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Showing page 2 of 10 (93 total posts)
  • Well-Meaning Relatives

    The first thing I heard when I got to work Monday morning were tales of the well-meaning relatives. We all know the type. They try to help but only make things worse. Or, with the patient's best interest in mind, they interfere with just about everything we try to do. In this case, it was a daughter who hadn't visited all week. Like many people, ...
    Posted to Toni Talks about PT Today (Weblog) on December 5, 2013
  • Prioritizing Patients

    In order to compensate for escalating case loads and inadequate staffing, prioritizing who to see each day has become a way of life. Sometimes my day is easier because patients are unavailable. Generally I start every day deciding who needs therapy the most. With the exception of which doctor will complain the most, I think that's the way everyone ...
    Posted to Toni Talks about PT Today (Weblog) on November 26, 2013
  • My Visit to the Emergency Room

    Last week while I was in New Jersey to teach seminars, I was involved in a motor-vehicle accident. I hit my head on the steering wheel, was taken to the emergency room and diagnosed with a concussion. During the time immediately following the accident, I was able to experience a brain injury from the other side of the hospital bed. I have no ...
    Posted to Toni Talks about PT Today (Weblog) on November 12, 2013
  • Nursing Isn't the Problem

    There's an ongoing struggle between PTs and nursing over who is responsible for getting patients out of bed. Both agree patients need to get out of bed. Easily transferred patients get out of bed regularly. The disagreement arises over max and total-assist transfers. There's nothing therapeutic about a mechanical lift transfer. Being out of bed is ...
    Posted to Toni Talks about PT Today (Weblog) on October 30, 2013
  • I'm Not Alone

    I just finished my first conference call as a member of the Advocacy Committee of the Neurological Section. It was very refreshing. The other members of the committee were voicing the same frustrations and experiences I do. We may not have accomplished everything we wanted to, but did unanimously agree there's more to physical therapy than ...
    Posted to Toni Talks about PT Today (Weblog) on October 22, 2013
  • Sharing Knowledge

    When I teach, I describe using mental imagery in motor learning and as anti-neglect strategy. One of the main tenets of motor learning is repetition or as I say, practice, practice and practice some more. The concept of using mental imagery isn't new. Sports therapists and trainers have been preaching it for decades. What's new is how the concept ...
    Posted to Toni Talks about PT Today (Weblog) on October 9, 2013
  • 'I'm Not Going Back to That Place'

    Last weekend I evaluated a woman who had been readmitted to the facility after yet another hospitalization. Before I could start taking a history, she told me she was never returning to that hospital. She was particularly upset with the therapy department. This isn't the first time I've heard something negative about that facility but it's the ...
    Posted to Toni Talks about PT Today (Weblog) on October 2, 2013
  • What's the Purpose of a PM & R Doctor?

    Until recently, I had never worked closely with PM & R (physical medicine & rehabilitation) physicians. When I worked at the ''evil empire,'' I dealt exclusively with neurologists. Some were good. Some weren't so good. Either way, their purpose for being involved in the patient's care was clear. There was a PM & R service. From what I ...
    Posted to Toni Talks about PT Today (Weblog) on September 10, 2013
  • For Want of an Hour

    One of the PTAs I work with didn't meet her CEU requirement for license renewal. She found out Friday. A one-hour course she listed wasn't approved for credit in the state of Texas. She now has to pay a fine and do community service. Her initial response was denial. Then she blamed the company who provided the CEU. Now she has accepted ...
    Posted to Toni Talks about PT Today (Weblog) on August 27, 2013
  • ‘I Can't Wait Until I Can Walk Again'

    Last Saturday, one of my patients at the SNF was a woman with left femoral neck and humeral shaft fractures. She'd undergone an ORIF to repair the hip and the arm was immobilized. She was NWB on both extremities. Like many of our patients, this was not a small woman. She was limited by bilateral knee arthritis and admitted she didn't walk much ...
    Posted to Toni Talks about PT Today (Weblog) on August 20, 2013
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