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#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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physiotalk @physiotalk
Hello everyone, and welcome to the final #physiotalk of 2018! Tonight, we’re talking about getting people home for Christmas, with expert in the field @JoFallsPhysio https://t.co/eiFdaHPQRa
Cheryl Kent @CherylKent_10
@physiotalk @JoFallsPhysio Perfect - home for Christmas #physiotalk
physiotalk @physiotalk
So, who is joining us tonight? Say hello and let us know where you’re tweeting from! #physiotalk
anne moss @annemoss501
@physiotalk @JoFallsPhysio Hi @JoFallsPhysio #physiotalk
Cheryl Kent @CherylKent_10
@physiotalk Hi I'm Cheryl Kent, Physiotherapist working within the acute setting in Truro Cornwall #physiotalk
Jo Kitchen @JoFallsPhysio
@physiotalk 👋 Hi everyone, I’m from Solihull and happily live quite close to the hospital so I had an easy journey home to my comfy sofa #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk Ian from stoke! #physiotalk
Mari @mariand84
@physiotalk Mari from Sweden #physiotalk
physiotalk @physiotalk
Great to have you all here. Any first timers out there? Feel free to get involved – and any lurkers, you’re welcome to join in too! We're all friends here! #physiotalk
Louise Brennan @Louise_Brennan_
@physiotalk Hi all! Louise here in Seville! #physiotalk
physiotalk @physiotalk
And, as ever, just a little reminder to use #physiotalk hastag in all your tweets – it lets us see each other’s tweets & follow the conversation better #physiotalk #physiotalk #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk Honest open communication about plans with all parties concerned, the sooner the better. Explore expectations versus probable reality so as not to avoid disappointment. #physiotalk
Helen Harte @Hartey_PainPT
#Physiotalk Home for Christmas tweetchat now live..... Get involved. Lets get people home for christmas.
physiotalk @physiotalk
RT @Hartey_PainPT: #Physiotalk Home for Christmas tweetchat now live..... Get involved. Lets get people home for christmas.
physiotalk @physiotalk
oops we're only human too! remember the hashtag #physiotalk
physiotalk @physiotalk
my bad..... #Physiotalk
#hellomynameis Adele @ABNeurophysio
@physiotalk ha! I thought tweetdeck was broken! Tuning in from South Wales #physiotalk
RUH-AlliedHealthProfessionals @PTOTSLTDietAHPs
RT @physiotalk: 2 more hours left: Home For Christmas! #physiotalk 10th Dec https://t.co/drwMPIRFtn… https://t.co/OFqvL3pKpe
Jo Kitchen @JoFallsPhysio
@physiotalk Q1. Remember the front door: have they got a key? Need a keysafe? Can then get up the step, over the threshold? We practice stairs with rails often, not so much steps. #physiotalk
Cheryl Kent @CherylKent_10
@physiotalk Gaining a clear social history of the patients home situation, level of function and what the patient feels is a priority for them. Having open communication with MDT members and the patient at an early stage is also key #physiotalk
anne moss @annemoss501
@physiotalk Start discharge planning on initial assessment #physiotalk
Cheryl Kent @CherylKent_10
@JoFallsPhysio @physiotalk Yeah steps are just as important as stairs #physiotalk
Jo Kitchen @JoFallsPhysio
@IanTyrrell5 @physiotalk So important- is home the best option? Is it realistic? Can be difficult conversations to have though #Physiotalk
Pamela Hansford @PamKHphysio
@physiotalk #physiotalk @physiotalk Greetings from Cape Town
Louise Brennan @Louise_Brennan_
@physiotalk As much as possible, start planning from the day of admission! (oh and of course from pre-admission if it's an elective!) #physiotalk
Euan McComiskie @EMAHPInfo
@physiotalk Hi everyone 👋 Euan in Edinburgh. Will be dipping in and out as prepping for a few days away with work as well as daddy duties! Here for a nosey as much as anything! #physiotalk
sarah garratt @sarahcgarr07
@physiotalk What is important to the patient? What do they want? #physiotalk
Jo Kitchen @JoFallsPhysio
@Louise_Brennan_ @physiotalk Especially if it involves equipment or moving furniture #Physiotalk
Ian Tyrrell @IanTyrrell5
@JoFallsPhysio @physiotalk Exactly! I’m based in a&e so this is my bread and butter! And am usually too honest for my own good! #physiotalk
Ian Tyrrell @IanTyrrell5
@Louise_Brennan_ @physiotalk Lots of places doing pre-op orthopaedic schools for elective surgery and emerging evidence for other surgeries (Abdo, cardiac etc) #physiotalk
physiotalk @physiotalk
Top tips! Shall we move on? Lots to consider tonight. Q2: What barriers do you find to providing effective Physiotherapy in patients own homes, and care homes? #Physiotalk https://t.co/sfupf2Nxo0
Cheryl Kent @CherylKent_10
@physiotalk Most of our patients know and want to go home as soon as possible, and as therapists I feel we try and facilitate our patients home in a timely manner. Not all the time is this achievable #physiotalk
anne moss @annemoss501
@physiotalk If linking with community team make sure patient medically fit and take home meds ready #physiotalk
#hellomynameis Adele @ABNeurophysio
#physiotalk make sure the person and whoever might be supporting them understands the medication they are going home with - especially when it's new
Euan McComiskie @EMAHPInfo
@physiotalk Start MDT d/c planning from point of admission (or pre-admission if possible). Gather info on what patient wants, social challenges, fears and concerns, areas for optimism etc as well as physical assessment. Set the MDT and patient a SMART goal for d/c as a challenge #physiotalk
Jo Kitchen @JoFallsPhysio
@sarahcgarr07 @physiotalk Sometimes getting the detail is really important- maybe it’s getting their own breakfast, not having carers, while other people like to be well looked after #Physiotalk
Cheryl Kent @CherylKent_10
@physiotalk Time, staffing levels, demands on therapy provision #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk Personally don’t find any barriers myself however I can see some challenges, we see people in sterile environments, with lots of support, often don’t get a true picture of what the property is like! #physiotalk
Jo Kitchen @JoFallsPhysio
@ABNeurophysio And they understand the side effects- I keep having people say they are too scared about side effect so to take medication #Physiotalk
Ellena @ellena_farrow
@physiotalk It can be difficult to balance patient wishes, family wishes and patient safety. Don’t be afraid to disagree with other professionals if you truly feel the decision being made is wrong. Get your history, sort your patients goals, reason the decision, discuss with MDT. #physiotalk
Helen Harte @Hartey_PainPT
@physiotalk Not a barrier necessarily, but often need to use imagination in designing rehab programme. Space is often at a premium. #physiotalk
physiotalk @physiotalk
great point #physiotalk
Jo Kitchen @JoFallsPhysio
@physiotalk Clutter! Safety issues like rugs wires, too much furniture. #physiotalk
sarah garratt @sarahcgarr07
@physiotalk TBH I would say very few barriers as opportunity to provide treatment at home outweighs impact of barriers #physiotalk
Jo Kitchen @JoFallsPhysio
Needed in community’s therapists: a good imagination #Physiotalk
physiotalk @physiotalk
@ellena_farrow how do you feel about that? Is assessing capacity an issue?#physiotalk
Euan McComiskie @EMAHPInfo
@physiotalk Lots of challenges, very few barriers. Talk about them and face them all honestly with your patient and the rest of the MDT and you can achieve them together. Waiting for someone to say technology as a barrier ... #physiotalk https://t.co/nqmv8XrfaO
Mari @mariand84
@physiotalk Start planning discharge as soon as possible #physiotalk
Louise Brennan @Louise_Brennan_
@IanTyrrell5 @physiotalk yes, this is so good - still surprises me that it's not the norm everywhere. One of my family had an op this year, needed to be NWB for 3 months after & there was no pre-op school or education! 🤦‍♀️ #physiotalk
Ian Tyrrell @IanTyrrell5
@EMAHPInfo @physiotalk Technology helps, patient wasn’t keen on a lifeline, just used Alexa when they fell over to contact emergency services! #physiotalk
kate bennett @kategahr_kate
@Hartey_PainPT @physiotalk Limitations imposed by commissioners for example I can't deliver otago and maintain fidelity to ensure effectiveness as my service is only commissioned for 12 weeks per patient #Physiotalk sorry I'm late 🙈🙈🙈
Jo McKenzie @JoMckPhysio
@physiotalk There are ways around moat barriers but the environment can be challenging ..hoarders and bed bugs!#physiotalk
Jo Kitchen @JoFallsPhysio
@EMAHPInfo @physiotalk Do you mean community teams without mobile working? Or something we? #Physiotalk
#hellomynameis Adele @ABNeurophysio
RT @IanTyrrell5: @EMAHPInfo @physiotalk Technology helps, patient wasn’t keen on a lifeline, just used Alexa when they fell over to contact…
physiotalk @physiotalk
#Physiotalk I'm so sorry, think the sherry's gone to my head.......
Martyn Wyres @MartynWyres
@physiotalk Care homes can be tricky depending on staffing, access, handing over instructions, equipment (that you are allowed to use or order) #physiotalk
Ian Tyrrell @IanTyrrell5
@Louise_Brennan_ @physiotalk Had a similar situation today! NWB for the next ten weeks, here’s some crutches off you hop! Not great! #physiotalk
kate bennett @kategahr_kate
@physiotalk We can't for some patients if don't have transport/ are underprivileged/ from deprived areas (see prev comment 're otago) exercise class not accessible for all #physiotalk
Martyn Wyres @MartynWyres
@physiotalk Ask that ‘silly simple question’ - it won’t be silly or pointless #physiotalk
Mari @mariand84
@CherylKent_10 @physiotalk Agree with this one #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk Tut tut tut #physiotalk
Euan McComiskie @EMAHPInfo
@JoFallsPhysio @physiotalk If the patients want them involved then yes. Include in pre-admission assessment if possible. Aim to assess them day one and meet family/carers at visiting times. If not then call. Give them a role to play in the process. The MDT isn’t just the staff on the ward #physiotalk
kate bennett @kategahr_kate
@physiotalk Regarding equipment shortages I emailed the head of commissioning and the equipment I needed was delivered the next day...shame we missed the window of opportunity for rehab #physiotalk
physiotalk @physiotalk
@MartynWyres No such thing as a silly question. ever. #Physiotalk
Ellena @ellena_farrow
@physiotalk I personally feel like capacity is a bit of a fluffy area and something as a junior, I would welcome more teaching about. But other issue is different professional opinions about where the best discharge destination for a patient is. #physiotalk
Jo Kitchen @JoFallsPhysio
@kategahr_kate @Hartey_PainPT @physiotalk Service limitations, such a shame. Especially for falls prevention the evidence is 50+ hours needed #physiotalk
kate bennett @kategahr_kate
@physiotalk This is usually me.....#physiotalk
Louise Brennan @Louise_Brennan_
@IanTyrrell5 @physiotalk holy moly. It's just not good enough! #physiotalk
Jo Kitchen @JoFallsPhysio
@sarahcgarr07 @physiotalk And you can see exactly what they mean when they say ‘I need to be able to walk to the post box’ #physiotalk
Jo Kitchen @JoFallsPhysio
RT @MartynWyres: @physiotalk Ask that ‘silly simple question’ - it won’t be silly or pointless #physiotalk
Helen Harte @Hartey_PainPT
@kategahr_kate @physiotalk its me tonight, Kate! #physiotalk
sarah garratt @sarahcgarr07
@physiotalk @ellena_farrow Am interested in what you mean about capacity being a fluffy area- do you mind sharing a bit more? #physiotalk
Euan McComiskie @EMAHPInfo
@JoFallsPhysio @physiotalk Cost, connectivity, GDPR etc are all achievable challenges 2/2 #physiotalk
Jo Kitchen @JoFallsPhysio
@physiotalk Space issues: work around it and adapt. It’s the patients own home & we can suggest that less clutter would make them safer etc but they also can choose (if they have capacity) to make unwise decisions. Often kitchens are good places for exercise #Physiotalk
kate bennett @kategahr_kate
@JoFallsPhysio @physiotalk Sorry #physiotalk
Jo Kitchen @JoFallsPhysio
Might even be a cheaper option for some #physiotalk
kate bennett @kategahr_kate
@physiotalk Kate....agile chair and community physio #physiotalk
#hellomynameis Adele @ABNeurophysio
@ellena_farrow @physiotalk Care Aims training with @KateMalcomess is very helpful for the issues you are tweeting about Ellena #physiotalk
physiotalk @physiotalk
Its nearly Christmas, lets spread some festive cheer. Tell me a success story! What are the benefits to working in the community? #Physiotalk https://t.co/m9hK5kR058
Ian Tyrrell @IanTyrrell5
@physiotalk I think with most barriers it’s about picking up the phone and explaining! I often get questioned why I need an assessment at home or why I need a favour to support a discharge and am very rarely disappointed by the response even if outside the criteria! #physiotalk #teamwork
physiotalk @physiotalk
@kategahr_kate @JoFallsPhysio Missing #physiotalk. We want all your comments in the transcript and the only way to track is to add hashtag #physiotalk 👍
Jo Kitchen @JoFallsPhysio
@sarahcgarr07 @physiotalk @ellena_farrow It also feels a very big decision to make, especially as someone can have capacity for something decisions and not others. #physiotalk
Pamela Hansford @PamKHphysio
@physiotalk #physiotalk What is effective Physiotherapy? Working with people in their home environment enables us to start with strengths, engage as partners & see what they can do & have achieved. Building on strengths, we can problem solve in partnership in meaningful FUNctional activity
physiotalk @physiotalk
#physiotalk
#hellomynameis Adele @ABNeurophysio
RT @PamKHphysio: @physiotalk #physiotalk What is effective Physiotherapy? Working with people in their home environment enables us to start…
physiotalk @physiotalk
@kategahr_kate Don’t forget the hashtag #Physiotalk
kate bennett @kategahr_kate
@physiotalk The variety. And seeing people's faces when they achieve their goals (and their family/ friends).....and I feel.we get far more of an insight into peoples lives and we are privileged to do so..I really.feel I know my patients well. #physiotalk
Jo Kitchen @JoFallsPhysio
@PamKHphysio @physiotalk I agree- it feels a lot more like an equal partnership in the community when you are invited into a home, compared to being ‘the expert’ in a hospital #Physiotalk
physiotalk @physiotalk
#physiotalk
Helen Caldwell @caldwell_pt
@physiotalk Sorry joining really late - Helen from Nottm. My favourite stories are always keeping people at home who don’t want to leave. Very fulfilling #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk I’ve only ever done a placement in the community (a little while ago) but gave me some of the most interesting encounters I still keep me with today, including a prison assessment! #physiotalk
physiotalk @physiotalk
@ellena_farrow @JoFallsPhysio @sarahcgarr07 Don’t forget #Physiotalk.
Martyn Wyres @MartynWyres
@physiotalk Getting to see patients in their own environment, finding out about them, meeting families, supporting vulnerable people #physiotalk
kate bennett @kategahr_kate
@physiotalk Trying #physiotalk #babybrain
Pamela Hansford @PamKHphysio
@JoFallsPhysio @physiotalk Nothing like a cuppa tea to get one going #physiotalk
physiotalk @physiotalk
Do you have concerns or experience of adverse effects? #Physiotalk https://t.co/o2xYcE148N
physiotalk @physiotalk
Don’t forget to add #Physiotalk in all your comments AND replies even if the comment you are replying to has the hashtag #physiotalk so we can see your replies. Lots of replies without the hashtag.
physiotalk @physiotalk
@kategahr_kate we'll forgive you Kate! #Physiotalk
kate bennett @kategahr_kate
@physiotalk Maggie's not helping much #physiotalk https://t.co/xcASGVSwFN
sarah garratt @sarahcgarr07
@ellena_farrow @JoFallsPhysio @physiotalk I suppose working in hospitals inevitably there maybe disagreements amongst professionals..must rely on really open and respectful conversations #physiotalk
Jo Kitchen @JoFallsPhysio
@physiotalk I’ll always remember a man with GBS going home after 9 months in hospitals and rehab. Needed POC etc but it was wonderful to see him starting to enjoy his recovery #Physiotalk
Helen Caldwell @caldwell_pt
@JoFallsPhysio @kategahr_kate @Hartey_PainPT @physiotalk Giving an ineffective ‘dose’ - very frustrating, hence why follow up community council run otago classes so beneficial if your area has them #physiotalk
Ellena @ellena_farrow
@sarahcgarr07 @physiotalk Could there be capacity (no pun intended) for mental capacity to be introduced to university courses I wonder. We get nothing about capacity until band 5 work (unless you’re lucky enough to get an elderly placement) this makes it even harder. #physiotalk
physiotalk @physiotalk
How can we manage them? #Physiotalk
Louise Brennan @Louise_Brennan_
@physiotalk I've only worked in community as a carer, but I could see that working in the home context means you're helping in a truly meaningful and often deeply personal way. You develop great relationships #physiotalk
Liz Cowan @liziophysio1
@physiotalk As an independent practitioner and thus lone worker I wonder if there are any GDPR restrictions on telling NoK about my whereabouts. #physiotalk
physiotalk @physiotalk
@kategahr_kate #physiotalk I know what you mean https://t.co/WRzdFE5Ikj
Marc Ashton @zamarcashton
@physiotalk #PhysioTalk
kate bennett @kategahr_kate
@physiotalk Not normally...there are blocks of flats I avoid after dark though being completely honest. And today I was advised to take a male.colleague to a home after 80 year old husband was aggressive towards a male carer...he was delightful to us. But normally I don't worry #physiotalk
Jo Kitchen @JoFallsPhysio
@physiotalk Returning to sleeping upstairs is also something my patients aim for. Might be via strengthening, or confidence building...or a stairlift! #Physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk I think there does need to be more crossover between acute and community but hard when most trusts are desperate! I get frustrated at times (probably unfairly) when a patient gets sent to ED by a therapist with no acute medical need but know sometimes no other option #physiotalk
kate bennett @kategahr_kate
@physiotalk A robust lone working policy, conflict resolution training and a good dose of common sense.....#physiotalk
Helen Caldwell @caldwell_pt
@physiotalk My most difficult parts came with crises calls on a Friday afternoon and the difficulty getting hold of people/equipment/services before the weekend. Only managed really with true 7 day working from all services/teams and adapting to manage overnight if possible #physiotalk
Mari @mariand84
@physiotalk I have worked in palliative care where we physios could help ppl who wanted to stay in their homes with loved one around in the end. #physiotalk Made a great deal for them.
physiotalk @physiotalk
@zamarcashton tech is such a big issue in community #Physiotalk I know a datageek with a big ambition on this @EMAHPInfo
#hellomynameis Adele @ABNeurophysio
@physiotalk @zamarcashton @EMAHPInfo thanks for the tip @physiotalk #physiotalk
Liz Cowan @liziophysio1
@physiotalk #physiotalk it gives a real opportunity to get clients,parents and carers involved in achieving meaningful goals.
Jo Kitchen @JoFallsPhysio
@physiotalk 1/2 I found it really different getting used to not having immediate back up, Nov case of a fall, or slightly unwell looking patient, or just for a quick second opinion. #Physiotalk
kate bennett @kategahr_kate
@caldwell_pt @JoFallsPhysio @Hartey_PainPT @physiotalk They do but have to pay for them and for transport....deprived area...people can't afford the bus for clinic appointments so not going to shell out for exercise classes. Rely on family if They are around #physiotalk
#hellomynameis Adele @ABNeurophysio
#physiotalk : is anyone out there using telephone or skype coaching for community work?
Euan McComiskie @EMAHPInfo
@physiotalk Lady walking and shopping at M+S independently, guy managing a few holes on the golf course with his mates, lady managing to climb stairs up attic to replace a fuse (at 98!), guy managing on/off floor to play with grandkids. Really enjoyed my community days! #physiotalk
Marc Ashton @zamarcashton
@physiotalk @EMAHPInfo Would love to connect - up until now we have largely been focused on SA market but suddenly getting enquiries from a variety of places (Today was a private healthcare business in Pakistan who are rolling out a physio degree partnership!) #PhysioTalk
Ellena @ellena_farrow
@physiotalk As a band 5 I will admit I’d avoid community due to a fear of a lack of support/supervision. Would rather be on the wards where support is only a few metres away. #physiotalk
Louise Brennan @Louise_Brennan_
@liziophysio1 @physiotalk Interesting! I don't think introduction of GDPR has changed our practice around this specifically - but have we been fully compliant with the previously existing DP guidelines? #physiotalk
Jo Kitchen @JoFallsPhysio
@physiotalk 2/2 but over time it’s got easier- these people are living at home so don’t expect a resus team, and we are supportive of each other over the phone #Physiotalk
Cheryl Kent @CherylKent_10
@physiotalk I can't speak personally about this as I work in an Acute hospital, however living in Cornwall which is very rural place I think working alone would be one area that could be a challange as you do not have immediate support available #physiotalk
Denise Cheng-Carter @DeniseChengCart
RT @physiotalk: Top tips! Shall we move on? Lots to consider tonight. Q2: What barriers do you find to providing effective Physiotherapy…
sarah garratt @sarahcgarr07
@ellena_farrow @physiotalk Definitely!! We all recognise that assessing mental capacity is everyone’s responsibility but the decisions that are being assessed are of such high risk at times this can be a lot to ask of less experiences colleagues #physiotalk
kate bennett @kategahr_kate
@JoFallsPhysio @physiotalk This....a colleague had an off colour patient on Friday pm.. GP surgery not answering. Eventually got through and was told.would triage call by 5pm...no call so 111...ended up ambulance to ED when a gp review may have solved issue #physiotalk
physiotalk @physiotalk
@ellena_farrow Thanks, thats a really honest and important reflection. what would need to be in place to make you feel more secure in your practice? #physiotalk
Jo Kitchen @JoFallsPhysio
@caldwell_pt @physiotalk We have some buffer stock which is very useful but doesn’t help with the people! It’s definitely tricky once GPS shut for the wknd too #Physiotalk
physiotalk @physiotalk
How can we better link acute and community services? #Physiotalk https://t.co/KIHj53bLL1
Helen Caldwell @caldwell_pt
@kategahr_kate @JoFallsPhysio @Hartey_PainPT @physiotalk It’s a shame we generally don’t have the capacity to provide these through the NHS. We sometimes signpost to volunteer transport if it’s appropriate, but they do have to pay a nominal amount for the classes which can be tricky #physiotalk
Marc Ashton @zamarcashton
@ABNeurophysio Connect with @PaulaBarAsh - she heads up eLearning at Wits University and they are doing some very cool things for health science students. They are Skyping into hospitals, tablets in rural communities etc. #PhysioTalk
Jo McKenzie @JoMckPhysio
@JoFallsPhysio @physiotalk I agree with this especially at the weekend when out of hours medical back up is not so responsive. But you get used to trusting your instinct and supporting colleagues #physiotalk
#hellomynameis Adele @ABNeurophysio
@zamarcashton @PaulaBarAsh thanks Marc, #physiotalk @lindatremain34
kate bennett @kategahr_kate
@ellena_farrow @JoFallsPhysio @sarahcgarr07 @physiotalk And remember patient present very differently in hospital vs home environment. Long even corridor and physio steps v diff to lumpy carpet and spiral staircase...and then there's the tricky little threshold to.negotiate into the bungalow they didn't need steps for....#physiotalk
sarah garratt @sarahcgarr07
@physiotalk We did some shadowing of each other’s jobs- ‘clinical swaps’. Also had one of our Nurses participate to support her respiratory skills. #physiotalk
Liz Cowan @liziophysio1
@physiotalk v late to party - Liz, independent kids physio working in the community in and around Warrington, North West England #physiotalk
Helen Caldwell @caldwell_pt
@JoFallsPhysio @physiotalk Hopefully the seven day GP working will help. And yes we try to keep a buffer stock which can be a godsend! Sometimes something like a commode can temporarily solve the problem. More difficult with bigger items e.g hospital beds #physiotalk
Ian Tyrrell @IanTyrrell5
@physiotalk Picking up the phone, coming and seeing how each other work (ideal world with perfect staffing numbers), joint education, collaboration on outcome measures, patient feedback so many ideas...but most of all learning how each other work #physiotalk
Ellena @ellena_farrow
@physiotalk A guarantee of a very thorough induction period with joint sessions, regular supervision, regular teaching. The ability to talk to a current band 5 in community work prior to starting or applying for jobs may help to ease anxieties too. #physiotalk
Martyn Wyres @MartynWyres
@physiotalk Getting hold of people over a phone to make referrals/get additional support for patients (a lot harder than face to face) #physiotalk
Louise Brennan @Louise_Brennan_
@zamarcashton @physiotalk Looks cool1 :-) Are you using this with patients yet? What kind of clinical scenarios do you use it? #physiotalk
Martyn Wyres @MartynWyres
@physiotalk Missing out on the ward chocolates? 🍫 #physiotalk
Cheryl Kent @CherylKent_10
@physiotalk We've recently attended the community team leads meetings to discuss how communication and patient care can be improved between both services. This has allowed our service to provide a consistent level of care #physiotalk
Jo Kitchen @JoFallsPhysio
@kategahr_kate @physiotalk That’s trick you isn’t it, and then you are/feel responsible for getting that patient appropriate treatment. We have some access to Geriatricias running older ppl ax which is helpful #physiotalk
physiotalk @physiotalk
@sarahcgarr07 Extremely useful to ‘walk’ in someone else’s shoes. #physiotalk
Helen Caldwell @caldwell_pt
@ellena_farrow @physiotalk I think this is really important. Community is a great rotation to do as you can experience so much. But you do need to feel supported #physiotalk
Ellena @ellena_farrow
@kategahr_kate @JoFallsPhysio @sarahcgarr07 @physiotalk Yes! I often say my gran wouldn’t be deemed “Physio fit for discharge” yet she manages just about ok doddering round her house. We need to be careful not to be too afraid of failed discharges that it clouds our common sense judgement. #physiotalk
Jo Kitchen @JoFallsPhysio
@Louise_Brennan_ @zamarcashton @physiotalk It would be great to be able to do Skype/FaceTime reviews and second opinions #Physiotalk
#hellomynameis Adele @ABNeurophysio
@IanTyrrell5 @physiotalk agree shadowing essential, we're exploring secondments and rotations now hoping to improve understanding of each other's work, challenges and pressures. We need to TRUST in our colleagues to do the best job for our patients #physiotalk
kate bennett @kategahr_kate
@JoFallsPhysio @physiotalk Sorry #physiotalk
physiotalk @physiotalk
@MartynWyres Now you're talking my language! Especially at Christmas. Roses, anyone?? #Physiotalk
Helen Caldwell @caldwell_pt
@ellena_farrow @kategahr_kate @JoFallsPhysio @sarahcgarr07 @physiotalk Agreed. Hospital really isn’t the least risky place to be a lot of the time! #physiotalk
Marc Ashton @zamarcashton
@Louise_Brennan_ @physiotalk We are using it with biokineticists, chiropractors and podiatrists in clinical environments at the moment and then they're using the tool for research purposes at the University for Masters / PhD students in physios / biomechanics #Physiotalk
Cheryl Kent @CherylKent_10
@ellena_farrow @kategahr_kate @JoFallsPhysio @sarahcgarr07 @physiotalk I think some of the MDT feel that therapists can be 'risk adverse', however I think that at times we are the ones that we discuss every aspect of the patients daily routine and level of function #physiotalk
Martyn Wyres @MartynWyres
@CUPhysios tonight’s @physiotalk is all about community working. Community placement coming up? #physiotalk
