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no, it's not just you. On the other hand, therapy is
just like us: Some of us are lazy, some are very committed, some are
dishonest. Of course, prior to discharge, I think we really need to push
therapy to work on reality.
----- Original Message -----
Sent: Tuesday, February 03, 2004 2:26
AM
Subject: Therapy
In response to the two posts below:
Therapists walking residents only in the 'therapy room' really pushes my
buttons. I see this documented all the time. The RNAC has to
figure out the coding. My concern is:
Why isn't the therapist
starting at the bedside with transfer?
Who just walks without transferring
from lying or sitting?
I see residents placed in wheel chairs, taken to
the therapy room and then the walking begins.
I understand all about
observation and gait training, but at some point in the therapy a realistic
approach should begin, transfer from bed, walk to the bathroom, walk out of
the room dodging furniture etc.
When I wake up in the morning I do not
find myself in the hall, I get out of bed [transfer] before I start
walking.
Also, why are therapists not teaching staff what to do so they
can have the resident practice the skills that have been taught during the
therapy sessions.
I wonder if Yo-Yo Ma had 30 daily lessons from
his teacher and then started playing the cello. Practice, Practice--and
why do we not let the residents practice? Does anyone else see something
wrong here? Or is it just me that thinks the way we deliver PT is not
reasonable?
Delores
> Just want to clarify how
will you code walking when resident only walk
with therapist, but not with
nurses or CNA. No notes anout walking in nurses
notes. will I still code
walking based on PT even just 3-5 steps?
> Thanks.
>
Faye
It
depends WHERE the walking took place. If the resident only walked in
the
therapy department and NOT in the room or the corridor, then I don't
count
it. But if the therapist walks him in his room or the corridor,
then I
would count. ( count the walking in Section T no matter where
walking was
done)
Delores L. Galias, RN,
RHIT
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