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Showing page 1 of 11 (104 total posts)
  • When a Patient Refuses a Bedside Commode

    ''I'm not sitting on that.'' This week I have a patient who refuses to use a bedside commode. He refuses to allow us to position the BSC over the toilet to increase the height. He refuses to do anything but use the toilet in his room. Many people feel the same way, although the BSC is considered an improvement over a bedpan. There is just one ...
    Posted to Toni Talks about PT Today (Weblog) on May 27, 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
  • Offering a Therapist Recommendation

    ''I need therapy. Refer me to someone who knows what they're doing.'' This was an actual request to me last week. One of our CNAs has an Achilles tendon injury. She has been wearing a moon boot for a few weeks. Last week her physician ordered physical therapy for her. I wasn't much help for the request. I'm not in the loop of people who would ...
    Posted to Toni Talks about PT Today (Weblog) on March 18, 2015
  • No Lifting Rules

    I have a new thing to be upset about, mechanical lifts. Yes, they've been around awhile. Yes, we've all used them. It's pretty much a given that any transfer performed with one is not a functional transfer. Still, as therapists we managed to avoid their use and perform functional transfers. No lifting rules require a device of some kind. More and ...
    Posted to Toni Talks about PT Today (Weblog) on February 27, 2015
  • Things Have Changed Since I Went to PT School

    Lately I've been getting comments on my blog posts from people seeking advice about entering the PT profession, and asking how or why I became a physical therapist. The answers to both of those questions are complex. The medical environment today is significantly different from when I went to PT school 30 years ago. I like to joke that I went to ...
    Posted to Toni Talks about PT Today (Weblog) on February 18, 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
  • The Criteria for Our Priority List

    Last weekend I was at a horse show, which means I was off on Friday. One of the things I do is manage our list for who gets out of bed over the weekend. We start the list on Monday, adding names as the week progresses. We have a tech who works the weekend, getting patients out of bed. Sometimes he gets to everyone and sometimes he doesn't. This ...
    Posted to Toni Talks about PT Today (Weblog) on January 14, 2015
  • Things You Hear at Work

    Many years ago there was a television show called ''Kids Say the Darndest Things.'' I think the same could be true of our patients and families. Over the last few weeks I've heard many things that make me want to shake my head. I was trying to help a man stand in the parallel bars. He was rather large and non-weight bearing on one leg. After ...
    Posted to Toni Talks about PT Today (Weblog) on January 6, 2015
  • Making a Successful Case

    A few weeks ago, I expressed my frustration with our capital budget process. While I was gone, my coworkers submitted a request for, among others things, a stand lift transfer device. To say I was shocked was an understatement. Since that time I've campaigned against the thing. It doesn't promote functional transfers. It doesn't allow patients to ...
    Posted to Toni Talks about PT Today (Weblog) on November 12, 2014
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