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Showing page 2 of 12 (116 total posts)
  • The PTA Student Who Only Wants to Do Orthopedics

    Last month we had a PTA student at my facility. The other PT was his CI because while schedule facilitates time at the barn, no one else wants to start work at 6 in the morning. From the beginning, the student made it clear he planned to work in an outpatient orthopedic clinic. I believe he had already lined up a job. I didn't think ...
    Posted to Toni Talks about PT Today (Weblog) on August 12, 2014
  • My Little Old Man With the Brain Injury

    Currently I have an elderly gentleman with a traumatic brain injury from a fall. One version says he tripped over his dogs. Another says he had a seizure. Either way he hit his head on the way down, developed a bleed and had a craniotomy. The man was clearly ambulatory and functional prior to his injury. I'm not getting anywhere with him. It took ...
    Posted to Toni Talks about PT Today (Weblog) on August 6, 2014
  • How Can This Be a Safe Discharge?

    This morning I was working on discharge planning with one of our case managers. A doctor was ready to discharge a patient and she had asked me for recommendations. I immediately said SNF. He wasn't able to safely transfer out of bed. I had yet to see him walk due to complaints of back pain. And he lacks insight into his limitations. The case ...
    Posted to Toni Talks about PT Today (Weblog) on July 30, 2014
  • Strategic Meeting

    As part of my leadership program, I attended the Texas Physical Therapy Association (TPTA) strategic planning meeting last weekend. The idea was to get newer and upcoming leaders to meet and mingle with people in leadership positions. We also got insight into how decisions are made and what is on tap for us in the future. I loved it. I chose to ...
    Posted to Toni Talks about PT Today (Weblog) on July 22, 2014
  • We're Not Going to Pay for That Brace

    A few weeks ago, a woman was admitted to our facility with a knee injury. She appeared to have ligamentous damage on top of arthritic deformities. She came to us for medical management and antibiotics prior to surgery. Before she was admitted, her orthopedist ordered a KAFO for the involved leg. I'm not a big believer in KAFOs. In my experience ...
    Posted to Toni Talks about PT Today (Weblog) on July 15, 2014
  • My Latest Continuing Education Course

    Last month I went to an onsite CEU course. Back in the day, I was a CEU junkie. I'd go not just for CEUs but if the topic sounded interesting. More recently I've had to cut back and limit myself to CSM. This year I got burned by the stroke course at CSM. Needless to say, I was a little nervous about this one. The topic was motor learning. It was ...
    Posted to Toni Talks about PT Today (Weblog) on July 8, 2014
  • Sometimes It's Hard to Feel Sorry for Patients

    Last weekend I was describing a difficult patient I had worked with earlier in the month. It was someone with several chronic and out-of-control problems, obesity and medical noncompliance. I summarized my statement with, ''I don't feel sorry for him. He created his situation.'' I was immediately taken to task by someone who overheard some of ...
    Posted to Toni Talks about PT Today (Weblog) on June 18, 2014
  • New Grad Readiness Survey

    Last week I completed an electronic survey asking if new graduate DPTs were ready to enter the clinic. Then it asked about specific areas of education and characteristics of new graduates and how they related to the first answer. It's about time someone looked at this. In my experience, no new graduate is completely ready to be thrust into a ...
    Posted to Toni Talks about PT Today (Weblog) on June 3, 2014
  • Let's All Be on the Same Page

    Last week as I was preparing to do an evaluation, I overheard one of our case managers talking to a family member of one of my patients. Nearly everything the case manager said started with, ''Rehab will take care of that.'' They were discussing gait training and preparing the patient for discharge home. That would have been wonderful except for ...
    Posted to Toni Talks about PT Today (Weblog) on May 27, 2014
  • HIPAA Violations Can Be Overheard Too

    The other day, I was sitting at a nursing station and overheard a conversation between a patient and a physician. I wasn't trying to eavesdrop. The patient was very hard of hearing and the doctor had to yell to be heard. The patient was yelling back. I realized I was overhearing a major HIPAA violation. Between the two of them, they were ...
    Posted to Toni Talks about PT Today (Weblog) on May 20, 2014
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