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Toni Talks about PT Today

How Not to Prioritize
by Toni Patt
Over the past weeks, I've been blogging my concerns about staffing levels and quality of care . More and more it looks like staffing will continue to be diminished in cost-cutting efforts. In one blog , I posed the question of how to prioritize patients Read More...
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Holiday Staff
by Toni Patt
The holidays are upon us and everyone wants time off. Mangers scramble to cover for vacations, illnesses and unexpected accidents. It's a given there won't be normal staffing levels from mid-December through the first of the year. Every year I ask the Read More...
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‘Passive ROM Is Not a Skilled Therapy'
by Toni Patt
Let me clarify that statement before I go any further. I refer to performing PROM as the only treatment on patients who are sedated, minimally responsive, have significant neurological involvement and the like. I'm not referring to outpatient settings, Read More...
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Well-Meaning Relatives
by Toni Patt
The first thing I heard when I got to work Monday morning were tales of the well-meaning relatives. We all know the type. They try to help but only make things worse. Or, with the patient's best interest in mind, they interfere with just about everything Read More...
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Prioritizing Patients
by Toni Patt
In order to compensate for escalating case loads and inadequate staffing, prioritizing who to see each day has become a way of life. Sometimes my day is easier because patients are unavailable. Generally I start every day deciding who needs therapy the Read More...
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Therapy Can Do That
by Toni Patt
I think we've all reached the conclusion that cutting staff to save money means therapy will be asked to do even more with less. The unspoken expectation, at least in the places I've worked, is that therapy will fix everything. We're the ones who help Read More...
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My Visit to the Emergency Room
by Toni Patt
Last week while I was in New Jersey to teach seminars, I was involved in a motor-vehicle accident. I hit my head on the steering wheel, was taken to the emergency room and diagnosed with a concussion. During the time immediately following the accident, Read More...
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Wheelchair Races After Dinner in the Parking Lot
by Toni Patt
At the SNF where I work part-time, the parking lot behind the building is built on an incline with a bend about three-fourths of the way down. There is a curb along the entire length of the descent. Last weekend, a resident told me it's possible to descend Read More...
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Nursing Isn't the Problem
by Toni Patt
There's an ongoing struggle between PTs and nursing over who is responsible for getting patients out of bed. Both agree patients need to get out of bed. Easily transferred patients get out of bed regularly. The disagreement arises over max and total-assist Read More...
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I'm Not Alone
by Toni Patt
I just finished my first conference call as a member of the Advocacy Committee of the Neurological Section. It was very refreshing. The other members of the committee were voicing the same frustrations and experiences I do. We may not have accomplished Read More...
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MRSA and Football
by Toni Patt
While I was driving home this evening, a news report came on the radio. Some professional football players have been placed on the injured list because they developed MRSA. I had to chuckle at the reporter as he conveyed the gravity of the situation. Read More...
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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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'I'm Not Going Back to That Place'
by Toni Patt
Last weekend I evaluated a woman who had been readmitted to the facility after yet another hospitalization. Before I could start taking a history, she told me she was never returning to that hospital. She was particularly upset with the therapy department. 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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