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SJBird55 -> Re: help........ (October 22, 2004 1:59:00 PM)
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Technically, as a PTA you need to follow that therapist's plan of care. The therapist you are currently working with had a definite point with his argument and I'm sure you have yours.
With the changes in reimbursement, I have had more and more patients choosing to use me more as a consultant. And yes, they do improve. I have my outcomes and my effect sizes to prove that patients do improve utilizing this kind of approach. There was some post here regarding I think something with cervical problems. One of the recent JOSPT had an article that was interesting. Everything that I have read in regard to manual treatments indicates very few sessions of manual treatments. With cervical diagnoses in general, literature supports a combined manual and exercise approach.
And, you have to also realize that there aren't any outcome studies out there to provide "gold standard" approaches for us to use with patients.
Every therapist's perspective is going to be different. No, I don't feel "we" need to be there continuously to help "our" patients reach their goals. I firmly believe in empowering them, educating them, their responsibility and me providing as small as a role as possible in a patient's care. I side on a patient having as active a role as possible in both problem-solving and reaching their goals.
So you have 3 choices.... sit back and give that therapist a chance and see if patients do reach their goals and learn via observation.... have an intellectual discussion regarding treatment philosophy and bring supporting documentation to discuss and question.... look for another position elsewhere.
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