As the World Confederation of Physical Therapy celebrates PT’s the world over, we would like to join them and recognize our community of physical therapists, and promote the idea of a global physical therapy community.
Please tell us what motivated you to become a PT? What do you love about being a PT?
Tell us your story below (in the comments section), and share with our community.
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ERI is very happy to announce additional dates for:
Please click here for full course description, to download a brochure or to register
Clinical Question from Holly Leigh:
For the past month I have been seeing a 13 year old who has a pretty typical gait of spastic diplegia; crouch+toe walking who is about 12 weeks out from bilateral femoral derotation osteotomy. Prior to surgery he played basketball and ran track (his mile speed is about 8 minutes, and his longest distance has been 8 miles in about an hour per his report). He used bilateral floor reaction AFOs most of the time but not when running because he kept breaking them (carbon fiber). He has progressed well and has learned how to find a neutral position at the pelvis, spine, hips, and extend knees fully while standing, but simply cannot shift weight onto his heels. He has very poor gastroc/soleus strength. He also has quite a bit of knee pain with terminal knee extension. Not at first, but as the session progresses and he spends more time weight bearing on extended knees instead of crouched knees, his pain gradually increases to unbearable. Taping has helped some.
Wondering if anyone has advice for helping him figure out the weight shift, or does he have so much strength to build that I’m expecting him to learn this sooner than he is able?
And any advice for the knee pain? He says that his knees have never been this straight before, so I almost wonder if after 13 years of crouch there is a structural issue causing pain in extension.
Please offer your suggestions and thoughts.
Please Click Here to Respond in our Facebook discussion group
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By Sue Ludwig
The theme for NANT 8 is Intensive Caring: The Opportunity In Every Moment.
How does that theme relate to you and your abstract submission?
Think about it this way:
By definition, your NICU provides intensive care. Your unit expertly uses all of its resources to save the lives of premature and/or medically complex newborns.
And that’s just the beginning.
In a multitude of ways, you also provide intensive caring – the myriad of actions that exemplify how much you CARE about each and every thing you do…the things that endear families to you for decades to come. (Author and NICU mom Kelley French gave us many fabulous examples of this during her keynote at NANT 7. If you did not attend, read her book Juniper and you’ll understand.)
I would argue that in order to provide intensive caring, a professional must first have expert knowledge about how to interact with the fragile, nonverbal patients we serve. For example, how one handles an infant that is 24 weeks PMA depends highly on her knowledge of his brain and sensory system development as well as his diagnoses and ever-changing array of medical interventions and support.
But it’s much more than that. (And that’s a lot to begin with!)
It’s the unspoken things- the things you may not even count as tasks, or realize that you do over and over again each day. It’s the way you spend 2 extra minutes ensuring baby Emma isn’t lying on any tubes or lines that will exert pressure on her fragile skin for the next few hours. It’s the way you empower parents as you talk them slowly through their first diaper change even while you’re behind schedule. It’s the realization that how YOU are able to help baby Adam learn to eat matters little compared to how you’re able to support Adam’s mom through the complexities of oral feeding in the NICU. It’s the reason you would want THAT nurse or THAT therapist to care for your baby if he was in the NICU. It is the why and how behind every action and interaction.
The thing is, it is possible to provide intensive care without intensive caring. But in that scenario, much of the art of your work is lost.
We believe that truly excellent healthcare includes both concepts, seamlessly intertwined. We believe that our highest clinical aspirations involve not only neonatal therapy specific knowledge and skill, but the self-awareness and commitment to deliver intensive caring in each moment – knowing that moments truly build on moments in our population.
And one last thing:
We go one step further and believe that intensive caring includes how we treat each other and ourselves. It’s hard to provide intensive caring while your coworkers throw you under the bus, while you berate yourself for previous clinical mistakes, or after the not-so-great argument you had at home this morning that lingers heavily in your mind.
It all matters because you bring it with you everywhere you go. Who you are and what you know at the precise moment you put your hands on a 2-pound person matters. It matters to them, to their development, to their families, and to you.
You continue to work in the NICU because you have been touched by the bigger mission at hand – the lifetime scope of your work, the strange combination of adrenaline, birth, loss, joy, grief, connection, isolation, and medical complexity. But most people do not choose to work somewhere quite so all-encompassing. You do choose it. You are committed to staying in the vortex of intensive caring.
We want to help you do that well (with sanity), to the best of your ability, and with the latest and most relevant evidence, practices, and resources.
As a speaker, contribute to your colleagues’ power to provide intensive caring to enrich the experience they deliver to patients and families in every moment.
We invite you to submit an abstract for NANT 8. Any discipline (or parent) with relevant content may submit.
*Submissions accepted for oral presentation, poster presentation, and pre-conference.
**Click here to submit an abstract.
We can’t wait to hear what Intensive Caring means to you. The committee is looking forward to reviewing your submissions!
Our heartfelt thoughts are with all our hosting partners, including Texas Children’s Hospital, River Kids Pediatric, Med Care Pediatric and our wonderful community of therapists affected by Hurricane Harvey.
Please stay safe everyone!
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