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Showing page 1 of 13 (121 total posts)
  • 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
  • Strategic Meeting

    As part of my leadership program, I attended the Texas Physical Therapy Association (TPTA) strategic planning meeting last weekend. The idea was to get newer and upcoming leaders to meet and mingle with people in leadership positions. We also got insight into how decisions are made and what is on tap for us in the future. I loved it. I chose to ...
    Posted to Toni Talks about PT Today (Weblog) on July 22, 2014
  • ‘Can You Back That Up?'

    I was asked that question last week by a board member of the NHS Trust in which I work. Rather a few members are making the rounds of different services to see how things are working (or not) and to assess if they are getting monetary value for those services. We were well prepared. We had the results of a yearlong audit showing excellent clinical ...
    Posted to PT and the Greater Good (Weblog) on July 22, 2014
  • The SNF Rehab Model Must Change

    I've learned immense amounts about what my American PT colleagues are going through just to work these days. It disheartened me at first, inspired me next, and now has propelled me to think more creatively. I think it may be time to throw out the baby with the bathwater... and the tub... and the sink... heck let's just rip down the house! The SNF ...
    Posted to PT and the Greater Good (Weblog) on July 15, 2014
  • My Latest Continuing Education Course

    Last month I went to an onsite CEU course. Back in the day, I was a CEU junkie. I'd go not just for CEUs but if the topic sounded interesting. More recently I've had to cut back and limit myself to CSM. This year I got burned by the stroke course at CSM. Needless to say, I was a little nervous about this one. The topic was motor learning. It was ...
    Posted to Toni Talks about PT Today (Weblog) on July 8, 2014
  • Effective Agents for Change

    Two weeks ago I attended, and presented a poster, at a seminar on change within the National Health Service (NHS). We were asked to present because we had excellent outcomes in our service and we got them by doing things differently than other services had done. It was an enlightening day. The primary speaker, Helen Bevan, gave a fantastic ...
    Posted to PT and the Greater Good (Weblog) on July 8, 2014
  • Limiting Therapy

    A friend of mine recently asked for my opinion about how much therapy she would need following a knee arthroscopy. I talked with her for some time about her symptoms and which PT clinic she was going to work with. She then told me she was worried the physical therapist wouldn't be able to help her within the 20-visit limit of physical therapy her ...
    Posted to Raising the Bar in Rehab (Weblog) on July 2, 2014
  • Productivity: Why Bother Speaking Out?

    I was asked in a private message, ''What are your goals in speaking out about the productivity issues facing therapists in nursing homes (and private practices) today?'' A good question! We can whine and complain all we want; very little will come of that activity. If we complain to excess, people will stop listening. So what do we do? Here is ...
    Posted to PT and the Greater Good (Weblog) on July 1, 2014
  • Guarded Conversations

    Recently, in the middle of a treatment session, I had a patient worriedly ask me if the skilled nursing facility where we were working was ''going out of business.'' Considering how random the question was, but more importantly how concerned the patient seemed, I attempted to ease his mind with the truthful answer of the facility's stable ...
    Posted to Life of a PTA (Weblog) on June 27, 2014
  • Consent for Professional Abuse

    If you're thinking this is a post about patient consent, it's not. Last week I wrote about the nearly unachievable productivity levels in skilled nursing facilities. I got a lot of responses from it. A former classmate wrote to tell me he was just separated from his employer due to saying ''no'' to unreasonable productivity levels. Professionals ...
    Posted to PT and the Greater Good (Weblog) on June 24, 2014
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