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Toni Talks about PT Today

Sharing Knowledge
by Toni Patt
When I teach, I describe using mental imagery in motor learning and as anti-neglect strategy. One of the main tenets of motor learning is repetition or as I say, practice, practice and practice some more. The concept of using mental imagery isn't new. Read More...
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The Declining Census
by Toni Patt
In previous posts, I've discussed staffing issues where I work. Those problems continue. So does the return of the frequent flyer. Now we have something even more troubling. Our census continues to drop. The facility is at one-tenth of its capacity. There Read More...
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Comeback Stories
by Toni Patt
"Frequent flyer" is a term given to any patient with serial admissions to a facility. They discharge. They admit. They discharge. They admit. Eventually everyone on the staff will have worked with the patient. Some are remembered fondly. Some never see Read More...
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Unintended Consequences of Cutting Staff
by Toni Patt
In recent posts, fellow ADVANCE bloggers Dean and Michael have been discussing how companies cut staff as a measure to lower costs. Neither of them supports the idea. Both make valid arguments against the practice that I'm sure would fall on deaf ears. Read More...
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Overtime Issues
by Toni Patt
I've noticed a growing trend to prohibit overtime. Until recently, overtime was frowned on but permitted if caseload supported it. That isn't happening anymore. The same is true to a lesser extent for using contract labor to fill staffing gaps. Many facilities Read More...
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Horse Show or TPTA Conference?
by Toni Patt
This afternoon I received the monthly email from the Texas Physical Therapy Association. It contained a prospectus for the upcoming annual conference and early registration. This is much smaller than the APTA's Combined Sections Meeting, probably not Read More...
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Volunteering Update
by Toni Patt
In past posts, I've expressed frustration at volunteering for various opportunities within the APTA and the Neurology Section. A few months ago, I was nominated for a position on the nominating committee for the stroke special interest group. The results Read More...
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My Fear of Maintenance Therapy
by Toni Patt
Last week in his post, fellow ADVANCE blogger Dean Metz shared some good news . CMS has ruled the need for skilled intervention, not functional improvement, makes therapy reimbursable. This means, as he pointed out, patients with chronic conditions can Read More...
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It's Legal but Is It Ethical?
by Toni Patt
Someone was fired last week. The rumor is going around that she was fired because she didn't smile. I don't know if that's true or not but in Texas it is legal. Here an employer can fire an employee for any reason, even if they make it up. Nor do 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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Ready for CSM
by Toni Patt
SAN DIEGO -- Just like my fellow ADVANCE blogger Lauren , I'll be attending the APTA Combined Sections Meeting in San Diego. CSM happens this week so I'm already in my hotel. I've registered and picked up my materials. I attended my pre-conference workshop Read More...
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Physical Therapy and the News
by Toni Patt
I don't know about anyone else but I can't read medical news with an unbiased outlook. A few days ago "Yahoo!" posted an article about a man who'd awakened from a month-long coma. The first thought that entered my mind was concern about why he wasn't 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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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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Using the Honor System for License Renewal
by Toni Patt
Recently the Texas Board of Physical Therapy Examiners changed the requirements for license renewal. They continue to require 30 hours of continuing education but now therapists must include proof of that education with their application for renewal. Read More...
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