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Toni Talks about PT Today

The Obesity Issue
by Toni Patt
Last week I heard a statistic about obesity in the United States. Currently 36% of all Americans are obese, with the number higher in the older population, according to a recent survey. I don't know if the number is accurate but it's probably close. That Read More...
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Do All Medicare Part A Patients Need Therapy?
by Toni Patt
Today the answer is yes, particularly if the patient is a resident of the facility who went out with a medical problem. Not only do these patients need therapy, they need to be on caseload as long as possible. It is the only way a SNF can survive. Years Read More...
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There Aren't As Many PT Jobs As Before
by Toni Patt
I just got back from a teaching trip in two larger cities near Lake Erie. I was lucky in that I was able to eat lunch with some of the attendees. Both times the discussion eventually turned to concerns about our profession. They had a different perspective Read More...
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A Mobility Issue I Never Thought About
by Toni Patt
On my way home from work today, I stopped at the grocery store. As I was walking to the front door, a woman stopped me. She had one of those electric shopping carts and asked if I would please drive it back into the store for her. I must have looked shocked Read More...
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Ensuring Proper Translation with Patients
by Toni Patt
My hospital serves a large population of non-English-speaking patients. At any given time, one-third to one-half of my caseload speaks Spanish. As a result, the Interpreter Services Department was created. They either employ or contract for interpreters Read More...
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The Reimbursement Paradox
by Toni Patt
I wish someone could explain this to me. The baby boomers are aging. Each year, millions more of them will become eligible for Medicare. Instead of increasing funding to cover everyone at current levels, the government is decreasing the funding. Everyone Read More...
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The Skilled Nursing Facility Conundrum
by Toni Patt
Last week I was involved in a discussion regarding membership in the APTA. For once the topic wasn't new graduates but therapists who were members but no longer are. The question was, what would it take to bring them back in? What do they value? I responded Read More...
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Why Nothing Will Change at the APTA
by Toni Patt
In my last blog , I described my concerns that nothing will change with the APTA, expensive consultant group or not. I expect them to continue with the same message but repackage with new words. I see subtlety in their future. The reason I don't expect Read More...
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Is the APTA Repackaging an Old Message?
by Toni Patt
I've spent more time thinking about the "new" APTA. This could be a golden opportunity for the APTA to reinvent itself and address the needs of its current non-members. By asking questions and actually listening to the answers, its membership might grow Read More...
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What Can We Do About the Problems Facing Physical Therapy?
by Toni Patt
For the past few weeks, I've been blogging about problems within the profession of physical therapy and our frustrations over them . Everyone agrees on the problems. There is probably some disagreement on which ones should be addressed first. After all, Read More...
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My Patients Are Sicker Than Ever
by Toni Patt
We're all well aware of the fattening of our patients. Years ago facilities rented bariatric equipment. Now they own it. Obesity compounds other medical problems as well as interfering with mobilization, and the trend continues. I've noticed another trend Read More...
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The Patient Is Always Right No Matter What
by Toni Patt
My facility has instituted a new policy: Keep the patient happy no matter what. Staff has been instructed to think of patients and their families as clients. Happy clients tell friends about their experiences. We want those friends to choose our facility Read More...
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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...
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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...
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APTA Membership: Cost vs. Benefit
by Toni Patt
I've been reading the responses to my various blogs over the past few weeks . The responses seem to be echoing what I've been saying. Hardly anyone has had anything to say in support of the APTA. Many explain why they don't belong. The general consensus Read More...
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