#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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| Profile | Tweet |
|---|---|
 | Sheila Doughty @SheilaDoughty RT @physiotalk: 15 minute warning ahead of tonights #physiotalk tweetchat Time to put the kettle on and get yourselves ready! https://t.c… |
 | ATOCP Physio @PhysioATOCP RT @physiotalk: Welcome to tonights #physiotalk tweetchat which is co-hosted by @AGILECSP, @theACPRC, @PhysioATOCP and @ACPICR Thank you f… |
 | Susanne Arnold (Finnegan) @FinneganSusanne RT @physiotalk: Welcome to tonights #physiotalk tweetchat which is co-hosted by @AGILECSP, @theACPRC, @PhysioATOCP and @ACPICR Thank you f… |
 | physiotalk @physiotalk Before we get started with the questions – a chance to say hello, where you are tweeting from and please let everyone know if you are one of the facilitators from the professional networks #physiotalk |
 | Anthony Gilbert @awgilbert11 RT @physiotalk: Welcome to tonights #physiotalk tweetchat which is co-hosted by @AGILECSP, @theACPRC, @PhysioATOCP and @ACPICR Thank you f… |
| Sheila Doughty @SheilaDoughty RT @physiotalk: Welcome to tonights #physiotalk tweetchat which is co-hosted by @AGILECSP, @theACPRC, @PhysioATOCP and @ACPICR Thank you f… |
| Anthony Gilbert @awgilbert11 RT @PhysioATOCP: We are looking forward to this! Please join us at 8pm #physiotalk |
 | Harriet Shannon @HarrietShannon @physiotalk Tweeting from Biggleswade, excited to be here! #physiotalk |
| physiotalk @physiotalk @HarrietShannon Welcome! #physiotalk |
 | Heather Probert @Hev303 RT @ACPICR: ⏰ 8pm #physiotalk ⏰ https://t.co/6ERNLZRjPP https://t.co/fYcx1RkPZH |
 | Susan Cotton @susancotton18 Hello! Joining from Fife tonight #physiotalk |
 | AGILE @AGILECSP @physiotalk We are tweeting mainly from personal accounts tonight but we will also do our best to man #AGILE account too #physiotalk #multitasking |
 | Janet Thomas @JanetThomas47 I’m on the @physiotalk account tonight from a slightly damp Edinburgh #physiotalk |
| physiotalk @physiotalk A reminder that you MUST include the hashtag #physiotalk in ALL your tweets tonight please. Without the hashtag we won’t see your tweets – even if it’s a reply in the discussion. https://t.co/2cS3g2uDZC |
 | Sarah Seager @sarahseager94 @physiotalk #physiotalk From Leeds, working in the community |
| Susanne Arnold (Finnegan) @FinneganSusanne @physiotalk Hi I’m Susanne, tweeting from Coventry and I am a facilitator for @AGILECSP #physiotalk |
| physiotalk @physiotalk @susancotton18 Welcome to tonights chat! #physiotalk |
 | Lynsey MacD-Ferguson @lynseyferguson6 @physiotalk #AGILE communication officer and inpatient physiotherapist based in Scotland #physiotalk |
 | Lynne Mann @lynnemann13 #physiotalk joining from Dumfries and Galloway |
 | IPTOP @IPTOPphysio Following the #physiotalk hashtag with interest tonight as they discuss the impact of #COVID19 on rehabilitation for older people. Watch out for our networking session at #worldphysio2021 as we discuss this from a #GlobalPT perspective. |
 | Laura Thomson @LauraThomson84 #physiotalk Hi I'm Laura, 3rd year physio student from Winchester |
| AGILE @AGILECSP RT @physiotalk: A reminder that you MUST include the hashtag #physiotalk in ALL your tweets tonight please. Without the hashtag we won’t… |
 | María Fernández @minaharker20_12 RT @IPTOPphysio: Following the #physiotalk hashtag with interest tonight as they discuss the impact of #COVID19 on rehabilitation for older… |
| physiotalk @physiotalk @AGILECSP That's the great advantage of tweetdeck though:) (Mind you it doesn't mean that I don't tweet from the wrong account at times!) #physiotalk |
| AGILE @AGILECSP An opportunity not to be missed #worldphysio2021 |
 | Abi Hall @abijhall @physiotalk Hi! Abi, Agility editor in sunny Devon! #physiotalk |
| physiotalk @physiotalk @TheACPRC @emaroids1 Welcome! Just a reminder to put the hashtag in your tweets please :) #physiotalk |
| Lynne Mann @lynnemann13 Hello everyone L ynne Mann AHP lead in Dumfries and Galloway. Looking fwd to tonight's session #physiotalk |
| physiotalk @physiotalk @VistaWellbeing @ndht Welcome! Just a reminder to put #physiotalk in your tweets please |
 | StephenLungaroMifsud @slun1 @physiotalk @slun1 dropping in from Malta. Just an interested physiotherapist #physiotalk |
| physiotalk @physiotalk @_HelenAlexander @ACPICR Hi and welcome! Just a reminder to put #physiotalk in your tweets please! |
| physiotalk @physiotalk @slun1 Hi and hello from @JanetThomas47 Lovely to see you joining in tonight #physiotalk |
 | Dr Michelle Bull 💙 @MichelleBull4 And can't believe i forgot the hashtag on my first tweet #physiotalk |
 | Claire O' Connell @ClaireOCPhysio @physiotalk Hi everyone, Claire here. AGILE rep for West & Wales and physio in an acute hospital in Bristol #physiotalk |
 | Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk Justine - @AGILECSP East of England Rep. Senior Care Home Practitioner in Hertfordshire. Great to be here. Almost forgot to add #physiotalk |
 | Central Health @central_health #PhysioTalk We’re recruiting ambitious Band 6 or early Band 7 Physiotherapists who are looking for exciting new challenges as First Contact Physiotherapists https://t.co/3LEQE6a7Hv |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @physiotalk: Welcome to tonights #physiotalk tweetchat which is co-hosted by @AGILECSP, @theACPRC, @PhysioATOCP and @ACPICR Thank you f… |
 | Fiona Brownlie @fionabrownlie9 @physiotalk Cardiac Rehab physio based in Tayside and @ACPICR Membership Secretary #physiotalk |
 | ACPRC @TheACPRC @ClaireOCPhysio @physiotalk 👋 hello Claire! #physiotalk |
 | Helen Patricia (A1600364) @HELLSBELLS_DFYB @physiotalk #physiotalk I'm a student on placement at the moment at JCUH Teesside. I'm loving it, respiratory medicine (rotational) placement. I want to be a respiratory physio #justsaying |
| physiotalk @physiotalk There are quite a few tweets slipping through without the hashtag tonight. Please remember to put #physiotalk in all of your tweets! |
 | Emma @EmmaGentle16 @physiotalk Hi I'm Emma, I'm an MSK physio and post covid coordinator in Sussex #physiotalk |
| Anthony Gilbert @awgilbert11 @physiotalk Hi, sorry I’m a little late! Research physio based @RNOHnhs and one of the @PhysioATOCP exec members #physiotalk |
| Anthony Gilbert @awgilbert11 RT @EmmaGentle16: @physiotalk Hi I'm Emma, I'm an MSK physio and post covid coordinator in Sussex #physiotalk |
| Heather Probert @Hev303 @physiotalk Hi! I’m the other @ACPICR co-chair. CR Lead (physio) NW London #physiotalk |
| ACPRC @TheACPRC @physiotalk @emaroids1 Not a strong start 🤦♀️ #physiotalk |
| physiotalk @physiotalk Right - time to head towards question number one! #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @physiotalk: There are quite a few tweets slipping through without the hashtag tonight. Please remember to put #physiotalk in all of you… |
 | Sarah De Biase @sarahdebiase @physiotalk @physiotalk @sarahdebiase here joining from a balmy yorkshire (last time it was a snowy yorkshire) as @agilecsp Chair & AHP Lead for an older people’s mental health service in #bradford #physiotalk |
| physiotalk @physiotalk Q1. What is the main way that COVID has impacted on your rehab services for older people? #physiotalk |
 | Susanne Syme @SusanneSyme @physiotalk Looking forward to seeing what’s happening with rehab services as we emerge from this pandemic. I work in Somerset #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @AGILECSP @physiotalk #multitasking geniuses. 😅 #physiotalk |
| AGILE @AGILECSP Don't forget the #physiotalk we want to be able read the full transcript of tonights exciting chat ! |
| physiotalk @physiotalk @Hev303 @ACPICR Welcome! #physiotalk |
| Harriet Shannon @HarrietShannon @HELLSBELLS_DFYB @physiotalk Delighted to here it - you probably have an excellent clinical educator too! @TheACPRC #respisbest #physiotalk |
| physiotalk @physiotalk @awgilbert11 @RNOHnhs @PhysioATOCP Welcome! #physiotalk |
 | Jolly Barrow @jollyphysio Hi I’m Jolly, physio in rehab and frailty at Trafford Hospital #physiotalk |
| physiotalk @physiotalk RT @AGILECSP: Don't forget the #physiotalk we want to be able read the full transcript of tonights exciting chat ! https://t.co/5bnnBG5Btz |
| AGILE @AGILECSP RT @physiotalk: Q1. What is the main way that COVID has impacted on your rehab services for older people? #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @physiotalk: Q1. What is the main way that COVID has impacted on your rehab services for older people? #physiotalk |
| Anthony Gilbert @awgilbert11 RT @physiotalk: Q1. What is the main way that COVID has impacted on your rehab services for older people? #physiotalk |
 | johnny @johnny58768927 eats-ishakt23nue #ubereatscode #ubereats #ubereatspromocode #StayHome #ubereatsukcode #ukubereatspromocode UK Uber eats £15off + £15off promo code #ubereatscode #UberEats #ukubereatscode #UbereatsUKCode #ukubereat #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @AGILECSP: Don't forget the #physiotalk we want to be able read the full transcript of tonights exciting chat ! https://t.co/5bnnBG5Btz |
| Anthony Gilbert @awgilbert11 RT @sarahdebiase: @physiotalk @physiotalk @sarahdebiase here joining from a balmy yorkshire (last time it was a snowy yorkshire) as @agilec… |
 | Helen Alexander @_HelenAlexander @physiotalk Redeployment has meant many outpatient cardiac rehab services have been 'paused' for months at a time or on skeleton staffing #physiotalk |
| IPTOP @IPTOPphysio RT @physiotalk: Q1. What is the main way that COVID has impacted on your rehab services for older people? #physiotalk |
| ACPRC @TheACPRC @physiotalk Difficulty for many is that an older patient is on a Resp specialist ward. We can rehab for sure but don’t have intricate knowledge of our geriatric colleagues #physiotalk |
| Sarah De Biase @sarahdebiase @physiotalk #physiotalk Great to see representation from so many @thecsp affiliated #professionalnetworks #strongertogether |
 | Vista Wellbeing CIC @VistaWellbeing @physiotalk Remote assessment and delivery is not accessible to many older adults I work with and therefore the service is not equitable #physiotalk |
| Lynne Mann @lynnemann13 All rehab services were paused focus on rapid response and supporting acute in D&G #physiotalk |
| Harriet Shannon @HarrietShannon @physiotalk Lots of fantastic virtual/remote rehab going on - great for those with access, I worry for those who aren't on-line #physiotalk |
| physiotalk @physiotalk RT @sarahdebiase: @physiotalk #physiotalk Great to see representation from so many @thecsp affiliated #professionalnetworks #strongertogeth… |
| Susanne Syme @SusanneSyme @physiotalk COVID outbreaks in the Care sector has led to reluctance letting rehab services in but things are starting to improve as residents and most staff get their second vaccination #physiotalk |
 | CharlotteBuckland @AgeWellPhysio @physiotalk Hi from @AgeWellPhysio in the North East. Excited about my first #physiotalk |
| physiotalk @physiotalk @sarahdebiase @thecsp Certainly is! #physiotalk |
| ACPRC @TheACPRC @physiotalk And ability for onward referral when pathways have had to adapt so much, some services are still ‘paused’ #physiotalk |
 | Georgina Hooper @hoopge Hi I'm Georgina, trauma and ortho physio, @PhysioATOCP member and @ATOCP_SWALES chair #physiotalk |
| Lynsey MacD-Ferguson @lynseyferguson6 @physiotalk From an acute inpatient point of view we saw a much bigger push for “home first” and a change to the process of transferring a patient for further inpatient rehabilitation in relation to swab results etc #physiotalk |
 | Vineeth Ravindran💙He/him @r_vineeth @physiotalk #physiotalk disrupted face to face assessment and exercise sessions,lack of space and equipments to facilitate above |
| Sarah Seager @sarahseager94 @physiotalk #physiotalk An increase of the number of older people, previously independent and now active who haven’t been out for a year and are now falling |
| physiotalk @physiotalk @lynnemann13 Was that only outpatient / community or were rehab wards impacted as well? #physiotalk |
 | Lauren stenhouse @lastenhouse @physiotalk Our rehab services were seeing “urgent” cases only and many being done via telephone call! A lot of older people will tell you they are fine, in actual fact they are struggling and deconditioning very quickly #physiotalk #COVID19 |
| Abi Hall @abijhall @physiotalk All rehab teams redeployed to urgent care pathways.... and are yet to be stood back again #physiotalk |
| Anthony Gilbert @awgilbert11 @HarrietShannon @physiotalk This is a real issue - being forced online may exacerbate care access problems #physiotalk |
| Harriet Shannon @HarrietShannon @sarahseager94 @physiotalk That's so sad #physiotalk |
| AGILE @AGILECSP @TheACPRC @physiotalk Did you see a change to the age range on reps specialist wards ? e.g. more older adults #physiotalk |
| Janet Thomas @JanetThomas47 @lastenhouse @physiotalk That really resonates with my experience as well #physiotalk |
| Harriet Shannon @HarrietShannon @awgilbert11 @physiotalk Absolutely! #physiotalk |
| physiotalk @physiotalk RT @AGILECSP: @TheACPRC @physiotalk Did you see a change to the age range on reps specialist wards ? e.g. more older adults #physiotalk |
| AGILE @AGILECSP #physiotalk #teamwork |
| ACPRC @TheACPRC @HarrietShannon @physiotalk Yes some great examples and lessons learnt @clairemnolan84 @LucyGardinerPT @666Dunst #physiotalk |
