Ms. McManaman has completed her physical therapy. On 5/24/17 I met her at the office of Dr. Drayer. She reports that she has no pain to the right knee. She denies any locking or giving out of the knee. Examination showed that the hamstring had regained good range, the extension was weak though. She denied any real resumption of her normal physical activity like running. She continued to wear the leg brace when she was at work removing it while at her home. Dr. Drayer said she is at risk for re-injuring the knee if it gives out. He told her she could leave it be but will have premature arthritis. Or she could have the ACL repaired using a graft from her Patella tendon. She wants to have it repaired so she can resume more physical activities.
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In this case, although the error started from the transmission of the discharge note to the home health care agency, Physical Therapist and Physical Therapist Assistant made number of mistakes in terms of clinical practice and delegation. First of all, completion and accuracy of patient’s physical therapy record is a professional responsibility of a supervising Physical therapist.1(p4) However, the PT failed to read the hospital discharge referral and documented incomplete and inaccurate plan of care. As a result, important information such as un-cemented prosthesis in situ and weight bearing limitations were not documented. In addition to that PTA elected to follow a protocol for cemented hip arthroplasty without referring back to PT for the missing information in the assessment. According to Texas Board of Physical Therapy examiners rule, “PTA may not specify and/or perform definitive (decisive, conclusive, final) evaluative and assessment procedures.”1(p5) Hence, it was also a mistake of the PTA to conclude the assessment and elect the inappropriate plan of care.
The day-to-day writing in the field of Physical Therapy varies depending on the audience. The audience determines the purpose of the writing and writing style. Physical Therapists (PT) use evidence-based exercises and activities to rehabilitate their patients in order for them to reach their unique goal. Since PT’s work with both medical professionals and patients, they must adjust their writing to be able to communicate effectively. PT’s are just one of the many people in the medical field that may work with a particular patient so it is important that the communication between the different layers of the medical field are precise and clear. Writing to a patient is also important because they are the person who is being directly affected
Ms. McGinnis is an 82-year-old female, with history of Alzheimer dementia, diabetes, and hypertension. Her primary caregiver is her son, Michael McGinnis. Mr. McGinnis has admitted to the ER doctor, multiply employees at Senior Care and to DHR worker on the phone that he gave his mother methadone. Ms. McGinnis is not prescribed Methadone and is mental unable to consent to taking methadone.
The statutes, rules, ethics guide, and policy statements are specific in informing physical therapist what is involved in the legal practice of physical therapy in Arizona (Arizona state board of physical therapy, n.d a.). The approval of licensure is different for a new graduate, a physical therapist with a license in another state, and a foreign educated therapist. In each of the categories, a person has to be of good moral character and complete the application process correctly. For a new graduate of an accredited institution in the United States, a passing score on the national exam in required. The minimal passing set by The Federation of State Boards of Physical Therapy is a scaled score of 600. When I took the boards in 1974, California
On 9/28/17 I spoke with C. Weaver physical therapy. The physical therapist advised that they do not offer occupational therapy just physical therapy. They also are not equipped to do more than one body part at a time. In reviewing the records and the FCE I had supplied them they determined she is not in the best location. They recommend Hope Network. I have contacted Hope Network and confirmed that this would be a more appropriate location for the 5 days a week therapy she needs and what the FCE had suggested. I have contacted Dr. VanderJagt’s office and requested an order for the therapy.
Temple University’s Doctor of Physical Therapy program has many aspects that I admire which makes it my top choice of schools to attend to pursue my DPT education. The first reason being this program has an extensive focus on helping the poor, with my degree I wanted to go back to Punjab, India to help elders in my village. The care for elders in small villages is minimal due lack of funding. With this program, I would be one step closer to my dream. The second reason is that way the curriculum is set up; the program allows internship in the second year, which is earlier than most other programs. I would definitely take advantage of the research opportunities that exist for students because I am a hands on individual that learns and understands
“Colleen Murnane, PhD in Physical Therapy”. Hearing those words will mark the beginning of a lengthy list of goals. Helping others and exercising are two of my favorite hobbies, which have fortunately led to my perfect career choice as a Physical Therapist. I plan on receiving my doctorate in Physical Therapy and opening a health food market.
