#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Janet Thomas @JanetThomas47 Hi Tweeting from Edinburgh and I'll be making sure you all use the hashtag tonight :) What is it again? Use #physiotalk in ALL your tweets please! |
 | Joe Middleton @_JoeMiddleton RT @physiotalk: |
| Joe Middleton @_JoeMiddleton @physiotalk Good evening from Somerset! Dusting off tweetdeck for what I hope will be a great chat! #physiotalk |
 | Katie Vangucci @KVangucci @physiotalk Hi! Katie from north London #physiotalk |
 | Natalie Robertson @Natalie93671332 @physiotalk Hi Natalie from Cardiff working in Mental Health Services for Older People #physiotalk |
 | Susan Cotton @susancotton18 @physiotalk Hi, Susan in Fife #physiotalk |
 | Scott Buxton @ScottBuxton_1 @physiotalk Hello 👋i'm Scott from Bath #physiotalk |
 | JulesG @JuliaGarvin4 @physiotalk Hi, Julia in Loughborough 👋 #physiotalk |
 | Sophie McAuliffe @SophieMcPhysio @physiotalk Hello from Edinburgh #physiotalk |
| Joe Middleton @_JoeMiddleton RT @physiotalk: |
| Janet Thomas @JanetThomas47 @physiotalk @dementia_physio Taking appropriate risks to enhance someone quality of life. #physiotalk |
| Scott Buxton @ScottBuxton_1 @physiotalk @dementia_physio For me it's all about helping the patient weigh up potential benefits and harms whilst empowering them to make their own decision #physiotalk |
| Susan Cotton @susancotton18 @physiotalk @dementia_physio With this, I usually think of promoting mobility, but with a knowledge that there is increased risk of falls. I'm sure there are many other examples where promoting something may be to the detriment of something else though...#physiotalk |
 | Ciara Mageean @ciaramageean @physiotalk Hi from Manchester #physiotalk |
 | AKIG @abubakarakig @physiotalk Hello, tweeting from Nigeria, Katsina state. #physiotalk |
| Janet Thomas @JanetThomas47 @ScottBuxton_1 @physiotalk @dementia_physio Yes - respecting their decision making is key, even if it makes us uncomfortable #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk @dementia_physio Working, in partnership, towards the realisation of the patients wishes and desires. Usually involves going against what your instincts might be, or what seems easiest! #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk @dementia_physio Fundamentally recognising that there are no truly 'safe' options, and that everyone is different shades of risky grey. #physiotalk |
| Sophie McAuliffe @SophieMcPhysio @physiotalk @dementia_physio Using our risk assessment and clinical reasoning abilities to make decisions which will benefit the person and lead to positive outcomes #physiotalk |
| Scott Buxton @ScottBuxton_1 @physiotalk @dementia_physio that persons decision may be the right or wrong choice in my eyes. My job is to mitigate the risks as much as practicable #physiotalk #frailty #riskmanagement |
| AKIG @abubakarakig @physiotalk Thank you for having me #physiotalk |
| Natalie Robertson @Natalie93671332 @physiotalk @dementia_physio Using all of the information from the person and/or their carers to provide informed high quality interventions and care plans to enhance someone’s independence and quality of life for someone living with dementia......looking at the whole picture #physiotalk |
| Scott Buxton @ScottBuxton_1 great point. It's often a hard concept to explain in a hospital setting when home is percieved to be riskier than staying in hospital #physiotalk |
 | Jen @FrontDoorPhysio @physiotalk @dementia_physio With such a fast turnaround there is always a risk that people may ‘perform’ for ED Ax, get home then struggle. But there are risks associated with hospital admission too. Positive risk taking is ensuring patients/carers know what to do if things don’t go to plan #physiotalk |
| Janet Thomas @JanetThomas47 @_JoeMiddleton @physiotalk @dementia_physio Choose your shade - but do we err to much towards a cautious light grey? #physiotalk https://t.co/54PMGxKeA7 |
 | Laura Kelly @lauraakelly80 @SteffiBailey @physiotalk @dementia_physio An example of this that I see too frequently is keeping a patient in bed to keep them ‘safe’ rather than encouraging them to sit out/mobilise #physiotalk |
 | KB @KBNeuroinfo RT @FrontDoorPhysio: @physiotalk @dementia_physio With such a fast turnaround there is always a risk that people may ‘perform’ for ED Ax, get home then struggle. But there are risks associated with hospital admission too. Positive risk taking is ensuring patients/carers know what to do if things don’t go to plan #physiotalk |