| Claire O' Connell @ClaireOCPhysio @physiotalk Our inpatient team has shifted toward an assessment and discharge team, less time for inpatient rehab. #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk The focus had to be put on Prevention of Admission Services and Discharge Home to Assess Services, which left a long waiting list for the 'routine' planned therapy service. It's been tackled by getting locum staff in to provide support. #physiotalk |
| AGILE @AGILECSP @VistaWellbeing @physiotalk what remote methods did you try out ? any more successful than others ? #physiotalk |
| Georgina Hooper @hoopge @physiotalk #physiotalk loss of gym space which we haven't got back. De Conditioned patients now coming through for elective surgery. Teams split up for redeployment and challenging to get back... |
| Susanne Arnold (Finnegan) @FinneganSusanne @HarrietShannon @physiotalk Inequalities in access becomes a problem once again #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @AGILECSP: #physiotalk #teamwork |
| physiotalk @physiotalk @abijhall Do you think that was impacted by the second wave as well? #physiotalk |
| Anthony Gilbert @awgilbert11 @HarrietShannon @physiotalk Some softwares require quite modern phones / tablets / web browsers which can be expensive - may prevent access #physiotalk |
| Sarah De Biase @sarahdebiase @lastenhouse @physiotalk #physiotalk Yes, we have seen much more presentation in crisis as #olderpeople and people in general fearful of #covid and so not reaching out for services as readily/soon enough |
| Vista Wellbeing CIC @VistaWellbeing @TheACPRC @physiotalk We have been lucky that cardiac rehab has been able to continue throughout with remote assessment and the Vista services have adapted and continued. But, referrals from the rehab community have dried up.#physiotalk |
| Anthony Gilbert @awgilbert11 RT @sarahdebiase: @lastenhouse @physiotalk #physiotalk Yes, we have seen much more presentation in crisis as #olderpeople and people in gen… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @physiotalk: Q1. What is the main way that COVID has impacted on your rehab services for older people? #physiotalk |
 | Aldrin Adeni🩺#Please-Wear-a-Facemask😷💙 @AldrinAU RT @physiotalk: Q1. What is the main way that COVID has impacted on your rehab services for older people? #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @lastenhouse: @physiotalk Our rehab services were seeing “urgent” cases only and many being done via telephone call! A lot of older peop… |
| Anthony Gilbert @awgilbert11 RT @abijhall: @physiotalk All rehab teams redeployed to urgent care pathways.... and are yet to be stood back again #physiotalk |
| physiotalk @physiotalk @hoopge I know this is something @thecsp are looking at. Have others lost gym space as well? #physiotalk |
| Lynsey MacD-Ferguson @lynseyferguson6 @lastenhouse @physiotalk We saw a lot of this in our home based community teams. Must have been very challenging for them too #physiotalk |
| Helen Patricia (A1600364) @HELLSBELLS_DFYB @sarahseager94 @physiotalk #physiotalk and ones who are missing company. One lady really missing her Parkinsons exercise group. |
| Abi Hall @abijhall @physiotalk Services never really got stood back up in between waves - alreast not for community rehab #physiotalk |
| Anthony Gilbert @awgilbert11 RT @hoopge: @physiotalk #physiotalk loss of gym space which we haven't got back. De Conditioned patients now coming through for elective su… |
| ACPRC @TheACPRC @AGILECSP @physiotalk First wave no, maybe younger. But most recent wave there are def more elderly patients with long term conditions as well as COVID ☹️ #physiotalk |
 | Lisa 🦅💙 @Troomp @physiotalk Rehab space was taken for social distancing purposes and out patient services deemed more important #physiotalk |
| Anthony Gilbert @awgilbert11 RT @AGILECSP: @VistaWellbeing @physiotalk what remote methods did you try out ? any more successful than others ? #physiotalk |
| Heather Probert @Hev303 @physiotalk Redeployment has affected many CR services. Before we were able to restart some F2F activity, the virtual options we were able to use weren't options for some of our older patients #physiotalk |
| Janet Thomas @JanetThomas47 @awgilbert11 @HarrietShannon @physiotalk And i found even quite 'tech savvy' older adults struggle as well #physiotalk |
| Lauren stenhouse @lastenhouse @lynseyferguson6 @physiotalk Absolutely! #physiotalk |
| Harriet Shannon @HarrietShannon @sarahdebiase @lastenhouse @physiotalk Agreed. People struggling on for longer rather than reaching out #physiotalk |
 | Stephany PT, MSc @stephttam @physiotalk Hey, i’m a physical therapist currently exercising in Lebanon. Looking forward to this #physiotalk ! |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @lynseyferguson6 @physiotalk Indeed. This meant that the Discharge Home to Assess teams were quite busy. #physiotalk |
| Sarah Seager @sarahseager94 @HELLSBELLS_DFYB @physiotalk #physiotalk Absolutely, the loss of third sector activity groups is having a massive impact on the general health of communities |
| Aldrin Adeni🩺#Please-Wear-a-Facemask😷💙 @AldrinAU RT @TheACPRC: @physiotalk And ability for onward referral when pathways have had to adapt so much, some services are still ‘paused’ #physio… |
| Vineeth Ravindran💙He/him @r_vineeth @physiotalk #physiotalk never had psychological services to group sessions before,even before pre-covid times |
| Anthony Gilbert @awgilbert11 @JanetThomas47 @HarrietShannon @physiotalk Plenty of youngsters too! #physiotalk |
| ACPRC @TheACPRC @sarahdebiase @lastenhouse @physiotalk We agree re ‘fear’. Getting pts back in for routine reviews has been hard. Have others seen this too? #physiotalk |
| Helen Alexander @_HelenAlexander @HarrietShannon @physiotalk Absolutely. Even those who have digitial access and confidence wouldn't necesarily choose to access their rehab that way so may not engage in on-line options #physiotalk |
| Lynsey MacD-Ferguson @lynseyferguson6 @ClaireOCPhysio @physiotalk Yup, we moved to a very similar model. Difficult when the home based community response was likely to be telephone based #postiverisktaking #physiotalk |
| ATOCP Physio @PhysioATOCP RT @hoopge: Hi I'm Georgina, trauma and ortho physio, @PhysioATOCP member and @ATOCP_SWALES chair #physiotalk |
| Lauren stenhouse @lastenhouse @HarrietShannon @sarahdebiase @physiotalk Absolutely, our patients are definitely coming in a lot frailer and therefore leading to admissions rather than d/c #physiotalk |
| physiotalk @physiotalk @stephttam Welcome - great to have some #globalPT colleagues joining in. I'm sure the issues are the same worldwide! #physiotalk |
| Harriet Shannon @HarrietShannon @JanetThomas47 @awgilbert11 @physiotalk I also think that the virtual clinic just doesn't suit everyone - regardless of tech savviness. A hand hold or actual eye contact goes so so far #physiotalk |
| Vista Wellbeing CIC @VistaWellbeing @AGILECSP @physiotalk Mostly questions like - how do you get dressed in the morning to gain an indication of balance, but also sit to stand. I get more from questions #physiotalk |
| Stephany PT, MSc @stephttam @physiotalk Certainly are, yes ! #physiotalk |
| physiotalk @physiotalk RT @sarahseager94: @HELLSBELLS_DFYB @physiotalk #physiotalk Absolutely, the loss of third sector activity groups is having a massive impact… |
| Lauren stenhouse @lastenhouse @TheACPRC @sarahdebiase @physiotalk Is this people wanting to avoid hospital/clinic areas? #physiotalk |
| ATOCP Physio @PhysioATOCP RT @physiotalk: Q1. What is the main way that COVID has impacted on your rehab services for older people? #physiotalk |
| physiotalk @physiotalk #physiotalk |
| Sarah De Biase @sarahdebiase @Hev303 @physiotalk And NHS led #fallsprevention almost at a stand still #physiotalk |
 | ACPICR @ACPICR This is definitely the case, compounded by repurposing of gym spaces #physiotalk |
| Lynsey MacD-Ferguson @lynseyferguson6 @JanetThomas47 @awgilbert11 @HarrietShannon @physiotalk Even some of our tech savvy colleagues found the move to remote more difficult than expected #physiotalk #MSteams #wholeneworld |
| ACPRC @TheACPRC @lastenhouse @sarahdebiase @physiotalk Yes for sure #physiotalk we’ve done a lot over the phone/remote but you can’t beat a face to face for some things |
| physiotalk @physiotalk RT @ACPICR: This is definitely the case, compounded by repurposing of gym spaces #physiotalk https://t.co/SrgRavmpuU |
| physiotalk @physiotalk RT @sarahdebiase: @Hev303 @physiotalk And NHS led #fallsprevention almost at a stand still #physiotalk |
 | Hannah Wilson @HannahW42536643 #physiotalk #physiotalk limited staff in community rehab team and those staff redeployed to intermediate care to support discharge to assess. Effectively no community rehab. Patients on a 20week waiting list having had one telephone assessment. |
 | Emma Lee @EmmaLeePhysio RT @physiotalk: Q1. What is the main way that COVID has impacted on your rehab services for older people? #physiotalk |
| Helen Patricia (A1600364) @HELLSBELLS_DFYB RT @lastenhouse: @physiotalk Our rehab services were seeing “urgent” cases only and many being done via telephone call! A lot of older peop… |
| Laura Thomson @LauraThomson84 @sarahseager94 @HELLSBELLS_DFYB @physiotalk #physiotalk I do worry about this. I run an exercise referral scheme and all our falls groups and cardiac/pulmonary groups have lost out for a year now! I worry we may not get some back as they are now too deconditioned! |
 | Ana Rosa Isla @AnaIsla7 @sarahseager94 @physiotalk #physiotalk also de Long COVID patients that have lost their independence will need more input for a considerable longer period which adds to the pressure of already stretched services |
| Emma Lee @EmmaLeePhysio RT @physiotalk: There are quite a few tweets slipping through without the hashtag tonight. Please remember to put #physiotalk in all of you… |
| Abi Hall @abijhall @physiotalk I think the impact on rehab staff can’t be underestimated. Rehab is in their bones, it’s what gets them up in the morning - helping make people better... taking away their ability to rehab patients has had a massively negative impact - urgent care is not the same #physiotalk |
| physiotalk @physiotalk Certainly an impact on services across the board Lets go onto the next question... #physiotalk |
| physiotalk @physiotalk Q2. What specific strategies or changes have you put in place to overcome the effects/impact of COVID on rehabilitation for older people? #physiotalk |
| Sarah De Biase @sarahdebiase RT @JanetThomas47: @awgilbert11 @HarrietShannon @physiotalk And i found even quite 'tech savvy' older adults struggle as well #physiotalk |
| Anthony Gilbert @awgilbert11 @HarrietShannon @JanetThomas47 @physiotalk Absolutely. It can be really hard to convey empathy (important for clinician) and receive it (important for the patient). The human touch is very important. What do patients expect from a physio? A chat over a screen? #physiotalk |
 | Theresinha @theresinha11 physio working in elderly medicine at Barnet Hospital .. Also my first #physiotalk |
| physiotalk @physiotalk RT @abijhall: @physiotalk I think the impact on rehab staff can’t be underestimated. Rehab is in their bones, it’s what gets them up in the… |
| physiotalk @physiotalk One of our regular reminders to keep using the #physiotalk hashtag in all your tweets tonight please! https://t.co/IWZIjrPZQX |
| ATOCP Physio @PhysioATOCP RT @hoopge: @physiotalk #physiotalk loss of gym space which we haven't got back. De Conditioned patients now coming through for elective su… |
| Laura Thomson @LauraThomson84 @_HelenAlexander @HarrietShannon @physiotalk #physiotalk Yes I agree. I don't even do any online workouts and I work in a gym! |
| ATOCP Physio @PhysioATOCP RT @fionabrownlie9: @physiotalk Cardiac Rehab physio based in Tayside and @ACPICR Membership Secretary #physiotalk |
| Lisa 🦅💙 @Troomp RT @abijhall: @physiotalk I think the impact on rehab staff can’t be underestimated. Rehab is in their bones, it’s what gets them up in the… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @VistaWellbeing @physiotalk Remote assessment can be challenging with our much older patients, as some have hearing impairments and would struggle to understand what one is saying over the phone. Others are not tech-savvy, so indeed, that makes virtual therapy input inequitable. #physiotalk |
| Sarah Seager @sarahseager94 @lynnemann13 @HELLSBELLS_DFYB @physiotalk #physiotalk That’s great integration! |
| ATOCP Physio @PhysioATOCP RT @lastenhouse: @physiotalk Our rehab services were seeing “urgent” cases only and many being done via telephone call! A lot of older peop… |
| ATOCP Physio @PhysioATOCP RT @FinneganSusanne: @physiotalk Hi I’m Susanne, tweeting from Coventry and I am a facilitator for @AGILECSP #physiotalk |
| Sarah De Biase @sarahdebiase @JanetThomas47 @awgilbert11 @HarrietShannon @physiotalk #physiotalk Newest Age UK report on digital inclusion out this month Apologies I haven’t yet read it as only came across today https://t.co/eHPTsM6GFQ |
| ATOCP Physio @PhysioATOCP RT @lynseyferguson6: @physiotalk #AGILE communication officer and inpatient physiotherapist based in Scotland #physiotalk |
| physiotalk @physiotalk #physiotalk |
| AGILE @AGILECSP @TheACPRC @physiotalk That is interesting. I imagine we will continue to see a rise in older adults now presenting to hospital with direct or indirect issues related to COVID #physiotalk |
| physiotalk @physiotalk RT @sarahdebiase: @JanetThomas47 @awgilbert11 @HarrietShannon @physiotalk #physiotalk Newest Age UK report on digital inclusion out this mo… |
| AGILE @AGILECSP RT @sarahdebiase: @JanetThomas47 @awgilbert11 @HarrietShannon @physiotalk #physiotalk Newest Age UK report on digital inclusion out this mo… |
