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  • The Skilled Nursing Facility Conundrum

    Last week I was involved in a discussion regarding membership in the APTA. For once the topic wasn't new graduates but therapists who were members but no longer are. The question was, what would it take to bring them back in? What do they value? I responded by describing how a SNF functions. Fix that chaos and they'll return. SNFs are unique. ...
    Posted to Toni Talks about PT Today (Weblog) on September 2, 2015
  • 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 First Rotation: The Skilled Nursing Facility

    My program is unique in that we do our first full-time, 4-week rotation at the tail end of our first year. My first, along with the rest of my classmates, was in the SNF setting. ''SNF'' stands for skilled nursing facility, or nursing home. I greatly enjoyed my experience in my SNF, which was a 196-bed facility that had approximately 50% long-term ...
    Posted to Striving to Be a DPT (Weblog) on July 10, 2015
  • PT Day on Capitol Hill

    The morning of June 4 started very early for more than 1,000 dedicated attendees at the American Physical Therapy Association's NEXT 2015 Conference & Exposition in National Harbor, Md. These hardy souls awoke before the sun, donned their professional best and headed downstairs by 6 a.m. for a quick breakfast before boarding shuttle buses ...
  • 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
  • One of My Favorite Patients Died Last Week

    Bob (not his real name) was one of our facility frequent fliers. His diabetes was out of control. His circulation was terrible. He had a BKA on one leg and the other leg needed one. He refused to wear his oxygen so was always SOB. Nonetheless he was always in a good mood. He joked around with us. He made therapy fun. The first time I met him, Bob ...
    Posted to Toni Talks about PT Today (Weblog) on February 13, 2015
  • An Instructor's Perspective on a CEU Course

    While I was teaching last week, it dawned on me that I have a unique perspective on continuing education courses. I've been on both sides of the projector. When I teach, I'm not listening. I'm trying to remember to say everything I want to on a topic. I have set examples I use every time but no two courses are the same. If I get distracted, I ...
    Posted to Toni Talks about PT Today (Weblog) on January 22, 2015
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