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Showing page 1 of 13 (125 total posts)
  • Ensuring Proper Translation with Patients

    My hospital serves a large population of non-English-speaking patients. At any given time, one-third to one-half of my caseload speaks Spanish. As a result, the Interpreter Services Department was created. They either employ or contract for interpreters in almost every language. This includes sign language. We are supposed to use these translators ...
    Posted to Toni Talks about PT Today (Weblog) on September 30, 2015
  • The Reimbursement Paradox

    I wish someone could explain this to me. The baby boomers are aging. Each year, millions more of them will become eligible for Medicare. Instead of increasing funding to cover everyone at current levels, the government is decreasing the funding. Everyone will still get funding but with less coverage. As physical therapists, we know the aging ...
    Posted to Toni Talks about PT Today (Weblog) on September 23, 2015
  • The Skilled Nursing Facility Conundrum

    Last week I was involved in a discussion regarding membership in the APTA. For once the topic wasn't new graduates but therapists who were members but no longer are. The question was, what would it take to bring them back in? What do they value? I responded by describing how a SNF functions. Fix that chaos and they'll return. SNFs are unique. ...
    Posted to Toni Talks about PT Today (Weblog) on September 2, 2015
  • Why Nothing Will Change at the APTA

    In my last blog, I described my concerns that nothing will change with the APTA, expensive consultant group or not. I expect them to continue with the same message but repackage with new words. I see subtlety in their future. The reason I don't expect change is simple. The same people will still be in charge. No one is stepping down from a ...
    Posted to Toni Talks about PT Today (Weblog) on August 19, 2015
  • Is the APTA Repackaging an Old Message?

    I've spent more time thinking about the ''new'' APTA. This could be a golden opportunity for the APTA to reinvent itself and address the needs of its current non-members. By asking questions and actually listening to the answers, its membership might grow and it could become a true association of the profession. Alas, I just don't think so. I ...
    Posted to Toni Talks about PT Today (Weblog) on July 29, 2015
  • What Can We Do About the Problems Facing Physical Therapy?

    For the past few weeks, I've been blogging about problems within the profession of physical therapy and our frustrations over them. Everyone agrees on the problems. There is probably some disagreement on which ones should be addressed first. After all, they are interdependent. Attempting to improve any of them would be a step in the right ...
    Posted to Toni Talks about PT Today (Weblog) on July 9, 2015
  • My Patients Are Sicker Than Ever

    We're all well aware of the fattening of our patients. Years ago facilities rented bariatric equipment. Now they own it. Obesity compounds other medical problems as well as interfering with mobilization, and the trend continues. I've noticed another trend that doesn't seem to be getting attention. Our patients are sicker than they've ever ...
    Posted to Toni Talks about PT Today (Weblog) on June 10, 2015
  • The Patient Is Always Right No Matter What

    My facility has instituted a new policy: Keep the patient happy no matter what. Staff has been instructed to think of patients and their families as clients. Happy clients tell friends about their experiences. We want those friends to choose our facility if they ever need long-term care. That way we can maintain our financial goals. Nothing is ...
    Posted to Toni Talks about PT Today (Weblog) on June 5, 2015
  • Treating a Difficult Patient

    ''I'm paying to be here and be taken care of. You will do what I tell you.'' It's bad enough we struggle for respect from physicians and occasionally other disciplines. I would say the majority of the population doesn't know what we do or the amount of education required to be a therapist. Usually if we work hard and prove ourselves, the respect ...
    Posted to Toni Talks about PT Today (Weblog) on May 20, 2015
  • APTA Membership: Cost vs. Benefit

    I've been reading the responses to my various blogs over the past few weeks. The responses seem to be echoing what I've been saying. Hardly anyone has had anything to say in support of the APTA. Many explain why they don't belong. The general consensus is the APTA doesn't represent the majority of PTs and PTAs. No one wrote in support of its ...
    Posted to Toni Talks about PT Today (Weblog) on May 6, 2015
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