| Harriet Shannon @HarrietShannon @LauraThomson84 @_HelenAlexander @physiotalk Haha as soon as I hear the word 'online' I get the shivers!! #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @physiotalk: Q2. What specific strategies or changes have you put in place to overcome the effects/impact of COVID on rehabilitation for… |
| Fiona Brownlie @fionabrownlie9 #physiotalk 🤦♀️ |
| StephenLungaroMifsud @slun1 @AGILECSP @VistaWellbeing @physiotalk In Malta, remote/virtual assessment/interventions are reported to have worked only for older people/partners/family caregivers in the same household who are somewhat digitally literate. #physiotalk |
| ATOCP Physio @PhysioATOCP RT @physiotalk: Q2. What specific strategies or changes have you put in place to overcome the effects/impact of COVID on rehabilitation for… |
| physiotalk @physiotalk RT @physiotalk: Q2. What specific strategies or changes have you put in place to overcome the effects/impact of COVID on rehabilitation for… |
| Anthony Gilbert @awgilbert11 @lynseyferguson6 @JanetThomas47 @HarrietShannon @physiotalk It’s actually quite hard work! We published a paper on this last year - majority of virtual work was done on the telephone https://t.co/GR3G2Frn4f - it’s certainly ‘easier’ than using new video software #physiotalk |
| IPTOP @IPTOPphysio RT @physiotalk: Q2. What specific strategies or changes have you put in place to overcome the effects/impact of COVID on rehabilitation for… |
| Laura Thomson @LauraThomson84 @HarrietShannon @JanetThomas47 @awgilbert11 @physiotalk #physiotalk I feel majority of my customers in the exercise classes I teach come for the social aspect more than anything else. the exercise is an added bonus for them! |
| IPTOP @IPTOPphysio RT @slun1: @AGILECSP @VistaWellbeing @physiotalk In Malta, remote/virtual assessment/interventions are reported to have worked only for old… |
| physiotalk @physiotalk RT @awgilbert11: @lynseyferguson6 @JanetThomas47 @HarrietShannon @physiotalk It’s actually quite hard work! We published a paper on this la… |
| Georgina Hooper @hoopge @physiotalk #physiotalk Being more proactive, not awaiting until our elective patients are in. Contacting and supporting those on waiting lists and managing anxieties and expectations... Lots of reassurance and ensuring they are not 'just a number' |
| Anthony Gilbert @awgilbert11 @sarahdebiase @JanetThomas47 @HarrietShannon @physiotalk This looks very interesting! Thanks for sharing! Perfect timing for my #phd and of interest to @Ada_K_Humphrey #physiotalk |
| AGILE @AGILECSP RT @physiotalk: One of our regular reminders to keep using the #physiotalk hashtag in all your tweets tonight please! https://t.co/IWZIjrPZ… |
| AGILE @AGILECSP RT @physiotalk: Q2. What specific strategies or changes have you put in place to overcome the effects/impact of COVID on rehabilitation for… |
| ATOCP Physio @PhysioATOCP The impact of COVID-19 on rehabilitation services for older adults #physiotalk 29th Mar https://t.co/MzYfgg49RK via @PhysioTalk |
| ACPRC @TheACPRC @physiotalk Lots of remote/phone consultations; online carer training; changes to risk Ax’s to enable some F2F going; signposting One example doc led by @LucyGardinerPT for remote PR considerations #physiotalk https://t.co/AP2pRUTv3j |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @slun1: @AGILECSP @VistaWellbeing @physiotalk In Malta, remote/virtual assessment/interventions are reported to have worked only for old… |
| Fiona Brownlie @fionabrownlie9 RT @lynseyferguson6: @JanetThomas47 @awgilbert11 @HarrietShannon @physiotalk Even some of our tech savvy colleagues found the move to remot… |
| CharlotteBuckland @AgeWellPhysio @JustineMusiime @VistaWellbeing @physiotalk Absolutely agree, we need flexible options for rehab delivery #physiotalk |
| Harriet Shannon @HarrietShannon @TheACPRC @physiotalk @LucyGardinerPT Even more awareness of mental health/resilience/coping strategies #physiotalk |
| Lauren stenhouse @lastenhouse @physiotalk I think from a personal point of view I have definitely made more phone calls to the rehab teams to discuss patients. Also provided a lot more HEP than normal and mindful of equipment etc required #physiotalk |
| physiotalk @physiotalk RT @TheACPRC: @physiotalk Lots of remote/phone consultations; online carer training; changes to risk Ax’s to enable some F2F going; signpos… |
| Claire O' Connell @ClaireOCPhysio @lynseyferguson6 @physiotalk Yes we had an increase in availability for Home First which improved flow. More difficult moving covid positive patients for inpatient rehab. #physiotalk |
| Anthony Gilbert @awgilbert11 @LauraThomson84 @HarrietShannon @JanetThomas47 @physiotalk There is a lot of mention in the VC literature how fellow sufferer peer support is missing with virtual. Often the answer is to do a digital support group but this doesn’t help those who can’t access #physiotalk |
| ACPRC @TheACPRC @AGILECSP @physiotalk Yes for sure. This last 2 weeks we’ve had so many new fallers- lots of CGA’s being done 👍 #physiotalk |
| IPTOP @IPTOPphysio @physiotalk We have a collation of resources from our members and others from around the world. We hope this was useful signposting for physios #physiotalk https://t.co/wLfrBm0mKX |
| ACPRC @TheACPRC @HarrietShannon @JanetThomas47 @awgilbert11 @physiotalk I miss giving my Pts a cuddle when they need one #physiotalk |
| Vista Wellbeing CIC @VistaWellbeing @LauraThomson84 @sarahseager94 @HELLSBELLS_DFYB @physiotalk Agree, it is a worry. We will be contacting all clients as soon as we are able to open again. However, our services are not free and I find sometimes there is a reluctance to recommend services that have a charge. What are peoples thoughts on this? #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne @lastenhouse @physiotalk How did patients feel about phone calls rather than face to face contact? #physiotalk |
| Sarah De Biase @sarahdebiase @_HelenAlexander @HarrietShannon @physiotalk #physiotalk anecdotal findings suggest #olderpeople see #digital rehab as an adjunct to F2F/usual care. It absolutely must be invested in as it will enable greater choice & fidelity to evidence base eg in exs dose. Needs resource to support the older person to become IT active |
| physiotalk @physiotalk #physiotalk |
| physiotalk @physiotalk RT @physiotalk: One of our regular reminders to keep using the #physiotalk hashtag in all your tweets tonight please! https://t.co/IWZIjrPZ… |
| Lauren stenhouse @lastenhouse @physiotalk Also taking into account the carers/families and referring them onto support services #physiotalk |
| Emma Lee @EmmaLeePhysio @lastenhouse @physiotalk At times our community services could only do urgent as well. A lot of step down beds couldn’t accept patients due to restrictions. On the plus side patients got more ‘acute rehab’ as a silver lining to some discharged being delayed #physiotalk |
| Harriet Shannon @HarrietShannon @awgilbert11 @LauraThomson84 @JanetThomas47 @physiotalk This is totally it! Those sideways whispers or gaggles around a cup of coffee - that's where so much of the rehab magic happens #physiotalk |
| Heather Probert @Hev303 @physiotalk Making sure we have multiple options so no-one excluded. Telephone alternatives to MS Teams. Lots of risk assessments and SOPs to enable some F2F assessments and group classes to restart - catering for those who prefer non-tech options #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk In regard to staff shortages, Band 3s, 4s & redeployed staff who were not as conversant with community rehab, supported with gathering as much of the initial subjective assessments over the phone where possible. This shortened the F2F visits by the physiotherapists. #physiotalk |
| Lynsey MacD-Ferguson @lynseyferguson6 @ClaireOCPhysio @physiotalk In general we couldn’t move covid positive patients to rehab facilities until day 15. The complexity and dependency of these patients was a real challenge to support within an acute inpatient ward #creativerehab #physiotalk |
| physiotalk @physiotalk RT @VistaWellbeing: @LauraThomson84 @sarahseager94 @HELLSBELLS_DFYB @physiotalk Agree, it is a worry. We will be contacting all clients as… |
| Lauren stenhouse @lastenhouse @physiotalk I still had face to face contact it was my inwards referrals and discussions that I would normally do via email were more time on calls etc #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @hoopge: @physiotalk #physiotalk Being more proactive, not awaiting until our elective patients are in. Contacting and supporting those… |
| Sarah Seager @sarahseager94 @AGILECSP @TheACPRC @physiotalk #physiotalk The fall out (no fall pun intended!) for older people is going to last for years, I think |
| Vista Wellbeing CIC @VistaWellbeing Oh yes, we feel this. |
| Harriet Shannon @HarrietShannon @Hev303 @physiotalk Sounds like a heap of paperwork Heather! #physiotalk |
| Lynsey MacD-Ferguson @lynseyferguson6 @lastenhouse @physiotalk I have to say one really good thing that came out of covid was the improved relationships across the inpatient/ community divide #friends #sharingofinfo #physiotalk |
| physiotalk @physiotalk Heading towards halfway to time for our next question #physiotalk |
| Sarah De Biase @sarahdebiase @LauraThomson84 @HarrietShannon @JanetThomas47 @awgilbert11 @physiotalk #physiotalk we mustn’t forget the social element of programmes, plus the support and motivation and encouragement to carry on which enables sustainable behaviour change. And also appropriate progression at right time to get most out of therapy |
| physiotalk @physiotalk Q3. How have changes to community rehab services impacted on discharge planning? #physiotalk |
| Anthony Gilbert @awgilbert11 @sarahdebiase @_HelenAlexander @HarrietShannon @physiotalk Phrase I often see written is ‘VC should be a supplement rather than replacement to F2F’ #physiotalk |
 | exerciseCOPD 💙 #wearamask @exerciseCOPD RT @TheACPRC: @physiotalk Lots of remote/phone consultations; online carer training; changes to risk Ax’s to enable some F2F going; signpos… |
| Lauren stenhouse @lastenhouse @lynseyferguson6 @physiotalk Yes I definitely got to know my community colleagues a lot better during covid #physiotalk |
| AGILE @AGILECSP RT @physiotalk: Q3. How have changes to community rehab services impacted on discharge planning? #physiotalk |
| Hannah Wilson @HannahW42536643 RT @sarahdebiase: @JanetThomas47 @awgilbert11 @HarrietShannon @physiotalk #physiotalk Newest Age UK report on digital inclusion out this mo… |
 | Alice Kilby @AliceKilbyPT @physiotalk Phone calls are now being counted as follow up, we’ve recognised the importance of these in motivating and supporting those that can manage phone calls effectively. As we move to recover rehab services we need more more more of everything #physiotalk |
| ATOCP Physio @PhysioATOCP RT @physiotalk: Q3. How have changes to community rehab services impacted on discharge planning? #physiotalk |
| AGILE @AGILECSP @sarahseager94 @TheACPRC @physiotalk we love a good pun here at #AGILE #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @IPTOPphysio: @physiotalk We have a collation of resources from our members and others from around the world. We hope this was useful si… |
| Janet Thomas @JanetThomas47 @sarahdebiase @LauraThomson84 @HarrietShannon @awgilbert11 @physiotalk I do wonder if that is one of the main issues with current restrictions - less opportunity to see and progress appropriately. #physiotalk |
| Alice Kilby @AliceKilbyPT RT @sarahdebiase: @Hev303 @physiotalk And NHS led #fallsprevention almost at a stand still #physiotalk |
| Heather Probert @Hev303 @FinneganSusanne @lastenhouse @physiotalk Through the earlier months of the pandemic they were so grateful to "not feel forgotten" and didn't want to attend F2F as they were scared. This has changed over the months and many are now wanting F2F (with appropriate measures in place) #physiotalk |
 | Kirsten Lord @PhysioKirsten @physiotalk During COVID the older age group was more reticent to see clinicians face to face. This has encouraged many to use digital services. @PhysioWizard #PhysioTalk |
| Sarah De Biase @sarahdebiase @awgilbert11 @LauraThomson84 @HarrietShannon @JanetThomas47 @physiotalk #physiotalk This is true - we can’t move to wholly digital offer. There needs to be appropriate assessment of need and choice for individual. Particularly important is need, esp for those with more complex needs / frailty etc to have holistic assessment in their own home |
| physiotalk @physiotalk RT @HarrietShannon: @awgilbert11 @LauraThomson84 @JanetThomas47 @physiotalk This is totally it! Those sideways whispers or gaggles around a… |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @physiotalk: Q3. How have changes to community rehab services impacted on discharge planning? #physiotalk |
| Anthony Gilbert @awgilbert11 @Hev303 @physiotalk This is really important. My PhD is all about patient preferences for virtual consultations - great hearing there are options available for them! #physiotalk |
| Fiona Brownlie @fionabrownlie9 @physiotalk #physiotalk We switched to telephone/video consultations and provided all cardiac rehab patients with an individualised home exercise programme. Delighted we have managed to maintain some sort of a service where other teams have not been so lucky. |
| physiotalk @physiotalk RT @Hev303: @FinneganSusanne @lastenhouse @physiotalk Through the earlier months of the pandemic they were so grateful to "not feel forgott… |
