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The Busy PT's Guide to Finding Balance

I Know Better
by Janey Goude
Last week I promised a statistical discussion about an article that appeared in The Washington Post . Before you get all down on statistics, let me make a confession. It wasn't until I reached the end of writing last week's post that the statistics even Read More...
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Hospitals Getting Fined but Who Really Pays?
by Janey Goude
A recent article in the Washington Post boasts a national reduction in hospital readmissions of Medicare patients within 30 days of discharge. According to the article, Jonathan Blum, a top official at the Centers for Medicare and Medicaid Services, credits Read More...
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Alive Inside
by Janey Goude
It's easy to accept stereotypes about elderly clients in nursing homes. As we age, our bodies and minds deteriorate. Those stereotypes lead to assumptions. " Prior functional level" is a worthy goal. A video * has me rethinking my paradigm. The video Read More...
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Honor Thy Patient
by Janey Goude
Toni Patt's post, " The Cost of Being Ethical ," is the textbook definition of honoring your clients. She treated them with honesty, fairness and integrity by refusing to allow others to compromise their care. The outcome: She lost her job. Fortunately, Read More...
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Counting the Cost
by Janey Goude
October 16, 2011, took an unexpected turn at the Las Vegas Motor Speedway. Thirty-three-year-old Dan Wheldon was racing for $5 million. That race cost him his life and left behind his grieving bride and two sons: a two-year-old toddler and a seven-month-old Read More...
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Universal Language = Insurance Denial
by Janey Goude
Fellow ADVANCE blogger Allison Young had an interesting post about "The Min-Mod-Max Debate." I stumbled across a post on another site that brought up a different aspect of this basic therapy documentation. Swaral 1 posed the question: "What does that Read More...
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Is Your Medication Killing You?
by Janey Goude
How long should you stay on a maintenance medication? Here is a true case study. A septuagenarian has sudden onset of dizziness, heavy sensation in both legs, speech abnormality (not slurred, but "thick-tongue" sound) and cognitive deficits. The patient Read More...
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Grounds for Dismissal and Discrimination?
by Janey Goude
I received an email that reminded me of Jason Marketti's recent post, " Tattoos, Piercings and Style ." I agreed with the general feeling of his post and the comments: You can express individuality any way you please on your own time, but on company time Read More...
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Interruptions
by Janey Goude
"This may not mean much to you," Brian* began, "but it meant the world to me." Then Brian told the story of how a friend's small gesture spoke of his care for Brian. Brian and Larry* carpooled to a meeting. Upon returning to the drop-off spot, Larry opened Read More...
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Life-Changing Diagnosis
by Janey Goude
The nurses grew impatient with an elderly patient's incessant questioning, until his daughter had a talk with them. She pointed out that he had always been a healthy man, but today - just two hours earlier - he had received a life-altering diagnosis. Read More...
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Losing Control
by Janey Goude
Situations are not always as they seem. People who are having control taken from them can manifest that loss of control as anger, withdrawal or stubbornness. They can be difficult to reason with and unpleasant to be around. This is true with adults and Read More...
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Dementia and Personality Changes
by Janey Goude
People with dementia, who have never been known to curse, suddenly begin using foul language. Science explains that the dementia has caused a personality change. In this case, experiential knowledge causes me to question science. I've witnessed a number Read More...
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My Life on Crutches
by Janey Goude
Allison Young posted an interesting look at her day in a wheelchair (November 5, 2010). I never got around to posting. Now I'm glad, because I get to post from an entirely different perspective. When I was in PT school, we also had "A Day in the Life" Read More...
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All I Want for Christmas
by Janey Goude
My dad used to frustrate me and my sister to no end with his yearly Christmas request, "All I want for Christmas is for the two of you to quit fighting, just for one day." Yeah, right. Like that was going to happen. He had a better chance of getting two Read More...
4 comments »     
Orthopedic Danger Zone
by Janey Goude
What's worse than breaking a bone? Having an orthopedist who refuses to consider rehabilitation options to give you the safest and quickest return to independent function. Sitting in an orthopedic waiting room, I observed an elderly woman with a left Read More...
4 comments »     
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