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Toni Talks about PT Today

VIP Patients
by Toni Patt
I've yet to work in a facility that didn't maintain that all patients are treated equal. Anyone who has ever worked in health care can tell you that isn't so. Just let a doctor or other prominent patient be admitted. Administration will immediately fall Read More...
996 views     3 comments »     
Animals and Therapy
by Toni Patt
There is an article in the latest edition of the electronic version of ADVANCE . It describes using dogs to help with therapy. One of the examples used was a child handing a toy to a dog. In doing so, the child worked on coactivation of trunk muscles, Read More...
936 views     0 comments »     
Why Didn’t She Facilitate the Knee Extension?
by Toni Patt
Yesterday I was standing in the hall watching another therapist walk with a hemiparetic patient. I made a comment to the person next to me that I wouldn't have done it that way. I didn't understand why she wasn't facilitating knee extension in weight Read More...
967 views     0 comments »     
Quit Complaining
by Toni Patt
Over the last few weeks my department has been undergoing some changes. After reviewing our numbers over the last few months, our manager realized we haven't been complaint with the three-hour rule. For those who don't work in a rehab setting, the three-hour Read More...
556 views     3 comments »     
My NDT Course Wasn’t What I Expected
by Toni Patt
Last weekend I finally got the chance to attend an NDT course. Even though some of the material was basic, it pulled things together for me. For the first time I feel like I might have a chance at passing the NCS exam in a year or two. Listening to the Read More...
424 views     2 comments »     
I Don’t Do Enough Exercise With My Patients
by Toni Patt
While was doing research for a recent assignment I came across a statement that made me stop and think. In essence it said you can't get functional improvement without strengthening. My first reaction was "Doh! Everyone knows that." That's one of the Read More...
281 views     0 comments »     
My Patient Doesn’t Want to Work With Me
by Toni Patt
Last week I inherited an interesting patient from a therapist who went on vacation. The patient is an 87-year-old Chinese female admitted with a diagnosis of right MCA infarct. She has a history of undiagnosed dementia. She lives with her husband and Read More...
472 views     3 comments »     
Therapists Can Have Input Into the Technology We Use
by Toni Patt
Last week I wrote about Dr. Craik's comments that many PTs aren't ready for Vision 2020. Those comments were only one portion of a longer talk on physical therapy. She also spoke about the future of physical therapy and her vision of what is possible Read More...
235 views     1 comments »     
Physical Therapy and Obesity
by Toni Patt
This month I was actually able to stay current when I read my PT Journal . I found an interesting article. The researchers looked at the approaches and attitudes of PTs toward the obese. They questioned a random sample of currently practicing therapists Read More...
716 views     5 comments »     
PROM Is Not a Skilled Service
by Toni Patt
Rehab services and the Neurology physicians are having a disagreement. The Neuro docs are upset because they don't think PT responds quickly enough to their orders. They claim it can take a day or more before an ICU patient is seen. That's probably true Read More...
390 views     1 comments »     
My Experience as a Family Member
by Toni Patt
My show horse has been at the vet's for the last two weeks. He has been very sick. At one point the vet and I talked about putting him down and waiting until I could be present if something happened. Today I'm happy to report that he is doing well and Read More...
196 views     0 comments »     
Where Does Our Responsibility to Our Patients End?
by Toni Patt
I've been asking myself that question a lot lately. I've had a run of patients who seem to be reluctant to take responsibility for both themselves and their care. I'm not talking about patients who are emotionally needy or concerned about the future and Read More...
222 views     1 comments »     
Discharge Planning is a Responsibility
by Toni Patt
For the better part of last week I was the bad guy. I made several decisions that weren't popular with both patients and physicians. That sounds strange on the surface. The decisions were made in the best interest of the patients. In one case I recommended Read More...
254 views     0 comments »     
Questionable Discharge Decisions
by Toni Patt
During rounds today we ran into a problem. There is a patient with a right CVA, left hemiparesis and impaired cognition who is insisting on returning home at discharge. While that is an ideal discharge plan for most patients, it isn't realistic for her Read More...
308 views     1 comments »     
Informed Consent
by Toni Patt
While I was researching an assignment for my latest class, I ran across an article about informed consent and physical therapy. The article stated that in a patient centered environment, consent must be granted for any procedure or activity that is outside Read More...
264 views     1 comments »     
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