Reducing Co-Treating In Acute Care: Why It’s A Necessary Change

Show Notes

Today’s Guests:

Haley Bento PT, DPT, Assistant Professor (clinical), Department of Physical Therapy and Athletic Training, University of Utah

Haley.bento@utah.edu

IG/“The Gram”: @utahcardioPTresidency ; @utahacutePTresident; @itshaleyDPT

Bryan Douglas Lohse, PT, DPT, Board-Certified Cardiovascular and Pulmonary Clinical Specialist, Therapy Services Mechanical Circulatory Support Advanced Practice Specialist

bryan.lohse@utah.edu

Paul Arnold, MOT, OTR/L

paul.arnold@hsc.utah.edu

Links:

Bento, Haley; Fisk, Elizabeth; Johnson, Emma; Goudelock, Bruce; Hunter, Maxwell; Hoekstra,

Deborah; Noren, Christopher; Hatton, Nathan; Magel, John. Inspiratory Muscle Training While

Hospitalized With Acute COVID-19 Respiratory Failure: A Randomized Controlled Trial. Journal of

Acute Care Physical Therapy ():10.1097/JAT.0000000000000217, May 01, 2023. | DOI:

10.1097/JAT.0000000000000217

Bento, Haley A. DPT1; Mayer, Kirby P. DPT, PhD2 Active Mobilization for Patients Requiring

Continuous Renal Replacement Therapy: Let Us Get Moving, Critical Care Medicine: January 2021 –

Volume 49 – Issue 1 – p e117-e118 doi: 10.1097/CCM.0000000000004670

Bento, H. A., Dummer, D., Lohse, B. D., Noren, C., & Tonna, J. E. (2020). Walking While Dialyzing: A

Retrospective Observation of Early Mobility and Ambulation for Patients on Continuous Renal

Replacement Therapy. Critical Care Explorations, 2(6). https://doi.org/10.1097/cce.0000000000000131

Tonna, J. E., Johnson, J., Presson, A., Zhang, C., Noren, C., Lohse, B., Bento, H., Barton, R., Nirula,

R., Mone, M., Marcus, R. (2019). Short-Term Clinical and Quality Outcomes Have Inconsistent

Changes From a Quality Improvement Initiative to Increase Access to Physical Therapy in the

Cardiovascular and Surgical ICU. Critical Care Explorations, 1(10).

https://doi.org/10.1097/cce.0000000000000055

Johnson, J. K., Lohse, B., Bento, H. A., Noren, C. S., Marcus, R. L., & Tonna, J. E. (2019). Improving

Outcomes for Critically Ill Cardiovascular Patients Through Increased Physical Therapy Staffing.

Archives of Physical Medicine and Rehabilitation, 100(2), 270–277.

https://doi.org/10.1016/j.apmr.2018.07.437

Improving Outcomes for Critically Ill Cardiovascular Patients Through Increased Physical Therapy Staffing – https://pubmed.ncbi.nlm.nih.gov/30172645/

Walking While Dialyzing: A Retrospective Observation of Early Mobility and Ambulation for Patients on Continuous Renal Replacement Therapy – https://pubmed.ncbi.nlm.nih.gov/32695996/

Too Many Patients, Not Enough Time: Prioritization to Optimize Outcomes CSM handouts -https://cdn.ymaws.com/www.aptaacutecare.org/resource/resmgr/csm/csm_2019/handouts/updated-bento-haley-too-many.pdf

Health System Council Webinar – Collaboration Without Co-Treatment: Creating Discipline-Specific Acute Care Therapy Teams – https://learningcenter.apta.org/products/health-system-council-webinar-collaboration-without-co-treatment-creating-discipline-specific-acute-care-therapy-teams

Guest Quotes:

4:50 Haley “We often co treat with OT and we maybe don’t have a clear role of if that’s beneficial for our professions and our patients.”

8:01 Paul “But I think as occupational therapists, we maybe haven’t been doing a very good job marketing ourselves and what we can do. And by always walking through the door together, PT and OT, I think it kind of muddies our practices, and it reduces our ability to be more specific and more potent with our treatment sessions.”

14:36 Bryan “we all tell patients frequent, shorter bouts of activity and, and if. If I know that Paul is going to go focus on this, on whatever he’s doing with the patient, I’m going to titrate it so that maybe the patient just needs an hour between our sessions or three hours, maybe, but I can still do quality treatment that allows the patient to have full access and the time and energy to be able to work with Paul later. And then the patient’s getting a second session.”

30:57 Paul “I would just make sure it was clear to my best friend that I’ve been co treating with for a long time, that this isn’t a breakup…”

Rapid Responses:

Give me a book recommendation: Bryan “You can’t hurt me, David Goggins.”

What’s your most favorite scrub color to wear in acute care: Paul “Black. Very slimming.”

If you could recommend another person to come on this podcast, who would you recommend. Haley “Callie Dayton from Walking Home from the ICU podcast”

You know you work in Post-acute care when:

Bryan “When you go home in different scrubs than you came to work in”

Haley “When you know all the alarms of all the machines and you hear them even in your sleep.”

Paul “When you had to buy shoes in the middle of work.”

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu