#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.
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#OTalk @OTalk_ RT @physiotalk: | |
Robert Avery @Hamraider RT @physiotalk: | |
#OTalk @OTalk_ We are ready for tonight’s joint #PhysioTalk are you? #OTalk #OTalkBirthday | |
#OTalk @OTalk_ RT @physiotalk: | |
Janet Thomas @JanetThomas47 On the @physiotalk account tonight from Edinburgh. Fairly obviously - I'm a physio! #physiotalk | |
#OTalk @OTalk_ RT @physiotalk: | |
#OTalk @OTalk_ Hello #PhysioTalk it’s a pleasure to be with you, tonight. On the account tonight @OT_rach I’m a clinical lead OT in a mental health trust, I have some experience of working alongside physios but perhaps not as much as my acute trust and social services colleagues. | |
Robert Avery @Hamraider RT @physiotalk: | |
Holleigh Bryan 💚🏴 @HolleighLouise @physiotalk Hi I’m Holleigh. Occupational Therapist in Palliative care #physiotalk | |
York St John Physio @YSJPhysio RT @physiotalk: | |
#OTalk @OTalk_ Don’t forget that # and tonight remember we are using #PhysioTalk | |
Qifayah @_caphie @physiotalk Hello, I'm tweeting from Nigeria and I'm a physiotherapist in training #physiotalk | |
ÀKÀNKÉ🤸🏼 @Titilope__xo RT @physiotalk: | |
Joe Middleton @_JoeMiddleton RT @physiotalk: | |
#OTalk @OTalk_ Don’t forget the hashtag in all your tweets #physiotalk | |
#OTalk @OTalk_ RT @physiotalk: | |
Chloe Dickson @chloedickson_ @physiotalk Hey I’m Chloe, children and young people Occupational Therapist from Scotland #physiotalk #ottalk | |
#OTalk @OTalk_ RT @physiotalk: | |
Joe Middleton @_JoeMiddleton RT @physiotalk: | |
#OTalk @OTalk_ RT @DrCConnell: | |
Abdullah⚕️ @Abdoullwah @physiotalk #physiotalk | |
Rhona Burch @BurchRhona @physiotalk Hi I’m Rhona, I’m a physiotherapist in acute medicine in Paisley, near Glasgow #physiotalk | |
Holleigh Bryan 💚🏴 @HolleighLouise @physiotalk My service has newly set this up in the last two weeks, so far I’m loving it, but it’s still very much new to us all! #physiotalk | |
#OTalk @OTalk_ Question 1 #physiotalk | |
Joe Middleton @_JoeMiddleton @physiotalk Challenges and opportunities, probably in equal measure!!! #physiotalk | |
#OTalk @OTalk_ RT @physiotalk: | |
#OTalk @OTalk_ RT @IanTyrrell5: | |
Stella Krain @krain_stella @physiotalk Hi, I'm Stella Krain OT and joint team leader with my PT colleague Nicky of CHAT (Community Hospital Admissions Avoidance Team). We are based in Rotherham ED/ AMU/Community Our team consists of OT'S, PT's and TSW'S all working generically. #physiotalk | |
Abdullah⚕️ @Abdoullwah @physiotalk My experience was superb! I was opportuned to work with an OT for a year, and since then I love it seeing a patient with an OT beside for his input #physiotalk | |
Rhona Burch @BurchRhona @physiotalk I started as a new band 6 in 5 years ago in a medical team that was newly attempting to integrate. Lots of teething problems & anxiety around losing professional identities initially but now I can’t imagine things ever going back! So much more progressive & effective #physiotalk | |
Barbara Ann Smith @Babsyslapsy RT @physiotalk: | |
#OTalk @OTalk_ @physiotalk From my experience of 15 years of working in acute mental health and rehab services, rarely are cross over of roles but, more a referral to physio for advice and help! #physiotalk | |
Sophie Cresswell @93SophieC @physiotalk My first experience of a crossover role was in an inpatient developmental paediatric placement- an excellent opportunity to gain knowledge of development and anatomy #physiotalk | |
Charlotte Betteridge @CharlOTte_Paeds @physiotalk Cross covering roles are essential for smaller teams & I believe it helps mould you into a solid team , preventing breakdown in care when professions are short-staffed! It also opens up a world of opportunities to learn from each other #PhysioTalk | |
#OTalk @OTalk_ Don’t forget the hashtag #physiotalk | |
Qifayah @_caphie @physiotalk My University is the only one training Occupational therapist at Bachelor's level in Nigeria. I've sat in the same class with OTs for 5 years. We co-manage patients and I think we achieve that quite well #physiotalk | |
