#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Janet Thomas @JanetThomas47 I'm one of the @phyiotalk team who are going to be supporting the #physiotalk chat tonight I'm tweeting from Edinburgh |
 | Linda Vernon @VernonLinda RT @physiotalk: |
| Janet Thomas @JanetThomas47 Not a good start if I can't spell Physiotalk! At last I got the hashtag right! #physiotalk |
| Linda Vernon @VernonLinda Forgot to # already!!!! #physiotalk |
 | Sarah thomas @Mrssati RT @physiotalk: |
| Sarah thomas @Mrssati RT @rachaelmoses: |
 | Karen Blagojevic @HorizonPhys @physiotalk #physiotalk-Karen from Buckinghamshire-private Neuro rehab provider |
 | je @Rhosneirjed1 Hello I’m from the north west #physiotalk |
 | 👑 Paul. @luminsPaul @physiotalk Hi everyone #physiotalk Paul here, from Nigeria |
 | Chairman@physiofirst @Chairmanphysio1 @physiotalk Hi, Karen from Physio First here, on the Fylde coast #physiotalk |
 | Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @VernonLinda @physiotalk ooops won't forget again!! #physiotalk |
| Karen Blagojevic @HorizonPhys #physiotalk-Here’s one I prepared earlier! |
 | Claire Sullivan @CSullivanCSP @physiotalk Evening All! Claire Sullivan here, Director of the trade union part of @thecsp - Employment Relations and Union Services #physiotalk newbie! |
 | Fasuba Ayobami @e_fasuba @physiotalk Hi to the global PT community, I am tweeting from Ibadan, Nigeria. I will be lurking around this time. #Physiotalk |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @HorizonPhys Thanks Karen, first thing to ask is whether the patients you identify have needs such, if left untreated would likely deteriorate and end up in hospital? #physiotalk |
 | Chloe Dooley @chloedooley99 @physiotalk As a student, knowing what placements/assessments will make up the final parts of my degree and allow me to join the temporary register when needed, our uni is doing a great effort of keeping us informed though! #physiotalk |
 | The Physiotherapist @RoiDammy @physiotalk Hi. Dammy here, from Lagos, Nigeria #physiotalk |
| Fasuba Ayobami @e_fasuba RT @physiotalk: Q: |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @HorizonPhys 2nd question, is if you have assessed this group of patients as liable to deteriorate what remote options have you explored to support families and carers maintain this group? #physiotalk |
 | Karen Swanepoel @RegainSA @physiotalk Karen from South Africa, Bloemfontein, private practice owner, special interest women’s health. #physiotalk |
 | Marta Janik @Marta44316673 @physiotalk #physiotalk Hi, my name is Marta I work as physiotherapist in nursing home with rehabilitation care with young disabled people with complex neurological condition. I have read CSP guideline Covid outbreak but I am still not sure whether I should be treating patients in mySetting |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @RegainSA @physiotalk Hi Karen, have you explored going into the NHS on a temporary basis? #physiotalk |
| 👑 Paul. @luminsPaul @physiotalk Decision on how to ensure home care patients don’t miss out on proper rehab and management doing the total lockdown. Inbtw, some Nigerian states just got in on the lockdown today #Physiotalk |
| Karen Blagojevic @HorizonPhys @suehaywardgiles #physiotalk in reply to @suehaywardgiles 1st question: they won't deteriorate by tomorrow but they do experience worsening pain and function due to tone and spasticity. Possible urgent consequences. 2nd question: supporting carers and family via telephone calls/video sessions |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @Marta44316673 @physiotalk Hi Marta, do you think any of your clients would be at risk of deterioration that may result in a hospital admission? #physiotalk |
| Fasuba Ayobami @e_fasuba RT @OPS_62K: @physiotalk Decision on how to ensure home care patients don’t miss out on proper rehab and management doing the total lockdown. Inbtw, some Nigerian states just got in on the lockdown today #Physiotalk |
| Chairman@physiofirst @Chairmanphysio1 This the crux of @PhysioFirstC members problems, plus uncertainty re when we will be able to open clinics to assist overload in NHS #physiotalk |
 | Kayberyls @Kayberyls RT @physiotalk: Q: |
 | Lisa Morrison @LisaMorr1992 @physiotalk I think I would prefer that to donning and doffing too frequently as surely that increases transmission risk? #physiotalk |
| Sashalorenzo @Sashalorenzo4 @physiotalk #physiotalk biggest challenges: 1) uncertainty about future roles 2) feeling the need to upskill fast my set of acute respi skills and not sure where to start |
| Karen Blagojevic @HorizonPhys @natbeswetherick @thecsp @CSullivanCSP #physiotalk. Have read the guidance but I feel the terms "serious pathology suspected" "essential" and "urgent" require more definition to be practical for use as a SOP |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @HorizonPhys Karen sounds like you are doing a great job assessing situation and providing support where needed remotely. If situation changes for any of your clients and you assess face to face as essential, to stop risk of hospital admission, follow infection control guidance #physiotalk |
| Marta Janik @Marta44316673 @physiotalk #physiotalk Shall I still treat patients with complex neurological condition in terms of chest, constipation&contracture prevention as a management/in nursing care rehab setting/ or 1:1 session should be stopped. As I am confused why physiotherapist in hosp.can be cont.&others? |
| Margaret PIlkington @MargaretPIlkin2 #physiotalk |
| Chloe Dooley @chloedooley99 @physiotalk I would imagine how practical exams will run and the ongoing impact this will have on clinical placement experience will be questions for those earlier on in studies #physiotalk |
 | Sophie McAuliffe @SophieMcPhysio @physiotalk Sophie in Edinburgh #physiotalk |
 | Susan Cotton @susancotton18 @physiotalk #physiotalk sorry a bit late tonight - leaky fish tank issue at 19.55!! Hello from Scotland....now to catch up! |
| 👑 Paul. @luminsPaul @HorizonPhys @suehaywardgiles #physiotalk |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @Marta44316673 @physiotalk Basic principle is about stopping hospital admission. So if you assess that only face to face treatment can prevent a condition deteriorating then you might need to treat. Have you explored giving carers/family instructions to support approach during this period? #physiotalk |
| The Physiotherapist @RoiDammy RT @physiotalk: |
| Karen Blagojevic @HorizonPhys @KarenHo01208036 #physiotalk I have been accessing the guidance on stroke pathways in Covid on the FutureNHS Network and there are circumstances cited for face to face provision to facilitate rapid discharge from hospital. Does this include private provision? @thecsp |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @JolockyearPT @physiotalk It is really hard work keeping up to date at the moment. The @thecsp bulletins should help point to summary of new guidance and support. Well done you for taking on this acute work😀#physiotalk |
| Marta Janik @Marta44316673 @suehaywardgiles @physiotalk #physiotalk some patients are being seen by us 2 a week to minimise risk of chest inf, constipation and contracture what if this stops For several weeks? |
| Karen Blagojevic @HorizonPhys #physiotalk |
| Margaret PIlkington @MargaretPIlkin2 #Physiotalk My department has been using phone/ video link follow ups. I am back in Thurs after ?? Coronovirus. Concerned that we have too few phones and lack of social distancing. Very anxious. Any ideas ? |
| Karen Blagojevic @HorizonPhys @spiteri_anna @RegainSA @physiotalk Absolutely doing this wherever possible (about 2/3 of caseload) 1/3 of cases-remote consultation can not substitute for hand-on intervention #physiotalk |
