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Toni Talks about PT Today

Physical Impairment Doesn’t Equal Impaired Cognition
by Toni Patt
Last Saturday, one of my patients complained to me about the nurses. He was frustrated that he was being spoken to like a child. His words to me were "I'm not stupid." The man isn't stupid, but on initial presentation he could give that appearance. He Read More...
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Some Thoughts on Aging and PT
by Toni Patt
I started a new class this week about geriatrics and the process of aging. The opening chapter addresses the definition of aging and theories of why it occurs. It wasn't very exciting. I've read most of it before. The section on increasing life expectancy, Read More...
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Patients are Getting Sicker
by Toni Patt
I've noticed something over the last several months. The patients I've been treating are sicker and more involved than they were even two years ago. I'm not sure when this started or why. But it's been happening and gradually getting worse. The patients Read More...
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Caregiver Stress
by Toni Patt
Now that I've finished up this round of classes, I have time to catch up on everything else. I finally got to look at the most recent "Geri-Notes." It's the journal of the Geriatric Section of the APTA. In it was an article by William Staples, PT, DPT, Read More...
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Home Programs
by Toni Patt
Home exercise programs are a part of physical therapy. We give them out regularly in just about every setting. A lot of thought and effort goes into developing the best program for each patient. Now that frequency and duration of therapy is decreasing, Read More...
330 views     1 comments »     
Please Take Your Medicine
by Toni Patt
Yesterday at the barn, an interesting topic came up while we were waiting for a lesson. LH mentioned that her mother had a stroke because she hadn't been taking her blood pressure medication. Her mother recovered, but isn't as sharp as she once was. LH Read More...
222 views     1 comments »     
Functional Matters
by Toni Patt
We have a new lunch table topic at work. Another therapist and I had seen the same patient a week apart. She performed the initial evaluation. I performed a re-evaluation a few days later. Our objective values were about the same. She put the patient Read More...
269 views     2 comments »     
Letting Go is Hard
by Toni Patt
I've finally made up my mind. My 3-year-old horse is going to his first show this January. This was a tough decision for me. I want him to be ready. I want him to do well. So I waited until the last minute to make a decision. I know he'll make mistakes. Read More...
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My Therapeutic Pet Peeve
by Toni Patt
I have a pet peeve. Actually I have several. This is one that pops up while I'm at work. What is my pet peeve? It's patients who think going to therapy means going to the bathroom. I'm not talking about those who I bribe with the bathroom to get them Read More...
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I Want To Do It My Way
by Toni Patt
Anyone who works with elderly patients knows they can be stubborn. They latch on to things from years ago and refuse to change. This becomes obvious when they are receiving PT. I can't count the number of times I've been told "I always do it that way." Read More...
285 views     1 comments »     
You Must Like Where You Work
by Toni Patt
Last week an OT scolded me. She found out I have McKenzie credentials and couldn't believe I was working in a hospital. She told me I had to be in an OP setting treating spine patients. She even asked me why I was working in a hospital. Shouldn't I be Read More...
277 views     2 comments »     
Society Needs to Rethink Elder Care
by Toni Patt
I've noticed a disturbing trend when developing discharge plans for elderly patients. Families aren't as involved as they once were. When I first practiced therapy discharge plans weren't a problem. Families took patients home to care for them. Sometimes Read More...
329 views     2 comments »     
Care Giving is a Two Way Street
by Toni Patt
My class is finally coming to an end. The last topic addresses women as caregivers and the stress that results. In the United States, at least 75 percent of home caregivers are women. Depending upon the amount of care required, they can spend up to 16 Read More...
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What's Wrong With a Walker?
by Toni Patt
Why don't people want to use walkers? I've been asking myself this question a lot lately. I've had several patients who need to use a walker for safety but refuse to use one. Not only did they refuse to use one, but they told me they didn't need one and Read More...
371 views     2 comments »     
Osteoporosis
by Toni Patt
This semester my class is about woman's health from midlife to beyond. We're studying disease processes that typically affect older women. Last week the topic was osteoporosis. I thought that would be pretty basic. It's caused by loss of bone mass. It's Read More...
355 views     0 comments »