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PT and the Greater Good

Unintended Consequences
by Dean Metz
A while back there was some chatter among us ADVANCE bloggers on the public health issue of obesity. Since having an elevated BMI can cause a host of health problems, and Westernized nations on the whole are getting heavier and heavier, this is an area Read More...
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Presenting, Presenting, Presenting...
by Dean Metz
I got word today that the abstract for our study on the clinical and financial efficacy of our fall prevention clinic has been approved for a poster presentation at the annual Physiotherapy UK conference in Birmingham in October. I'm very pleased. While Read More...
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Making a 'Very Bold Statement' to Physicians
by Dean Metz
A large part of my current position involves reducing the risk of falling for people in the community as well as those residing in care homes. That's what prevention is all about -- reducing risk. Not long ago, I received a phone call from an irate physician Read More...
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Now I'm Convinced
by Dean Metz
A few months back, a member of my family was in a business meeting when suddenly his right hand became spastic. He looked at the person he was meeting with and couldn't figure out why he was there or what they had been talking about for half an hour. Read More...
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Teething Pains
by Dean Metz
Our multidisciplinary falls clinic started a few weeks ago. There have been a few challenges. My partner, a nurse, and I have had a few "discussions" about note-writing. I go for brevity and directness using the SBAR method. She is more of the old-school, Read More...
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Beyond Multidisciplinary
by Dean Metz
Most of us are well familiar with a multidisciplinary approach to meeting all of a patient's needs. Input from doctors, nursing, OT, PT, speech, and social work help us to provide better outcomes for patients. Notice the key word there... patients. What Read More...
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Finally Merging Physio and Public Health!
by Dean Metz
Next week I'm giving a presentation to the local authority and public health department on the problem of falling in older adults and what needs to be done about it. It's helpful that this is the same town I did my master's thesis on and that I'm starting Read More...
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What Do Scores Really Mean?
by Dean Metz
The National Health Service was in the news again this weekend , and not for good reasons. The children's hospital in Bristol has a high mortality rate. The medical director of NHS England, Sir Bruce Keogh, has ordered an independent review of the matter, Read More...
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Can We Afford the Gold Standard?
by Dean Metz
When I was getting my public health degree, we took numerous modules on statistics and research methods. One of the things we were taught, which I already knew, was that randomized clinical trial (RCT) was the best way to clearly answer a research question. Read More...
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Shoestring Budget
by Dean Metz
I'm having a whale of a time in my new post! I'm bringing American efficiency to my role as a consultant; evaluating people who have fallen in care homes and recommending a corrective course of action. I started out with a list of nearly 80 names of people Read More...
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Equipment Blues
by Dean Metz
When I worked in New York in home care, I would always revisit a patient for whom I had ordered any piece of equipment. I needed to ensure the right item had been delivered, was installed and/or adjusted correctly, and that the patient was using it correctly. Read More...
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What's Your Tipping Point?
by Dean Metz
In the year I was back in the US, a very important paper came out here in the UK; the Francis Report , which details the failings of one institution in caring for its patients. This report is having ripple effects through the entire country in terms of Read More...
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PTs and Prescribing
by Dean Metz
I mentioned in an earlier blog that physiotherapists in the UK will soon be able to prescribe medications independently from doctors. A clarifying statement has been issued by the Chartered Society of Physiotherapists: "The physiotherapist independent Read More...
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New Role Starting to Take Shape
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. Read More...
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The Patients Who Really Test Patience
by Dean Metz
Most of my career has been spent working with older adults. I've worked in acute-care hospitals and briefly in a skilled nursing facility, but the majority of the time I've worked in the community. I think one of the reasons working in the community has Read More...
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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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