Home health physical therapy assistant

Deborah C. Escalante

Home health physical therapy encompasses a wide range of services that PTs and PTAs provide in the home.

If you practice physical therapy in a home setting, we have resources to support you.

The APTA Home Health Section is specifically dedicated to those who share a common interest in the delivery of physical therapy in the home and other alternative settings within the community.

Home health care can be cost-efficient, convenient, and as effective as the care patients get in a hospital or skilled nursing facility. Home health PTs and PTAs work one-on-one with patients in their own environment, making services completely relevant to the patient’s needs and goals.

What Is a Home Health Physical Therapist Assistant and How to Become One

What Does a Home Health Physical Therapist Assistant Do?

A home health physical therapist assistant (PTA) visits patients at their homes to perform a variety of duties as directed by a physical therapist (PT). As an assistant, you provide direct aid to your patients, such as observing them before, during, and after sessions, providing them with a variety of activities designed to improve their body, taking notes about their progress, and reporting patient progress to the physical therapist. Sometimes the PTA works directly with the PT, while at other times you work independently, only reporting to the therapist when you return to the office. You do not prescribe medicine.

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How Can I Become a Home Health Physical Therapist Assistant?

To become a home health physical therapist assistant (PTA), you need to have a number of qualifications, including a degree and certification. All states in the US require PTAs to have an associate’s degree. A PTA degree program should include classroom instruction and practical training. After graduating, you need to pass the Federation of State Boards of Physical Therapy exam. Depending on your employer, you may need to pass a background check as well. An internship during your education can greatly improve your job prospects.

Are Home Health Physical Therapist Assistants in Demand?

There is very strong demand for physical therapist assistants (PTA) in the current economy. According to the Bureau of Labor Statistics, work for PTAs is projected to grow by 31% in the next decade. This demand is due to the aging population in need of physical therapy solutions for a variety of issues, such as diabetes, obesity, and general mobility issues. Growth is projected to be especially strong for PTAs who work at home health facilities or who can travel to a patient’s home or long-term care facility to provide their services.

What Skills Do I Need to Be a Successful Home Health Physical Therapist Assistant?

Important skills for a home health physical therapist assistant (PTA) include patience, empathy, and a willingness to travel. You should have reliable transportation and a good driving record, as your responsibilities revolve entirely around travel. Flexibility is also an important aspect of the job, as you may be traveling at non-traditional working hours in order to accommodate your patients’ schedules. Rehab can take many months, and you should have good interpersonal skills and verbal communication so that you can connect with your patients and make them feel comfortable as you work with them.

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The Home Health Physical Therapist and Physical Therapist Assistant

Many home health physical therapists and physical therapist assistants find it rewarding to help people reclaim their lives and their routines in the places where they live. If you ask a home health PT or PTA, he or she will probably tell you that it can be difficult in the clinic to identify the functional goals and outcomes that will best ensure improvement in the patient’s quality of life. However, when a physical therapist or physical therapist assistant is in the home of someone with a physical impairment, he or she can see right away the kinds of goals that need to be accomplished.  

 

PTs and PTAs who choose to practice in home health often describe themselves as having a greater sense of autonomy, uninterrupted one-on-one time with patients, and deep appreciation from patients and their families.

 

A patient’s first visit by a home health PT will include an evaluation. He or she will perform an examination to identify current and potential problems. Based on the results of the examination, and considering specific goals, the physical therapist will design a plan of care to include specific interventions and will propose a timetable to achieve these goals and optimize function. The physical therapist will likely provide the patient with instructions to perform exercises to facilitate recovery.

 

A Closer Look at Home Health Physical Therapy

Home health care is the provision of skilled therapy services in the patient’s place of residence. While the majority of patients are senior citizens, there also are pediatric patients with developmental disabilities and other conditions, and individuals of all ages in between who need rehabilitation because of injury or other causes. Home care may actually be provided in the patient’s residence, the caregiver’s home, a hospital emergency room, skilled nursing facility, residential facility, group home, hospice, or elsewhere in the community.

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The following are health conditions commonly seen in home health: 

  • Total joint replacements

  • Fractures

  • CVA

  • Progressive neurological conditions

  • Fall risk

  • Dementia

  • Chronic pain

  • Incontinence

  • Wounds

  • COPD

  • Heart Failure

Skills used by a physical therapist in home health include: 

  • Gait training

  • Transfer training

  • Home exercise program development

  • Home exit management

  • Fall prevention

  • Progressive resistive exercises

  • Pain management

  • Incontinence treatment

  • Wound care

  • Neuropathy treatment

This is also known as home care physical therapist. They provide therapy services meant for treatment plans in a residential setup. Employers need you to provide rehabilitation services in the confines of a home. This sort of physical therapy (PT) is usually reserved for patients who can’t leave their houses due to the risk associated with leaving their houses. You are expected to review the patient’s medical histories.

In addition, you are to outline goals clearly for patients and outline the expected outcomes of such a plan. You must learn to use exercises to manage a patient’s pain and increase mobility. Apart from this, you are also responsible for recording the progress of the patient and changing the plan of care if need be. Most importantly, you are to educate both the patient and family members about the recovery process.

Becoming a home health physical therapist requires several education qualifications. More importantly, you must major in physical therapy and bag a bachelor’s degree. Apart from educational qualifications, you must be a compassionate person with the ability to show genuine kindness to people. You must also be detailed-oriented as you have to be extremely observant. The average annual pay in the US is $113,426.

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