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PT and the Greater Good

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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'Secondment'
by Dean Metz
There is a wonderful practice in the NHS of England called "Secondment." The Oxford Dictionary defines it as: A period of time when an employee is sent to work somewhere else temporarily, either to increase the number of workers there, to replace a worker, Read More...
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Learning to Say, ‘No. Thank You.'
by Dean Metz
So I've been back in England a month now. It is good to be home. The work of looking for employment can be more exhausting than simply being an active physiotherapist! Recruitment agency interviews, collecting data on immunizations and titers and such, Read More...
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Our Competition in Brussels
by Dean Metz
I've talked a great deal about the myths and realities of working in a foreign country for the past four years in this blog. Many people have presented me with the argument, "If healthcare is so great in other countries, then why do so many foreigners 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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