| JulesG @JuliaGarvin4 @physiotalk @dementia_physio For me it’s the risks of getting patients to do things more independently and return to their normal. Some of them are going to do it anyway. Some of them are anxious about trying but you give them the confidence to go for it. At the end of the day, it’s enabling 🙂 #physiotalk |
 | Dr Michelle Bull 💙 @MichelleBull4 @physiotalk @_JoeMiddleton #physiotalk so was mine 😀 I'm transformation programme manager for integrated care and frailty in Guildford and Waverley - and a physio too Bit late - sorry |
| Scott Buxton @ScottBuxton_1 @lynseyferguson6 @JanetThomas47 @physiotalk @dementia_physio it's the heart of clinical reasoning in geriatrics / frailty. Pragmatic risk taking is absolutely a skill. Mitigating risk as far as possible without intruding on a patients wishes is very challenging #physiotalk |
| Joe Middleton @_JoeMiddleton @JanetThomas47 @physiotalk @dementia_physio Well, that is the question! What differentiates individual physios and what shade they are 'happy' with? Past experiences are a high factor, imo. #physiotalk |
| Joe Middleton @_JoeMiddleton RT @JanetThomas47: @_JoeMiddleton @physiotalk @dementia_physio Choose your shade - but do we err to much towards a cautious light grey? #physiotalk https://t.co/54PMGxKeA7 |
| Janet Thomas @JanetThomas47 @_JoeMiddleton @physiotalk @dementia_physio I'm sure I'm much happier with risk the older (sorry - more experienced) I get! #physiotalk |
| Susan Cotton @susancotton18 @JanetThomas47 @_JoeMiddleton @physiotalk @dementia_physio short generalised answer...yes #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 @dementia_physio @FrontDoorPhysio @physiotalk Exactly this #physiotalk |
| Joe Middleton @_JoeMiddleton @JanetThomas47 @physiotalk @dementia_physio I reckon my own level of comfort with risk is actually relatively fluid, and can fluctuate day-to-day based on a large number of factors. This is where working in a team is vital. If I am having a risk-adverse day, a colleague can constructively challenge me. #physiotalk |
| Joe Middleton @_JoeMiddleton @lynseyferguson6 @JanetThomas47 @physiotalk @dementia_physio "if we are basing this patients discharge criteria on my mood, then they are in real trouble...." #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 exactly this as well! #physiotalk |
| Laura Kelly @lauraakelly80 @SteffiBailey @physiotalk @dementia_physio #physiotalk |
| Joe Middleton @_JoeMiddleton Obviously, positive risk taking isn't just about being discharged from an acute hospital setting... #physiotalk |
 | Lindsay Sanders @lindzOT @physiotalk Hi I’m Lindsay, clinical lead OT across ED/AAU/MAU #physiotalk |
| Scott Buxton @ScottBuxton_1 @physiotalk @dementia_physio risk taking and positive risk taking are two different things of course. Positive risk taking starts with identification of potential benefit or harm therefore excellent assessment skills are required #physiotalk |
| Joe Middleton @_JoeMiddleton @chrisarmitage80 @JanetThomas47 @physiotalk @dementia_physio Without doubt. Important to have peer support to work through these situations. #physiotalk |
| Lindsay Sanders @lindzOT Brilliant #physiotalk this evening on positive risk taking, I think I’ll do a reflective session with our team using these questions 👍🏻 @Dinuli15 @alexhunter_ot @Glacksie @ais_d @rachelnandy |
| AKIG @abubakarakig @physiotalk @dementia_physio In terms of building your own clinic for example, you need do it first, after you establish it, thats when u wil come to conclusion, if it fan out fine, that means, diversity of health care delivery and efficiency to the person incontext and the patients involved #physiotalk |
| Susan Cotton @susancotton18 @_JoeMiddleton ward setting mobility is classic example - challenge to get consistent approach across MDT, inpatients often report not wanting to upset the staff by asking for help or being independent (wholly or partially) , risk becoming dependant and chair/bed bound by default #physiotalk |
| Natalie Robertson @Natalie93671332 @physiotalk @chrisarmitage80 @JanetThomas47 @_JoeMiddleton @dementia_physio With supportive leaders and teams who are comfortable with clinical challenge but who all support each other if the situation doesn’t go as planned despite all of the risk management #physiotalk |
| Lindsay Sanders @lindzOT Love this! |
