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  • New Therapy Treatments

    Working with patients to achieve goals for increased independence and a way to get back home is what I do. When patients want to deviate from their goals, I don't mind but often have to redirect their efforts so the short-term goals can be met. I will discuss a patient's progress weekly (or more frequently, depending on the patient and diagnosis) ...
    Posted to PTA Blog Talk (Weblog) on October 16, 2014
  • I Am a Doctor of Physical Therapy

    When I earned my DPT, I also earned the right to be called doctor. I must include the clarification that I'm a doctor of physical therapy. The same is true for doctors of pharmacology. I continue to find this amusing because most of my patients can't remember their names. They certainly aren't going to remember the difference. Whether or not I ...
    Posted to Toni Talks about PT Today (Weblog) on October 15, 2014
  • Further Validation

    This weekend was the Physiotherapy UK 2014 conference in Birmingham. For the first time ever, I presented a poster that had been peer-reviewed. It felt really good to be able to give something back to the profession from my work. It was the culmination of two years worth of work, studying the patients who had come through our falls clinic, ...
    Posted to PT and the Greater Good (Weblog) on October 13, 2014
  • Treatments I Won't Perform

    A PT can come to the facility and decide not to follow any of the previous treatments or goals, and may decide to change many aspects of the treatment program. This isn't inherently wrong since the PT is responsible for the patients, but if the treatments include Kegel exercises where the expectation is for me to palpate regions I normally don't ...
    Posted to PTA Blog Talk (Weblog) on October 9, 2014
  • Believe the Premise

    If someone told us in 1769 there would be horseless carriages (automobiles), we may have laughed and dismissed that person as a lunatic. Would you have believed someone if he told you back in 1969 that linking four universities would eventually lead to the Internet? What about if a Star Trek fan told you 20 years ago that the use of ...
    Posted to PTA Blog Talk (Weblog) on October 2, 2014
  • End-of-Life Therapy

    I recently had a conversation with a small group of close friends and former colleagues who also happen to be PTAs. As we're all kindred spirits at this point, having worked closely together in a SNF setting for years -- we laughed and commiserated over our shared experiences. One of my friends posed the question to us all regarding our opinions ...
    Posted to Life of a PTA (Weblog) on September 26, 2014
  • Quantity vs. Quality of Life

    Just recently a friend of mine celebrated a significant birthday. I celebrated the same one a year ago. Something about turning this age propelled us both to contemplate the future in a different way than younger ''landmark'' birthdays had done. What to do with the time that is left? This article takes an interesting look at someone's choice to ...
    Posted to PT and the Greater Good (Weblog) on September 24, 2014
  • The Burden of Caregiving

    I've been watching a familiar scenario play out over the past few weeks. The wife of one of my seriously ill patients has been living a dual life. She simultaneously stays at the hospital all day to care for her husband while racing home to raise three children. Every time I see her she looks more exhausted. Trying to be Wonder Woman isn't new ...
    Posted to Toni Talks about PT Today (Weblog) on September 24, 2014
  • Patients Who Give Up

    At what point do patients give up doing things for themselves? I've seen patients sit still while their spouse dresses them and combs their hair. One even admitted she brushes the other's teeth for him. I completely understand if the other person was incapable of assisting or was incapacitated in some way, but these are grown adults with ...
    Posted to PTA Blog Talk (Weblog) on September 18, 2014
  • Excuses, Excuses

    Over the past few years, I've written many-a-blog on the subject of patients refusing therapy. I've discussed different approach techniques and tactics, depending on the patient, which might help improve compliance. This week, I was the recipient of (arguably) the most creative ''decline'' as to why a patient could not do therapy. As I ...
    Posted to Life of a PTA (Weblog) on September 12, 2014
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