Mastering Difficult Conversations as a Physical Therapist

Often times, physical therapists are put into a place where we need to have a conversation with family explaining their loved ones cannot go home, can’t live alone, won’t be able to drive, can’t feed themselves, or their impulsivity or memory causes harm to their independence.   Sounds so familiar, doesn’t it? Being able to have a difficult conversation is a key part of physical therapist’s routine.  We may have to have this kind of conversation once a week or month or more often!!

difficult conversation Continue reading “Mastering Difficult Conversations as a Physical Therapist”

Succeed in a Physical Therapy career at a sub-acute care facility – Keys to Time Management

I am writing this due to experiences I have had my new grad employees. Majority of them have a tough start and have difficulties during their first week.  One of the key reasons has been due to lack of time management to meet the productivity requirements.  So, I want to share some information that has helped me and few of my employees.

PT school is hard and long. But you survive it.  Not only that, you managed to score a decent GPA through the program as human service is your calling. You clear your NPTE on the first attempt, and now it’s the time to find a good job. A job that can take care of huge student loans, take care of you and give you some satisfaction. After all, you wanted to be a PT to serve human being and serve society!!  So, let’s talk about what should and should not be done in your first week at work to set a good impression among your colleagues, in front of your manager and get you some happiness and satisfaction at your job. 

I discuss what to ask specifically during your interview process in a different article Continue reading “Succeed in a Physical Therapy career at a sub-acute care facility – Keys to Time Management”

Tale of a TBI survivor: From ventilation to Ambulation with Physical Therapy

Traumatic brain injury is a type of injury that often results from an accident involves a long recovery process way past physical healing, and requires a lot of patience and persistence from all parties involved.  This is a case of 64 year old Traumatic Brain Injury(TBI) survivor who made significant progress to achieve his near normal function with aggressive rehabilitation, nursing and respiratory therapy.  

History and Examination:

A 64 year old male was admitted to my facility in March 2015 from a recent hospitalization with change in mental status and traumatic brain injury. Due to HIPAA, we are going to address him as a patient (Pt) or Mr. M.

At the time of evaluation, he was on ventilator at night. His cuff was inflated at all time, unable to tolerate deflation of cuff, or unable to tolerate capping or PMV. Due to this, he was not able to communicate at the time of evaluation.  During PT and OT evaluations, he demonstrated hypo tonicity on bilateral upper and lower extremities. He was unable to perform any active movement, unable to follow one step simple commands verbally, visually or with tactile cues. Continue reading “Tale of a TBI survivor: From ventilation to Ambulation with Physical Therapy”