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echo: grand_rounds
to: ALL
from: CHRIS JONES
date: 1997-01-15 06:55:00
subject: Moist Heat Treatments

I work as an assistant in a clinic at a day program for mentally
handicapped individuals.  Part of my work involves passive range of
motion exercises that have been written into a plan by my supervising
nurse or a physical therapist.
About six years ago, our then pt, prescribed moist heat treatments for
patients with poor circulation, tight muscles, and flexion contractures.
We had fairly good results with this modality and during the six years
only had one burn injury out of about a half dozen patiens who recieved
moist heat 3 - 5 times a week.
Yesterday our supervising nurse announced that the new pt had decided to
D/C all moist heat treats as being ineffective and possibly dangerous.
Even massage therapy has been questioned for people with poor
circulation.
Somehow, it flys in the face of logic to D/C a proven treatment
(subjectively) of six years across the board without ever examining the
individual patient.
However, if I am to continue moist heat I'll need to have some pretty
convincing evidence in favor of it.
Any help I can get will be greatfully appreciated.
BTW -- How can two PTs be so diametrically opposed in their thinking?
==== Chris ====
---
 * TLX v3.30 * Stupidity is no excuse for not thinking
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