is looking at capital budget for next year. We've all been asked to submit requests for equipment. The process is pretty simple. We submit a list of items we desperately need. Later we're told we can have one or two of them sometime during Read More...
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Making the Right Rehab Choice
by Toni Patt
I've previously mentioned my disappointing stroke patient . First he had a stroke. Then he had almost every possible complication. Finally he's doing better and getting ready to go to rehab. Everyone agrees he needs to go to rehab. Now there's disagreement Read More...
1 comments »     
Working in a Wheelchair
by Toni Patt
No, I'm not the one using a wheelchair. One of my fellow therapists is. She has chronic knee and ankle problems. It started out as wearing a walking boot, then progressed to a knee brace and either a walker or a wheelchair to get around. She chose the Read More...
3 comments »     

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