| Anthony Gilbert @awgilbert11 RT @sarahdebiase: @awgilbert11 @LauraThomson84 @HarrietShannon @JanetThomas47 @physiotalk #physiotalk This is true - we can’t move to wholl… |
| CharlotteBuckland @AgeWellPhysio @FinneganSusanne @lastenhouse @physiotalk Some are just happy to talk with another person and so grateful for some level of service. Others express frustration and are hopeful for return of F2F across healthcare #physiotalk |
| ACPRC @TheACPRC @physiotalk Referring pts to a service we know they will have to wait a long time for is worrying - are they safe in meantime? Will they deteriorate further from a Resp perspective- self mx never so imp to get right! #physiotalk |
| physiotalk @physiotalk RT @TheACPRC: @physiotalk Referring pts to a service we know they will have to wait a long time for is worrying - are they safe in meantime… |
| Lynsey MacD-Ferguson @lynseyferguson6 @FinneganSusanne @lastenhouse @physiotalk Someone should study that. You miss a lot of information over the phone no body language feedback etc. I hate talking on the phone @fionabrownlie9 knows all about that 😂 #physiotalk |
| Jolly Barrow @jollyphysio @physiotalk The community team in one of our localities isn’t able to provide rehab in the community, only safety checks, so sometimes people are staying longer but this isn’t always captured in the data #physiotalk |
| Vista Wellbeing CIC @VistaWellbeing RT @sarahdebiase: @LauraThomson84 @HarrietShannon @JanetThomas47 @awgilbert11 @physiotalk #physiotalk we mustn’t forget the social element… |
 | PhysioWizard® | Digital Triage @physiowizard @physiotalk It is important to be mindful of both care access and personal preference. Digital solutions can be used to enhance access but patients should be given choice. @PhysioKirsten #physiotalk |
| ACPRC @TheACPRC @FinneganSusanne @lastenhouse @physiotalk Some pts have really liked it- access easier ie no hospital parking to contend with! #physiotalk |
| Harriet Shannon @HarrietShannon @physiotalk I would like to think that there is even more joined up thinking/communication between community and acute trusts #physiotalk |
| physiotalk @physiotalk @jollyphysio Can you compare outcomes with the other localities? #physiotalk |
| Sarah De Biase @sarahdebiase @physiotalk #physiotalk and yet so many new opportunities inc #long covid rehab for physios. However fully appreciate the sheer scale of variation in how services have responded and then adjusted/reset or not relative to needs local health and care system/covid rates. |
 | Dr Melrose Stewart MBE @MelroseStewart1 @Hev303 @physiotalk So important , as I am aware that many older adults in the Black community found rehab services 'hard to reach' before the pandemic. Now situation much worse and guess which group has been disproportionately affected? #physiotalk |
 | Amy Souster @AmyLouSous @physiotalk #physiotalk community teams who were still visiting had to upskill to cover the other professionals not seeing pts during this time. We had to become the eyes sometimes for these visits - fracture clinics for example. Lots of photos, videos and communicating with other HCPs |
| physiotalk @physiotalk RT @MelroseStewart1: @Hev303 @physiotalk So important , as I am aware that many older adults in the Black community found rehab services 'h… |
| Lynsey MacD-Ferguson @lynseyferguson6 @TheACPRC @physiotalk We do worry about this. Does the older person have the ability to seek faster help if required. Who do they go to ? Basically, try to communicate a plan B to them #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne @lynseyferguson6 @lastenhouse @physiotalk @fionabrownlie9 I would find it very hard to do really effective phone appointments I think too @lynseyferguson6 #physiotalk |
| Vineeth Ravindran💙He/him @r_vineeth @physiotalk #physiotalk we been signposting to BHF websites and other online resources and encouraging patients to walk outdoors in their own pace for cardiac rehab |
| Heather Probert @Hev303 @HarrietShannon @physiotalk It was but was definitely worth it when we see the progress they are making! Many were done jointly with our PR team as we were both facing similar challenges in reactivating our services #physiotalk |
| Helen Alexander @_HelenAlexander @physiotalk In cardiac rehab, community exercise programmes we would normally refer on to have been closed to new referrals for months as they are often based in gyms/leisure centres, so we have limited 'exit routes' from remote cardiac rehab programmes #physiotalk |
| physiotalk @physiotalk @lynseyferguson6 @TheACPRC And if there isn't an option for a plan B as all services are 'paused' ?? #physiotalk |
| ACPRC @TheACPRC @MelroseStewart1 @Hev303 @physiotalk This is worrying isn’t it, esp considering a large percentage of COVID pts are from BAME background #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne @AgeWellPhysio @lastenhouse @physiotalk What type of service do you offer over the phone @AgeWellPhysio #physiotalk |
| exerciseCOPD 💙 #wearamask @exerciseCOPD @Hev303 @physiotalk This is a key factor catering for those who prefer non-tech options #Physiotalk https://t.co/pBM6m943MG |
| Jolly Barrow @jollyphysio @physiotalk #physiotalk we do #nof rehab and the patients in the last couple of months are much frailer with more people needing alternatives to home on discharge |
| Anthony Gilbert @awgilbert11 @lynseyferguson6 @FinneganSusanne @lastenhouse @physiotalk @fionabrownlie9 @LucasSeuren is leading a research study using conversation analysis and looking at virtual physical examinations 🙌🏼 #physiotalk |
| physiotalk @physiotalk RT @awgilbert11: @lynseyferguson6 @FinneganSusanne @lastenhouse @physiotalk @fionabrownlie9 @LucasSeuren is leading a research study using… |
| Heather Probert @Hev303 @PhysioKirsten @physiotalk @physiowizard This is so true! I was given an IT lesson by my 85 year old patient the other day who had been having lessons from their grandchildren!!! #physiotalk |
| Ana Rosa Isla @AnaIsla7 @r_vineeth @physiotalk #physiotalk we also use voluntary services and other services outside the NHS if our patients cannot access some of the community rehab teams but it is not always ideal |
| Lynsey MacD-Ferguson @lynseyferguson6 @physiotalk @TheACPRC Cross everything tight. Thankfully our readmission rate has been low. Reassuring that the risk assessment has been based on solid clinical reasoning #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @awgilbert11: @lynseyferguson6 @FinneganSusanne @lastenhouse @physiotalk @fionabrownlie9 @LucasSeuren is leading a research study using… |
| Anthony Gilbert @awgilbert11 RT @MelroseStewart1: @Hev303 @physiotalk So important , as I am aware that many older adults in the Black community found rehab services 'h… |
| Sarah De Biase @sarahdebiase @physiotalk #physiotalk We have examples shared by @AGILECSP members whereby they have transitioned to blended F2F and digital offer with digital investment locally; to those shifting to reablement model & highly experienced physios supporting personal care /ADLs to meet demand @physiotalk |
| Harriet Shannon @HarrietShannon @TheACPRC @MelroseStewart1 @Hev303 @physiotalk So much inequality. Where do we start in addressing this? #physiotalk |
| Jolly Barrow @jollyphysio @HarrietShannon @physiotalk Not everywhere!! But I think there are definitely lessons to learn to make things better in the future #physiotalk |
| AGILE @AGILECSP RT @sarahdebiase: @physiotalk #physiotalk We have examples shared by @AGILECSP members whereby they have transitioned to blended F2F and di… |
| Dr Melrose Stewart MBE @MelroseStewart1 @TheACPRC @Hev303 @physiotalk Very! The question is what steps are rehab services taking to reach out to communities where the system is poorly understood? #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne @awgilbert11 @physiotalk @lynseyferguson6 @lastenhouse @fionabrownlie9 @LucasSeuren Sounds really interesting - thank you! #physiotalk |
| ATOCP Physio @PhysioATOCP RT @physiotalk: @awgilbert11 @RNOHnhs @PhysioATOCP Welcome! #physiotalk |
| Anthony Gilbert @awgilbert11 @lynnemann13 @TheACPRC @FinneganSusanne @lastenhouse @physiotalk Are there issues with connectivity in some areas #physiotalk |
| ACPICR @ACPICR @physiotalk Many cardiac rehab services are providing telephone delivery, with some trialling VC for assessment and/or exercise/education; @bacpr have provided comprehensive guidance on virtual and F2F assessment and exercise, including FCT (https://t.co/ewgqvgcI42) #physiotalk |
| CharlotteBuckland @AgeWellPhysio @FinneganSusanne @lastenhouse @physiotalk Where appropriate, we complete subjective assessment and some reviews over phone. Initial assessment helps determine correct service, action onward referrals, give advice and discuss what patent wishes to happen next #physiotalk |
| Amy Souster @AmyLouSous @physiotalk It would be interesting to see readmission rates. Are people actually staying out of hospital with current set up. #physiotalk |
| Claire O' Connell @ClaireOCPhysio @physiotalk Increase in availability of Homefirst slots meant more pts went home with this service. Pts referred for comm PT/OT would have a long wait, this was a concern. At times during first wave, told not to refer pts as the service was not available #physiotalk |
| physiotalk @physiotalk Time for question four! #physiotalk |
| Emma Lee @EmmaLeePhysio @physiotalk York created a central hub for referrals so there is a dedicated team to support discharge planning #physiotalk |
| physiotalk @physiotalk Q4. What feedback have you had from older people and their relatives/carers about the changes to their rehab services? #physiotalk |
| AGILE @AGILECSP RT @physiotalk: Time for question four! #physiotalk |
| physiotalk @physiotalk RT @ACPICR: @physiotalk Many cardiac rehab services are providing telephone delivery, with some trialling VC for assessment and/or exercise… |
| AGILE @AGILECSP RT @ACPICR: @physiotalk Many cardiac rehab services are providing telephone delivery, with some trialling VC for assessment and/or exercise… |
| AGILE @AGILECSP RT @physiotalk: Q4. What feedback have you had from older people and their relatives/carers about the changes to their rehab services?… |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @physiotalk: Q4. What feedback have you had from older people and their relatives/carers about the changes to their rehab services?… |
| Lynne Mann @lynnemann13 Patients were happy initially but want to go back to traditional models #physiotalk |
| Hannah Wilson @HannahW42536643 @physiotalk Usual exercise groups, support groups, council gyms, exercise on prescription not available - more signposting to online exercise videos, wellbeing support group, some great videos on pd uk website #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk Focus went on urgent functional needs to deal with the long waiting lists. An 'open' discharge system was introduced- patients would be discharged, but had the option to contact the therapists within say 2/52. If no contact, the referral would then be closed. #physiotalk |
| Harriet Shannon @HarrietShannon @physiotalk A sense of massive gratitude that staff really are trying their best #physiotalk |
| Vista Wellbeing CIC @VistaWellbeing @_HelenAlexander @physiotalk Although we have continued to offer phase 4 remotely, patients have not been so keen to engage with online classes. Perhaps this is because this has not been something we have been able to offer in phase 3? #physiotalk |
| Georgina Hooper @hoopge @physiotalk Maybe feeling that comm services aren't able to do enough due to their pressures. It feels unnerving to send people home knowing they could do with more input, esp with less social contact. Maybe elements of moral injury and feelings of guilt that we can't do more? #physiotalk |
 | Fiona Skelton @skelton_fiona @physiotalk I’m Fiona managing community response and community therapy teams in North Yorkshire #physiotalk |
| Janet Thomas @JanetThomas47 @physiotalk In general they have been very understanding of our stop - restart - pause again service as we went through first and second wave. Grateful for what we could offer really #physiotalk |
| physiotalk @physiotalk Keep on going using the #physiotalk hashtag in ALL your tweets tonight! https://t.co/Gg2SRJ3lZQ |
| physiotalk @physiotalk RT @lynnemann13: Patients were happy initially but want to go back to traditional models #physiotalk |
| Lynsey MacD-Ferguson @lynseyferguson6 @HarrietShannon @physiotalk And that is important to remember. It might not be the way we would deliver services normally but everyone is trying their best #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @physiotalk: Q2. What specific strategies or changes have you put in place to overcome the effects/impact of COVID on rehabilitation for… |
| Helen Alexander @_HelenAlexander @HarrietShannon @physiotalk Absolutely! #physiotalk |
| AGILE @AGILECSP RT @physiotalk: Keep on going using the #physiotalk hashtag in ALL your tweets tonight! https://t.co/Gg2SRJ3lZQ |
| Amy Souster @AmyLouSous @physiotalk #physiotalk They are exhausted as well. They are missing interaction, they are missing groups they attended, they are missing community support and networks, they are deconditioned and have lost confidence in everything. It is heartbreaking to see. |
| physiotalk @physiotalk @hoopge I suspect we all have a feeling of guilt - do people agree? #physiotalk |
| Harriet Shannon @HarrietShannon @lynseyferguson6 @physiotalk And I think people totally get that! #physiotalk |