Dr Michelle Bull 💙 @MichelleBull4 @physiotalk Physio working as project manager for a Macmillan living with cancer project - about to move over to an integrated care community based programme in 10 days #physiotalk | |
Rhona Burch @BurchRhona @tcookot @physiotalk That’s very similar to how our integration started. We realised as we started to learn to work together how much more fluid and hollistic our assessments could be if we took advantage of each other’s expertise and where the roles blurred! #physiotalk | |
#OTalk @OTalk_ RT @physiotalk: | |
Mark Rushton @markrushton3 RT @PetrusduPlessis: Love how the physio used his third hand to secure the head tape! 😘 Only in Rugby! 😆😆 #SAvsJapan #RWC2019 #physiotalk https://t.co/7jecfcdhKi | |
Dr Michelle Bull 💙 @MichelleBull4 RT @tcookot: | |
Rhona Burch @BurchRhona @jessgarveyOT @physiotalk Definitely. Sometimes we have to take a step back and reaffirm those professional lines but the increase to efficiency, communication and effectiveness of intervention with some crossover seems to be well worth the challenges #physiotalk | |
Dr Michelle Bull 💙 @MichelleBull4 @jaa_adams @physiofrancesca @xmandyx11 some interesting examples of different ways of working on tonight's #physiotalk | |
Joe Middleton @_JoeMiddleton RT @physiotalk: | |
#OTalk @OTalk_ RT @physiotalk: | |
#OTalk @OTalk_ RT @mandeltjies: | |
Holleigh Bryan 💚🏴 @HolleighLouise @physiotalk Initially when this started in our service, I had quite a few concerns and even started feeling territorial, which surprised me that I felt this way. But I feel a lot more open to it now we’ve trialled it more #physiotalk | |
#OTalk @OTalk_ What particular things were you being territorial about? #physiotalk | |
Rhona Burch @BurchRhona @physiotalk I would concur that areas where PT input is primarily/almost solely respiratory/chest PT in nature OTs may have less of a role there such as ITU/ICU but as these patients progress to other wards the goals become more functional & their input is vital #physiotalk | |
Joe Middleton @_JoeMiddleton @physiotalk Surely joint working occurs everywhere that occupational therapists and physiotherapists co-exist? However, cross-boundary working might not. #physiotalk | |
#OTalk @OTalk_ Question 3 #physiotalk | |
Stella Krain @krain_stella @physiotalk Working generically in a community therapy team and also in ED / AMU has made us a strong team. We have increased skills, our assessments are more thorough and we share knowledge. However we also know when we need ask for an OT or PT specific detailed assessment. #physiotalk | |
Scott Buxton @ScottBuxton_1 @physiotalk I do welcome expansion as long as it's like a Venn diagram where there is central commonality but wider expertise and skill specific to profession. #physiotalk | |
#OTalk @OTalk_ What do others think? #physiotalk | |
#OTalk @OTalk_ RT @CarolineStrath: | |
Joe Middleton @_JoeMiddleton Physiotherapists and Occupational Therapists occupy the same therapeutic ecosystem, but are trained very differently. Understanding that is an important first step. (Although I still don't understand all these models of practice and assessment within OT) #physiotalk | |
Joe Middleton @_JoeMiddleton RT @physiotalk: | |
Holleigh Bryan 💚🏴 @HolleighLouise @physiotalk Continuity of care, less energy expenditure and duplication for fatigued patients, better time efficiency for staff, up skilled staff, reduced delays, discharge planning continuing even during staff absence/sickness, the benefits are endless #physiotalk | |
Joe Middleton @_JoeMiddleton Is lack of staff a driver? I'm sure we'd all like to say no, but... #physiotalk | |
Rhona Burch @BurchRhona @HolleighLouise @physiotalk I think this is very common. It’s what both professions felt strongly at the start of our service integration but it’s the ‘norm’ now & to work in isolation without consideration of each others goals and roles with patients seems alien and less holistic now! #physiotalk | |
