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Showing page 1 of 5 (47 total posts)
  • 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
  • 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
  • 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
  • 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
  • I'm Not Going to CSM Next Year

    For the past few weeks, I've been receiving email reminders that early registration for the 2015 APTA Combined Sections Meeting (CSM) is underway. Separate emails inform me of how to reserve housing. Another batch tries to entice me with the various topics. Naturally I go immediately to the neurological section and see how many courses will ...
    Posted to Toni Talks about PT Today (Weblog) on November 4, 2014
  • Sometimes You Say the Right Thing

    Last week I wrote about my latest conflict at work. The others want to use capital budget to purchase a mechanical lift. I am opposed because mechanical lift transfers aren't functional. The patient is a passive participant. Last Saturday I was teaching a course in Florida. During the section on transfers I talk about mechanical lifts. I make the ...
    Posted to Toni Talks about PT Today (Weblog) on October 8, 2014
  • Promoting Functional Transfers

    My facility is looking at capital budget for next year. We've all been asked to submit requests for equipment. The process is pretty simple. We submit a list of items we desperately need. Later we're told we can have one or two of them sometime during the next year. Usually I limit my requests to more wheelchairs and wheelchair cushions. This ...
    Posted to Toni Talks about PT Today (Weblog) on September 30, 2014
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