#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Joe Middleton @_JoeMiddleton RT @physiotalk: |
 | Janet Thomas @JanetThomas47 I'm on the Physiotalk account tonight - fresh from a great weekend at #agile19belfast #physiotalk |
 | Physio Companion @PhysioCompanion @physiotalk Iowa, USA!! #PhysioTalk https://t.co/KLuYHyep07 |
 | kate bennett @kategahr_kate @physiotalk #physiotalk |
 | Anthony Gilbert @awgilbert11 @physiotalk Lurking from Minnesota #physiotalk |
| kate bennett @kategahr_kate @awgilbert11 @physiotalk Alright don't rub it in 😂😂😂 #physiotalk |
| Joe Middleton @_JoeMiddleton RT @physiotalk: |
| kate bennett @kategahr_kate @physiotalk #physiotalk an access point to healthcare so for e.g. ED. |
| Joe Middleton @_JoeMiddleton @physiotalk A service that operates at the front-door* *the entry point for accessing urgent/emergency care in a secondary care hospital #physiotalk |
| kate bennett @kategahr_kate @physiotalk Joe has elaborated and answered far more eloquently than my befuddled brain could articulate! So what he says....#physiotalk |
| Physio Companion @PhysioCompanion @physiotalk Home Health Physical Therapy! Reaching people that have difficulty getting out of the house, making access to health care difficult. Bringing the health care to them! #PhysicalTherapy #DPT #PT #Physiotalk #DPTstudent #PTstudent #freshgrad |
| kate bennett @kategahr_kate @_JoeMiddleton @physiotalk #physiotalk this...... |
| Joe Middleton @_JoeMiddleton @physiotalk Typically, it includes the ED/A&E, the AMU (or similar direct access unit), and Ambulatory Urgent/Emergency Care. #physiotalk |
 | Dr Michelle Bull 💙 @MichelleBull4 @physiotalk Belated hello from Surrey #physiotalk |
 | Anna Harding @annawspud @physiotalk I would agree that this is the front door to the hospital not the front door to healthcare. #physiotalk |
| kate bennett @kategahr_kate @PhysioCompanion @physiotalk See I would call this community physio #physiotalk but happy to be corrected |
 | KB @KBNeuroinfo Sorry late.. hi from South Wales #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk @cathhoppo Typically, a 'discharge' ward or speciality ward/base ward would be referred to the 'back door'. The two are intrinsically linked. The front-door can't funtion without an effective back door. #physiotalk |
| KB @KBNeuroinfo RT @_JoeMiddleton: @physiotalk @cathhoppo Typically, a 'discharge' ward or speciality ward/base ward would be referred to the 'back door'. The two are intrinsically linked. The front-door can't funtion without an effective back door. #physiotalk |
| Physio Companion @PhysioCompanion @kategahr_kate @physiotalk I would agree. We were thinking of the question/"front door" in more of a literal sense. A person's front door rather than an Emergency Department. Lost in translation! #Physiotalk |
| Joe Middleton @_JoeMiddleton @PhysioCompanion @kategahr_kate @physiotalk Do you have acute care or community care physical therapists working in Emergency Departments in the USA? #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk You can say that again! #physiotalk |
| Physio Companion @PhysioCompanion @theLDphysio @physiotalk We had similar thoughts of something like Home Health Physical Therapy. #Physiotalk https://t.co/lwwE6oR1u4 |
| Joe Middleton @_JoeMiddleton RT @physiotalk: |
| kate bennett @kategahr_kate @physiotalk I'm still struggling with ED not A and E #physiotalk |
| KB @KBNeuroinfo @physiotalk Strong trusted relationships between ED and assessment unit teams to identify patients either for turnaround or early intervention #physiotalk |
| Physio Companion @PhysioCompanion @_JoeMiddleton @kategahr_kate @physiotalk Not really. There has been talk about it, but it is not really common practice. We do have heavy impact in Acute Care and discharge planning, but not so much immediately in the ED. See APTA's stance here: https://t.co/6ANTxZaiE3 #PhysioTalk |
| kate bennett @kategahr_kate @physiotalk 🤣🤣🤣 #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk Generally, services will be on one spectrum with strict referral critera at one end, and no criteria at the other; and oanother spectrum with referrals at one end and pro-active case finding at the other. #physiotalk |
| Joe Middleton @_JoeMiddleton RT @PhysioCompanion: @_JoeMiddleton @kategahr_kate @physiotalk Not really. There has been talk about it, but it is not really common practice. We do have heavy impact in Acute Care and discharge planning, but not so much immediately in the ED. See APTA's stance here: https://t.co/6ANTxZaiE3 #PhysioTalk |
