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Showing page 3 of 4 (32 total posts)
  • Being Put on the Spot

    I believe I've mentioned being a certified McKenzie therapist in my former (pre-neuro) life. I still use those skills, particularly when one of my horses needs some work. However, I generally don't talk about it. I like to avoid those ''why aren't you doing that?'' questions. Nor do I want to spend my lunch time fixing someone's back or ...
    Posted to Toni Talks about PT Today (Weblog) on October 16, 2012
  • Putting Up With Bad Behavior

    Today was one of those days. There is a full moon. Healthcare workers often joke about the effects of the full moon on their patients. I believe there is something to that, which means my patients gets more of a workout than usual. I am used to brain-injured people being difficult, making inappropriate statements and being confused. I shrug it off ...
    Posted to Toni Talks about PT Today (Weblog) on September 4, 2012
  • A Hostile Environment

    I don't like my job very much right now. It was never my dream job, just a means to an end. The biggest attraction to me was the ability to leave work in time to ride my horses and do it whenever I want. The patients and other therapists I work with are nice. I thought it would be enough. I was wrong. This is the first facility I've ever worked at ...
    Posted to Toni Talks about PT Today (Weblog) on July 17, 2012
  • A Dangerous Patient

    Sooner or later, everyone comes in contact with a patient who swings at her, attempts to bite or scratch or spits. It goes with the territory, especially if you work with patients who have brain injury or Alzheimer's disease. We console ourselves with the thought that the patient doesn't really mean to do it. It's simply a reaction to fear or ...
    Posted to Toni Talks about PT Today (Weblog) on July 10, 2012
  • Very Acute Therapy

    This week I found myself at an outpatient orthopedic clinic treating work-related injuries. The clinic was one of several in the area. They have agreements with many local industries to provide medical and therapy services to injured employees. The injured worker sees the doctor at the clinic, is given a script for therapy and starts as soon as ...
    Posted to Toni Talks about PT Today (Weblog) on April 9, 2012
  • Respect for Clinical Judgment

    Once in a while I work with patients who have a diagnosis other than stroke. Two or three weeks ago, I evaluated a young man who'd had a TBI and was in the ICU. I later re-evaluated him following transfer to the rehab unit. Last week his rehab doctor noticed he had some ROM issues and decided to address them. Because I was the evaluating ...
    Posted to Toni Talks about PT Today (Weblog) on December 20, 2011
  • Working While Injured

    This morning, one of the OTs I work with came in on crutches. She'd hurt her foot over the weekend and wasn't able to bear weight through it. She said she thought she would be OK because she could do most of her work sitting down. Occupational Health didn't agree with her. They sent her home. That is one of my biggest fears. I'm afraid I'll be ...
    Posted to Toni Talks about PT Today (Weblog) on October 11, 2011
  • Another Viewpoint on the Uninsured

    Last week, ADVANCE blogger Janey Goude talked about health care and the uninsured. What she had to say was very interesting, as were the comments that followed. Rather than adding to that discussion I decided to post my comments in my blog because I am going in another direction. The hospital where I work treats a high percentage of uninsured ...
    Posted to Toni Talks about PT Today (Weblog) on October 4, 2011
  • Return Demonstration

    Physical therapists spend a lot of time teaching patients how to do things. We teach home programs. We teach precautions. We teach safety. We teach how to use devices. The list of things we teach is almost endless. And right after we teach it, we document it. That documentation always includes some form of the phrase, ''return demonstration.'' A ...
    Posted to Toni Talks about PT Today (Weblog) on September 6, 2011
  • The Dangers of Stopping Warfarin

    Over the last few weeks, the stroke service has had a run of patients who have had strokes after stopping warfarin therapy. The reason was usually to have an outpatient surgical procedure. Because warfarin thins the blood the surgeons have the patient stop the therapy a few days prior to the procedure. They resume the drug once the risk of ...
    Posted to Toni Talks about PT Today (Weblog) on July 12, 2011