| Vineeth Ravindran💙He/him @r_vineeth @physiotalk #physiotalk there is still a lot of anxiety related to uncertainty as well spread of infection from attending an hospital appointment |
| ATOCP Physio @PhysioATOCP RT @hoopge: @physiotalk Maybe feeling that comm services aren't able to do enough due to their pressures. It feels unnerving to send people… |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @lynnemann13: Patients were happy initially but want to go back to traditional models #physiotalk |
| Jolly Barrow @jollyphysio @physiotalk #physiotalk the issues flagged up are mostly related to communication and decreased visiting- it’s really affected discharge planning |
| Lynsey MacD-Ferguson @lynseyferguson6 @hoopge @physiotalk I’d never really thought of it as feeling guilty but you are absolutely right #physiotalk |
| Claire O' Connell @ClaireOCPhysio @AmyLouSous @physiotalk We have had a few readmissions but not sure if this is impacted by COVID. We have definitely had more "social admissions", ppl not coping at home in recent months. Mainly those struggling with cleaning/shopping/isolation #physiotalk |
| ACPRC @TheACPRC @r_vineeth @physiotalk Totally agree #physiotalk |
| Lynne Mann @lynnemann13 There is also a bit of tension between services 'opening back up' at different timescales #physiotalk |
| Vista Wellbeing CIC @VistaWellbeing And this guidance from @bacpr has been very much appreciated #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @lynseyferguson6: @FinneganSusanne @lastenhouse @physiotalk Someone should study that. You miss a lot of information over the phone no b… |
| Helen Alexander @_HelenAlexander @physiotalk I think older people have been very understanding that their access to rehab has been so limited, but they are now keen and ready to return to accessing f2f rehab services #physiotalk |
| Dr Melrose Stewart MBE @MelroseStewart1 @AgeWellPhysio @FinneganSusanne @lastenhouse @physiotalk Agree, and for some, if they are not proficient in English, the inclusion of an interpreter challenges confidentiality and autonomy but you have to be able to access one first! #physiotalk |
| exerciseCOPD 💙 #wearamask @exerciseCOPD RT @HarrietShannon: @physiotalk A sense of massive gratitude that staff really are trying their best #physiotalk |
| Emma Lee @EmmaLeePhysio @physiotalk Sadly we’ve had some negative feedback about a decrease in communication. It’s tough not having chance to see relatives on the wards and having those adhoc chats or joint sessions. Something we’re working on 💪 #physiotalk |
| physiotalk @physiotalk @jollyphysio A great point. Are those working in inpatient settings also finding this (I'm sure I do!) #physiotalk |
| CharlotteBuckland @AgeWellPhysio @abijhall @physiotalk Managing expectations can be really challenging with limited resources just now #physiotalk |
 | your Physio @yourPhysiocom RT @lynnemann13: Patients were happy initially but want to go back to traditional models #physiotalk |
| physiotalk @physiotalk RT @MelroseStewart1: @AgeWellPhysio @FinneganSusanne @lastenhouse @physiotalk Agree, and for some, if they are not proficient in English, t… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @ACPICR: @physiotalk Many cardiac rehab services are providing telephone delivery, with some trialling VC for assessment and/or exercise… |
| Georgina Hooper @hoopge @physiotalk Sense of being overwhelmed trying to navigate the current, ever-changing NHS landscape. Frustration at not being able to join treatment sessions in hospital. But mostly thankful and understanding. #physiotalk |
| Laura Thomson @LauraThomson84 @hoopge @physiotalk #physiotalk That horrible dilemma of needing to create more beds and get the patients out of harms way in hospital but knowing they may not receive the levels of rehab in the community that they may need! I feel that guilt.... |
| Claire O' Connell @ClaireOCPhysio @hoopge @physiotalk Agree, especially when sending patients home to shield at home..knowing they wont have visitors/or limited contact with carers etc. Worrying knowing how isolated/lonely they would feel #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @physiotalk: Q4. What feedback have you had from older people and their relatives/carers about the changes to their rehab services?… |
| physiotalk @physiotalk RT @ClaireOCPhysio: @hoopge @physiotalk Agree, especially when sending patients home to shield at home..knowing they wont have visitors/or… |
| Susan Cotton @susancotton18 @physiotalk @jollyphysio Absolutely, yes! #physiotalk |
| Amy Souster @AmyLouSous @_HelenAlexander @physiotalk Initially they were really understanding but as time has gone on I feel their patience and health is waning. #physiotalk |
| physiotalk @physiotalk RT @physiotalk: Q4. What feedback have you had from older people and their relatives/carers about the changes to their rehab services?… |
| Helen Alexander @_HelenAlexander @VistaWellbeing @physiotalk Could it also be because it is not so easy to 'connect' with others in a virtual format and get the peer support so many patients value at community and phase 4 classes, especially if they have never met f2f? #physiotalk |
| Sarah De Biase @sarahdebiase @physiotalk @hoopge #physiotalk one of the enduring #covid #moralinjuries facing many #HCPs |
| physiotalk @physiotalk #physiotalk |
| ACPRC @TheACPRC @physiotalk @jollyphysio We very much miss relatives and other visitors- they change a patient into a person! The input they have into history gathering is way bigger than I realised tbh- I took it for granted before #physiotalk |
| Dr Melrose Stewart MBE @MelroseStewart1 @HarrietShannon @TheACPRC @Hev303 @physiotalk Collect data e.g. on access, attendance etc locally and begin to analyse what you find . #physiotalk |
| ACPICR @ACPICR This is a worry. Currently within our membership @_HelenAlexander is surveying digital access and behaviours of patients within cardiac rehab, and @RWTCardiacRehab are evaluating their use of digital technology during covid. We look forward to the results of both #physiotalk |
| Emma Lee @EmmaLeePhysio @physiotalk Emma Lee in York 😁 #physiotalk |
| Vista Wellbeing CIC @VistaWellbeing @physiotalk Positively, as we are in a rural area, some patients have appreciated not having to travel for appointments. Others, have missed the social contact and recognise the value of being able to talk to others in similar circumstances #physiotalk |
| physiotalk @physiotalk RT @_HelenAlexander: @VistaWellbeing @physiotalk Could it also be because it is not so easy to 'connect' with others in a virtual format an… |
 | Clair Martin (She/Her) @ClairMcBain1 @physiotalk Not older people but mixed age group people attending our post icu rehab class missed the rapport with staff and other patients and also lacked the motivation to want to exercise at home. Felt the weekly class gave them more of a purpose #physiotalk |
| Anthony Gilbert @awgilbert11 @MelroseStewart1 @AgeWellPhysio @FinneganSusanne @lastenhouse @physiotalk Also confidentiality risk if having the call at home and people overhearing conversations? #physiotalk |
| Sarah Seager @sarahseager94 @MelroseStewart1 @AgeWellPhysio @FinneganSusanne @lastenhouse @physiotalk #physiotalk we can only acces telephone translation and this is useless for some of our patients |
| Lauren stenhouse @lastenhouse @physiotalk We have had mixed feedback. A lot of people very grateful for the work we are doing Vs understandably disgruntled relatives thinking we are taking their loved ones away, not doing the best for them #physiotalk |
| Susanne Syme @SusanneSyme @physiotalk I think it’s even worse than we fear. My mother is 8 weeks into a life changing fall and shoulder fracture and she still has had no contact from her local rehab services. #physiotalk |
| Janet Thomas @JanetThomas47 @ClairMcBain1 @physiotalk We very much feel this is one of the 'hidden' benefits of attending our groups and day rehab centres. Only fully recognise this now its gone! #physiotalk |
| Vista Wellbeing CIC @VistaWellbeing @_HelenAlexander @physiotalk Agree #physiotalk |
| Heather Probert @Hev303 @physiotalk Initially gratitude for making contact and relief we were offering home options as they didn't want to attend F2F. #physiotalk |
| Amy Souster @AmyLouSous @lynseyferguson6 @physiotalk Yes this is true. With the exception of Care Home residents who express their wish not to attend hospital as this means they have to ‘quarantine’ when they return back to their CH. Pts are asking not to have to attend hospital if they can avoid it. Terrible situation. #physiotalk |
| Laura Thomson @LauraThomson84 @_HelenAlexander @physiotalk #physiotalk I feel the older generation are a lot more understanding than my generation.... a lot of them have the view "just something we have to get on with" Troopers!! |
 | Holly Van Ristell (SHE/HER) 🏳️🌈🏳️🌈 @HollyRistell RT @HarrietShannon: @awgilbert11 @LauraThomson84 @JanetThomas47 @physiotalk This is totally it! Those sideways whispers or gaggles around a… |
| physiotalk @physiotalk RT @physiotalk: Keep on going using the #physiotalk hashtag in ALL your tweets tonight! https://t.co/Gg2SRJ3lZQ |
| Fiona Brownlie @fionabrownlie9 @physiotalk We have had really positive feedback from our cardiac rehab patients. They are reassured that there has been some contact made...albeit by phone. However... the patients (and staff!) definitely want a return to face to face! #physiotalk |
| Anthony Gilbert @awgilbert11 RT @AmyLouSous: @lynseyferguson6 @physiotalk Yes this is true. With the exception of Care Home residents who express their wish not to atte… |
| Harriet Shannon @HarrietShannon @SusanneSyme @physiotalk I'm really sorry to hear that - must be very worrying for you and your family #physiotalk |
| Claire O' Connell @ClaireOCPhysio @physiotalk @jollyphysio Yes, miss visitors in the hospital. So many patients feeling more isolated/lonely. Also impacting on therapy Ax, as unable to get carers/family as involved. As an MDT we made sure to keep track of updating families every day if possible #physiotalk |
| Vineeth Ravindran💙He/him @r_vineeth @physiotalk #physiotalk Hi tweeting from Melrose, Scotland used to do face to face cardiac rehab group sessions,just over a year ago! |
| Emma Lee @EmmaLeePhysio @ClaireOCPhysio @physiotalk @hoopge And knowing we have less or no access to some of the third party providers/charities. Some patients just want to stay in hospital so they’re not isolated. Heartbreaking #physiotalk |
| Fiona Brownlie @fionabrownlie9 RT @ACPICR: This is a worry. Currently within our membership @_HelenAlexander is surveying digital access and behaviours of patients within… |
| Clair Martin (She/Her) @ClairMcBain1 @physiotalk @jollyphysio Yes! Relatives help us to know more about the patients and also help spur the patients on. FaceTime just doesn’t make up for physical Interaction. However, I think not having relatives in has made us place more importance on patients being able to communicate #physiotalk |
| physiotalk @physiotalk Into the last 15 mins of the chat! Great chatting and the hashtagging is great as well :) #physiotalk |
| Georgina Hooper @hoopge @ClaireOCPhysio @physiotalk Also, are we missing 'collateral' by reducing community contact.... Vulnerable patients, neglect, depression in the elderly are all big issues, particularly at the moment. Less contact= less identification of problems? #physiotalk |
| Sarah De Biase @sarahdebiase @lynnemann13 #physiotalk You are right - we have seen disparity but often justified by the degree of covid risk/mortality. All hanging out for #covid vaccinations and the anticipation is a shift in desire for F2F will follow... this causes its own anxiety in terms of #rehab pandemic... |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk The discharge home to assess and prevention of admissions team have been more efficient, seeing some patients on the day of discharge from hospital. Patients and family members have expressed gratitude for this support. #physiotalk |
| Laura Thomson @LauraThomson84 @awgilbert11 @MelroseStewart1 @AgeWellPhysio @FinneganSusanne @lastenhouse @physiotalk #physiotalk And unfortunately less likely to raise safeguarding concerns? |
| Fiona Skelton @skelton_fiona @physiotalk Doing core Ax over the phone where able , then visit Pt with equipment/ HEP / or delegating etc at a review visit so reducing f2f visits required #physiotalk |
 | Ilse Flück @IFlck RT @ACPICR: @physiotalk Many cardiac rehab services are providing telephone delivery, with some trialling VC for assessment and/or exercise… |
| physiotalk @physiotalk RT @lynnemann13: There is also a bit of tension between services 'opening back up' at different timescales #physiotalk |
| Lynsey MacD-Ferguson @lynseyferguson6 @fionabrownlie9 @FinneganSusanne @lastenhouse @physiotalk Mate....we see soo much of each other now, I don’t remember how we survived at opposite ends of one of the longest hospital corridors in Scotland 😂 #covidperks #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @physiotalk: Q3. How have changes to community rehab services impacted on discharge planning? #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @AmyLouSous: @physiotalk It would be interesting to see readmission rates. Are people actually staying out of hospital with current set… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @ClaireOCPhysio: @AmyLouSous @physiotalk We have had a few readmissions but not sure if this is impacted by COVID. We have definitely ha… |