 | C Harris, PhD @CHarrisPhysio @PhysioCompanion @kategahr_kate @physiotalk Potentially, what you’re describing could be classed as Ambulatory Care / Hospital at Home, if it is being provided as a replacement to inpatient admission, and could therefore be one of the referral options from the ‘hospital front door’ as well #physiotalk |
| KB @KBNeuroinfo @physiotalk Including but not exclusively acute deterioration affecting function, falls, frailty, fracture #physiotalk |
| Physio Companion @PhysioCompanion @_JoeMiddleton @kategahr_kate @physiotalk Any good research out there supporting PT's in the ED and their effect on outcomes out there? #Physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk The ideal would be for every patient coming through the door to have the ability access to physiotherapy from the time of arrival. However, this is not practical within current workforce and financial constraints (plus, is 24/7 service needed?) #physiotalk |
| Joe Middleton @_JoeMiddleton RT @PhysioCompanion: @_JoeMiddleton @kategahr_kate @physiotalk Any good research out there supporting PT's in the ED and their effect on outcomes out there? #Physiotalk |
 | RUH-AlliedHealthProfessionals💙 @PTOTSLTDietAHPs RT @KBNeuroinfo: @physiotalk Strong trusted relationships between ED and assessment unit teams to identify patients either for turnaround or early intervention #physiotalk |
| Janet Thomas @JanetThomas47 @Laurawalk1986 @annawspud @physiotalk I'm sure you know of @nhsfife work - had a team for a while https://t.co/3nlWN9vrvh #physiotalk |
| kate bennett @kategahr_kate @_JoeMiddleton @physiotalk This is the pathway I set up at Salisbury in 2013. It was in patient therapists assessing from the elderly rehab ward. We had a bleep and covered ED mon - Fri 8.30 - 4.30 and mornings at the weekends. If or close to 4hr target we would prioritise. #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk Some services are specifically targeted at people living w/ frailty, as a means to address the inequity that these people face. There is a huge number of tools you can use to identify these patients, but the Clinical Frailty Scale is becoming the standard practice #physiotalk |
| Physio Companion @PhysioCompanion @CHarrisPhysio @kategahr_kate @physiotalk Yes that sounds very similar. In the US people need to fit certain criteria to be eligible for insurance coverage for home health, which can be found here: https://t.co/Kp6iAsHcmE #Physiotalk |
| Physio Companion @PhysioCompanion @PamKHphysio @physiotalk Thank you Pam!! Hope all is well in Cape Town! #Physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk Arguably, older people living with frailty is also the core business of services that don't specifically target these patients, so it would make sense to use the same tools. Also, ISAR (Identification of Seniors At Risk) tool is often used. #physiotalk |
| Anna Harding @annawspud @physiotalk We now screen notes and identify patients ourselves. Admittedly more work identified at front door, but has a positive impact for patients and back door workload. #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk #physiotalk https://t.co/ptla35DYot |
| Physio Companion @PhysioCompanion @physiotalk Yes totally!! Would love to do that sometime! We will start brainstorming. #PhysioTalk |
| RUH-AlliedHealthProfessionals💙 @PTOTSLTDietAHPs #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk You're particularly looking at skills in history taking, physical assessment, diagnostic reasoning, and treament planning. All with a hefty dose of communication and holistic care. In short, things that are pretty familiar to physiotherapists #physiotalk |
 | Sport Physio Jobs @sportphysiojobs Hey @physiotalk we've added new roles to our Global jobs board today any chance of a 🐦retweet🐦 for those Physiotherapists on the look out for a new and exciting challenge in Sport https://t.co/C6IBzPwREH #teambehindtheteam #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk The 'Advanced' bit comes with the ability to deal with greater levels of complexity, in practicing as a specialist within your field, & blurrying traditional boundaries (be that dual skilled w/ OT, venepuncture or prescribing) (as well as reflecting the 4 pillars) #physiotalk |
| Joe Middleton @_JoeMiddleton RT @physiotalk: |
| Janet Thomas @JanetThomas47 @cathhoppo @physiotalk @_JoeMiddleton Love that de-prescribing mentioned with prescribing. After a great talk at #Agile19belfast its probably just (if not more) important in frail older adults #physiotalk |