Joe Middleton @_JoeMiddleton RT @ScottBuxton_1: @physiotalk I do welcome expansion as long as it's like a Venn diagram where there is central commonality but wider expertise and skill specific to profession. #physiotalk | |
amanda deaves @ADeaves @mandeltjies @physiotalk #physiotalk Whilst I agree with your first comments. The aims and objectives should be the patients / client / service users not the professionals to ensure that their needs are met. | |
#OTalk @OTalk_ What do you mean by poor staffing? Inability to fill rules? Incompetent staff? Lack of funding? #PhysioTalk | |
Scott Buxton @ScottBuxton_1 @physiotalk Absolutely musing! I think the non negotiables would vary depending on clinical context. I think it's important to remember the significance of scope and role of competencies. #physiotalk | |
Rhona Burch @BurchRhona @chelseadagger21 @physiotalk I definitely agree. Nearly 6 years on I don’t think we could ever make a convincing case to go back to the ‘old way’. Practice & the way we deliver it needs to & should be constantly evolving & moving forward...even if it can be scary! #physiotalk | |
Joe Middleton @_JoeMiddleton If a physiotherapist is compentent in traditional OT skills, are they an 'extended scope practitioner'? (and vice versa) #physiotalk | |
Stella Krain @krain_stella @OTalk_ Our OT'S and PT'S carry out the sane assessment, using exactly the same basic paperwork. There are "add-on" assessments that are OT and PT specific if necessary. We definitely cross the boundaries. #physiotalk | |
#OTalk @OTalk_ The same therapeutic ecosystem? Can you elaborate on this? #PhysioTalk | |
Holleigh Bryan 💚🏴 @HolleighLouise @BurchRhona @physiotalk I’m not too sure what was really driving the territorial-ness. I think it might have been because I started in palliative care for the first time two weeks prior to the integration, so I was already feeling a little lacking so I started to feel a little useless #physiotalk | |
Qifayah @_caphie @physiotalk #physiotalk | |
laura jenions @mrsbungy @physiotalk I would disagree with the comments about ICU. There is an increasing focus on rehab and chests are no longer treated in isolation. Therefore increasing opportunities for joint working. Also joint working needed to manage delirium within crit care #physiotalk | |
Joe Middleton @_JoeMiddleton @OTalk_ We share a holistic, broad approach to the care of our patients and are often found working in the same settings, often with the same ultimate purpose and/or function. #physiotalk | |
Rhona Burch @BurchRhona @HolleighLouise @physiotalk I love your comment on less duplication for fatigued patients. We tend to think about the less duplication in reference to us professional & the service- such a valid and true point that it benefits these patients massively too! #physiotalk | |
Joe Middleton @_JoeMiddleton RT @physiotalk: | |
Chloe Dickson @chloedickson_ @physiotalk Reduced duplication of work and more patient centred care. #physiotalk #ottalk | |
Scott Buxton @ScottBuxton_1 @DrCConnell @OTalk_ I was just thinking about this too. Integration isn't just about commonality of role/being clinically identical. I do worry that sometimes people think integration is a one dimensional thing. #physiotalk #ottalk | |
#OTalk @OTalk_ What do you mean by traditional OT skills? Is the skill not to complete an occupational based assessment? Can this be done by another profession? ( i’m just playing devil‘s advocate) #PhysioTalk | |
Stella Krain @krain_stella @clbowdler @physiotalk Yes it is a much more efficient use of staff if they can do one joint assessment. It enables a quick response rather than waiting for an OT and then a PT to assess separately. #physiotalk | |
Rhona Burch @BurchRhona @physiotalk @CR_MCSP @physiotalk - sorry! First # I’ve missed 😂 #physiotalk | |
Holleigh Bryan 💚🏴 @HolleighLouise @BurchRhona @physiotalk I think it’s so important, in palliative care, we often talk to our patients about fatigue management, but we should practice what we preach and allow them to pace and prioritise! #physiotalk | |
