A short break between semesters has proven to come at the best time for me. Today brings with it a major change in my facility, where one department is becoming two. Employees have been preparing for months for this change, with hopes that everything goes smoothly. In a large department where things don't always go smoothly on a regular day, we ...

Where is the objective data regarding gait distances in hospitals, rehab centers and SNFs? What I mean is, when we write down a patient used a FWW and walked 100 feet, where is the data to prove the distance was exactly 100 feet? Did someone measure the distance and quantify the data and calibrate the measuring device to ensure its accuracy? Maybe ...

Are you looking for an opportune time to volunteer overseas? Judging from the number of reports I receive from ADVANCE readers, and from organizations who are continually looking for therapists to join their travel groups, the demand-and desire-for lending a PT hand in parts unknown is growing. Some recent reports: Michael Tabasko, PT, MSPT, ...

So I'm back in the US about six months now and I've got a massive amount of continuing education to do. Before anyone starts wagging fingers about ''serves you right'' or anything else that sounds like your mother scolding, I had to do lots of CPD (continuous professional development) in the UK... none of it counts here. The UK accepts everything ...

If someone had told me on November 13, 2007, that I was signing up for 66 consecutive months of blogging, I would have said, ''There's no way!'' But, 284 posts later, here we are. One post at a time, you've invited me into your work and home. You've shared your life through comments. It's been a wonderful five-and-a-half years. That makes it more ...

We often see patients three to five days post-operatively in a SNF. The ortho docs, who send the patients to the facility, expect certain outcomes while the insurance companies have outcomes and agendas of their own. This creates some difficulty in managing the patient from a therapy standpoint. Most surgeons are somewhat familiar with what we ...

Registration for the final two courses has taken place. Mental, physical and emotional preparation is next on my agenda. Although I have a pretty good idea about what my case report will be, I often question myself and my ability to develop a doctoral-level document capable of being published. The exhaustive literature search has been literally ...

Public health is a challenging field. It's an area focused on prevention so therefore not reimbursable by most third-party payers. It's primarily spearheaded by government bodies; therefore it is often not trusted or presented as too ''nanny state'' and interfering. The outcomes are that nothing bad happens; therefore it's difficult to demonstrate ...

The American Physical Therapy Association, Alexandria, VA, put out a press release yesterday detailing the role that therapy professionals and students played in helping victims of the tragic bombing at the Boston Marathon. The release stated: ''A team of 70 members of APTA's Massachusetts Chapter, stationed at the Boston Marathon finish line on ...

The patient I was supposed to see was in a RUG level that paid very well. He had some complications that prevented him from participating to get the full minutes for several days. On the patient's assessment day, I spoke to the nurse in charge of his care and she advised me not to see him that day due to a change in status, with a decline in ...