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  • Why I Became a PT

    I was asked this question on Sunday by someone who doesn't know me very well. I had to stop and think a minute before replying. The answer is I don't remember. I remember applying to PT school. I remember PT school. I remember deciding I liked acute care the best. Yet I don't remember why I made a decision that has shaped my life for many ...
    Posted to Toni Talks about PT Today (Weblog) on April 15, 2014
  • Request for Submissions

    It's that time of year again. The company that I teach for is requesting submissions for an education summit next year. I'm supposed to select a topic, describe what it is and why I think people would be interested. Then I submit that and five references no more than a year or two old. They try to present newer information. The problem is I can't ...
    Posted to Toni Talks about PT Today (Weblog) on April 8, 2014
  • Are Groups the Answer?

    One of the take-home messages from the APTA Combined Sections Meeting last month was that more therapy is better. I think everyone agrees with that. What we can't agree on, or even figure out for that matter, is how to squeeze more therapy into an already overcrowded day. One suggestion was to utilize group therapy in addition to what we're ...
    Posted to Toni Talks about PT Today (Weblog) on March 12, 2014
  • Agitation or Aggression?

    Recently we had an elderly man on caseload with a diagnosis of advanced dementia. It was obvious he was in the later stages of the process. He couldn't follow commands. His swallow was diminished. He was disoriented times three and demonstrated poor motor planning with any voluntary movement. However, he could still move and verbalize ...
    Posted to Toni Talks about PT Today (Weblog) on February 18, 2014
  • Dosage Matters

    There were two common themes at CSM this year: dosage and intensity. Every clinical presentation I attended mentioned one or the other. Intensity was defined as how hard the patient is working. Dosage referred to the number or reps or duration in the case of a static activity. In both cases, more is considered better. Last weekend I worked at a ...
    Posted to Toni Talks about PT Today (Weblog) on February 11, 2014
  • An Attendee's Perspective

    LAS VEGAS -- The 2014 Combined Sections Meeting is getting started. I've been in Las Vegas since Saturday evening for my preconference course. It was two days of sitting for eight hours listening to people read information off slides. The next three days will be three presentations of two hours each spread over the course of the day. In between, ...
    Posted to Toni Talks about PT Today (Weblog) on February 4, 2014
  • It's Time for CSM

    It's almost that time of year again when thousands of us gather for the APTA Combined Sections Meeting. This year we're in Las Vegas. According to what I've read, they're expecting more than 10,000 PTs and PTAs to attend. I'm going. To use a Texas-like phrase, this isn't my first rodeo. This will be my third CSM, so I know what to expect. The ...
    Posted to Toni Talks about PT Today (Weblog) on January 28, 2014
  • Is Diathermy a Skilled Therapy?

    One of my OT coworkers and I have fallen into bicker back and forth in fun. We have an unspoken agreement to agree to disagree. Usually we find some middle ground until the topic of diathermy came up. We disagree about whether this is a skilled therapy or not. I say it's not. To me this is like a neuro chair transfer. Just about anyone could ...
    Posted to Toni Talks about PT Today (Weblog) on January 2, 2014
  • How Not to Prioritize

    Over the past weeks, I've been blogging my concerns about staffing levels and quality of care. More and more it looks like staffing will continue to be diminished in cost-cutting efforts. In one blog, I posed the question of how to prioritize patients when caseload isn't manageable with the goal of seeing as many patients as possible and still ...
    Posted to Toni Talks about PT Today (Weblog) on December 23, 2013
  • ‘Passive ROM Is Not a Skilled Therapy'

    Let me clarify that statement before I go any further. I refer to performing PROM as the only treatment on patients who are sedated, minimally responsive, have significant neurological involvement and the like. I'm not referring to outpatient settings, PROM as part of an overall treatment, stretching and the like. I thought that argument was ...
    Posted to Toni Talks about PT Today (Weblog) on December 11, 2013
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