kate bennett @kategahr_kate
@ellena_farrow @JoFallsPhysio @sarahcgarr07 @physiotalk The word failed doesn't help. Maybe 'we tried but this isn't the best option for this person at present' would be better! #physiotalk
Louise Brennan @Louise_Brennan_
@kategahr_kate @physiotalk And making sure that staff can rotate from acute to community, if the services are linked in that way. Oh and teaching together - frequency may be difficult, but surely monthly / quarterly could be poss? #physiotalk
Suzanne Brown @suzeeyre
@physiotalk Better education about what is available in the community for acute staff, including community teams in rotations, making staff meetings accessible for community staff (even being part of the same directorate helps!) #physiotalk
Ian Tyrrell @IanTyrrell5
@ABNeurophysio @physiotalk Agree often I’m seen as the risk taking physio from ED but I wouldn’t be sending people home if I didn’t think they could cope or if they didn’t want to! Anyone would think it’s an exact science and people do act differently in ed than at home! Trust is keen #physiotalk
Marc Ashton @zamarcashton
@JoFallsPhysio @Louise_Brennan_ @physiotalk Welcome to pop me an e-mail on marca@dynamicbodytechnology.com and we can share some info / ideas #Physiotalk
Jo Kitchen @JoFallsPhysio
@physiotalk Communication. Which in reality would be significantly improved if hospital staff could see community notes but currently they can only do this in certain services #Physiotalk
sarah garratt @sarahcgarr07
@ellena_farrow @physiotalk Can understand your worries but with the right support it can be such a rewarding experience. We have had two newly qualified B5 OTs work with us and they loved it. Like u say- Supervision and support is key #physiotalk
Helen Harte @Hartey_PainPT
RT @ABNeurophysio: @IanTyrrell5 @physiotalk agree shadowing essential, we're exploring secondments and rotations now hoping to improve unde…
Cheryl Kent @CherylKent_10
@physiotalk @sarahcgarr07 I think we all can get too focused on our own working environment therefore it is good to have an insight to work in different teams acute/community #physiotalk
#hellomynameis Adele @ABNeurophysio
RT @IanTyrrell5: @ABNeurophysio @physiotalk Agree often I’m seen as the risk taking physio from ED but I wouldn’t be sending people home if…
Pamela Hansford @PamKHphysio
#physiotalk . In Bonteheuwel 5 year-old Damian & his other-mother loved to chat while she cooked. We sat him on one of my 200mm foam blocks to lift him to her level but he still needed foot support. Gran opened the old cutlery drawer @ his feet & popped his feet in there Perfect!
Martyn Wyres @MartynWyres
@physiotalk Enhanced supported discharge teams with staff that work across acute and community. Rotating staff (b6s) Student placements that are shared between wards and community teams #physiotalk
Jo Kitchen @JoFallsPhysio
@suzeeyre @physiotalk I think rotation would help band 5s get more confident in the community too #Physiotalk
physiotalk @physiotalk
I cant believe we've reached the end of the hour. Please keep chatting and keep using the #physiotalk hashtag. I'll post the transcript on twitter as soon as I can.
physiotalk @physiotalk
@Louise_Brennan_ @kategahr_kate Lots of great practise in ICT @BEHMHTNHS (and others) teams linking acute and community #Physiotalk
kate bennett @kategahr_kate
@CherylKent_10 @ellena_farrow @JoFallsPhysio @sarahcgarr07 @physiotalk I wouldn't say risk adverse...I would say risk aware and has probably seen the consequences so knows what might happen 🙈🙈🙈 #physiotalk
Helen Caldwell @caldwell_pt
@kategahr_kate @ellena_farrow @JoFallsPhysio @sarahcgarr07 @physiotalk I agree - the words ‘failed discharge’ doesn’t help anyone feel good about the job they’re doing! Or the patient feel good about themselves. Or the family have trust in the team! #physiotalk
Cheryl Kent @CherylKent_10
@physiotalk Such a great topic #homeforchristmas #physiotalk
Marc Ashton @zamarcashton
@Louise_Brennan_ @physiotalk #Physiotalk 2. Second instance was chiro where patient neck ROM was measured pre and post session. Patient despite "feeling better" had actually not improved ROM and was able to query with chiro and patient and therapist then know where to focus - outcomes based treatment
Ian Tyrrell @IanTyrrell5
@physiotalk At least you remembered the hashtag for the last tweet 😉 #physiotalk
Helen Harte @Hartey_PainPT
split placements, a very interesting idea #physiotalk Anyone offer this for students?
