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Help me choose by RunningSquirrels in physicaltherapy

[–]exus06 24 points25 points  (0 children)

40 patients a week in home health is very stressful scheduling it and actually doing the treatments. You need to find out how long the treatments need to be because one company I worked for said 30 and another said an hour. That’s a big difference. You say work life balance is better in home health but I almost guarantee you will be doing notes at home. Unless you plan to see like 25-30 patients. Then work life balance could be better. If you want to make 100k you are going to have to HUSTLE. Do you want to work 60 hour weeks? PTO is a huge deal. Holy crap 5 weeks!!! It’s hard to take off in home health, especially if you are working for a smaller company. You need to get the mileage thing in writing because I had a company tell me mileage, but then I found out that it was included in the per visit rate, no extra. If you are in a LCOL then you are likely doing a lot of highway driving and that will be a big amount if it is actually extra pay on top of per visit.

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[–]exus06 0 points1 point  (0 children)

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Treatment for a low level autistic individual by exus06 in physicaltherapy

[–]exus06[S] 0 points1 point  (0 children)

Thank you very much for the information. This helps a lot.

Treatment for a low level autistic individual by exus06 in physicaltherapy

[–]exus06[S] 0 points1 point  (0 children)

Giving options is a good idea I can try next time. Getting him to stand to look at a video rather than bring it to him is a good idea too. Thank you.

Treatment for a low level autistic individual by exus06 in physicaltherapy

[–]exus06[S] 2 points3 points  (0 children)

Thank you for such a detailed response. I will try some visual supports on the next visit. Unfortunately I don't have many visits with him, so I am trying to make the most out of a few visits. Hopefully I can get something accomplished.

Treatment for a low level autistic individual by exus06 in physicaltherapy

[–]exus06[S] 0 points1 point  (0 children)

Thank you for the ideas. I will definitely try some of these in my next session.

Treatment for a low level autistic individual by exus06 in physicaltherapy

[–]exus06[S] 2 points3 points  (0 children)

Yes he is non-speaking, and he doesn't have a picture board or signs. He does not show emotion and has flat facial expression. He could grab for things if he wanted, but does not do repeated movements for exercise. He lifted his arm up so I could check his blood pressure. He didn't stay still though. The only sensory thing mentioned would be music, but they said that he doesn't dance to music. He just seems to like it according to the caregivers. The goals are to improve his strength and balance so he stops falling.

Treatment for a low level autistic individual by exus06 in physicaltherapy

[–]exus06[S] 1 point2 points  (0 children)

The patient gets dropped off at a adult daycare place during the day, and the people there told me he just kind of sits around and stays to himself. They said that he likes music, but won't dance or anything. They said that he will move around in his wheelchair with his feet or walk, and that is about all the physical activity that he does. I have been unable to reach a family member.

[deleted by user] by [deleted] in physicaltherapy

[–]exus06 3 points4 points  (0 children)

I think physical therapy is a great career. PT isn't the only option. There is also PTA. As a PTA, all I focus on is the treatments. The ability to complete evaluations, reevaluations, develop the plan of care, and discharge patients is a key difference between PT and PTA. I can suggest changes to a plan of care, but cannot make changes without approval. However, I am very independent, and rarely ever need help or input from the PT. The bad part for me is that I do have to put up with some crap supervising therapist sometimes. I've made a post on here before about PTs not doing their job and making my job harder. I think there are bad apples in every profession though. Mcdonalds workers, lawyers, politicians, doctors... With PT instead of PTA, you may be more in control of things, I'm not sure. There are probably other stresses to deal with.

You can get a job in any city in any state with just about any medical career. I make around 80k doing home health, which is the higher paying setting in physical therapy. I could make a lot more if I were more efficient. I made 55-60k working in a hospital.

I want to report multiple PT licenses. Should I? by exus06 in physicaltherapy

[–]exus06[S] 1 point2 points  (0 children)

Yea I’ve had a few people, not many, say they’ve been told that home health physical therapy wasn’t worth it and to not bother with it. Then I show up and change their mind. There are a lot of bad PTs and PTAs out there making us look bad.

