#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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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!
@_JoeMiddleton
[REDACTED USER] Good evening from Somerset! Dusting off tweetdeck for what I hope will be a great chat! #physiotalk
@KVangucci
[REDACTED USER] Hi! Katie from north London #physiotalk
Natalie Robertson @Natalie93671332
[REDACTED USER] Hi Natalie from Cardiff working in Mental Health Services for Older People #physiotalk
JulesG @JuliaGarvin4
[REDACTED USER] Hi, Julia in Loughborough 👋 #physiotalk
Janet Thomas @JanetThomas47
[REDACTED USER] [REDACTED USER] Taking appropriate risks to enhance someone quality of life. #physiotalk
Janet Thomas @JanetThomas47
@ScottBuxton_1 [REDACTED USER] [REDACTED USER] Yes - respecting their decision making is key, even if it makes us uncomfortable #physiotalk
@_JoeMiddleton
[REDACTED USER] [REDACTED USER] 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
@_JoeMiddleton
[REDACTED USER] [REDACTED USER] Fundamentally recognising that there are no truly 'safe' options, and that everyone is different shades of risky grey. #physiotalk
Natalie Robertson @Natalie93671332
[REDACTED USER] [REDACTED USER] 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
Jen @FrontDoorPhysio
[REDACTED USER] [REDACTED USER] 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 [REDACTED USER] [REDACTED USER] Choose your shade - but do we err to much towards a cautious light grey? #physiotalk https://t.co/54PMGxKeA7
KB @KBNeuroinfo
RT @FrontDoorPhysio: [REDACTED USER] [REDACTED USER] With such a fast turnaround there is always a risk that people may ‘perform’ for ED Ax, g…
JulesG @JuliaGarvin4
[REDACTED USER] [REDACTED USER] 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
@_JoeMiddleton
@JanetThomas47 [REDACTED USER] [REDACTED USER] Well, that is the question! What differentiates individual physios and what shade they are 'happy' with? Past experiences are a high factor, imo. #physiotalk
@_JoeMiddleton
RT @JanetThomas47: @_JoeMiddleton [REDACTED USER] [REDACTED USER] Choose your shade - but do we err to much towards a cautious light grey? #ph
Janet Thomas @JanetThomas47
@_JoeMiddleton [REDACTED USER] [REDACTED USER] I'm sure I'm much happier with risk the older (sorry - more experienced) I get! #physiotalk
@_JoeMiddleton
@JanetThomas47 [REDACTED USER] [REDACTED USER] 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
@_JoeMiddleton
[REDACTED USER] @JanetThomas47 [REDACTED USER] [REDACTED USER] "if we are basing this patients discharge criteria on my mood, then they are in real trouble...." #physiotalk
@_JoeMiddleton
Obviously, positive risk taking isn't just about being discharged from an acute hospital setting... #physiotalk
@_JoeMiddleton
[REDACTED USER] @JanetThomas47 [REDACTED USER] [REDACTED USER] Without doubt. Important to have peer support to work through these situations. #physiotalk
Natalie Robertson @Natalie93671332
[REDACTED USER] [REDACTED USER] @JanetThomas47 @_JoeMiddleton [REDACTED USER] 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
Janet Thomas @JanetThomas47
[REDACTED USER] @ClaireOCPhysio @_JoeMiddleton [REDACTED USER] [REDACTED USER] Agree! Often they do things when at home that certainly wouldn't be 'allowed' in a ward setting... #physiotalk
@_JoeMiddleton
But, what if the positive risk taken, was for the patient to stay in hospital overnight!? #physiotalk https://t.co/FJoZty4pFO
@_JoeMiddleton
[REDACTED USER] [REDACTED USER] [REDACTED USER] [REDACTED USER] "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" #physiotalk
@_JoeMiddleton
I want to say [REDACTED USER] started this in Nottingham? Or she may know who did? #physiotalk
Janet Thomas @JanetThomas47
[REDACTED USER] [REDACTED USER] Absolutely! How can we weight up the help they might need from family against letting their mum / dad be as independent as possible #physiotalk
@_JoeMiddleton
[REDACTED USER] 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
@_JoeMiddleton
[REDACTED USER] [REDACTED USER] 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
Tom Meredith @Tom_B_Meredith
[REDACTED USER] [REDACTED USER] 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
@_JoeMiddleton
Barriers to taking positive risks? Exactly this. #physiotalk
@_JoeMiddleton
[REDACTED USER] [REDACTED USER] [REDACTED USER] 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
@_JoeMiddleton
[REDACTED USER] @ClaireOCPhysio [REDACTED USER] [REDACTED USER] [REDACTED USER] @KVangucci #physiotalk https://t.co/qMWbTgTmyG
@_JoeMiddleton
#physiotalk https://t.co/Ac9wEtazZC
Jen @FrontDoorPhysio
[REDACTED USER] 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
@_JoeMiddleton
[REDACTED USER] That is never the hour!!!!!!! #physiotalk
@_JoeMiddleton
[REDACTED USER] [REDACTED USER] @JanetThomas47 [REDACTED USER] Thanks for hosting such an important topic [REDACTED USER]. Thanks to @JanetThomas47 and [REDACTED USER] for facilitating the discussion, and for being particularly tight on the hashtag watch!!! #physiotalk
@_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
Tom Meredith @Tom_B_Meredith
[REDACTED USER] 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
[REDACTED USER] [REDACTED USER] [REDACTED USER] 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
emma moore @emma_l_moore
[REDACTED USER] [REDACTED USER] [REDACTED USER] [REDACTED USER] 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
[REDACTED USER] [REDACTED USER] @JanetThomas47 [REDACTED USER] Thank you all, really informative. Such a important topic. [REDACTED USER] 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
@KVangucci
[REDACTED USER] @_JoeMiddleton [REDACTED USER] Oh wow this is amazing! #physiotalk
Jen @FrontDoorPhysio
[REDACTED USER] [REDACTED USER] [REDACTED USER] 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
KB @KBNeuroinfo
RT @_JoeMiddleton: #physiotalk https://t.co/Ac9wEtazZC
#PhysioTalk content from Twitter.