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Showing page 1 of 8 (72 total posts)
  • 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
  • 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
  • What About the Rest of Us?

    Last week, I went to a meeting of the Texas Physical Therapy Association Southeast District. Mike Conners, the TPTA president, was speaking. His topic was the future of physical therapy and increasing awareness of legislative action in the Texas congress. He touched on all the usual topics: direct access, reimbursement for outpatient services, ...
    Posted to Toni Talks about PT Today (Weblog) on March 6, 2015
  • The Criteria for Our Priority List

    Last weekend I was at a horse show, which means I was off on Friday. One of the things I do is manage our list for who gets out of bed over the weekend. We start the list on Monday, adding names as the week progresses. We have a tech who works the weekend, getting patients out of bed. Sometimes he gets to everyone and sometimes he doesn't. This ...
    Posted to Toni Talks about PT Today (Weblog) on January 14, 2015
  • I'm Not Going to CSM Next Year

    For the past few weeks, I've been receiving email reminders that early registration for the 2015 APTA Combined Sections Meeting (CSM) is underway. Separate emails inform me of how to reserve housing. Another batch tries to entice me with the various topics. Naturally I go immediately to the neurological section and see how many courses will ...
    Posted to Toni Talks about PT Today (Weblog) on November 4, 2014
  • I Am a Doctor of Physical Therapy

    When I earned my DPT, I also earned the right to be called doctor. I must include the clarification that I'm a doctor of physical therapy. The same is true for doctors of pharmacology. I continue to find this amusing because most of my patients can't remember their names. They certainly aren't going to remember the difference. Whether or not I ...
    Posted to Toni Talks about PT Today (Weblog) on October 15, 2014
  • I'm Always the Bad Guy

    I'm noticing a disturbing trend. I'm always the one pointing out the bad news. I admit I do better with realistic than cheerfully optimistic, but it seems like it's always me pointing out the flaw with a plan. If I'm not pointing out the obvious, I'm explaining why the obvious isn't going to happen. It feels like everyone else is focusing on ...
    Posted to Toni Talks about PT Today (Weblog) on August 19, 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
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