The Pros And Cons Of Military Physical Therapy

Ever since I was a kid, it has been my life goal to help as many people I can. I have moved around in many different areas of the medical field, but no career had caught my eye as much as physical therapy. As an athlete, I have been in and out of the physical therapist’s office for a majority of my life. Each time I have went I could not help but be beyond grateful for what these people have done for me; they have given me the ability to play the sport I love despite all the hiccups. Physical therapy is a dynamic field within the field of medicine because as a physical therapist one can make a difference in the lives of his or her patients, enjoy job security, and enjoy a rewarding and personally satisfying career.

billion annually due to fraud and abuse of the system. Physical therapists can play a major role in

When she sees a patient for the first time she talks to them about the doctor’s report and asks specific questions about their injury or experiences leading up to the need for physical therapy. Megan explained how important it is to make the patient feel comfortable and keep a positive attitude towards the patient’s recovery. These consultations were the most interesting to sit in on because it allowed me to observe the therapist’s ability to take the patient’s information and create a diagnosis and treatment plan for the injury or pain described. Megan may have multiple patients at a time so she stressed the importance of keeping up with each patient and why the physical therapy techs are so helpful. Scheduling is another job of the therapists that is important in keeping the clinic running smoothly. There is also paperwork that has to be filled out for every patient after every visit about their

Since the Affordable Care Act (ACA) signed into law in March 2010, a few things have changed in the provision of physical therapy services, in specific productivity standards and reimbursement in outpatient physical therapy clinics. The Affordable Care Act has resulted in an increased demand for physical therapy services primarily due to the construction of the Health Insurance Marketplace. This created new health insurance options to help Americans acquire health insurance, who previously were not able to afford it. Although the ACA is a very extensive and complex piece of legislation, it has ultimately resulted in more individuals who are eligible for physical therapy services. This increased demand not only comes from the ACA but also from reimbursement cuts from insurance companies, subsequently causing physical therapists to overload their schedules as a means to offset these cuts. These demands are without factoring in the aging baby boomer population, which is expected to increased the physical therapist need by 30% from 2008 to 2018 (cite). Physical therapy is about providing the best patient care, however patient care is also a business and businesses are centered on revenue. Below are some of the current proposed solutions along with personal solutions and insight on the productivity issue.

As a PTA I have been given a breath of knowledge in regard to the profession of physical therapy. However, I am not satisfied with this breath of knowledge. I yearn for the opportunity to gain a further understanding in terms of “how and why” physical therapy is successful at restoring function to individuals seeking

So, I am going to clear up some of these myths. These myths are from a article I read called 7 Direct Access Myths Debunked. One topic is that it only applies to private outpatient Physical Therapy Practices. The truth is that is applies to many other areas as well like private pay home care or sports field and performing arts venues, etc. So it's not just applied for one group. If you really need serious go to a physical therapy clinic but you still might have to get approval from your primary care physician. Another Myth is that Direct access doesn’t exist in every state. That is somewhat true but there are different levels of direct access. A state my just limit the amount or put a limit on it. So a form of direct access does exist in every state so you just have to figure out what works best for you. Mississippi is one of the six states that has strict limitations that still require approval. Another myth is that allowing patients coming without a referral from their physician puts their health at risk. “Physical Therapist are doctoral-level medical professionals whose training and education make them more than qualified to not only conduct initial evaluations, but also recognize when a patient’s medical needs fall outside of their scope”(Andrus). Physical Therapist are doctors. They go to med-school like every other doctor does. They can see when a Patient needs therapy or not. According to Apta’s Guide of Professional Conduct it is required that PT’s should evaluate the patient for signs and symptoms of damage for therapy. A doctor would not just treat someone without evaluating

Under the old Georgia Physical Therapy Act, a physical therapist was allowed to examine and evaluate of patient or client without a referral source. The only treatment a physical therapist could provide without a referral source was in the area of fitness, wellness, or prevention that was not related to an injury. Effective July 1, 2015, the current Georgia Physical Therapy Act grants physical therapists limited direct access, or the terminology used in the act is self-referral. Under the new practice act a patient who self-refers can be seen by a physical therapist for a maximum of 21 days or eight visits before required to have a referral from the patient’s provider. (Georgia Physical Therapy Act, 2015). A stipulation is that a written disclosure must be provided to the patient that the physical therapy diagnosis is not a medical diagnosis. (Georgia Physical Therapy Act, 2015). Additionally, a provider referral is not required for patients who return for treatment within 90 days that have been previously diagnosed with a chronic musculoskeletal condition (Georgia Physical Therapy

