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PT and the Greater Good

New Role Starting to Take Shape

Published December 17, 2013 5:17 PM by Dean Metz

So I've finished my induction and have been happily plugging along for almost two weeks now. One of my major tasks is to consult on patients living in care homes (senior housing with ADL assistance that may or may not have nursing included) who have fallen. I work fairly independently and get my referrals from a wide range of sources: Accident and Emergency, doctors, community nurses, the care homes themselves, or community rehab teams.

It's a pretty comprehensive assessment of environment, medications, medical history, vitals, gait and balance. You name it, I look at it. I provide the patient's GP with a letter detailing the actions I've taken, like issuing a walker with wheels, and my suggestions for him, such as a medication review for the person on 19 meds, nine of which are designated as culprit medications for falls. I like it.

The other major task will start becoming clearer shortly. The last time I worked here, I helped redesign an outpatient clinic for people who had fallen. Now the neighboring town wants me to do the same for them. It sounds great, except they don't have the funding the first place did. Instead of 2 FTE nurses and 1 FTE physio, I have 0.4 FTE physio and no nurses at all. This could be very challenging indeed!

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About this Blog


    Dean Metz
    Occupation: Staff Development Specialist
    Setting: New York, NY – Newcastle Upon Tyne, Great Britain
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