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Showing page 1 of 6 (55 total posts)
  • Blatant Rudeness

    Usually when I go on a teaching trip, I have wonderful students. For the most part they pay attention. I get good questions. Some have fallen asleep because they drove three hours to get there. Others are obviously there for the CEUs. Last week I had someone who disrupted the class. I encourage questions and discussion with attendees. This time ...
    Posted to Toni Talks about PT Today (Weblog) on April 22, 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
  • Customer Service

    I don't think you can work in healthcare for any length of time without attending the mandatory customer service inservice. It usually includes a segment on making upset customers happy. In our case, that would be patients and families. One strategy is to listen, verbalize back and then address each complaint. I'm skeptical when I hear that. It ...
    Posted to Toni Talks about PT Today (Weblog) on March 5, 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
  • 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
  • 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
  • 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 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
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