| Dr Michelle Bull 💙 @MichelleBull4 Really interesting suggestion - I like the idea of datixing (another made up word) hospital acquired deconditioning #physiotalk Do you think anyone has actually tried this before? @lynseyferguson6 @dementia_physio @physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 RT @dementia_physio: |
| Laura Kelly @lauraakelly80 @ClaireOCPhysio @lynseyferguson6 @SteffiBailey @physiotalk @dementia_physio Difficult one as we can prove the benefits of encouraging independence and optimising function but at times the relationship with nursing staff can be fragile will low staffing levels etc. The basics need to be part of daily care and our input as Therapists additional #physiotalk |
| Lindsay Sanders @lindzOT Positive risk taking... |
| Janet Thomas @JanetThomas47 @LauraDianeCook @ClaireOCPhysio @_JoeMiddleton @physiotalk @dementia_physio Agree! Often they do things when at home that certainly wouldn't be 'allowed' in a ward setting... #physiotalk |
| Joe Middleton @_JoeMiddleton But, what if the positive risk taken, was for the patient to stay in hospital overnight!? #physiotalk https://t.co/FJoZty4pFO |
| Dr Michelle Bull 💙 @MichelleBull4 @ClaireOCPhysio @physiotalk @lauraakelly80 @SteffiBailey @dementia_physio Do you think there is an awareness of the risks of deconditioning in all staff? Do we need to do more to train and educate in this? #physiotalk |
| Lindsay Sanders @lindzOT RT @SteffiBailey: |
| Dr Michelle Bull 💙 @MichelleBull4 @chrisarmitage80 @lynseyferguson6 @dementia_physio @physiotalk Now this has really given me something to think about...... #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 RT @chrisarmitage80: |
| Scott Buxton @ScottBuxton_1 @_JoeMiddleton @kerrie_hopson #physiotalk *facepalm* |
| Joe Middleton @_JoeMiddleton @IanTyrrell5 @HealthPhysio @physiotalk @dementia_physio "Oh, Joe, Mrs Smith is back in" "Oh? Well, I'll go say hi and chat about how we gave it a go, and our safety net worked. Thanks" <bemused face> #physiotalk |
| Lindsay Sanders @lindzOT @dementia_physio @physiotalk @ClaireOCPhysio @_JoeMiddleton @JanetThomas47 Agree, we see it so much though that it’s the therapists decision. As a leader we have to support our team to realise it’s not just their decision & to engage the MDT to be involved & a part of the decision making #physiotalk |
| Laura Kelly @lauraakelly80 @MichelleBull4 @ClaireOCPhysio @physiotalk @SteffiBailey @dementia_physio #physiotalk |
| Susan Cotton @susancotton18 @physiotalk interesting idea....#physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 @lauraakelly80 @ClaireOCPhysio @physiotalk @SteffiBailey @dementia_physio Great idea - definitely sounds like there is room for improvement #physiotalk |
| Joe Middleton @_JoeMiddleton I want to say @AnnMarieRiley10 started this in Nottingham? Or she may know who did? #physiotalk |
| Joe Middleton @_JoeMiddleton RT @dementia_physio: |
| Lindsay Sanders @lindzOT @IanTyrrell5 @physiotalk @dementia_physio Absolutely! I have told many a patient & their relatives that hospitals aren’t safe places 🙊 I was worried the first time I said it but once I explained why it helped to get them on board with the D/C back home #physiotalk |
| Scott Buxton @ScottBuxton_1 @physiotalk @lauraakelly80 @MichelleBull4 @ClaireOCPhysio @SteffiBailey @dementia_physio yeah what's MAST training? An alternative could be some sim training #physiotalk |
| Laura Kelly @lauraakelly80 @physiotalk @MichelleBull4 @ClaireOCPhysio @SteffiBailey @dementia_physio Sorry. The mandatory and statutory training for new employees and annual refresher training.# #physiotalk |
| Lindsay Sanders @lindzOT RT @IanTyrrell5: |
| Laura Kelly @lauraakelly80 @SteffiBailey @MichelleBull4 @ClaireOCPhysio @physiotalk @dementia_physio This is great #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 @lauraakelly80 @SteffiBailey @ClaireOCPhysio @physiotalk @dementia_physio This is great (You beat me to it @lauraakelly80 ) #physiotalk |
| Susan Cotton @susancotton18 @physiotalk A few have been discussed tonight already - other staff and staff groups, low staffing/support levels overall, families and carers having a different perspective of risk to person....challenging when elements of cognitive decline in patient or their nearest/dearest #physiotalk |
| Joe Middleton @_JoeMiddleton RT @physiotalk: |