 | IPTOP @IPTOPphysio @CarolKeenPhysio @suehaywardgiles @Marta44316673 @physiotalk IPTOP have some suggestions for keeping older people doing some type of exercise or physical activity whilst they are in isolation or social distancing https://t.co/UHkNWkwSkB #physiotalk |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @Marta44316673 @physiotalk Hopefully you are in control of the clinical decision making for your clients who you will know well. Be clear with your critical thinking and make confident decisions about whether to continue/how frequent etc. All the time considering infection control. #physiotalk |
| Marta Janik @Marta44316673 @suehaywardgiles @physiotalk #physiotalk Our placement is currently locked for any visitors including families, Carers aren’t train on how to use the gym equipment and passive stretching isn’t effective looking at Cochrane evidence. We know that care shortages are everywhere is this difficult time |
| Chloe Dooley @chloedooley99 @physiotalk As a student, I’m using it as a learning resource and a prompt for skills/knowledge I’m perhaps less confident in and want to spend some of the extra time we now have learning about #physiotalk |
| The Physiotherapist @RoiDammy @physiotalk noted #physiotalk |
| Chairman@physiofirst @Chairmanphysio1 Great info on remote consultation set up @thecsp but @PhysioFirstC members still unable to get answers from insurance incl. Graybrook re business interruption payout, esp. as govt still has physio clinics on essential list, even tho we are not seeing F2F #physiotalk |
| Marta Janik @Marta44316673 @CarolKeenPhysio @suehaywardgiles @physiotalk Carers are now struggling everywhere to deliver basic support due to shortages and giving them an extra thing to do I don’t think will be effective in this case unfortunately #physiotalk :( |
| Linda Vernon @VernonLinda @MargaretPIlkin2 #physiotalk @MargaretPIlkin2 if you're NHS in Lancashire, I've set up a #digitalAHPs Microsoft team for sharing of advice on remote consultations ... if you email linda.vernon@nhs.net I can add you |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @Marta44316673 @physiotalk It is really difficult and at times distressing to make such hard priority decisions but sounds like you are constantly thinking, reassessing and considering alternative solutions which is all you can do. #physiotalk |
| Linda Vernon @VernonLinda RT @physiotalk: |
| Claire Sullivan @CSullivanCSP @JolockyearPT @physiotalk It’s been great to see all the tweets of resp teams refreshing MSK and community colleagues on-call competencies ready for redeployment - physios rising to the challenge magnificently #physiotalk |
| Lisa Morrison @LisaMorr1992 @spiteri_anna @Critcarephysio @physiotalk We are doing videoconferencing 2x weekly clinics. Hoping to access digital spirometer to assess respiratory function and some will also monitor BMI and adherence #cfhealthhub @NuvoAir #physiotalk |
 | Huw Jones 💙 @HuwJones1015 RT @Chairmanphysio1: Great info on remote consultation set up @thecsp but @PhysioFirstC members still unable to get answers from insurance incl. Graybrook re business interruption payout, esp. as govt still has physio clinics on essential list, even tho we are not seeing F2F #physiotalk |
| Linda Vernon @VernonLinda @physiotalk #physiotalk I'm working in digital, but I think front line staff locally have been unsure which tools to use, hence me setting up a Team, to share ICS guidance as well as national, and peer support opportunity, and info on supported self-management |
| Karen Blagojevic @HorizonPhys #physiotalk A lot of elderly, vulnerable not able to adapt to this. Also cognitive impairment and attention deficits can be a challenge |
| Chairman@physiofirst @Chairmanphysio1 Agreed! But knowing it is under the spotlight helps |
| Linda Vernon @VernonLinda @physiotalk It's taken a little time for digital teams to get the resources ready for mass deployment (having only had a little GP uptake mostly for now) but we're working hard to support the frontline! #physiotalk |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @natbeswetherick @Chairmanphysio1 @thecsp Yes it is but will be in touch tomorrow to discuss @Chairmanphysio1 #physiotalk |
| Linda Vernon @VernonLinda RT @RehabPractice: |
| Susan Cotton @susancotton18 @physiotalk @CSullivanCSP @JolockyearPT locally we have been asked about relevant experience and I think triaged into order or most easily slotted in, to needing lots of support to step into critical care/resp role. I'm not involved in that process, so not sure who/how they have decided for each individual #physiotalk |
| Karen Blagojevic @HorizonPhys #physiotalk I have had one carer near breakdown today at the burden placed on him to isolate, protect, care and rehab his loved one from catastrophic injury |
| Lisa Morrison @LisaMorr1992 @physiotalk @spiteri_anna @Critcarephysio @NuvoAir Our trust @NHSGGC support an Attend Anywhere platform to enable digital videoconferencing. The whole MDT are now using it after a trial by physio and dietician in the Cf team. Patients appreciate the opportunity to “see” as well as talk #physiotalk |
| Margaret PIlkington @MargaretPIlkin2 @CSullivanCSP @JolockyearPT @physiotalk #physiotalk I have been out of respiratory physio for years,no wish to do it. Is that wrong of me ? |
| Linda Vernon @VernonLinda RT @LisaMorr1992: @physiotalk @spiteri_anna @Critcarephysio @NuvoAir Our trust @NHSGGC support an Attend Anywhere platform to enable digital videoconferencing. The whole MDT are now using it after a trial by physio and dietician in the Cf team. Patients appreciate the opportunity to “see” as well as talk #physiotalk |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @HorizonPhys So sorry to hear this even though I suspect this is going to be an increasingly common story. Are you able to have an ongoing support role with the carer so they don't feel even more isolated? #physiotalk |
| Linda Vernon @VernonLinda Let's not forget about the mental and physical wellbeing of carers in our community #COVID19 |
| Karen Blagojevic @HorizonPhys @suehaywardgiles Absolutely-we are supporting with daily phone calls. #physiotalk |
| Linda Vernon @VernonLinda @Critcarephysio @physiotalk @LisaMorr1992 @spiteri_anna @NuvoAir Our hospital guidance supported us to use personal phones and issued guidance on hiding your phone number for safeguarding reasons. #physiotalk |
| Linda Vernon @VernonLinda RT @LisaMorr1992: @spiteri_anna @Critcarephysio @physiotalk We are doing videoconferencing 2x weekly clinics. Hoping to access digital spirometer to assess respiratory function and some will also monitor BMI and adherence #cfhealthhub @NuvoAir #physiotalk |
| Lisa Morrison @LisaMorr1992 @physiotalk @Critcarephysio @spiteri_anna @NuvoAir It’s possible. I know in Cf care there is a move toward some videoconferencing due to needs to minimise cross infection #physiotalk |
| Linda Vernon @VernonLinda RT @natbeswetherick: |
| Lisa Morrison @LisaMorr1992 @VernonLinda @Critcarephysio @physiotalk @spiteri_anna @NuvoAir Some of us have hospital phones so don’t need to use personal phones. Also we have applied for tablets to enable this and electronic notes #physiotalk |
| Marta Janik @Marta44316673 @EmOnTheBrain @physiotalk #physiotalk true Emilia our nursing home is unique /having physiotherapist full time/ as we can provide further rehab and if we are successful we discharge patients home or to other setting with Carers on site. I am aware how community teams struggle to cont. rehab |
| Susan Cotton @susancotton18 @physiotalk @natbeswetherick @TheACPRC @thecsp A difficult call. Every areas need will be different, so individual areas need to respond to support the critical need as priority, but how do you prioritise your staffing beyond that? in-patient & community based rehab both critical to maintaining the flow. #physiotalk |
| Lisa Morrison @LisaMorr1992 @physiotalk @natbeswetherick @TheACPRC @thecsp Possibly upskill to most appropriate area. May be challenging to ask respiratory therapists to meet the needs of their patients and be involved in all the retraining too. Need to use our resources wisely #physiotalk |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @RehabPractice @Chairmanphysio1 @thecsp @PhysioFirstC The basic principle is not to see face to face clients, only management to manage acutely unwell COVID patients, support of discharge from hosp or to assess emergency/urgent symptoms if not possible remotely. All non-essential physiotherapy must stop. #PhysioTalk |
