As a Physical Therapist with over 20 years expertise in most healthcare areas, Jay Berger has had extensive experience with most chronic diagnoses. She deals primarily with clients with chronic illnesses, and they have taught her a great deal about the personal side of illness. Jay’s technique is holistic, eclectic, and empathetic. Years of experience dealing with those with chronic illness has taught her many invaluable tools and strategies that she uses in her treatments. 

➡️ visit http://rehabsmarter.com/

https://www.facebook.com/rehabsmarter/

Summary of Part 1

·      Personal and professional insights, adoption and family challenges

·      Values coming from giving

·      Treating the person vs. the diagnoses - Patient stories of strength

·      Adapting to the challenge: telehealth and COVID19

·      The new age of telemedicine

·      Showing clinicians the opportunities through telehealth

MORE FROM JAY

• A brief listed summary of what you want people to know:
• There are clinicians who will work hard and fight for you.
• Simple strategies to consider when you flare up.
• How telemedicine is ideal for this population. It has demonstrated success in multiple studies and clients find they enjoy the platform.
• “if you were doing it before COVID (and it was working) you should be doing it during COVID”

·      What does telemedicine look like now vs before COVID19?

o  There is more willingness to try a new platform, and more people utilizing it than ever before.

o  Medicare and other insurance companies are recognizing the benefit, reimbursing and loosening their reins, hopefully soon to let therapy perform telehealth visits.

·      What can it be used for that often goes overlooked or unknown? Predictions about future?

o  75% of office visits were deemed appropriate for telehealth.

o  It reduces the effort/energy and risks involved going into an office.

o  It is often more personalized and intense than an office visit, allowing you to get more done in less time.

o  There are clinical specialists online that may not be local and available.

o  It improves the opportunity to communicate with your clinician between sessions.

o  Daily, there are more clinical tools being made available that will work on this platform, including electronic stethoscopes.

·      What are important ways to use this time for our physical and mental well-being?

o  Continue to take time each day for physical activity of any sort. Try to limit your viewing of current events to 1-2x daily max. Take 10 min each day to sit in a quiet area, and focus on your breathing, shutting out the outside world to center yourself. If you find yourself getting anxious, use this method or one where you hold a object like crumpled paper in your hand and focus for 10 min on your breathing and what the object’s characteristics (how it feels, smells, sounds like, etc.)

·      What are strategies that can be taught online to improve quality of life?

o  Stretching exercises esp. to chest wall coordinated with breathing

o  Breathing exercises to strengthen the lungs- using straws, tissue on table, pinwheel, bubbles, books, etc.-with focus on diaphragmatic and pursed lip breathing.

o  Strengthening exercises for your upper and lower limbs using your body weight, tinned cans, water jugs

o  Energy conservation strategies and work simplification

·      Can you share with us some specific examples and tell us about how they work?

o  Stretching your chest wall by standing in a corner and placing a forearm on each wall at shoulder height, lean into it and hold for 5 secs, return. Do 5 stretches twice daily.

o  Reaching overhead and back as far as you can, then to each side to lengthen the trunk. Hold each for 5 sec. Do 5 stretches twice daily.

o  Strengthening your legs and buttocks standing at the sink, holding on, and performing shallow squats with emphasis on moving slowly and keeping good form-keeping shoulder over hips. Strive to do 10-12 reps twice, three times a week.

o  Strengthening the shoulders by holding a 16oz can (or water jug filled so you can perform 8-10 reps with some difficulty) in your hand and slowing raising your arm up to the front, side, and backwards in a horizontal line to your chest keeping elbow straight. Bring down slowly using a count of 4. Strive to do 10-12 reps twice, three times a week.

o  Strengthening front of legs -Holding onto sink and with one foot forward, lunging towards to front foot and back keeping shoulder over hips. Alternately, holding onto a stair rail, placing one foot up on first step, and trying to slowly lift other leg up in the air and down, repeating 10-12x, twice three x a week.

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