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  • ‘We're All Gonna Need Physical Therapy Soon'

    I spent last weekend at a horse show in San Antonio. Even though I had both show horses with me, there was still a lot of down time. Since everything is close quarters it's easy to overhear conversations. While I was waiting I was surprised to hear someone in the barn next to us say, ''We're all gonna need physical therapy soon.'' I wasn't ...
    Posted to Toni Talks about PT Today (Weblog) on March 25, 2014
  • You Can't Discharge Her, the Family Will Complain

    We've all had patients we've kept on caseload longer than necessary. Sometimes it's just one more day until discharge. I've occasionally kept patients on caseload because they wouldn't get out of bed unless I did it. When I worked in the ICU, I'd keep patients because I thought they were waking up. I can't say I've ever kept someone on caseload ...
    Posted to Toni Talks about PT Today (Weblog) on March 19, 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
  • Bariatric Patients are Nationwide

    One of the benefits I get from traveling is talking to therapists in different parts of the country. Things are not the same all over the country but there are a few recurring themes. We all agree that our patients are getting bigger. I started including trunk exercises for the obese patient because I was asked that question in every ...
    Posted to Toni Talks about PT Today (Weblog) on February 25, 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
  • Working While Sick

    Deciding whether or not to call in sick to work is one of those decisions everyone dreads. Some don't want to let their coworkers down. Others don't want to waste the PTO. I've never heard a universal guideline published. Although the unspoken one seems to be don't come in if you're contagious. I've been facing that dilemma the past few days. I ...
    Posted to Toni Talks about PT Today (Weblog) on January 8, 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
  • Holiday Staff

    The holidays are upon us and everyone wants time off. Mangers scramble to cover for vacations, illnesses and unexpected accidents. It's a given there won't be normal staffing levels from mid-December through the first of the year. Every year I ask the same question. Why is it okay to miss treatments and skip patients, all the while struggling to ...
    Posted to Toni Talks about PT Today (Weblog) on December 17, 2013
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