| Dr Melrose Stewart MBE @MelroseStewart1 @awgilbert11 @AgeWellPhysio @FinneganSusanne @lastenhouse @physiotalk No doubt investment in resources is required but more importantly, we need to raise awareness and offer data on the rehab needs of marginalised groups. #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @TheACPRC: @physiotalk Referring pts to a service we know they will have to wait a long time for is worrying - are they safe in meantime… |
| Amy Souster @AmyLouSous @SusanneSyme @physiotalk I agree. I think there is going to be a huge issue in rehab and the community heading towards us now. A wave of rehab needs. These pts are starting to come into ED and acute services. I’m seeing it weekly. #physiotalk |
| Lynsey MacD-Ferguson @lynseyferguson6 @JustineMusiime @physiotalk Our community team have been fab about picking up same day urgent visits to facilitate discharge. It’s also lovely to hear how the visit went #physiotalk #feedback |
| physiotalk @physiotalk Time for the penultimate question of the hour #physiotalk |
| Heather Probert @Hev303 @physiotalk As F2F restarted there was relief that someone was checking their BP/ECG during exercise as most of their GP/surgical/cardiology follow ups were video/telephone appointments so no 'hands on' checks were done in many cases #physiotalk |
| physiotalk @physiotalk Q5. What long-term impact do you think COVID will have on your rehab services for older people? #physiotalk |
| Sarah De Biase @sarahdebiase @EmmaLeePhysio @physiotalk #physiotalk and esp for #PLWD and more dependent people in hospital who’s carers might have actually formed a hands on part of the care team albeit informally eg walking to toilet, sharing information about S&S to team when visiting- these elements lost through no visiting |
| Helen Alexander @_HelenAlexander @lynnemann13 @physiotalk Agree. And returning to using outpatients rehab areas is more challenging with distancing/PPE/smaller groups/one-way systems! But not insurmountable, just more planning and prep! #physiotalk |
| physiotalk @physiotalk #physiotalk |
| AGILE @AGILECSP RT @physiotalk: Q5. What long-term impact do you think COVID will have on your rehab services for older people? #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @physiotalk: Q5. What long-term impact do you think COVID will have on your rehab services for older people? #physiotalk |
| Claire O' Connell @ClaireOCPhysio @physiotalk Patients have been very understanding in the acute. Grateful for the help/support. In recent weeks, our discharges have slowed down..longer waits for Homefirst/Pathway 3 facilities which is impacting on pts mood #physiotalk |
 | K8B @kateblack066 RT @physiotalk: Q1. What is the main way that COVID has impacted on your rehab services for older people? #physiotalk |
| Clair Martin (She/Her) @ClairMcBain1 @physiotalk One of the positives Covid will have for outpatient rehab services is it will become more inclusive, now there is an option for virtual people who ordinarily couldn’t/ would prefer not to come to f2f classes could still access rehab. #physiotalk |
| Anthony Gilbert @awgilbert11 @SusanneSyme @physiotalk Very sorry to hear this, I hope things pick up soon. Rehab is so important - I understand why it may not sell headlines compared to saving lives but it should do... it’s a terrible situation to be in. #physiotalk |
| physiotalk @physiotalk RT @ClairMcBain1: @physiotalk One of the positives Covid will have for outpatient rehab services is it will become more inclusive, now ther… |
| Anthony Gilbert @awgilbert11 RT @MelroseStewart1: @awgilbert11 @AgeWellPhysio @FinneganSusanne @lastenhouse @physiotalk No doubt investment in resources is required but… |
| physiotalk @physiotalk RT @Hev303: @physiotalk As F2F restarted there was relief that someone was checking their BP/ECG during exercise as most of their GP/surgic… |
| exerciseCOPD 💙 #wearamask @exerciseCOPD @_HelenAlexander @physiotalk @VistaWellbeing Some patients swap phone numbers and and become friends in face 2 face rehabilitation,This seems to be lacking in online virtual rehabilitation #Physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne @physiotalk Will some of the changes you have had to make become permanent now? #physiotalk |
| Sarah Seager @sarahseager94 @physiotalk #physiotalk Community rehab services for older people are going to be very busy (even more so than before) for a long time. |
| exerciseCOPD 💙 #wearamask @exerciseCOPD RT @_HelenAlexander: @VistaWellbeing @physiotalk Could it also be because it is not so easy to 'connect' with others in a virtual format an… |
| Harriet Shannon @HarrietShannon @RWTCardiacRehab @physiotalk @ACPICR Look forward to reading it. Thank you. #physiotalk |
| Anthony Gilbert @awgilbert11 @LauraThomson84 @MelroseStewart1 @AgeWellPhysio @FinneganSusanne @lastenhouse @physiotalk Possibly inhibited from raising concerns #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @lynseyferguson6 @physiotalk Indeed. These services have given patients much reassurance, especially where family members could not travel to provide the much needed support for the patient to settle back into their environment post-discharge from hospital. #physiotalk |
| Claire O' Connell @ClaireOCPhysio @tilston_rachel @physiotalk Yes we have noticed an increase in frailty..Also an increase in those requiring CHC Fastrack funding, I wonder if this is due to ppl not accessing the right services during the first wave? #physiotalk |
| ACPICR @ACPICR @RWTCardiacRehab @HarrietShannon @physiotalk Sure it’ll make for interesting reading 👍 #physiotalk |
| physiotalk @physiotalk RT @physiotalk: Q5. What long-term impact do you think COVID will have on your rehab services for older people? #physiotalk |
| Fiona Skelton @skelton_fiona @physiotalk Some have been pleased with our service that has continued through out the pandemic but others are frustrated as being triaged as routine and therefore held on a deferred list #physiotalk |
| Helen Alexander @_HelenAlexander @physiotalk It has challenged us to redesign outpatients rehab services to provide menu-based person-centered rehab so long-term hopefully uptake and completion will improve...no 'going back to old ways' where patients could only access rehab in one format #physiotalk |
| Dr Melrose Stewart MBE @MelroseStewart1 @physiotalk Q5 Covid has highlighted the vulnerabilities of older people. This should be a red light that we need to reduce health inequalities and take urgent steps to improve the health of older people. #physiotalk |
| Vista Wellbeing CIC @VistaWellbeing @physiotalk I think patients will have more choices around their mode of rehab, and that allows for more individual tailoring. But I am worried that there will be so many more older adults losing independence due to de-conditioning #physiotalk |
| ACPRC @TheACPRC @physiotalk ACCESS- The backlog and Simultaneously timely entry into a system; VERSATILITY- increased options of access ie F2F, virtual, phone Ongoing DISPARITY across minority patient groups #physiotalk |
| physiotalk @physiotalk #physiotalk |
| Sarah De Biase @sarahdebiase @MelroseStewart1 @awgilbert11 @AgeWellPhysio @FinneganSusanne @lastenhouse @physiotalk #physiotalk Data is absolutely key - frailty assessments at front door and also population risk profiling to include those lost at risk of health inequalities. There is data out there - need to use it/make it accessible so services can prioritise /design care pathways around need |
| Amy Souster @AmyLouSous @physiotalk Once we get over the rehab deficit wave I think our triage systems will be better and there will be more options and confidence in telemedicine than there was before. #physiotalk |
| Emma Lee @EmmaLeePhysio @physiotalk There will definitely be increased demand after a year of limited activity and isolation. Weakness, frailty, fragility fractures, mental health problems as well as the impact of covid/long covid #physiotalk |
| physiotalk @physiotalk RT @_HelenAlexander: @physiotalk It has challenged us to redesign outpatients rehab services to provide menu-based person-centered rehab s… |
| Lynsey MacD-Ferguson @lynseyferguson6 @sarahseager94 @physiotalk Maybe we will now see a redeployment of acute into the community to support .... #physiotalk |
| Anthony Gilbert @awgilbert11 @RWTCardiacRehab @HarrietShannon @physiotalk @ACPICR Be sure to tweet when it’s out I would love to read this! @DrHawleyHague #physiotalk |
| Claire O' Connell @ClaireOCPhysio @hoopge @physiotalk We have had a few admissions to hospital, when a son/daughter visited their mother/father for the first time in months, and noticed a significant deterioration in ability to cope at home alone #physiotalk |
| K8B @kateblack066 RT @physiotalk: Q5. What long-term impact do you think COVID will have on your rehab services for older people? #physiotalk |
| physiotalk @physiotalk RT @MelroseStewart1: @physiotalk Q5 Covid has highlighted the vulnerabilities of older people. This should be a red light that we need to r… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @physiotalk: Q5. What long-term impact do you think COVID will have on your rehab services for older people? #physiotalk |
| physiotalk @physiotalk RT @TheACPRC: @physiotalk ACCESS- The backlog and Simultaneously timely entry into a system; VERSATILITY- increased options of access ie… |
| Dr Melrose Stewart MBE @MelroseStewart1 RT @sarahdebiase: @MelroseStewart1 @awgilbert11 @AgeWellPhysio @FinneganSusanne @lastenhouse @physiotalk #physiotalk Data is absolutely key… |
| K8B @kateblack066 RT @physiotalk: Q4. What feedback have you had from older people and their relatives/carers about the changes to their rehab services?… |
| Harriet Shannon @HarrietShannon @physiotalk Huge demand. #physiotalk |
| ACPRC @TheACPRC @ClaireOCPhysio @tilston_rachel @physiotalk Timely access has had an impact within resp for sure #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @MelroseStewart1: @physiotalk Q5 Covid has highlighted the vulnerabilities of older people. This should be a red light that we need to r… |
| ATOCP Physio @PhysioATOCP RT @ClairMcBain1: @physiotalk One of the positives Covid will have for outpatient rehab services is it will become more inclusive, now ther… |
| CharlotteBuckland @AgeWellPhysio @_HelenAlexander @lynnemann13 @physiotalk Space to deliver services has and will continue to be a challenge #physiotalk |
| Vineeth Ravindran💙He/him @r_vineeth @physiotalk I hope that the goal posts are not constantly being moved around when it comes to older age group rehabilitation(for either infection control or economical or cost cutting reasons)#physiotalk |
| ATOCP Physio @PhysioATOCP RT @_HelenAlexander: @physiotalk It has challenged us to redesign outpatients rehab services to provide menu-based person-centered rehab s… |
| K8B @kateblack066 RT @physiotalk: Q2. What specific strategies or changes have you put in place to overcome the effects/impact of COVID on rehabilitation for… |
| Helen Patricia (A1600364) @HELLSBELLS_DFYB RT @MelroseStewart1: @physiotalk Q5 Covid has highlighted the vulnerabilities of older people. This should be a red light that we need to r… |
| K8B @kateblack066 RT @ACPICR: This is a worry. Currently within our membership @_HelenAlexander is surveying digital access and behaviours of patients within… |
| Georgina Hooper @hoopge @physiotalk Hopefully, our input (and our @theRCOT colleagues amongst others) will get the recognition it deserves. *So* important to promote and demonstrate what we can offer to impact on and improve quality of life. #physiotalk |
| K8B @kateblack066 RT @physiotalk: Q3. How have changes to community rehab services impacted on discharge planning? #physiotalk |
| Lynsey MacD-Ferguson @lynseyferguson6 @physiotalk People presenting to acute now are frailer and much more medically unwell #physiotalk |
| physiotalk @physiotalk RT @ClaireOCPhysio: @hoopge @physiotalk We have had a few admissions to hospital, when a son/daughter visited their mother/father for the f… |
| ATOCP Physio @PhysioATOCP RT @hoopge: @physiotalk Hopefully, our input (and our @theRCOT colleagues amongst others) will get the recognition it deserves. *So* import… |
 | Fiona Jones @FionaJonesPT @physiotalk Just playing catch up with #physiotalk - physio with @WeAreLSCFT community pain team in Preston |
| Sarah De Biase @sarahdebiase RT @_HelenAlexander: @physiotalk It has challenged us to redesign outpatients rehab services to provide menu-based person-centered rehab s… |
| Georgina Hooper @hoopge @physiotalk A variety of methods of contact/appointments.... Patients need choices. #physiotalk |
| ACPRC @TheACPRC @hoopge @physiotalk @theRCOT We would never get these pts if it wasn’t for TeamOT #physiotalk |
| Helen Alexander @_HelenAlexander @RWTCardiacRehab @HarrietShannon @physiotalk @ACPICR Absolutely agree. Digitial exclusion isn't all about age. Unfortunately deprivation plays a part too. #physiotalk |
| Anthony Gilbert @awgilbert11 RT @hoopge: @physiotalk Hopefully, our input (and our @theRCOT colleagues amongst others) will get the recognition it deserves. *So* import… |
| Vista Wellbeing CIC @VistaWellbeing @AgeWellPhysio @_HelenAlexander @lynnemann13 @physiotalk This is a massive challenge for us #physiotalk |
| Dr Melrose Stewart MBE @MelroseStewart1 RT @HarrietShannon: @physiotalk Lots of fantastic virtual/remote rehab going on - great for those with access, I worry for those who aren't… |
| Anthony Gilbert @awgilbert11 RT @EmmaLeePhysio: @physiotalk There will definitely be increased demand after a year of limited activity and isolation. Weakness, frailty,… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk Multiple Re-admissions of the same patients to the same Service, since duration of rehab is being cut short. #physiotalk |
