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PT and the Greater Good

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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A Culture of 'Don't!'
by Dean Metz
I was doing some research on a particular activity this week... head rolls. Not the soft round things one puts under one's neck to maintain the curve while supine, but the act of rolling the head around as an exercise or activity. I did this because I Read More...
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What Part Will You Play in the Future of PT?
by Dean Metz
If you've read my last blog, which ranged from Facebook to Adweek , you may wonder what all that had to do with PT? Reasonable question actually. Physical therapy has the potential to impact greatly on improved health outcomes for every country. On the Read More...
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Public Health Campaigns That Work
by Dean Metz
A few years back, I was reading Facebook posts like this by my female friends: "I like it on the floor." "I like it on the kitchen table." "I like it on the sofa." This was an idea to get people wondering what everyone was talking about as a way to build 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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Staffing Levels an Easy Problem to Fix... Badly
by Dean Metz
I've written a lot about the Francis inquiry into the failings of the Mid-Staffordshire NHS Trust . One of the most troubling findings was that in order to save costs, management had cut staff, primarily nursing, to levels that could not assure patients 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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Modern Travel Is Killing Us
by Dean Metz
I've just spent 10 hours on a plane. That is a long time and doesn't take into account the hour-long flight from Newcastle to Heathrow or the 3-hour layover in Heathrow. Of course I'm coming home to visit my mom, so it's worth it. However, I think we 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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It's Going to Get Ugly
by Dean Metz
I'm on the train to Edinburgh for a night "on the lash with the lads" (a pub crawl with some friends) and I pick up The Independent , whose headline is "Battle Begins for the Soul of the NHS." I figure this should be interesting. Essentially the article 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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