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Transfer Training
by Jason Marketti
I was working with an elderly female on transfer safety. After about 20 minutes, she understood the sequencing involved in standing up from a wheelchair. This was important -- she had fallen multiple times because she had forgotten to lock the brakes Read More...
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Impatience
by Jason Marketti
I was at the grocery store a few days ago. There was one cashier and a long line of people. One person told the cashier what she already knew, "There's a line going out the door." I stood silent waiting my turn. The guy behind me seemed impatient and Read More...
2 comments »     
A Difference Maker
by Jason Marketti
The patient was in bed, hardly able to move. I was told by the nurses he couldn't move his legs and required max assist of two with all mobility. The PT and I got together and formulated a plan to increase his tolerance for being upright. We started slow Read More...
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Rain Makers
by Jason Marketti
From the moment we set foot in a facility, we're on the move. We're expected to be productive throughout our day by billing patients for our services. We make it rain for the facility but aren't always recognized for it. When I see every other department Read More...
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The Dungeon
by Jason Marketti
Years ago, I began working at a large nursing facility that also had an assistive living complex attached to it. The place was immaculate in every detail (except one), had a large library and two fancy dining rooms. There were multiple levels with stairs Read More...
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Patient Understanding
by Jason Marketti
I've spoken to patients from many countries and places around the globe. Sometimes it's like watching the movie Billy Elliot or trying to understand the lyrics of South African rap-rave crew Die Antwoord. I'm aghast, did they just curse? I wouldn't know Read More...
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Gait Distance
by Jason Marketti
Where is the objective data regarding gait distances in hospitals, rehab centers and SNFs? What I mean is, when we write down a patient used a FWW and walked 100 feet, where is the data to prove the distance was exactly 100 feet? Did someone measure the Read More...
3 comments »     
Post-Operative Care
by Jason Marketti
We often see patients three to five days post-operatively in a SNF. The ortho docs, who send the patients to the facility, expect certain outcomes while the insurance companies have outcomes and agendas of their own. This creates some difficulty in managing Read More...
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Nursing Can't Do That
by Jason Marketti
The patient I was supposed to see was in a RUG level that paid very well. He had some complications that prevented him from participating to get the full minutes for several days. On the patient's assessment day, I spoke to the nurse in charge of his Read More...
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Future Care
by Jason Marketti
I've read about social security running out of money, reduced reimbursement rates, a decrease in the number of qualified providers, quicker discharges and supposedly better recovery after surgery. Where does this leave everyone? Social security has to Read More...
2 comments »     
Let the Patient Decide
by Jason Marketti
We're all aware of the patient's bill of rights regarding treatment in a healthcare setting. They have the absolute right to refuse treatment and I think we should encourage them to invoke that right but with some consequences attached. First, we should Read More...
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Off the Record
by Jason Marketti
We were treating a patient for several weeks and making some progress toward her discharge. There was a family conference and it was decided, with the patient's input, that she'd go back to her apartment. For the next couple of days, she seemed not to Read More...
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Rankle Fracture
by Jason Marketti
I was reading the eval and came across a patient with a "Rankle fracture" to her lower extremity. I was thinking this is serious and went on a quest to look it up. I couldn't find what exactly a Rankle fracture was on the leg or the severity of it. When Read More...
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Conditions for Licensing
by Jason Marketti
Once again, I was searching the state board websites and came across some applications that asked whether the prospective licensee had a disease or condition that interfered with the ability to perform the essential functions of the profession. If so, Read More...
3 comments »     
Discriminatory Care: Part Two
by Jason Marketti
Because I'm male and have the same color hue as the patient, he probably thought I found his jokes about women and minorities funny. I didn't. I despised this patient and couldn't wait until he discharged. I spoke with supervisors about his remarks but Read More...
3 comments »     

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About this Blog


    Jason J. Marketti
    Occupation: Physical Therapist Assistant
    Setting: San Jacinto, CA
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