Joe Middleton @_JoeMiddleton @OTalk_ I mean, sure, if you want to compile the breadth of knowledge and skills held by the OT profession into a single skill ;) As other tweets have mentioned, I would consider a cognitive assessment (within an occupational context) to be an OT specific skill. #physiotalk | |
#OTalk @OTalk_ I’ve not worked in a physical health setting since being a student. But the same assessment? Are PTs and OT’s not looking for different things? And do you occupational therapist not use standardised occupational therapy assessment, like #MOHO #VDTmoca or others? #physiotalk | |
College of Physical Therapists of BC @PTCollegeBC #physiotalk drivers include increasing complex health system so impt to understand roles and do what is needed for patients. Also health human resource management-not enough PTs/OTs | |
#OTalk @OTalk_ RT @DrCConnell: | |
Holleigh Bryan 💚🏴 @HolleighLouise @tcookot @EricaMoo @Georgia_Physio @physiotalk What do your generic competencies involve? We’re trying to establish some generic competencies in our service #physiotalk | |
Rhona Burch @BurchRhona @jessgarveyOT @physiotalk @EricaMoo @krain_stella @GauldKirsten Definitely, we make use of the areas where our roles blur but there are still tasks that ‘belong’ to that profession & rightly so: chest PT, kitchen Ax, cognitive Ax, neuro gait re-ed/facilitation, treatment of MSK specific injuries to name but a few #physiotalk | |
#OTalk @OTalk_ Thanks I understand your point now! #physiotalk | |
Scott Buxton @ScottBuxton_1 @physiotalk @DrCConnell @OTalk_ I worry about this a lot. For me this is one of the problems when using words like generic when discussion integration. Integration is a lot more than being the same and I worry others don't always think about this. #physiotalk #otalk | |
Holleigh Bryan 💚🏴 @HolleighLouise @physiotalk I think perhaps the biggest barrier I’ve come across is people’s fear of change and negative thoughts about it all #physiotalk | |
Joe Middleton @_JoeMiddleton Oh! AN opportunity to plug the @sam_ahp therapy compencies for acute medicine! https://t.co/QRDqCS9SE3 #physiotalk | |
Stella Krain @krain_stella @physiotalk @EricaMoo PT = respiratory or MSK specific. OT = complicated moving and handling / equipment assessment, cognitive assessment for example. #physiotalk | |
#OTalk @OTalk_ @_JoeMiddleton So do you have any questions about occupational therapy models I might be able to help you learn more. #PhysioTalk | |
Janet Thomas @JanetThomas47 @BexTownley @physiotalk Well it was an @LaterLifeTrain tweet that sparked this chat idea :) #physiotalk | |
Rhona Burch @BurchRhona @krain_stella @OTalk_ This resonates with what I remember to be our ‘old way’ of working! Paperwork was colour coded but essentially pages of the same information and duplicated assessments for a lot of interventions #physiotalk | |
#OTalk @OTalk_ RT @ScottBuxton_1: @physiotalk @DrCConnell @OTalk_ I worry about this a lot. For me this is one of the problems when using words like generic when discussion integration. Integration is a lot more than being the same and I worry others don't always think about this. #physiotalk #otalk | |
Sophie Austin @_SophAustin @physiotalk Reluctance from staff to lose identity or share responsibilities, this hinders any progress and development to push forward #physiotalk | |
Holleigh Bryan 💚🏴 @HolleighLouise #physiotalk are there any good resources you recommend for an OT wanting to learn more about the physio side of things? | |
Fiona Skelton @skelton_fiona @physiotalk #physiotalk | |
Qifayah @_caphie @physiotalk competence comes with experience and continuous learning which might not be easily accessible. OT graduates m in my university have to travel to another country for further studies. Also, limitation in number of hospitals with active OT department can hurt #physiotalk | |
