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  • Public Health Campaigns That Work

    A few years back, I was reading Facebook posts like this by my female friends: ''I like it on the floor.'' ''I like it on the kitchen table.'' ''I like it on the sofa.'' This was an idea to get people wondering what everyone was talking about as a way to build awareness for breast cancer. What the women were doing was answering the question ...
    Posted to PT and the Greater Good (Weblog) on March 26, 2014
  • To My Dissenters

    I have been accused of being ageist, burnt out and one anonymous reader said I should work in a fast food restaurant as a favor to the patients I see. A state licensing investigator even contacted me for something I wrote because a reader or two did not agree with my opinion. Perhaps I should stick with feel-good stories about how the PT and I ...
    Posted to PTA Blog Talk (Weblog) on March 18, 2014
  • Teething Pains

    Our multidisciplinary falls clinic started a few weeks ago. There have been a few challenges. My partner, a nurse, and I have had a few ''discussions'' about note-writing. I go for brevity and directness using the SBAR method. She is more of the old-school, ''If it isn't as long as a Victor Hugo novel then we must have forgotten something.'' She ...
    Posted to PT and the Greater Good (Weblog) on March 18, 2014
  • Team-Based Care

    Over the past few months, I've heard more and more about the patient-centered medical home (PCMH) model of healthcare. I typically think about healthcare models in the silos my physical therapy clinical rotations were centered on: inpatient, outpatient, or a skilled nursing facility. The idea of healthcare facilities as a ''home'' elicits a ...
    Posted to PT and the City (Weblog) on March 14, 2014
  • Do You Have the Right Stuff?

    I've written before about the obesity epidemic in this country and the potential impact PTs can have in perhaps helping turn the tide in this seemingly endless battle. But when dealing with obesity, prevention isn't everything. As PTs, we are tasked every day with treating patients who are already overweight or obese, and it falls on us to ensure ...
    Posted to PT on the Run (Weblog) on March 13, 2014
  • Addendums, Amendments, and Late Entries

    Our documentation is being held to a higher standard and scrutinized more frequently by insurance carriers. This can cause some concern among providers to ensure all pertinent information gets conveyed through the electronic health records. I was not able to find a time limit concerning when information can effectively be added to a patient's ...
    Posted to PTA Blog Talk (Weblog) on March 13, 2014
  • Beyond Multidisciplinary

    Most of us are well familiar with a multidisciplinary approach to meeting all of a patient's needs. Input from doctors, nursing, OT, PT, speech, and social work help us to provide better outcomes for patients. Notice the key word there... patients. What about people? Once a person becomes a patient, something has already gone wrong. This is where ...
    Posted to PT and the Greater Good (Weblog) on March 12, 2014
  • Expanding Journal Clubs

    As I've written before, I enjoy reading books. Books allow me the opportunity to learn something new, and although they may not be directly related to physical therapy, almost always improve my professional practice. One of my favorite books, Blink by Malcolm Gladwell, for example, has no reference to physical therapy but helped me to understand ...
    Posted to PT and the City (Weblog) on March 7, 2014
  • Falls and Staffing Issues

    Reducing falls in a facility is about quick response times to answer call lights and having adequate staffing ratios to ensure the patients' needs are being met. To save money, some facilities will decrease staff to a minimum level and those who are working will have to simply pick up the pace to meet the demands of care. As reimbursements ...
    Posted to PTA Blog Talk (Weblog) on March 6, 2014
  • Staffing Levels an Easy Problem to Fix... Badly

    I've written a lot about the Francis inquiry into the failings of the Mid-Staffordshire NHS Trust. One of the most troubling findings was that in order to save costs, management had cut staff, primarily nursing, to levels that could not assure patients of a safe experience in that hospital. There is much chatter about what is a safe ...
    Posted to PT and the Greater Good (Weblog) on March 5, 2014
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