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All Tags » Geriatrics » Workplace Issue... » Gait Analysis & Balance   (RSS)
Showing page 5 of 7 (65 total posts)
  • The Future of Physical Therapy

    This morning I had a conversation with an OT who has as much experience or more than I do. I mentioned my frustration with employers desiring low pay over experienced therapists. I don't think my tDPT and geriatric specialization have made me more attractive to employers. If anything, they have made me less attractive. Having them makes me more ...
    Posted to Toni Talks about PT Today (Weblog) on May 3, 2012
  • PT and PTA Reimbursements Are the Same

    Jason Marketti made an excellent point last week when he responded to my post. He pointed out that in all but one state, reimbursement is the same for treatments provided by a PT or a PTA. On the surface, that makes sense. Our charges are treatment-based. If I perform gait training, I charge a gait. If Jason performs gait training, he also charges ...
    Posted to Toni Talks about PT Today (Weblog) on April 24, 2012
  • Walking in Gripper Socks

    Last week I had my employee physical. It's always about the same. Each year my vision is a little worse. The manual muscle test isn't much of a challenge. Everything was fine until the doctor asked me to tandem walk. I nearly fell over. There's nothing wrong with my balance. I demonstrate the test at least once a week. I just don't normally do it ...
    Posted to Toni Talks about PT Today (Weblog) on February 28, 2012
  • Brain or Brawn

    Last week, I found myself following in the footsteps of a therapist who truly believed in hands-on therapy. No matter how hard I tried, I couldn't replicate his treatments. His patients were walking with only therapist-assist. I could barely get them to stand. Finally a tech let me in on his secret. The man was a weightlifter. He was substituting ...
    Posted to Toni Talks about PT Today (Weblog) on February 21, 2012
  • Understanding What Patients Lose

    This week the unthinkable happened to me. The job of my dreams no longer exists as I know it. This was my special job. I looked forward to work every morning. I loved what I did and the people I did it with. That no longer exists. I'm still working but I feel as though I've lost part of my body. And that must be what my patients feel when they ...
    Posted to Toni Talks about PT Today (Weblog) on February 7, 2012
  • Because the Family Wants It

    Because the family wants it isn't a reason to order physical therapy. Because it would make the family feel better isn't something that requires skilled intervention either. Last weekend I ran into a nurse who disagreed with me about this. I performed the evaluation and signed off. I have nothing to offer an unstable C3 quad whose family is ...
    Posted to Toni Talks about PT Today (Weblog) on January 10, 2012
  • Working on Rehab Again

    It's been a while since I've had the opportunity to treat patients on our rehab unit. Usually I do evaluations. Someone else does the treatments. Today I actually did some rehab treatments. Not evaluations but 60 minutes of treatment in which I could work on whatever I wanted. What a nice change of pace. Usually my day is filled with stroke ...
    Posted to Toni Talks about PT Today (Weblog) on December 27, 2011
  • Don't Touch That Patient

    I had an unusual conversation with a nurse last week. I was in the neuro ICU preparing to evaluate a patient. I always check with a patient's nurse prior to doing so to make sure the patient is medically stable. Normally the nurses are very helpful and happy to see therapy. Not this time. This nurse refused therapy for the patient because she ...
    Posted to Toni Talks about PT Today (Weblog) on August 2, 2011
  • Finding Time to Take Time Off

    Physical Therapy is a very time-dependent occupation. No matter what setting we practice in, we are always watching the clock. In outpatient, appointments should start on time. In SNF and inpatient rehab settings, reimbursement is based on duration of treatment. Every patient must receive a specific number of minutes. In acute care, productivity ...
    Posted to Toni Talks about PT Today (Weblog) on July 19, 2011
  • The Dangers of Stopping Warfarin

    Over the last few weeks, the stroke service has had a run of patients who have had strokes after stopping warfarin therapy. The reason was usually to have an outpatient surgical procedure. Because warfarin thins the blood the surgeons have the patient stop the therapy a few days prior to the procedure. They resume the drug once the risk of ...
    Posted to Toni Talks about PT Today (Weblog) on July 12, 2011