| Scott Buxton @ScottBuxton_1 @physiotalk sometimes permission is all that is needed! Other times it can be fresh eyes at seeing the risks / challenges #physiotalk |
| Lindsay Sanders @lindzOT @IanTyrrell5 @physiotalk @dementia_physio Same! I don’t think people realise. I often think about levels of distress & delirium when our patients have enough insight to know they are not at home #physiotalk |
| Janet Thomas @JanetThomas47 @LauraDianeCook @physiotalk Absolutely! How can we weight up the help they might need from family against letting their mum / dad be as independent as possible #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk Different perspectives from each individual and each professional group (certain groups may have a greater level of understanding around a certain risk). Dilution of individual responsibility (could be also be a negative???) Constructive challenge and discussion. #physiotalk |
| Susan Cotton @susancotton18 @physiotalk I think when your MDT is likeminded it can be reassuring to have an open discussion and share that sense of 'risk taking' - and take on that risk as an MDT, not as a single profession #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 @HealthPhysio @physiotalk @AnnMarieRiley10 @AnnMarieRiley10 Would be really interested to know more about this - how you managed it? How you tracked it? what difference it made? #somanyquestions #physiotalk |
| Joe Middleton @_JoeMiddleton @IanTyrrell5 @physiotalk If you don't have the support of responsive community services, who share your attitude to risk, then you are gonna have a really tough time. #physiotalk |
| Joe Middleton @_JoeMiddleton RT @physiotalk: |
 | Tom Meredith @Tom_B_Meredith @physiotalk @dementia_physio I've read some brilliant comments and quotes. Heres my personal favourite.... May your choices reflect your hopes, not your fears. – Nelson Mandela I'm not a physio, but work closely with some brilliant ones so I'm going to hash tag away! #physiotalk |
| Joe Middleton @_JoeMiddleton Barriers to taking positive risks? Exactly this. #physiotalk |
| Joe Middleton @_JoeMiddleton @chrisarmitage80 @IanTyrrell5 @physiotalk Totally agree. Working in the ED, the only feedback I get is if the patient reattends (usually accompanied with the documentation "unsafe" or "failed" discharge). If we don't see them again, we just assume all went well!? #physiotalk |
| Joe Middleton @_JoeMiddleton RT @physiotalk: |
| Scott Buxton @ScottBuxton_1 @physiotalk Risk i wouldn't say is a barrier to positive risk taking. It is a PART of risk taking in any form. Without it there isn't an appreciation of what's at stake I'd recommend anyone reading this about how to overcome fear of risk taking https://t.co/6LalAPetl8 #physiotalk |
| Joe Middleton @_JoeMiddleton RT @ScottBuxton_1: @physiotalk Risk i wouldn't say is a barrier to positive risk taking. It is a PART of risk taking in any form. Without it there isn't an appreciation of what's at stake I'd recommend anyone reading this about how to overcome fear of risk taking https://t.co/6LalAPetl8 #physiotalk |
| Joe Middleton @_JoeMiddleton @IanTyrrell5 @ClaireOCPhysio @dementia_physio @physiotalk @HealthPhysio @KVangucci #physiotalk https://t.co/qMWbTgTmyG |
| Lindsay Sanders @lindzOT @physiotalk Keep thinking these would make excellent interview Q’s 😂 #physiotalk |
| Lindsay Sanders @lindzOT @physiotalk I would love to see more adverts (like the FAST one) on the TV/posters in GP waiting rooms etc around deconditioning/impact of being in hospital unnecessarily, we need it to become part of everyday discussion amongst the public #physiotalk |
| Joe Middleton @_JoeMiddleton #physiotalk https://t.co/Ac9wEtazZC |
| Jen @FrontDoorPhysio @physiotalk Those vital conversations with family and carers, ensuring they too appreciate that although their mum does fall sometimes, she’s happy day to day; she always wanted to stay at home and remain as independent as she could for as long as she could (when that’s the case!)#physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk That is never the hour!!!!!!! #physiotalk |
 | JIMD @JorgeIMartinezD 👌 |
| Lindsay Sanders @lindzOT @chrisarmitage80 @physiotalk Absolutely, it’s how we can help people to understand when they do need to be in an acute bed vs when their health condition can be managed perhaps by other teams in the community #physiotalk |
