If a patient can achieve his or her highest level of independence, as a rehab clinician, I say let’s go for it. To Medicare reviewers, too often they say stop at the prior level of function. So I...
Dear, sweet stubborn grandmother!
By
Shelly Mesure, MS, OTR/L
Jul 09, 2012
I love my grandma dearly. She’s still going strong, living independently in a ranch-style house. But while her stubbornness may be the reason she lives such full and active lifestyle, it’s...
Eastern vs. Western standards of practice
By
Shelly Mesure, MS, OTR/L
Jun 26, 2012
The theory of improving function in China is overshadowed by the focus on comfort, reducing pain, and providing as much rest as possible. From a cultural standpoint, the family dynamics are very different...
Big challenges ahead for therapy
By
Shelly Mesure, MS, OTR/L
Jun 12, 2012
A few years ago, my consulting company had the opportunity to work with a facility to implement a bariatric unit within a skilled nursing facility. This would seem an easy task, but the facility ended...
Therapy not complete without some ‘home’ work
By
Shelly Mesure, MS, OTR/L
May 30, 2012
Is it worth it? I’m referring to home visits by the therapy team, the patient, and their family. These are the clinical visits with the patient to their home for a “practice run” conducted...
Out with the drab: Time to add personality to healthcare equipment
By
Shelly Mesure, MS, OTR/L
May 07, 2012
A few years ago, I broke my leg. Ouch! I was stuck in a long-leg cast for 14 weeks. Luckily, no surgery was required. It was around the holidays, so I asked to have my cast done in red and green stripes.
Therapists can co-treat? Why yes, they can!
By
Shelly Mesure, MS, OTR/L
Apr 19, 2012
Have you heard? Yes, it’s true. We can now provide therapy co-treatment with another discipline WITHOUT splitting our treatment time. But, not so fast …
‘The therapy caps are back!!!’
By
Shelly Mesure, MS, OTR/L
Apr 05, 2012
Are the therapy caps back? Well, sort of. Here’s a quick summary of the current regulations that were recently passed and how they affect you.
Are you setting yourself up for success?
By
Shelly Mesure, MS, OTR/L
Mar 26, 2012
Are you properly capturing set-up time? What on Earth am I talking about? I’m talking about utilizing the regulation as outlined in the Resident Assessment Instrument, version MDS 3.0.
Is this billable time?
By
Shelly Mesure, MS, OTR/L
Mar 07, 2012
The title sounds like an obvious question, but I can guarantee that the majority of therapists have under billed at some point in their career.