The OPORD 14-83 is the federal level regulation in the Military that addresses the issue of Posttraumatic Stress Disorder, depression and suicide. These health issues are not new phenomena’s, especially in the military health system. PTSD can be dated back to WWI, when it was simply called “shell-shocked”. However, with the co-occurring Iraq and Afghanistan wars, and the number of soldiers returning with mental health concerns, this issue has been pushed to the forefront of the media. Every shooting, suicide, or homicide involving a service member, the news makes a point that these service members must have gone untreated. Even the president of the United States passed an executive order to address the mental health crisis (Executive order, 2012). It is alarming that RESPECT-Mil and the OPORD 14-83 are not discussed in conjunction with the numerous news stories about ailing service members. No major editorial or newspaper has discussed this policy, however, more targeted sources such as Medical Daily, local base papers such as the Ft. Campbell Courier. Huffington Post online was the most publically broadcasted article about the policy. The article titled Military Mental Health Care: One Size Does Not Fit All, was written by Dr. Engel in 2010 and updated in 2011. In this article, he praised and discussed what he described as the high-quality specialized care program that is mandated in all Army primary care clinics (Engel, C. 2010).However, this article was not in regards to

As a healthcare provider involved in the management of patients with musculoskeletal disorders, physical therapists having the capability to order diagnostic imaging is beneficial to differential diagnosis in screening for a medical referral. Furthermore, I have shown that physical therapists having the ability to refer for imaging improve the efficiency of healthcare delivery, particularly in combination with direct

In July 1775, the Congress established a hospital or what they called it then a medical department in Massachusetts with a chief physician of the hospital, four surgeons, a pharmacist, and nurses, which are usually wives or widows of military personnel to care for military members. (TRICARE Timeline). Today health care has come a long way especially for the military; we have better equipment and more than enough surgeons, physicians, and of course, our spouses or widows are no longer our nurses. Now we have qualified individuals that are very capable of making sure that they are patched and ready to get

The purpose of this research study is to determine through statistical evidence that physical therapist do or do not play a major role in helping patients with chronic diseases.

As a district physical therapist manager overseeing twelve different facilities, it is important to adhere to the compliance standards and ensure other physical therapists and physical therapist assistances are attaining such standards. In this particular example, it was important that the district manager took responsibility for looking at the audits instead of relying only on the hired auditor. Two red flags were brought to the manager’s attention when reviewing the detailed reports: re-evaluations and modality charges.

Authors Emma K. Stokes and Tracy J. Bury state "Attaining professional autonomy is a high priority for physical therapists and their professional organizations" (Global View 450). According to the World Confederation for Physical Therapy, it has been proven that patients are able to receive services from physical therapist without getting a referral from other healthcare professionals (450). This topic has not only raised concern within the country but also worldwide. Direct access to physical therapy is a concern to some legislators; however, forty-three out of the fifty states now allow direct access to physical therapists. Direct access not only decreases the cost for patients but is has an overall better outcome for patients as well. The World Confederation for Physical Therapy states "This diverse and highly specialized workforce provides opportunities for a variety of disciplines to function in primary care roles to improve access and reduce cost by eliminating unnecessary provider visits" (Challenges to Policy Adoption). Direct Access is the better and more efficient way for some people to go when seeking treatment. This is why direct access is becoming a leading benefit to human society today.

For over 75 years the profession of physical therapy has required it's members to adhere to a standard of ethical behavior.1 The first Code of Ethics adopted by the American Physiotherapy Association in 1935 focused mainly on the relationship between the physical therapist (PT), referring physician, and the disciplinary actions of violating that relationship.2(p.4) Since then the Code of Ethics has evolved into what the American Physical Therapy Association (APTA) refers to as the Code of Ethics for the Physical Therapist (PT Code), and the Standards of Ethical Conduct for the Physical Therapist Assistant (PTA Standards).2(p.5),3,4 Today the Code and Standards are designed around the association's core set of values to

Military medicine has a rich and long history. The medical and health care delivery lessons gained through multiple wars fought in the past decades are applied to improve the care for military personnel and their families. It continually evolves and adapts to the current mandates of the government.