| Joe Middleton @_JoeMiddleton @physiotalk @dementia_physio @JanetThomas47 @spiteri_anna Thanks for hosting such an important topic @dementia_physio. Thanks to @JanetThomas47 and @spiteri_anna for facilitating the discussion, and for being particularly tight on the hashtag watch!!! #physiotalk |
| Joe Middleton @_JoeMiddleton If you have never done it and you have a particular topic you are passionate about, just give it a go! It is strangely exhilarating!!! #physiotalk |
| Lindsay Sanders @lindzOT @physiotalk @dementia_physio @JanetThomas47 @spiteri_anna Thanks all! Im on annual leave this week but feel like I’m raring to go discharge some risky patients from ED now 😂 #physiotalk |
| Tom Meredith @Tom_B_Meredith @physiotalk Advice and information on deconditioning is a bigger for me. I also think strong evidence of contingency planning also helps breed confidence. Highlighting the clients choice in the situation also goes a long way... back to positive risk taking to enable choice. #physiotalk |
| Jen @FrontDoorPhysio @dementia_physio @salhowardphysio @physiotalk Maybe: -they’re just that desperate to get home -they’ll let their usual carer do everything for them -memory problems -alcohol -not taking meds correctly -not eating/drinking well We can address some of these, not all! #physiotalk |
| Lindsay Sanders @lindzOT RT @HealthPhysio: |
| Lindsay Sanders @lindzOT Love this. I actually think we should stop using the word safe altogether. I actively try to avoid using it, what does it even mean?! #physiotalk |
 | emma moore @emma_l_moore @IanTyrrell5 @dementia_physio @lindzOT @physiotalk I work in a community team and carry out d2as and we often support patients who you'd be horrified at on the ward but need their own environment to manage/thrive. Not always pretty but it's their way! #physiotalk |
| Tom Meredith @Tom_B_Meredith @physiotalk @dementia_physio @JanetThomas47 @spiteri_anna Thank you all, really informative. Such a important topic. @EstherClift thanks for the heads up on this, really great conversations and so brilliant to see so many passionate, client focused professionals coming together to learn. #physiotalk |
 | Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk Having a strong desire to practice backward chaining with a patient in their own home, then succumbing to the strong desire not to take the risk just in case they can't get off the floor, as you would then have to phone the ambulance to get them off the floor! #physiotalk |
 | Gerardo Viveros RGL. @gerardo_viveros RT @JmNunezSilveira: 🚨Asincronias: 🚨Asincronias: Breath stacking, ¿Conocen los 3 tipos de Breath stacking? Video completo en 👉🏻https://t.co/lfKV0KT6d9 #BuenLunes #physiotherapy #Some4MV #physiotalk #CuSuFiRe #TIDEX https://t.co/NfYxIrfnJU |
| Lindsay Sanders @lindzOT 🙌🏻 #preach (thanks Joe, this is going in the MDT room!) |
| Dr Michelle Bull 💙 @MichelleBull4 @IanTyrrell5 @dementia_physio @ClaireOCPhysio @physiotalk @_JoeMiddleton @HealthPhysio @KVangucci Great thread! #physiotalk |
| Katie Vangucci @KVangucci @dementia_physio @_JoeMiddleton @physiotalk Oh wow this is amazing! #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 @IanTyrrell5 @physiotalk @dementia_physio @lindzOT I love love love this #physiotalk It's like telling me I can't ride my mountain bike in case I fall off! |
| Jen @FrontDoorPhysio @salhowardphysio @dementia_physio @physiotalk Definitely. I’m lucky where I am that we have access to ‘urgent’ care and therapy input on discharge. I’ve also worked in similar services in the past. That reassurance and ‘safety net’ and allows so much more positive risk taking #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 @Tom_B_Meredith @physiotalk @dementia_physio @JanetThomas47 @spiteri_anna @EstherClift Thank you for such a great #physiotalk - lots of food for thought |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk Public health promotion messages raising awareness about #frailty & #falls. #physiotalk |
| KB @KBNeuroinfo RT @_JoeMiddleton: #physiotalk https://t.co/Ac9wEtazZC |
 | JE Barnard @J_E_Barnard #MECFS #Physiotalk #LongCovid https://t.co/IDRIbkH2u6 |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk Maybe have a positive message resource pack about ageing well that gets given to people by their GPs or through their work places on retirement while their frailty score is still very low. #physiotalk |
| Lindsay Sanders @lindzOT @IanTyrrell5 @emma_l_moore @dementia_physio @physiotalk #homefirst!! Always! #physiotalk |
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