Physical Therapy

Physical therapy jokes
It sounds like a clich but laughter makes it as best medical approach. True enough, cracking physical therapy jokes to patients will brighten up their day and temporarily ignore the pain and distress they experience. Diversion their attention toward something funny or fascinating may be a strategic sense of a supplementary treatment. A lot of physical therapists are learning the craft of trying to be funny just to deliver joyful sessions to their patients. It would have been a boring session if not for the ability of physical therapists to integrate physical therapy jokes into their treatments. The physical therapist and the patient create that bond to actually pursue treatments and exercises with effectiveness. While doing so, physical therapy jokes break the ice in between exercises so that the entire therapy session doesn't come out too serious, too hard and too lonely. Happy and funny stories spice the patient's mood up to perform the exercises and look forward to every clinical visit. Before blurting any physical therapy joke out to your patient, you must first gain enough know-how as to what your intentions and how the jokes will benefit your patient. This is presuming that you have already established a comfortable interaction with your patient. Having the patient embrace a humorous and positive outlook will modify his attitude to become better. The therapist must not go beyond the limits and determine which physical therapy jokes are too green and inappropriate to be shared. No offense must be taken by patients; otherwise, they will lose trust and confidence in your way of treating them. To master the aspect of sharing physical therapy jokes would also need some research and practice especially for physical therapists who are not fond of doing one. Tracing back how the joke came to fame and knowing some comedians, humor styles and TV comedy shows is also wise. Filing a list of funny stories and allowing oneself to let loose is totally healthy. There are some hospital facilities that set humor interventions as manifested in humor rooms, humor video programs and humor carts used. Others get the expertise of magicians, clowns and comedians to do the tricks and funny shows themselves. The therapist can also adopt physical therapy jokes in the manner of dressing humorous item just like how Robin Williams did it in the movie Patch Adams in 1998. Physical therapy jokes are shared not only words but also actions and presentations in a healthy and safe setting. As long as any joke doesn't offend the patient's feelings, it will all be good.

Meditation Therapy for Stress and Change with Jyotish Novak

Meditation Therapy for Stress and Change with Jyotish Novak
Crystal Clarity
36 min - Jun 26, 2006

Learn to meditate at The Expanding Light - Yoga and Meditation Retreat in Nevada City, California. (www.expandinglight.org) The constant changes in our lives bring a level of stress that can cause a variety of physical and emotional difficulties. Learning how to deal effectively with stress and change is one of the most important life lessons. Through Meditation Therapy for Stress and Change, you will learn how to relax, rejuvenate both mind and body, and to meet the inevitable challenges of everyday life with calmness. Combining the power of deep meditation practice with the insights of psychology, Meditation Therapy will help you enrich your life in lasting ways. Meditation Therapy for Stress and Change, is divided into four easy-to-use sections: Section One explains what causes stress and outlines practices and solutions that you can immediately apply in your everyday life. Section Two uses a guided visualization that allows you to experience the essence of stress-free problem solving. Section Three leads you to a place of profound inner stillness where you can easily and intuitively find solutions to stressful problems and situations. Section Four teaches you a variety of practical techniques that you can use throughout each day, or whenever challenging situations arise. Jyotish Novak is the author of the bestselling book, How to Meditate. He has been teaching meditation and personal development classes and workshops for over 30 years.

MBS 11-7-2007 (part 2)
MBS 11-7-2007 (part 2)

Unknown length - Jun 15, 2008

(continued from part 1) REFLEX INITIATION Anatomic level of epiglottis. Timing: Normal pharynx. PHASE: This patient showed - reflex: Normal - Reflex initiated at the back or base of tongue above the No hesitation; smooth and continuous motility from posterior tongue into PHARYNGEAL PHASE (Pharyngeal - Laryngeal, Cricopharyngeal): This patient showed limited laryngeal excursion; epiglottis may achieve horizontal position, but fails to invert fully; a laryngeal vestibule gap may be seen during the swallow (continuously or occasionally). THERE APPEARS TO BE SIGNIFICANT POSTERIOR MOVEMENT AND THE POSTERIOR ASPECT OF THE EPIGLOTTIS IS SEEN TO MAKE CONTACT WITH THE POSTERIOR PHARYNGEAL WALL WHILE REMAINING IN A PARTLY UPRIGHT POSITION. MBS report continued.. The patient has significant moments of anxiety, distress and difficulty breathing through the evaluation. She is also seen for 30 minutes post evaluation for further discussion of her difficulties. PROGNOSIS: For continued po is good with the patient using her strategies, however, I do not think the patient's goal for this evaluation was for just swallowing but also for some ability to improve her functional breathing and I find this difficult to assess. RECOMMENDATIONS: 1. Diet - As tolerated and continue use of her devices and maneuvers that makes the patient feel safe swallowing until an alternative is identified. Recommend referral for physical therapy for manual therapy and assessment of posture, neck contracture and possibly for biofeedback intervention. MRI of neck to assess for fibrotic changes in neck tissue which is not captured via soft tissue x-ray or CT. Consider neurology consultation for EMG studies to determine muscle function as patient senses she has some non-functional floor of mouth/neck muscles. Ideally, the patient might best be served in a setting where she could get a team approach from physical therapy, speech-language pathology to address the multiple challenges this case presents. It would be helpful if there was a possibility of biofeedback in some form. Some options might include Tufts-New England Medical Center or Mass General Hospital. I do not think the patient would tolerate a Fiberoptic Endoscopic Evaluation of Swallow at this point, but perhaps in the future.Another possibility may be a private practitioner on cape from Speech-Language Pathology Associates of Cape Cod, Dr. Suzanne Miller, 362-3314.Patient/Caregiver Education: Approximately 90 minutes was spent directly with the patient and all results were discussed. She had a friend also present the entire time. Complete recommendations were not made at that time as I told her I wished to give it more thought. Case was discussed also with Dr. Gour, in person. Patient has requested a copy of this evaluation and video and she was told it would be made available next week.Signed Electronically11/09/07 MARIA LATTA SPEECH-LANGUAGE PATHOLOGIST