#OTalk @OTalk_ Within mental health settings occupational therapists use standardised occupational therapy assessments, I get the feeling this is not as commonplace in a physical health setting? Thoughts and experiences? #PhysioTalk | |
Joe Middleton @_JoeMiddleton @OTalk_ What, How and Why? Like, what are they? How do they work? Why do the exist? Do any other healthcare professions use such defined models? (I'm seeming to recall that mental health practitioners do?) #physiotalk | |
Joe Middleton @_JoeMiddleton RT @OTalk_: Within mental health settings occupational therapists use standardised occupational therapy assessments, I get the feeling this is not as commonplace in a physical health setting? Thoughts and experiences? #PhysioTalk | |
Rhona Burch @BurchRhona @tcookot @physiotalk @EricaMoo @Georgia_Physio As @jessgarveyOT highlighted in another response it’s something we try to be very mindful of with both professions’ rotational staff. We have an integrated working workshop to firm those boundaries & encourage junior staff to remain ‘true to their profession & scope’ #physiotalk | |
Mary Rose Mulry @MulryMary #otalk #physiotalk | |
Joe Middleton @_JoeMiddleton RT @physiotalk: | |
deb_OT @dmay_ot We don't! We're in paeds and standard assessments are useful if you're looking for diagnosis but we mostly fall back on goal setting (what do you want to do) , activity analysis (what's stopping you from doing it) then intervention to over come those barriers. #physiotalk | |
Holleigh Bryan 💚🏴 @HolleighLouise @BurchRhona @tcookot @physiotalk @EricaMoo @Georgia_Physio @jessgarveyOT Very good point. I’m rotational, and when I initially started in this integrated role, I started to worry that I wouldn’t get the OT skills I wanted out of this new rotation, but as the integration has happened my worries have dissipated somewhat #physiotalk #nearlyputotalk | |
#OTalk @OTalk_ @_JoeMiddleton @VdTMoCAFUK Why - because occupational therapy is a complex intervention. Understanding the impact on occupations, depends on many factors, these models allow us to work out a persons occupational performance abilities (functioning) using standardised tests and assessments. #PhysioTalk | |
Joe Middleton @_JoeMiddleton @physiotalk Competencies and training are the easy bits! Embedding the new way of working and getting through all the bumps in the road, now that it is tough bit #physiotalk | |
Chloe Dickson @chloedickson_ @physiotalk I think this could maybe cause difficulty for patients in defining what therapist is doing what role and what the purpose of that intervention is. #ottalk #physiotalk | |
#OTalk @OTalk_ @_JoeMiddleton @VdTMoCAFUK Many other professionals would have standardised assessments, psychologists have many #PhysioTalk | |
Joe Middleton @_JoeMiddleton RT @physiotalk: | |
Stella Krain @krain_stella @seethio @physiotalk Yes we also work closely with Frailty in ED/AMU. We have a daily MDT with Frailty and social work. Team working is so important as well as the generic OT/ PT role. #physiotalk | |
Sophie McAuliffe @SophieMcPhysio @physiotalk Sophie here physio student tweeting from Edinburgh #physiotalk | |
#OTalk @OTalk_ Don’t forget those hashtags people. Otherwise others won’t see what you’ve said #PhysioTalk | |
Janet Thomas @JanetThomas47 @ChloeDicksonOT @physiotalk Just another musing Do you think this difficulty is increased if we are wearing the same uniform? In Scotland we wear same colour and only defined by small embroidered name. #physiotalk | |
Barbara Ann Smith @Babsyslapsy @physiotalk Our service initially had a minor crossover between Phyio, OT and Nursing. We all carried our pre rehab assessment ISWT/6MWT, spirometry and PR education@. #physiotalk | |
Holleigh Bryan 💚🏴 @HolleighLouise @ChloeDicksonOT @physiotalk This is something I’ve worried about, esp as OT is a profession people don’t always understand and we work hard to promote our profession and get our roles known among the gen public, but this may be confusing things slightly #physiotalk | |
#OTalk @OTalk_ RT @Kirstie_OT: |
#PhysioTalk content from Twitter.