 | Max Tranquilo @MrTranquilo RT @physiotalk: Q5. What long-term impact do you think COVID will have on your rehab services for older people? #physiotalk |
| physiotalk @physiotalk As we head towards the final question - please keep on tweeting. There has been too much to fit into our usual hour! #physiotalk |
| physiotalk @physiotalk Q6. What are your strategies for moving forward/re-starting service etc? #physiotalk |
| physiotalk @physiotalk RT @JustineMusiime: @physiotalk Multiple Re-admissions of the same patients to the same Service, since duration of rehab is being cut short… |
| Anthony Gilbert @awgilbert11 @_HelenAlexander @physiotalk Sounds very interesting! Would love to hear more about this #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @physiotalk: Q6. What are your strategies for moving forward/re-starting service etc? #physiotalk |
| ATOCP Physio @PhysioATOCP RT @physiotalk: As we head towards the final question - please keep on tweeting. There has been too much to fit into our usual hour! #phys… |
| ATOCP Physio @PhysioATOCP RT @physiotalk: Q6. What are your strategies for moving forward/re-starting service etc? #physiotalk |
| ATOCP Physio @PhysioATOCP RT @EmmaLeePhysio: @physiotalk There will definitely be increased demand after a year of limited activity and isolation. Weakness, frailty,… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk Staff exhaustion! Staff possibly going off sick for prolonged durations, which would obviously result into 'chronic' long waiting lists for the services affected. #physiotalk |
| ATOCP Physio @PhysioATOCP RT @JustineMusiime: @physiotalk Multiple Re-admissions of the same patients to the same Service, since duration of rehab is being cut short… |
| AGILE @AGILECSP RT @physiotalk: Q6. What are your strategies for moving forward/re-starting service etc? #physiotalk |
 | Magdalena @Mag_physio @VistaWellbeing @physiotalk Remote assessment don't work woth elderly #physiotalk |
| Abi Hall @abijhall @physiotalk .... But are scared about what rehab will look like... and more importantly how disabled our patients will have become #physiotalk |
| Ana Rosa Isla @AnaIsla7 @sarahseager94 @physiotalk #physiotalk they will be very busy specially with all the Long COVID patients that may have to be absorved by these services |
| Amy Souster @AmyLouSous @ClaireOCPhysio @physiotalk @hoopge Yes this is also happening in community areas where we often know our pts well. Big changes for the worse. Pts who would previously help their neighbours, be a local community support, drive their neighbours around etc are now also deteriorating and isolated. #physiotalk |
| ATOCP Physio @PhysioATOCP RT @TheACPRC: 1 hour 'get ready' reminder! #physiotalk tweetchat coming up with @AGILECSP @ACPICR @PhysioATOCP @physiotalk #notlongnow |
| ATOCP Physio @PhysioATOCP RT @physiotalk: TWO HOURS TIME The impact of #COVID19 on rehabilitation services for older adults #physiotalk Join in at 8pm BST with @AGI… |
| ATOCP Physio @PhysioATOCP RT @physiotalk: TONIGHT The impact of #COVID19 on rehabilitation services for older adults #physiotalk Join in at 8pm BST with @AGILECSP @… |
| ATOCP Physio @PhysioATOCP RT @physiotalk: TONIGHT The impact of #COVID19 on rehabilitation services for older adults #physiotalk Mon 29th Mar 8pm BST with @AGILECS… |
| Janet Thomas @JanetThomas47 @physiotalk Have a 'route map' aligned to the national dates. But the service will also need to flex and adapt as well #physiotalk |
| ACPRC @TheACPRC @physiotalk Pause and take breath, then consider- 1. What did we stop that we miss? 2. What did we stop that we don’t miss? 3. What did we start that we want to continue? 4. What did we start that we want to stop? 5. What do the pts say to the above? Then plan!!! #physiotalk |
| ATOCP Physio @PhysioATOCP RT @physiotalk: TOMORROW at 8PM The impact of #COVID19 on rehabilitation services for older adults #physiotalk Mon 29th Mar 8pm BST with… |
| ATOCP Physio @PhysioATOCP RT @physiotalk: THIS TIME TOMORROW The impact of #COVID19 on rehabilitation services for older adults #physiotalk Mon 29th Mar 8pm BST wi… |
| physiotalk @physiotalk RT @TheACPRC: @physiotalk Pause and take breath, then consider- 1. What did we stop that we miss? 2. What did we stop that we don’t miss? 3… |
| Amy Souster @AmyLouSous @JustineMusiime @physiotalk Yes. This. Repeatedly. #physiotalk |
| Sarah De Biase @sarahdebiase @hoopge @physiotalk @theRCOT #physiotalk Can’t assume recognition will come /follow - need to lean in and advocate for rehab. Many leaders/commissioners/primary care etc need help to understand role of #AHPs / rehabilitation. Keep conversation going @AGILECSP |
| Vista Wellbeing CIC @VistaWellbeing @Mag_physio @physiotalk Agree it is not suitable for everyone, but age I’d not always a factor #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @TheACPRC: @physiotalk Pause and take breath, then consider- 1. What did we stop that we miss? 2. What did we stop that we don’t miss? 3… |
| AGILE @AGILECSP Reflect and improve #physiotalk |
| physiotalk @physiotalk @TheACPRC I think that is a good strategy for us all! #physiotalk |
| Helen Alexander @_HelenAlexander @awgilbert11 @physiotalk Something we are striving for, but haven't achieved yet! We need to be able to provide rehab in multiple formats - f2f, virtual, remote, paper exercise sheets and walking programmes....but doing it within existing resources is challenging #physiotalk |
| exerciseCOPD 💙 #wearamask @exerciseCOPD @physiotalk Patients may well have to advocate to CCG’S and Health Boards to get the rehabilitation that they need to #Physiotalk |
| Sarah Seager @sarahseager94 RT @AGILECSP: Reflect and improve #physiotalk |
| Anthony Gilbert @awgilbert11 @TheACPRC @physiotalk Brilliant. #physiotalk |
| exerciseCOPD 💙 #wearamask @exerciseCOPD RT @TheACPRC: @physiotalk ACCESS- The backlog and Simultaneously timely entry into a system; VERSATILITY- increased options of access ie… |
| Emma Lee @EmmaLeePhysio @physiotalk Trialling higher ASA elective orthopaedic services off the acute site and hopefully creating a pop up ward for those needing access to acute services🤞 #physiotalk |
| ATOCP Physio @PhysioATOCP RT @JustineMusiime: @physiotalk In regard to staff shortages, Band 3s, 4s & redeployed staff who were not as conversant with community reha… |
| Fiona Jones @FionaJonesPT @physiotalk In particular our older patients are feeling less well supported by all services, especially those who aren't tech savvy and/or still shielding so can't, or don't feel safe to, attend F2F, or who struggle with conversations on the phone. #physiotalk |
| physiotalk @physiotalk Technically that is the hour up - but please keep on tweeting especially as the final question has only just been posted #ToManyTweetsToKeepUp #physiotalk |
| Lynsey MacD-Ferguson @lynseyferguson6 RT @TheACPRC: @physiotalk Pause and take breath, then consider- 1. What did we stop that we miss? 2. What did we stop that we don’t miss? 3… |
| ATOCP Physio @PhysioATOCP RT @physiotalk: Technically that is the hour up - but please keep on tweeting especially as the final question has only just been posted #T… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @AmyLouSous @physiotalk We need more of those exercise professionals in the community to pick up some of our discharges, don't we? But again, there are not many out there. #physiotalk |
| Susanne Syme @SusanneSyme @physiotalk Leadership from FCP and Advanced practitioners and Frailty consultants with specialist rehab knowledge for older people more urgent than ever #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @physiotalk: Technically that is the hour up - but please keep on tweeting especially as the final question has only just been posted #T… |
| exerciseCOPD 💙 #wearamask @exerciseCOPD RT @physiotalk: Q5. What long-term impact do you think COVID will have on your rehab services for older people? #physiotalk |
| CharlotteBuckland @AgeWellPhysio @TheACPRC @physiotalk Absolutely, seek out patient feedback (as well as staff) #physiotalk |
| Harriet Shannon @HarrietShannon @TheACPRC @physiotalk Checking in on staff, making sure they are taking their annual leave, seeing their family, switching off #physiotalk |
| physiotalk @physiotalk @EmmaLeePhysio ASA?? #physiotalk |
| AGILE @AGILECSP I can not believe that is an hour ! #physiotalk |
| ACPRC @TheACPRC @physiotalk Thanks for a great, collaborative chat 👍 some great things to take away #physiotalk |
| Fiona Jones @FionaJonesPT @physiotalk Lots more deconditioning and increased levels of anxiety and frustration also #physiotalk |
| ATOCP Physio @PhysioATOCP RT @TheACPRC: @physiotalk Pause and take breath, then consider- 1. What did we stop that we miss? 2. What did we stop that we don’t miss? 3… |
| Fiona Brownlie @fionabrownlie9 @TheACPRC @physiotalk Think this is a fantastic strategy! #physiotalk |
| Vineeth Ravindran💙He/him @r_vineeth @physiotalk #physiotalk 1)more collaborative with other agencies and third sectors 2)multi-centred 3)multi-formated |
| AGILE @AGILECSP Thanks so much @physiotalk for hosting this evenings chat, we couldn't have done it without you ! #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @ClaireOCPhysio: @hoopge @physiotalk We have had a few admissions to hospital, when a son/daughter visited their mother/father for the f… |
| physiotalk @physiotalk @AGILECSP Well that's what my watch tells me :) #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne @AGILECSP Great discussion #physiotalk |
| ACPRC @TheACPRC @HarrietShannon @physiotalk This has been hard!! #physiotalk |
| Claire O' Connell @ClaireOCPhysio RT @TheACPRC: @physiotalk Pause and take breath, then consider- 1. What did we stop that we miss? 2. What did we stop that we don’t miss? 3… |
 | Helen Turner @harmishaw RT @TheACPRC: @physiotalk Pause and take breath, then consider- 1. What did we stop that we miss? 2. What did we stop that we don’t miss? 3… |
 | HelenTurner @helenturn86 RT @TheACPRC: @physiotalk Pause and take breath, then consider- 1. What did we stop that we miss? 2. What did we stop that we don’t miss? 3… |
| Helen Alexander @_HelenAlexander @physiotalk Improving digitial competency/confidence of staff to allow greater use of #virtual to those who can access it. It's not just about patient digitial confidence..... #physiotalk |
| Vista Wellbeing CIC @VistaWellbeing @JustineMusiime @AmyLouSous @physiotalk In North Devon, we are here but not seeing the referrals we would pre-covid. #physiotalk |
| ACPICR @ACPICR Hopefully it does give us a wider range of innovative options to increase access, uptake and completion🤞, particularly in those patient groups with low engagement, and it has definitely challenged traditional ways of working #physiotalk |
| ATOCP Physio @PhysioATOCP RT @physiotalk: @AGILECSP Well that's what my watch tells me :) #physiotalk |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @AGILECSP: Thanks so much @physiotalk for hosting this evenings chat, we couldn't have done it without you ! #physiotalk |
| ATOCP Physio @PhysioATOCP RT @AGILECSP: Thanks so much @physiotalk for hosting this evenings chat, we couldn't have done it without you ! #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 RT @TheACPRC: @physiotalk Pause and take breath, then consider- 1. What did we stop that we miss? 2. What did we stop that we don’t miss? 3… |
| ATOCP Physio @PhysioATOCP RT @TheACPRC: @physiotalk Thanks for a great, collaborative chat 👍 some great things to take away #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @ClaireOCPhysio @physiotalk @hoopge Very difficult situation for family members to cope with. #physiotalk |
| Amy Souster @AmyLouSous @JustineMusiime @physiotalk Absolutely. We had started more joined up working with other community services (gyms, volunteers, local groups) and that all stopped too. All those links need building again. #physiotalk |
| physiotalk @physiotalk @AGILECSP No - thank YOU for the topic, questions and all the PNs support for tonights chat. Will need to catch up with the transcript though! #physiotalk |
| Heather Probert @Hev303 @_HelenAlexander @physiotalk We'd known for years we should offer a wider range of rehab options, with most CR being F2F traditionally @NACR_Audit . COVID has pushed us to redesign our services in a better way. Juggling these options is challenging though and has been a steep learning curve! #physiotalk |
| Fiona Skelton @skelton_fiona @physiotalk It’s going to take time over the usual calmer summer months to re integrate the deferred lists into the building ,urgent waiting lists with staff returning from their supportive roles to the local community response teams over the last few months. #physiotalk |
| AGILE @AGILECSP Thanks @TheACPRC @ACPICR @PhysioATOCP for supporting too what good fun ! #physiotalk #TeamPhysio |
| physiotalk @physiotalk RT @ACPICR: Hopefully it does give us a wider range of innovative options to increase access, uptake and completion🤞, particularly in those… |
| ATOCP Physio @PhysioATOCP RT @ACPICR: Hopefully it does give us a wider range of innovative options to increase access, uptake and completion🤞, particularly in those… |
| Georgina Hooper @hoopge @physiotalk Asking the patients what they think. Contacting elective patients early, identifying issues and supporting whilst on waiting lists. Managing anxieties and expectations. Making them feel they are not'just a number'. Use of online resources to help promote exercise. #physiotalk |
