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  • How Many Hats Do You Wear?

    One of my student clinical rotations was at a smaller physical therapy outpatient clinic with just three staff members who managed all aspects of the operations. They all worked seamlessly together and the patients had a lot of fun during their appointments, partially because their therapists were very knowledgeable about every aspect of the ...
    Posted to PT and the City (Weblog) on April 17, 2014
  • Growing a Program

    It's not like you can plant some therapists in a gym and suddenly the department is busy. To adequately have a therapy program develop into the future, the way business is conducted today has to change. When looking at more cuts in reimbursements, hiring another person doesn't seem logical, but it is. A good PT aide will get patients up and ...
    Posted to PTA Blog Talk (Weblog) on April 16, 2014
  • Now I'm Convinced

    A few months back, a member of my family was in a business meeting when suddenly his right hand became spastic. He looked at the person he was meeting with and couldn't figure out why he was there or what they had been talking about for half an hour. He was having a stroke. He was rushed to the local hospital in Florida and immediately received ...
    Posted to PT and the Greater Good (Weblog) on April 15, 2014
  • Changing Goals

    With one week left until graduation, I had my most challenging patient-care conversation since starting PT school. One of my current patients, whom I happened to work with in inpatient rehabilitation during my previous clinical rotation, is a very complex case. He suffered an anoxic brain injury that unfortunately was complicated by a transfemoral ...
    Posted to Journey of a DPT Student (Weblog) on April 14, 2014
  • The ‘Newbie'... Again

    Well, I'm finishing my first week at a new facility and still trying to catch my breath. For those readers not familiar with my professional exploits, I resigned from a PTA position that I held for three years and started working in a similar setting (skilled nursing, long-term care) just this past week. As I reflect on the past few days, I've ...
    Posted to Life of a PTA (Weblog) on April 11, 2014
  • What Equipment Do You Need?

    When I was in my outpatient neuro clinical rotation I learned a lot from my instructor about PNF skills as well as standing, kneeling and seated balance training. It was a lot of hands-on work and we didn't use a lot of equipment other than parallel bars and balance pads, and a mat table. The clinic set-up was simple yet effective; patients had ...
    Posted to PT and the City (Weblog) on April 11, 2014
  • Can You Describe Your Dizziness?

    We've all seen it before... a patient comes into your hospital or clinic complaining of the dreaded ''dizziness.'' It's been said that dizziness is one of the most difficult subjective symptoms to diagnose because it can be caused by such a wide variety of physiologic and even psychological issues. I personally have seen patients with a primary ...
    Posted to PT on the Run (Weblog) on April 10, 2014
  • Leave of Absence

    I have heard nursing staff, therapists and even social services tell patients they are not allowed to leave the facility or they'll lose their benefits for Medicare. Simply not true, and, in fact, Medicare makes it clear facilities should not tell patients that leaving the facility will lead to loss of coverage. Patients can leave the facility ...
    Posted to PTA Blog Talk (Weblog) on April 9, 2014
  • A Culture of 'Don't!'

    I was doing some research on a particular activity this week... head rolls. Not the soft round things one puts under one's neck to maintain the curve while supine, but the act of rolling the head around as an exercise or activity. I did this because I read an article in the popular press that said, ''even physiotherapists say you shouldn't do head ...
    Posted to PT and the Greater Good (Weblog) on April 9, 2014
  • Request for Submissions

    It's that time of year again. The company that I teach for is requesting submissions for an education summit next year. I'm supposed to select a topic, describe what it is and why I think people would be interested. Then I submit that and five references no more than a year or two old. They try to present newer information. The problem is I can't ...
    Posted to Toni Talks about PT Today (Weblog) on April 8, 2014
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