On 5/8/17 I spoke at length with physical therapist Crystal Wright. She reports that Mr. Kraxner continues to participate and work very hard in his physical therapy program. He continues to have pain when raising his arm above shoulder level. He continues to work on strength using only one pound weights. I have asked her to speak with Dr. Morse so we can formulate a plan of action.
ODG Physical Therapy Guidelines recommend 10 visits over 8 weeks of physical therapy for medical treatment of intervertebral disc disorder with myelopathy and spinal stenosis. In this case, the claimant continued to have low back pain with lumbar radiculopathy. It was noted that the claimant had been doing physical therapy with improvement in left leg pain. However, there was no documentation of PT visits and the total number of sessions completed. There was insufficient objective evidence to support the subjectively reported benefit from prior PT visits. Therefore, the request for physical therapy reevaluation with traction/decompression, 16 visits, per 12/09/17 order is not medically necessary.
I became interested in physical therapy very recently, last week exactly. I became interested in physical therapy when I was researching it in class for a lame project my annoying teacher made me do. Even though my dad and all but one of his brothers are in the medical field, I didn’t really know too many details about working in the medical field. I always thought it was just too much school and didn’t give enough down time. After researching it I became more interested because it is a very intermediate job in the medical field. Not as intense as a surgeon but still fairly challenging. I feel comfortable choosing physical therapy because I have plenty of people with experience in the medical field to help me out.
I wanted to email you and let you know that I made an appointment with Dr. Brinkruff (primary care doctor) 12/07/2016, however, he was on vacation, therefore, I seen one of his PA's. I explained to him that I was in a significant amount of pain in my neck, spine, and shoulders, however that the pain I was encountering started after my son and I were involved in an auto collision. Furthermore, I explained that my son and I were stopped when a gentleman rear ended us going 30 miles and hour, that the air bags did not deploy, nor did our seat belts tighten, therefore, both sustained whiplash and concussions. I did request to be referred to Dr. Taylor located at Henry County Center for Orthopedics & Sports Med., however he did an x-ray and blood work and referred me to physical therapy 5 x week for 6 weeks.
It is clear that Tim and Ralph are in need of emotional/psychological support. They are also in need of a means for Tim to be able to swallow and breathe better or more easily. Third, is a concern for them that they can remain together and at their home (University of Vermont, n.d.). Achieving this will require that Ralph can help Tim with his treatment and that Tim be able to communicate in an understandable manner. It would therefore be necessary to schedule a visit with a social worker and also with a speech therapist to evaluate Tim’s swallowing, breathing, and speaking capabilities. Finally, a full physical examination would be required, and it would also be important to explore future prospects and start looking into end-of-life care decisions.
The human experience is not a vague suggestion of what everyone strives for. This is a very individualized set of preferences and priorities that each person desires in life. We are all unique beings and as a physical therapist, there is a duty to create a specific strategy of care that is centered on the needs of the consumer. Movement is the basis of everything we do. Optimizing movement by improving mobility and motion, managing pain, and regaining original capabilities will guide society to a healthier and more active lifestyle.
DN is a 68 year old Caucasian male who lives in Pomona, Missouri. On September 14, 2009, DN underwent a scheduled left total knee arthroplasty at Baxter County Regional Medical Center. A consultation appointment about a total knee arthroplasty was scheduled when DN had increasing pain in his knees while doing chores and working on his dairy farm. The increasing pain DN was having been due to a history of osteoarthritis and the wear-and-tear on his joints throughout his life, no specific injury was noted. Depending on the outcome of the left knee, DN was consulted on having his right knee done in the future