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When a mandate impedes best practice.

It is the professional duty of physical therapists (PTs) to evaluate patients and clients and devise plans for their optimal plan of care by fully employing their knowledge, training, and skills. In some instances, however, their ability to do so may be blocked by those in positions of authority. Consider the following scenario.

Total Surprise

Jill is a physical therapist (PT) who has practiced in the home care setting for the past 5 years. She loves the independence, variety, and challenges, so, when she decides to relocate upstate to live closer to her family, she applies exclusively to home health care agencies.

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  1. Maniar RN, Baviskar JV, Singhi T, Rathi SS. To use or not use continuous passive motion post-total knee arthroplasty presenting functional assessment results in early recovery.J Arthroplasty. 2012;27:193-200.
  2. American Physical Therapy Association Center for Integrity in Practice. http://Integrity.apta.org/. Accessed December 18, 2014.

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