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Nicole Posnick, SPT
@NikkiP_DPT
Joined January 2016
53
Following
61
Followers
24
Posts
Nicole Posnick, SPT
@NikkiP_DPT
about 9 years ago
Bittersweet goodbyes with patients. Many have made real progress and I'm proud to have helped them on their journey.
#PTisthewaytobe
Nicole Posnick, SPT
@NikkiP_DPT
about 9 years ago
Managing patients w/ different personalities can be tough. Need practice to balance direction of session with patient concerns
#energydrain
Nicole Posnick, SPT
@NikkiP_DPT
over 9 years ago
Pt complaint of abdominal pain/pressure, TTP, & pulsating mass. F/u red flag questions. Family hx of aortic anuerysm x3. Yikes!
Nicole Posnick, SPT
@NikkiP_DPT
over 9 years ago
Patient education & managing expectations can be difficult discussions. Changes in phrasing/emphasis are useful at these times
#talkthetalk
Nicole Posnick, SPT
@NikkiP_DPT
over 9 years ago
Utilizing diaphragm stretch manual technique to improve shldr ROM. Seeing differences in 1 session is rewarding for patients and myself.
Nicole Posnick, SPT
@NikkiP_DPT
over 9 years ago
So busy chasing pt's symptoms I missed the source staring me in the face. Could have made a bigger impact 1st day
#confidencehit
#redherring
Nicole Posnick, SPT
@NikkiP_DPT
over 9 years ago
A dancer, dx with Br Ca, thought it was her last show ever. Told her benefits of PT pre/post mastectomy, & that it wasnt the end.
#GetPT1st
Nicole Posnick, SPT
@NikkiP_DPT
over 9 years ago
It's challenging for me to balance isolated & functional exercises (building a foundation & task specificity) & to know when to progress.
Nicole Posnick, SPT
@NikkiP_DPT
over 9 years ago
Shoulders, shoulders, everywhere & so many options to treat! Helpful to have so many interventions in my toolbox & adapt to each pt's needs.
Nicole Posnick, SPT
@NikkiP_DPT
over 9 years ago
Used movement analysis to find source of pt's impairment, ROM and motor control were the culprits. Helpful to put lecture into practice.
Nicole Posnick, SPT
@NikkiP_DPT
over 9 years ago
Sometimes QOL is all you can give your pt. Stage 4 Breast Ca w/ METS to liver & lung, cachexia, & malignant ascites. Just wants to breathe.
Nicole Posnick, SPT
@NikkiP_DPT
over 9 years ago
Pt w/ Breast Ca & METs to brain presents as hemiparsis. Treating focus on that but considering chemo, coordination, & co-morbidity effects.
Nicole Posnick, SPT
@NikkiP_DPT
about 10 years ago
β‘οΈ round. Putting it all together! Timeline & progression, signs and sxs, CNS v. PNS, UMN v. LMN, and CN dance.
#itsneuro
π€
#pt546wk13
Nicole Posnick, SPT
@NikkiP_DPT
about 10 years ago
Concussion sxs progress over days & present in many ways. But what if the head still feels in a daze?When in doubt SCAT it out!
#pt546wk11
Nicole Posnick, SPT
@NikkiP_DPT
about 10 years ago
Extra-cranial sxs, peripheral symptoms, and CNs 5-12 except 7. Sounds like meningioma.
#pt546wk12
#tumorsarelikeunicorns
...MAGICALβπ¦π
Nicole Posnick, SPT
@NikkiP_DPT
over 10 years ago
Classifying into secondary or primary HA eliminates half the work. π€ Look at pattern of symptoms &
#don
'tforgettoSNOOPPPP! π
#pt546wk9
Nicole Posnick, SPT
@NikkiP_DPT
over 10 years ago
Toe walking means more talking. So many conditions can present with this movement pattern, dig deeper to find more clues!
#pt546wk8
Nicole Posnick, SPT
@NikkiP_DPT
over 10 years ago
πΆ &πͺπΌ weakness, UMN signs, but recent π‘π. Sounds like MS, but could it be something else? Sometimes you can only π and βοΈ
#pt546wk7
Nicole Posnick, SPT
@NikkiP_DPT
over 10 years ago
Back to week 1, time course is key. Sx progression too fast...not PD. Correct sxs but too early...not PD. It seems atypical to me!
#PT546wk6
Nicole Posnick, SPT
@NikkiP_DPT
over 10 years ago
Central or peripheral pathology? When symptoms coincide, look into their eyes.
#PT546wk5
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