| Linda Vernon @VernonLinda RT @spiteri_anna: |
| Karen Blagojevic @HorizonPhys #physiotalk NHS early supported discharge seen as a priority-please include private providers |
| Claire Sullivan @CSullivanCSP @emmahibbs23 @physiotalk #physiotalk - Hi Emma - we made some progress on PPE last week but MUCH more still needed -1) right PPE, right place, right time 2) clarity on level of PPE required for different interventions 3) support and reassurance to staff @thecsp top priority this week |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @Almudenaosteo @physiotalk I have no specific clinical knowledge but @TheACPRC will do and I'm sure could discuss with you #PhysioTalk |
| Claire Sullivan @CSullivanCSP @RehabPractice @stayactivephys @KarenHo01208036 @HorizonPhys @thecsp @natbeswetherick i am wondering if the local ‘hubs’ for returners might also be able to hold and share this sort of info? #physiotalk |
| Linda Vernon @VernonLinda RT @CelineIngle: |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @CelineIngle @physiotalk @RobYeldham We will keep pushing out updates as we get them or they are developed - great to get your feedback re @RobYeldham 😀#PhysioTalk |
| Karen Blagojevic @HorizonPhys @physiotalk @emmahibbs23 #physiotalk The guidance on PPE for close contact intervention such as physical rehabilitation is not clear. |
| Susan Cotton @susancotton18 @physiotalk @emmahibbs23 #physiotalk there seem to be mixed messages, or at least mixed adherence to the guidance - certainly between PT and nursing colleagues. I think the sense on the ground is of not understanding the logic of specifically mask use - when and when not to use. |
| Chairman@physiofirst @Chairmanphysio1 RT @suehaywardgiles: @RehabPractice @Chairmanphysio1 @thecsp @PhysioFirstC The basic principle is not to see face to face clients, only management to manage acutely unwell COVID patients, support of discharge from hosp or to assess emergency/urgent symptoms if not possible remotely. All non-essential physiotherapy must stop. #PhysioTalk |
| Linda Vernon @VernonLinda RT @spiteri_anna: |
| Fasuba Ayobami @e_fasuba RT @physiotalk: |
| je @Rhosneirjed1 @physiotalk #physiotalk @csullivancsp would appreciate guidance on level of PPE for staff with asthma working on wards to support ie advised to wear PPE for their asthma rather than identified covid |
 | Claire George @clairegeorge03 @physiotalk Clear, concise and regular updates via twitter as situations change please #physiotalk |
| Karen Blagojevic @HorizonPhys @physiotalk @EmOnTheBrain @emmahibbs23 #physiotalk No-the guidance on symptomatic patients is clear. In which case I wouldn't see them in the community. PPE use by carers in the community is sending mixed messages as it is being worn by asymptomatic carers for asymptomatic clients for "reassurance". |
| Chairman@physiofirst @Chairmanphysio1 @sheffieldphysio @thecsp & @PhysioFirstC advice is United- no F2Fappts unless in clearly defined emergency group; agree govt advice is unclear but infection risk too high currently to do otherwise #physiotalk |
| Claire Sullivan @CSullivanCSP @PhysioZoZo @physiotalk #physiotalk Hi Zo - yes, we have been working on that this weekend + today. We know lots of trusts have chest physio on their AGP lists - mobilising usually excluded. As you say, more than one set of guidance available. Top priority for our @thecsp work this week. Call me to talk |
| Margaret PIlkington @MargaretPIlkin2 @HorizonPhys Are essential care services not allowed in to help ? I thought they were and l think there is a link of the https://t.co/AsN5d7uNlP for individuals to ask for help. If individuals are not internet savvy though that's of no use. #physiotalk |
| Claire Sullivan @CSullivanCSP @physiotalk @suehaywardgiles @RegainSA #physiotalk although there’s a biting wind and a lot of cloud forecast this week.... |