| C Harris, PhD @CHarrisPhysio @PhysioCompanion @physiotalk @_JoeMiddleton @kategahr_kate On a quick search, these might be a good starting point (to clarify - I haven’t actually read either full text, so don’t know what the methodological quality is like), but they look like a reasonable intro to PTs in ED: https://t.co/rd10PD00xy https://t.co/lPCUFrFQed #physiotalk |
| Joe Middleton @_JoeMiddleton A 5 point tool that is used categorise how sick you are, and therefore, how urgent your need is. It is standard across Emergency Medicine in the UK. #physiotalk https://t.co/z6hPfFbd3A |
| Joe Middleton @_JoeMiddleton RT @physiotalk: |
 | Rhona Burch @BurchRhona @michangus @theLDphysio @physiotalk Interested also in what the Manchester triage tool is #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk Early, comprehensive assessment is the main thing. In terms of interventions, there isn't too much that we can deliver at the front-door; but there is plenty of equipment, advice, sign-posting, and referral on to other services. #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk Oh, and lots of collaborative risk assessment with patients and carers/relatives, taking #PositiveRisks when needed. #physiotalk |
| KB @KBNeuroinfo Shared decisions #physiotalk #whatmatters |
| Joe Middleton @_JoeMiddleton @physiotalk The interface between the front-door and responsive, flexible community services is so, so important. Some services outreach, some inreach and some have a great interface, with trusted assessment and shared risk taking. #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk Not in my trust, but our neighbours up the M5 have an community service inreaching to their ED. This is the dream for me! #physiotalk |
| Joe Middleton @_JoeMiddleton RT @physiotalk: |
| Physio Companion @PhysioCompanion @CHarrisPhysio @physiotalk @_JoeMiddleton @kategahr_kate Wonderful!! Thank you so much! Just didn't know if anyone had them ready to go and save some time! #Physiotalk |
 | Rachael (she/her) @BreathePhysio #physiotalk evidence for resp physio in ED? Perhaps NIV - Door to mask time |
| Rhona Burch @BurchRhona @physiotalk #physiotalk |
| Rhona Burch @BurchRhona @laura_oldham @physiotalk This is where investment needs made isn’t it? Your assessment and onward recommendations only work for facilitating a DC if there is a community team with capacity to continue it. In a lot of trusts there isn’t at present. #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk Ooooh what a question!!! #physiotalk |
| Joe Middleton @_JoeMiddleton RT @IanTyrrell5: |
| Rhona Burch @BurchRhona @laura_oldham @physiotalk But if you can get that review at home or care when indicated urgently then it would be great to get these patients home from ED as opposed to an acute medical receiving unit which is currently what happens for us. #physiotalk |
| Physio Companion @PhysioCompanion @physiotalk @otalk Thanks again for another incredible talk (although more of a listen for us😂)!! 😀👍 Always love to learn. Can't wait! #Physiotalk |
| Rhona Burch @BurchRhona @physiotalk I concur that it needs to be an MDT approach- any number of professions may be able to screen and there are a lot of transferable skills but those that need profession specific treatment should be able to receive it ASAP #physiotalk |
| Joe Middleton @_JoeMiddleton No, you can't. However, I feel that it is often the mindset and the attributes of the person that makes the difference, and not necessarily what profession you are. #physiotalk |
| Joe Middleton @_JoeMiddleton RT @IanTyrrell5: |
 | Pam Watkins💙 @PWtherapist RT @IanTyrrell5: |
| Pam Watkins💙 @PWtherapist RT @IanTyrrell5: |
| Pam Watkins💙 @PWtherapist RT @_JoeMiddleton: @physiotalk The interface between the front-door and responsive, flexible community services is so, so important. Some services outreach, some inreach and some have a great interface, with trusted assessment and shared risk taking. #physiotalk |
| Pam Watkins💙 @PWtherapist RT @IanTyrrell5: |
 | Stella Krain @krain_stella @Laurawalk1986 @annawspud @physiotalk I work on CHAT( Community Hospital Admission Avoidance Team), Rotherham. We're community Physios and OTs working generically and in-reaching into ED and AMU to get patients straight back home. The community- based side of our team can then follow up at home. #physiotalk |
| Joe Middleton @_JoeMiddleton RT @physiotalk: |
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