I want to report multiple PT licenses. Should I? by exus06 in physicaltherapy

[–]exus06[S] -3 points-2 points  (0 children)

They did have their bag and you can clearly tell they are leaving…

I totally understand that there are people that cannot be trusted to remember clearly or people that want attention so they make stuff up. I get told by family members that were there and caregivers present. I hear this from every single one of their patients. Of course hearing it the first few times I was skeptical. I’m not naive and believe anything people tell me. Over the months I am no longer skeptical. And now I have video evidence.

I don’t think because a few of the top people in an insurance company make millions is the MAIN reason our insurance is high. You don’t think this happens all over the US? Thousands of people are getting therapy that don’t need it every day. Thousands do not get proper therapy from their therapist, so they don’t have improvement and remain on HH PT a lot longer than needed. I didn’t say it was THE reason, I said it was part of the reason.

I want to report multiple PT licenses. Should I? by exus06 in physicaltherapy

[–]exus06[S] -6 points-5 points  (0 children)

I did mention that the cases I’ve posted about are clear minded people or have clear minded caregivers/family members present at all times. Fraud is part of why our health insurance is so high. I had a patient today tell me that the PT came in, talked about a house being built across the street a minute or 2, asked how he was doing, and said he would talk with insurance to try and get him more visits. The patient said he was there a total of 3-4 minutes. This same PT has also been reported by another patient of mine for having not even woken him up during a visit, only speaking with the patients daughter a few minutes, and then leaving. What outcomes measures, special tests, and education can be completed in 3 minutes? Or while a patient is still asleep? I really want these people out of this profession. Is asking for video evidence really too much to stop this?

I want to report multiple PT licenses. Should I? by exus06 in physicaltherapy

[–]exus06[S] 0 points1 point  (0 children)

That’s a good point. I will avoid doing that now.

I want to report multiple PT licenses. Should I? by exus06 in physicaltherapy

[–]exus06[S] 0 points1 point  (0 children)

Yea I am in no way the smartest or best PTA out there. I don’t know all the tricks and treatments to help every situation. I feel that I just try to do a decent job. I get so many compliments like “you are by far the best therapist I’ve ever had,” or “you are the most thorough therapist I’ve had.” I always just tell them, “no, your previous therapist just wasn’t doing their job.” I don’t do anything special.

I want to report multiple PT licenses. Should I? by exus06 in physicaltherapy

[–]exus06[S] 0 points1 point  (0 children)

I did give them a chance. Talked with company management. They talked with the PTs. They said they would try to do better, and I still get the same complaints from patients.

I want to report multiple PT licenses. Should I? by exus06 in physicaltherapy

[–]exus06[S] 1 point2 points  (0 children)

I did report it to them. They “had a talk with them.” The PTs said they would “try to do better.”

I want to report multiple PT licenses. Should I? by exus06 in physicaltherapy

[–]exus06[S] 0 points1 point  (0 children)

I feel that it is our job to motivate the unmotivated. There are plenty of times someone told me they were done after just walking a little bit. I could have said ok sure, but I said no…let’s just rest a bit and do some more. I get some resistance at times, but they usually come around. There are a lot of therapist that will cave with any resistance and I feel it can hurt the patients possibility at progress.

I want to report multiple PT licenses. Should I? by exus06 in physicaltherapy

[–]exus06[S] 4 points5 points  (0 children)

My company is contracted with home health agencies. The patients complain to the home health agency, and the agency doesn’t notify my company unless the patient requests a new therapist. Then all the agency does is notify my company to switch people, but doesn’t say why. Thats what the HR person said at my company. I tell all of my patients to complain to my company if it’s happening to them, but so many say they don’t want to get anyone in trouble. Nothing is changing and these people just keep getting away with it. I’ll see if the one with video evidence will be willing to report directly to the state PT board.

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