| Karen Blagojevic @HorizonPhys The "clearly" defined emergency group includes 1)Those at risk of serious deterioration from underlying pathology and you are unable to determine this remotely. Does this include ABI, Stroke neurologically deteriorating conditions? chairman@physiofirst #physiotalk |
| Chairman@physiofirst @Chairmanphysio1 RT @RehabPractice: |
| Claire Sullivan @CSullivanCSP @clairegeorge03 @physiotalk #physiotalk Hi Claire - on any particular Covid issues or just across the board as info becomes available? We are keen to do but also conscious not to overload. We will keep website FAQs updated too |
| Fasuba Ayobami @e_fasuba RT @LisaMorr1992: @physiotalk @spiteri_anna @Critcarephysio @NuvoAir Our trust @NHSGGC support an Attend Anywhere platform to enable digital videoconferencing. The whole MDT are now using it after a trial by physio and dietician in the Cf team. Patients appreciate the opportunity to “see” as well as talk #physiotalk |
| Karen Blagojevic @HorizonPhys Group 2) •You have urgent rehabilitation needs, which if not met, will require care from General Practice, secondary care or social care agencies. Does this include Stroke, ABI, TBI, deteriorating neurological conditions? #physiotalk @thecsp |
| Claire Sullivan @CSullivanCSP @Rhosneirjed1 @physiotalk #physiotalk lots of Qs on this so adding FAQs this week on asthma and other underlying LTCs. Asthma - will depend on “severe” based on the national tests for that. Severe will put staff within a vulnerable group and can affect where redeployed. Email @thecsp if need more detail? |
| Karen Blagojevic @HorizonPhys Group 3) You require rehabilitation to support your rapid discharge from hospital. Definitely my client group chairman@physiofirst @theCSP If the NHS risk assesses that these patients are a priority-stands to reason they are for us too?! @thecsp chairman@physiofirst #physiotalk |
| Chairman@physiofirst @Chairmanphysio1 @HorizonPhys Personal decision based on your risk assessment/not easy decision I n #physiotalk |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles #physiotalk just lost thread re students and temporary register for students who have completed ALL their clinical placements see HCPC https://t.co/68zdj5MeTd |
| Claire George @clairegeorge03 @CSullivanCSP @physiotalk For me personally, I would find across the board most helpful, with links to further information. That way people can dip in and out to find what their particular service needs are at that point in time. Thanks 😀👍 #physiotalk |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles RT @natbeswetherick: |
 | Jon Ryan @JonRyanCSP RT @natbeswetherick: |
| Susan Cotton @susancotton18 another interesting #physiotalk on COVID-19 & how it impacts our work as physios. Such a fast pace of change, interesting to hear others thoughts and experiences to help make sense of our own #twittercpdthoughts #65 |
| Karen Blagojevic @HorizonPhys @Chairmanphysio1 I would counter that this is a professional decision @Chairmanphysio1 which requires professional body clarification and guidance @thecsp #physiotalk We risk a wave of unsupported patients with significant needs crushing our already over stretched resources |
| Karen Blagojevic @HorizonPhys Absloutey agree with @liziophysio1 |
| Chairman@physiofirst @Chairmanphysio1 @HorizonPhys @thecsp I don’t disagree Karen; hope that these issues can be clarified soon #physiotalk |
| Sue H-G 🇺🇦🇬🇧 @suehaywardgiles @liziophysio1 @Chairmanphysio1 @HorizonPhys It won't be the same for each client within these patient groups so individual assessment is required to ensure each patient receives the most appropriate intervention in the most appropriate way #PhysioTalk |
| Claire Sullivan @CSullivanCSP @stayactivephys @KarenHo01208036 @HorizonPhys @thecsp Hi - details of self-empl scheme, who is covered, any exclusions being clarified and updated on @thecsp website. At national level, working hard to close exclusion gaps and push on timescales #physiotalk |
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