Jo Kitchen @JoFallsPhysio
@Louise_Brennan_ @kategahr_kate @physiotalk Yes! When staff know each other better that’s helps too #Physiotalk
physiotalk @physiotalk
@IanTyrrell5 Ha ha @IanTyrrell5 #Physiotalk
Suzanne Brown @suzeeyre
@JoFallsPhysio @physiotalk They need to have completed “core” rotations before heading into the community though. Don’t rule out rotations at B6 either! #physiotalk
physiotalk @physiotalk
Thank you to everyone who has contributed tonight, and all year round. The #Physiotalk team are so appreciative of your input. Merry Christmas! See you next year.
physiotalk @physiotalk
@IanTyrrell5 cheeky! (they're totally going to sack me!) #Physiotalk #Physiotalk #Physiotalk
anne moss @annemoss501
@physiotalk Opportunities to rotate between acute and community particularly to understand the range of community services available #physiotalk
sarah garratt @sarahcgarr07
@JoFallsPhysio @physiotalk Support from colleagues is so important- problem shared and all that. We have daily handover and virtual ward rounds which helps #physiotalk
Jo Kitchen @JoFallsPhysio
@Hartey_PainPT We do between discharge to assess beds/intermediate care and community rehab #Physiotalk
Helen Caldwell @caldwell_pt
@Hartey_PainPT We did a split placement between resi rehab and community. There were pros and cons to be honest. I don’t know that a 4 wk placement was long enough to get the benefits of both #physiotalk
Ellena @ellena_farrow
@caldwell_pt @kategahr_kate @JoFallsPhysio @sarahcgarr07 @physiotalk Agreed. Not something I’ve ever heard said apart from behind closed doors though. A phrase I would hear in meetings but never in front of the patient or family. We wouldn’t fear it so much if it didn’t have such a negative name. #physiotalk
sarah garratt @sarahcgarr07
@physiotalk Working in the evenings in inner city can be difficult #physiotalk
Euan McComiskie @EMAHPInfo
@zamarcashton @physiotalk Definitely something I’m keen to see imbedded more in physio education and CPD in the UK. Digital knowledge and practice is just another tool in a physios toolkit. Already a few in that area and more coming! Exploring a network to make this a reality ASAP! #physiotalk
kate bennett @kategahr_kate
@physiotalk Maggie and I (And bug) are hitting the hay. Good night and thank you for a great chat #physiotalk
kate bennett @kategahr_kate
@physiotalk Thank you for organising them.....I have really.enjoyed the ones I have managed to take part in #physiotalk #physiosrock
Jo Kitchen @JoFallsPhysio
@sarahcgarr07 @physiotalk We hadn’t a talk from a policeman about safety in the community recently and it was quite useful- we also don’t do man you visits in the dark #Physiotalk
sarah garratt @sarahcgarr07
@physiotalk No day is the same. Such a variety of people that we meet. Humbling to gain a glimpse into someone’s life and what is important to them. Wouldn’t work anywhere else but community #physiotalk
Suzanne Brown @suzeeyre
@IanTyrrell5 @physiotalk Sometimes there is no other option! When our colleagues in Social Care can’t help, and the funding for community healthcare is insufficient, what else do we have? As a workforce we hate sending people to hospital, but sometimes it’s all that’s left for patient safety #physiotalk
physiotalk @physiotalk
And if you have a bright idea for a 2019 #physiotalk topic, get in touch with the team.
Louise Brennan @Louise_Brennan_
@zamarcashton @physiotalk That's great, I actually do research with inertial sensors in upper limb kinematics, it's really interesting to hear about these kind of devices in practice! #physiotalk
Helen Caldwell @caldwell_pt
@physiotalk Sorry I joined late but great another great chat thanks for organising @JoFallsPhysio and @physiotalk. Merry Christmas! #physiotalk
Lynsey MacD-Ferguson @lynseyferguson6
@sarahcgarr07 @physiotalk Agreed. What we think is the best option ie inpatient rehab is not always what the patient wants. It’s trying to find that middle ground #Physiotalk
Jo McKenzie @JoMckPhysio
@ellena_farrow @physiotalk I've only worked in the community as a 6 but feel just as supported as on the wards. People listen more and the MDT support each other greatly. 2 band 5's have just started with us they had a full induction and will have regular training. #physiotalk
Martyn Wyres @MartynWyres
@Hartey_PainPT I think it is good for students to see whole pathway and helps teams to communicate, plus students then become staff with wider knowledge base #physiotalk
Ian Tyrrell @IanTyrrell5
@suzeeyre @physiotalk No Not trying to have a go, just upset that we don’t have a rigorous and reactive step-up infrastructure to admit to sub-acute care. I understand the difficulties and challenges faced, frustration is at the system. #physiotalk
Lynsey MacD-Ferguson @lynseyferguson6
@physiotalk I think in our area the waiting time can be a real limitation. Time for older adults is very precious, 4-6 week wait can have a huge impact on function #Physiotalk
Martyn Wyres @MartynWyres
@physiotalk Messaged you guys 👍. #physiotalk
Pamela Hansford @PamKHphysio
#physiotalk Thanks for hosting talks, been great way of keeping in touch during rehab! Attending meetings still requires planning & effort+++. Fortunately I knew the venue for @PainSA day of presentations (2nd floor, no lift) & stair climbing @ Kirstenbosch had prepared me well!!
Pamela Hansford @PamKHphysio
Merry Christmas to all of you #physiotalk
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