| ATOCP Physio @PhysioATOCP RT @AGILECSP: Thanks @TheACPRC @ACPICR @PhysioATOCP for supporting too what good fun ! #physiotalk #TeamPhysio |
| AGILE @AGILECSP @physiotalk Same, blinked and we missed it. Hopefully lots of learning for us all #physiotalk |
| Fiona Brownlie @fionabrownlie9 @ACPICR Completely agree! #physiotalk |
| Laura Thomson @LauraThomson84 #physiotalk I like this strategy! Something everyone should consider using. @UoW_Physio |
| Susanne Arnold (Finnegan) @FinneganSusanne RT @AGILECSP: Thanks @TheACPRC @ACPICR @PhysioATOCP for supporting too what good fun ! #physiotalk #TeamPhysio |
| physiotalk @physiotalk Please keep on tweeting, answering the discussion points (and using the #physiotalk hashtag) I'll collect the transcript a little later than usual to ensure I capture all of your tweets! |
| Dr Michelle Bull 💙 @MichelleBull4 @_HelenAlexander @physiotalk This! Totally this. Some real benefits amongst all the negatives. We need to make sure we don't just fall back into the traditional ways of doing things. #physiotalk |
| Anthony Gilbert @awgilbert11 Thanks @physiotalk for a great tweet chat tonight!! Thanks to the PN’s who supported!! #physiotalk |
| CharlotteBuckland @AgeWellPhysio @HarrietShannon @TheACPRC @physiotalk Staff wellbeing very important, we must look after each other #physiotalk |
| Vista Wellbeing CIC @VistaWellbeing Thanks everyone or a great chat this evening and @physiotalk for hosting #physiotalk |
| physiotalk @physiotalk RT @AGILECSP: Thanks @TheACPRC @ACPICR @PhysioATOCP for supporting too what good fun ! #physiotalk #TeamPhysio |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @AmyLouSous @physiotalk So much re-building to do! Let's endeavour to keep hope alive. #physiotalk |
| Claire O' Connell @ClaireOCPhysio @physiotalk I think we need to remind ourselves we are a rehab team, as well as offering assessment/discharge planning. Focused on this during COVID to facilitate d/c but need to offer as much rehab to pts in an inpt setting #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @JustineMusiime: @AmyLouSous @physiotalk We need more of those exercise professionals in the community to pick up some of our discharges… |
| ATOCP Physio @PhysioATOCP RT @awgilbert11: Thanks @physiotalk for a great tweet chat tonight!! Thanks to the PN’s who supported!! #physiotalk |
| ATOCP Physio @PhysioATOCP RT @physiotalk: Please keep on tweeting, answering the discussion points (and using the #physiotalk hashtag) I'll collect the transcript a… |
| ATOCP Physio @PhysioATOCP RT @physiotalk: @AGILECSP No - thank YOU for the topic, questions and all the PNs support for tonights chat. Will need to catch up with t… |
| ATOCP Physio @PhysioATOCP RT @AGILECSP: @physiotalk Same, blinked and we missed it. Hopefully lots of learning for us all #physiotalk |
| ATOCP Physio @PhysioATOCP RT @hoopge: @physiotalk Asking the patients what they think. Contacting elective patients early, identifying issues and supporting whilst o… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @AmyLouSous: @JustineMusiime @physiotalk Absolutely. We had started more joined up working with other community services (gyms, voluntee… |
| ATOCP Physio @PhysioATOCP RT @ClaireOCPhysio: @physiotalk Patients have been very understanding in the acute. Grateful for the help/support. In recent weeks, our dis… |
| Fiona Skelton @skelton_fiona @physiotalk We will see increased referrals over the coming months for Pts severely de conditioned and lacking in confidence who have been housebound and isolated for 12 months #physiotalk |
| physiotalk @physiotalk @TheACPRC Thank you for taking part! #physiotalk |
| Georgina Hooper @hoopge @physiotalk Be honest and look at what needs to change. #physiotalk https://t.co/txH6N4haLs |
| Heather Probert @Hev303 @physiotalk Improve choice. Increase uptake in groups that didn't want F2F. We've just audited F2F vs virtual classes - comparable outcomes (patients self selected which they attend) so more inclusive! #physiotalk |
| Claire O' Connell @ClaireOCPhysio @JustineMusiime @physiotalk @hoopge Yes I think so too. I referred more relatives/carers to our Carers Liaison service throughout COVID compared to pre COVID. Felt they also needed the support as they were not able to see their relatives face to face #physiotalk |
| ACPICR @ACPICR This is a great strategy 👏🏻. It can be so easy to get lost in the minefield of paperwork trying to get things up and running again....ticking all the boxes without stopping to think of altering the path #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @TheACPRC: @physiotalk Pause and take breath, then consider- 1. What did we stop that we miss? 2. What did we stop that we don’t miss? 3… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @EmmaLeePhysio: @physiotalk There will definitely be increased demand after a year of limited activity and isolation. Weakness, frailty,… |
| physiotalk @physiotalk RT @ACPICR: This is a great strategy 👏🏻. It can be so easy to get lost in the minefield of paperwork trying to get things up and running ag… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @lynnemann13: Patients were happy initially but want to go back to traditional models #physiotalk |
| CharlotteBuckland @AgeWellPhysio @r_vineeth @physiotalk Yes, explore who can help us deliver rehab options. Our local council/university/voluntary sector are running training to help interested older adults develop IT/internet skills #physiotalk |
| exerciseCOPD 💙 #wearamask @exerciseCOPD #physiotalk Making water tight business plan to CCGs and Health Boards to fund rehabilitation. If you don't ask you don't GET £££ |
| Dr Michelle Bull 💙 @MichelleBull4 @JustineMusiime @AmyLouSous @physiotalk There's some great local initiatives that have found different ways to link in with older people even during lockdown. We're really lucky to have @ReconnectionsGW on our patch helping #physiotalk |
| Fiona Skelton @skelton_fiona @physiotalk There needs to be investment in staffing to cope with the impact of Covid on the elderly / long Covid to drive rehab in the community #physiotalk |
| physiotalk @physiotalk #physiotalk |
| Sarah De Biase @sarahdebiase Agree @TheACPRC #learning is key #physiotalk https://t.co/CbTdlA7iak |
| Emma Lee @EmmaLeePhysio @physiotalk American Society of Anesthesiologists Physical Status #physiotalk |
| Fiona Brownlie @fionabrownlie9 RT @ACPICR: This is a great strategy 👏🏻. It can be so easy to get lost in the minefield of paperwork trying to get things up and running ag… |
| Amy Souster @AmyLouSous @physiotalk Busy one tonight. A HUGE question mark and I think all community rehab staff feel strongly about it. As mentioned by @abijhall and @Troomp at the beginning of the chat. We want to rehab. Please can we? #physiotalk |
| physiotalk @physiotalk @EmmaLeePhysio Thank you! I worried it was something I should have known - but I wouldn't have known that :) #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @TheACPRC @physiotalk Fantastic strategy to help us going forward. Thank you. #physiotalk |
| physiotalk @physiotalk RT @AmyLouSous: @physiotalk Busy one tonight. A HUGE question mark and I think all community rehab staff feel strongly about it. As mention… |
| Georgina Hooper @hoopge Great tweetchat tonight @physiotalk. Lots to think about. #physiotalk 👍 https://t.co/g4SE09gqbr |
| Vineeth Ravindran💙He/him @r_vineeth RT @AgeWellPhysio: @r_vineeth @physiotalk Yes, explore who can help us deliver rehab options. Our local council/university/voluntary sector… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @MichelleBull4 @AmyLouSous @physiotalk @ReconnectionsGW This is brilliant. Other such services had closed as they were considered non-essential, but they are starting to open up again which is great. #physiotalk |
| Susanne Syme @SusanneSyme @lynnemann13 @physiotalk We are going to have to work smarter because working harder isn’t an option #physiotalk |
| physiotalk @physiotalk #physiotalk |
| Magdalena @Mag_physio #physiotalk Patient related: Deconditioning Social isolation Lack of stimulation Mental health issues Rejab/services: - Waiting lists - More complex patients discharged to community - some services are overloaded due to other services working remotely or redeployment. |
 | J. Martin Nunez silveira @JmNunezSilveira @AitorSFranco1 Felicitaciones colega! #physiotalk |
| CharlotteBuckland @AgeWellPhysio Fantastic session, really enjoyed hearing everyone's experiences and ideas,, many thanks #physiotalk |
| Emma Lee @EmmaLeePhysio @physiotalk I was complaining earlier about people using abbreviations too 😂 #hypocritewarning #physiotalk |
| physiotalk @physiotalk RT @physiotalk: Q6. What are your strategies for moving forward/re-starting service etc? #physiotalk |
| Abi Hall @abijhall @physiotalk The question we didn’t ask everyone is how many services have started up rehab again? It would be interesting to get a clearer national picture #physiotalk |
| AGILE @AGILECSP @AgeWellPhysio Well done you made it through your first tweet chat ! That was one of the busiest, fastest we've seen ! #physiotalk |
| Fiona Skelton @skelton_fiona @physiotalk Keep doing what has worked well and saved us time but restarting what therapists have missed the hands on / rehab/ progression , sometimes they feel they have just become Technicians giving advice over the phone posting exs out #physiotalk |
| physiotalk @physiotalk @abijhall Good question - I'll send out a poll just now :) #physiotalk |
| Emma Lee @EmmaLeePhysio RT @TheACPRC: @physiotalk Pause and take breath, then consider- 1. What did we stop that we miss? 2. What did we stop that we don’t miss? 3… |
| Claire O' Connell @ClaireOCPhysio @HarrietShannon @TheACPRC @physiotalk Our senior team have been great at doing this. Every supervision session I am asked about my well being/missing family/impact on my day to day life. #physiotalk |
| Amy Souster @AmyLouSous @SusanneSyme @physiotalk Would be great to see more FCPs and APPs in community rehabilitation. A hope for future service direction. Maybe a bigger spotlight on our services from now on. Hopefully. #physiotalk |
| Claire O' Connell @ClaireOCPhysio A simple way to reflect on this past year...Thank you @TheACPRC #physiotalk @AGILECSP |
| Georgina Hooper @hoopge RT @ClaireOCPhysio: A simple way to reflect on this past year...Thank you @TheACPRC #physiotalk @AGILECSP |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @abijhall @physiotalk You are very right @abijhall. True story: I struggled initially to leave patients with unmet goals when I could see that there was potential. #physiotalk. |
| physiotalk @physiotalk Following on from tonights #physiotalk with @AGILECSP, @theACPRC, @PhysioATOCP and @ACPICR Has your rehab service for older people restarted? |
| physiotalk @physiotalk #physiotalk |
| Fiona Jones @FionaJonesPT @physiotalk There's talk in our team of trying to keep the good bits (more patient choice and flexibility of appointments, now have a virtual PMP) vs getting back to being able to offer the F2F support patients need and want. #physiotalk |
| Fiona Brownlie @fionabrownlie9 @AGILECSP @physiotalk 😂Same goes for @ACPICR ... please do get in touch if you want to join! #physiotalk |
| physiotalk @physiotalk RT @fionabrownlie9: @AGILECSP @physiotalk 😂Same goes for @ACPICR ... please do get in touch if you want to join! #physiotalk |
| Fiona Jones @FionaJonesPT @physiotalk I think our patients will need extra support for a while yet, particularly due to the effect of covid on mental health #physiotalk |
| exerciseCOPD 💙 #wearamask @exerciseCOPD RT @ACPICR: This is a great strategy 👏🏻. It can be so easy to get lost in the minefield of paperwork trying to get things up and running ag… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @ClaireOCPhysio: @physiotalk I think we need to remind ourselves we are a rehab team, as well as offering assessment/discharge planning.… |
| Justine Musiime - MSc MPH MCSP @JustineMusiime More inpatient rehab reduces the rate of deterioration and makes rehab in the community that much easier for both patients and therapists. #physiotalk |
| Alice Kilby @AliceKilbyPT @sarahseager94 @physiotalk @HELLSBELLS_DFYB Had a conversation about this with colleagues today as a health sector we need to work with our system partners to make this groups as inclusive as possible #physiotalk |
 | The Lung Physio @LungPhysio RT @TheACPRC: @physiotalk Pause and take breath, then consider- 1. What did we stop that we miss? 2. What did we stop that we don’t miss? 3… |
| physiotalk @physiotalk Two weeks time - what is the topic?? The answer is - there isn't one! We will have been tweeting from #worldphysio2021 and will need a rest So follow that hashtag from Fri 9th April instead of #physiotalk |
| Fiona Skelton @skelton_fiona @physiotalk @AGILECSP @TheACPRC @PhysioATOCP @ACPICR @abijhall just urgents f2f at the moment resume routines/soons during April #physiotalk |
| Alice Kilby @AliceKilbyPT @physiotalk Engage with the staff delivering services - what’s working, what’s not? What have we learned? What do we need to hold on to? What do we need to ditch and when? Consider what the data is telling us, and what it isn’t #physiotalk |
| Fiona Skelton @skelton_fiona @physiotalk Also the pressures on long term POC meaning Pts can’t be D/C from CRT in a timely manner as packages are not available. Social Care and community rehab resources are under huge pressure post Covid #physiotalk |
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