Tag: OTA

5 Reasons Why I Love Working in a Military Health System

I’m a physical therapist (PT) at Walter Reed National Military Medical Center (WRNMMC), and I love my job.

I didn’t start my career in the military health system (MHS). I worked in a civilian outpatient physical therapy clinic like a lot of physical therapists do, and then began working at WRNMMC 2 years ago. I have to say that it has been an eye-opening experience for me. What I want to do in this post is to break down the 5 reasons why I love working in the MHS. They revolve around 2 things: our patients, and the autonomy PTs have in taking care of them.

  1. The patient population: As a PT working at WRNMMC, I see a diverse group of patients. We see active duty service members, beneficiaries of service members, and retirees. The variety of patients, in turn, allows me to see a wide variety of diagnoses from poly traumas to neck and low back pain. This keeps me excited to come to work every day, because I know I’m likely to see something different. Most important, it’s incredibly rewarding to know that I can help return active duty service members to full health and duty.
  2. Working with my military counterparts: WRNMMC is my first clinical experience in the MHS, and the facility is considered the “flagship of military medicine.” I work alongside my active duty PT counterparts and military and civilian physical therapist assistants and physical therapy technicians, many with deployment and overseas experience. The level of care and compassion that the WRNMMC PT staff show daily is what makes this service run as well as it does, and it is one of my favorite things about working at WRNMMC.

Full article at APTA

Regular physical activity associated with decreased risk of postoperative delirium

After having surgery, many older adults develop delirium, the medical term for sudden and severe confusion. In fact, between 10 and 67 percent of older adults experience delirium after surgery for non-heart-related issues, while 5 to 61 percent experience delirium after orthopedic surgery (surgery dealing with the bones and muscles).

Delirium can lead to problems with thinking and decision-making. It can also make it difficult to be mobile and perform daily functions and can increase the risk for illness and death. Because adults over age 65 undergo more than 18 million surgeries each year, delirium can have a huge impact personally, as well as for families and our communities.

Healthcare providers can use several tools to reduce the chances older adults will develop delirium. Providers can meet with a geriatrician before surgery, review prescribed medications, and make sure glasses and hearing aids are made available after surgery (since difficulty seeing or hearing can contribute to confusion). However, preventing delirium prior to surgery may be the best way to help older adults avoid it.

Full story at News Medical

News From NEXT: McMillan Lecturer Outlines Keys to Excellence in the Physical Therapy Profession

Tom McPoil, PT, PhD, FAPTA, said he intentionally structured the title of the 50th McMillan Lecture—”Is Excellence in the Cards?” as a question “to raise an element of doubt or uncertainty in our quest to achieve excellence.” After all, he said during his delivery of the lecture on June 13 as part of the APTA NEXT Conference and Exposition in Chicago, he has several concerns regarding the profession’s ability to achieve excellence.

Before describing the reasons for his uncertainty, McPoil did recognize some of the profession’s remarkable accomplishments since he began his career in 1973. “We no longer serve as a subservient technician in the health care system, our students now obtain an exceptional education and are granted a doctoral degree, we can practice in a variety of specialty areas in multiple practice environments, and we have achieved the ability to practice autonomously with patients having direct access to our services,” he noted.

But he said there still is room for improvement from both clinical and academic perspectives, and the remainder of his lecture outlined those perspectives. From the clinical standpoint, he described 3 areas.

Full story at APTA

Expanded CMS Bundling Programs – With Payment Incentives – Ready to Launch in 2017

Amid administrative changeover and potential shifts in the future, the Centers for Medicare and Medicaid (CMS) is moving ahead to expand its mandatory bundled payment programs related to cardiac care and joint replacement. And there’s good news for physical therapists (PTs): the new rule will make it possible for PTs to receive incentive bonus payments for joint replacement care provided in 2017 as part of a bundled care program.

Under an updated Comprehensive Care for Joint Replacement (CJR) program beginning on January 1, 2017, clinicians, including PTs, will receive additional opportunities to qualify for a 5% payment bump through the Advanced Alternative Payment Model (APM) path. Clinicians using the new accountable care organization “Track 1+ Model”—a program with a slightly more limited downside risk, designed for smaller practices—could earn the bonuses for care delivered in 2018. The new avenues to incentives were opened up when CMS decided to include the bundling models in its list of qualified APMs.

Full story of CMS bundling programs with payment incentives at APTA

Gabby Reece Recounts Rehab After TKA in Move Forward Radio Interview

Gabrielle “Gabby” Reece is a former pro volleyball star, a TV personality, model, and bestselling author. She’s also the owner of an artificial knee, and a patient who resolved to work her way through knee replacement surgery with plenty of physical therapy and no postsurgery drugs. And what Reece would like people to know is that the opioid-free journey she’s making toward recovery is not just for high-achieving superathletes—it’s for anyone willing to apply mindfulness, patience, and persistence to their own health goals.

The latest edition of Move Forward Radio features an interview with Reece that focuses primarily on her ongoing recovery from the knee replacement surgery she underwent in April, 2016. Reece first rose to prominence as a standout professional beach volleyball player, and was Nike’s first female spokesperson. These days, Reece appears as a host on NBC’s STRONG, a fitness-based program, and serves as a spokesperson for Plan Against Pain, a national campaign that educates the public on the availability of nondrug approaches to pain treatment postsurgery.

Full story of rehab after TKA at APTA