Toni Talks about PT Today

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Toni Talks about PT Today

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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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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...
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My Caseload is Getting Sicker by Toni Patt: I've noticed something about my caseload recently. The patients have become sicker and heavier. Right now I'm treating four patients. All of them require two people to mobilize. Sicker patients I understand. More people are surviving worse injuries. As Read More...
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The "Ah" Moment by Toni Patt: This morning I had an "ah" moment. I was working with a dense hemiparectic patient. For the first half of therapy my tech and I were struggling to get him to sit without pushing. All of a sudden it was like a light bulb went off for him. He figured out 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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What Are We Trying to Accomplish? by Toni Patt: I've started working in an inpatient rehab unit this week. The case load is primarily neurologic or polytrauma patients. The unit is based in a large teaching hospital so the admitting diagnoses are always interesting and varied. I've been there a week Read More...
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