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Items filtered by date: September 2013
Monday, 21 October 2013 12:36

Who can qualify for Home Physical Therapy?

iStock 000020827295XSmallI recently received a call from a gentleman asking about the criteria to qualify for home physical therapy. He was inquiring on behalf of his 79 year old mother. She was living independently in her own home, but has had 3 falls in the past year. She now uses a walker most of the time and he was worried that she the next time she falls she may break a bone. As we talked, he shared that his mother has always been very active and goes out 4-5 times per week for appointments and social events, but is no longer able to drive.

I told her son that it sounds as if she would definitely benefit from physical therapy to improve her balance and strength. She is at a high risk for having continued falls without therapy intervention. However, I recommended she ask her doctor for a referral to an outpatient physical therapy clinic. Because she goes out several times a week, Medicare will not cover Home Physical Therapy. Medicare and several other insurance companies only cover home therapy if it is difficult and taxing for a person to go out, and he/she requires assistance to leave the home. A typical person receiving Home Physical Therapy may go out for doctor appointments, religious services and occasional family events, but he/she would need someone to help them safely get in and out of the house.

Do you know someone who isn't quite as steady on their feet as they used to be? Do you know someone who struggles to do his/her daily activities, or gets easily winded? A few visits of Physical Therapy may be the answer.

Published in Blog

iStock 000019872183XSmallAs a physical therapist (PT) I appreciate that it can be very difficult for the average person to know what to expect from their physical therapist. Some people have the benefit of comparing their experience with friends or family who have also had physical therapy but it's still difficult to know what you can expect of a physical therapist.

Physical therapists are required to go to school 6-7 years after high school and currently most physical therapy programs graduate students with a DPT (Doctorate in Physical Therapy). Physical Therapists are found in several different settings in healthcare. They are in the hospitals, nursing homes, rehab facilities, outpatient clinics and they even come to your home when you meet the qualifications under your insurance. Physical therapists have a wide range of specialties and while some choose to specialize in certain areas such as orthopedics or neurology, many others have experience seeing people with a wide range of health issues.

Here a few things you should expect the physical therapist to do, regardless of which setting you see him/her in:

  1. A Physical Therapist should listen to you: The best physical therapists pride themselves on being good listeners. On your first visit the PT should ask you questions about your medical history, your pain and what your goal for therapy is. Your goal should be incorporated into the treatment plan by the PT.
  2. Perform a thorough evaluation: A PT goes through several years of training to learn how do accurate and thorough evaluations. At a minimum, the first time you see a PT he/she should check your range of motion (how far your arms and legs bend and straighten), your strength, your mobility (walking or using a wheelchair) as well as your sitting and standing balance. The PT will likely check other things as well depending on what setting you are in and what you are seeing him/her for.
  3. Give you a Written Home Exercise Program: This should include pictures and written instructions of exercises the PT gave you during your PT session. The PT may or may not do this on the first evaluation visit, but he/she should definitely do this on follow up visits. This instruction should also include signs and symptoms to be aware of that may indicate you are overdoing it.
  4. Explain the purpose of the treatment/Home Exercise Program: A good PT will always explain to you why they are doing what they are doing during your time with him/her. If they don't- ask!
    The explanation should be easy for you to understand without a lot of technical terms. The PT should also explain how the treatment/exercises are going to improve your quality of life and help you reach your goal.
  5. Communicate with your doctor: Knowing that doctors are very busy, a good PT will still make a strong effort to communicate with your doctor, by phone or fax. This should involve telling the doctor what the PT has found in his/her evaluation of you. The PT should also communicate with your doctor if you are having any issues or aren't progressing with therapy.

As a PT, I feel extremely fortunate to have the opportunity to help people feel better and be more independent. It is an extremely rewarding profession and one I would encourage others to consider. I do feel that all PT's are obligated to do the absolute best they can to help each and every person they come in contact with.

Are you unsteady on your feet or have weakness in your legs? If so and you need someone with you when you leave the home to help you get out for appointments, you may qualify for a Physical Therapist to come to your home. 

Published in Blog

iStock 000019624697XSmallAbsolutely, but up until recently, there was a common belief that there was only a limited benefit, if any, for people with dementia or Alzheimer's to exercise. Fortunately research has been done to prove that people with dementia or Alzheimer's disease benefit greatly from exercise. In fact, seniors who are not active are twice as likely to develop Alzheimer's as compared to their active peers.

The most important benefits of moderate exercise include:

  1. Increased endurance: With improved endurance you can do more for yourself, and get out to visit friends and family without being exhausted.
  2. Increased strength: With improved strength, you can maintain your independence without needing physical assistance with daily activities.
  3. Improved balance: Having good balance is very important for preventing falls and avoiding an unplanned trip to the emergency room.

When most people think of exercise they think of running or playing sports. But the truth is that exercise can take on many forms. For some people walking "laps" in their house or apartment building is exercise. For others, sitting in a chair and doing arm and leg strengthening is exercise. The great thing about moderate exercise is that it has positive effects on our entire body. It can improve circulation, help your heart function more efficiently and improve your breathing so you don't become easily winded. Best of all, it can help you feel stronger and more steady on your feet.

There is a misconception that only people with good memory can benefit from exercise because you have to be able to remember the exercises, right? Not necessarily. There are some great exercise videos out there for seniors that can be done sitting in a chair. Many senior centers offer exercise classes as well which have the added benefit of getting to socialize with other people. No memorization required.

Physical Therapists go to school for 6-7 years to become the true experts on safe exercising. Many of us have additional training in how to safely exercise older people with health issues. If you have any health issues, it is critical that you see a physical therapist first to learn how you can safely exercise and avoid injury.

I have seen hundreds of individuals with dementia or Alzheimer's benefit greatly from Physical Therapy. A good therapist will go slowly when adding and progressing exercises. In addition the therapist should always give written handouts with pictures of the exercises. This is extremely helpful when you do these exercises on the days you don't see the therapist. Most importantly the therapist should individualize the exercise program for you, and explain to you how this will improve your quality of life. Memory loss is absolutely not a barrier to exercising and being active. It actually can increase your ability to remain independent.

Do you know of someone who has memory loss and is unsteady on their feet or has weakness in their legs? If so, they may qualify for a Physical Therapist to come to the home.

Published in Blog