#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Janet Thomas @JanetThomas47 Sorry not to be able to join you tonight as would be really interested in how frailty impact respiratory management. Lots of cross over with our usual work with frail older adults I suspect! A consideration might be about being frail but NOT old? #physiotalk |
 | ACPRC @TheACPRC Welcome everyone! #Physiotalk |
| ACPRC @TheACPRC @physiotalk Hello everyone! We’ll be tweeting tonight, looking forward to hearing about how you’re managing frailty in all your different specialisms! #physiotalk |
 | Pamela Kipps Hansford @PamKHphysio @physiotalk Pam Hansford greetings to all from Cape Town #physiotalk |
 | Fiona Wanless @FionaBowe3 @physiotalk Evening from Middlesbrough.. listening in and looking forward to the content. #physiotalk |
 | Physiotherapy Association of Saint Lucia Inc. @pasl_pt Hi Everyone! Lurking from St. Lucia in the Caribbean. Interesting topic #physiotalk |
 | Pearlene @Pearlene4 @physiotalk @acprc #physiotalk hello from Brum! |
| ACPRC @TheACPRC @physiotalk Altered cognition, polypharmacy, falls, poor mobility, poor nutrition…#physiotalk |
| Pamela Kipps Hansford @PamKHphysio @physiotalk Yes, very impressed by the resources on offer - evidence based research at its best integrated into a framework through inclusive collaborative process in conjunction with a wide range of participants #physiotalk |
| Pearlene @Pearlene4 @NicolaLauchlan @physiotalk #physiotalk really like that social isolation is mentioned here. |
| ACPRC @TheACPRC @physiotalk Interesting lots of these red flags put these patients at risk of respiratory complications, even with no pre-morbid respiratory problem #physiotalk |
| ACPRC @TheACPRC @Asqbecca Yes definitely! Lots of work happening right now around frailty in paediatrics and in transplant patients…frailty isn’t just in the elderly! #physiotalk |
| ACPRC @TheACPRC @IanTyrrell5 @physiotalk That’s a really good point…these patients often slip through the net for this reason too! #physiotalk |
 | Action Potential @DNApolymers RT @NicolaLauchlan: |
 | Hannetjie Easton @HanniLowe @physiotalk Already receiving lots of care at home/residence #physiotalk |
| ACPRC @TheACPRC @physiotalk Something like the Clinical Frailty Scale can be done really quickly for patients you see with those red flags we just discussed! #physiotalk https://t.co/1zpY7TfO1H |
| Pearlene @Pearlene4 @physiotalk #physiotalk Yes it should be assessed we all need to take responsibility. Clinical frailty score is a quick one to use. I am interested to see what others are used. |
| Action Potential @DNApolymers RT @TheACPRC: @physiotalk Interesting lots of these red flags put these patients at risk of respiratory complications, even with no pre-morbid respiratory problem #physiotalk |
| Action Potential @DNApolymers RT @TheACPRC: @Asqbecca Yes definitely! Lots of work happening right now around frailty in paediatrics and in transplant patients…frailty isn’t just in the elderly! #physiotalk |
| Fiona Wanless @FionaBowe3 @IanTyrrell5 @physiotalk Agree completely. I always think we should be including frailty assessments for many elective surgeries.. (my area is cardiothoracics) and having greater PT/OT input in a pre-emptive rather than reactive manner would be great. Taking action beyond a tick #physiotalk |
| ACPRC @TheACPRC @IanTyrrell5 @NicolaLauchlan @physiotalk Totally agree, we should be using it to identify the ‘at risk’ patient and make specialist referral. If we want/need to provide intervention, are there more detailed tools that can be used? #physiotalk |
| ACPRC @TheACPRC @IanTyrrell5 @physiotalk Who can make that referral? Is it consultant to consultant, or should physios be taking this on? #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt Still on Q2. sorry. Some research has shown that the usefulness of certain frailty assessment tools has not been properly assessed #physiotalk |
| ACPRC @TheACPRC @FionaBowe3 @IanTyrrell5 @physiotalk Are there any prehab services out there that screen for frailty pre-surgery? #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt So true! |
| Action Potential @DNApolymers RT @IanTyrrell5: |
| ACPRC @TheACPRC @physiotalk Communication! Resp teams identifying frailty and communicating with frailty/medicine teams, and vice versa when frail patients come in with new or pre-existing resp conditions #physiotalk |
| ACPRC @TheACPRC @physiotalk Loving the ideas around shared IST…how many services have IST that crosses specialities? #physiotalk |
| Pearlene @Pearlene4 @physiotalk #physiotalk front door services are key but also sharing best practices and effective communication in the team! |
| Fiona Wanless @FionaBowe3 @r_vineeth @physiotalk #physiotalk 4 metre gait speed test too is reportedly a good clinical indicator for Fraility and certainly sometimes easier to perform in busy clinical environments for practicalities. |
| Pamela Kipps Hansford @PamKHphysio @TheACPRC @physiotalk #physiotalk Often rel 2 polypharm+adverse drugs reactionsinteractions Drugs R prescribed 2 Rx symptoms, underlying problems not investigated Given BetaBlockers 4 arythmia @37 for 2y. Heart enlarged & breathless when hiking. Underlying problem too much caffeine, too little sleep |
 | Carlos Llorca @LlorcaCarlos RT @physiotalk: Q2: |
| ACPRC @TheACPRC @NicolaLauchlan @physiotalk If it’s not the main complaint, but they have a respiratory issue (new or long-term), should resp teams in-reach? Provide arms length support? Some specialist centres won’t take respiratory patients with high frailty scores…so a LRTI may be managed on a medical ward #physiotalk |
| Pamela Kipps Hansford @PamKHphysio @TheACPRC @physiotalk @FionaBowe3 @IanTyrrell5 #physiotalk check resources: Frailty Framework |
| ACPRC @TheACPRC @IanTyrrell5 @physiotalk Also, some teams won’t treat respiratory issues…not saying it’s right but it definitely happens! Are there issues around maintaining competence? What about ensuring the evidence-base/guidance/standards/etc? #physiotalk |
| Pearlene @Pearlene4 @physiotalk #physiotalk I think having a good understanding of anxiety and breathlessness and simple methods to address this such as fan therapy and breathing re-education is a simple but effective rx modality |
| ACPRC @TheACPRC @IanTyrrell5 @emaroids1 @physiotalk Yes I think plenty would! Maybe it’s just a conversation in either direction that’s needed…”I have a patient I think is frail, should I be doing anything different?” or “I have a frail patient with COPD, do I need to do anything specific for their resp management?” #physiotalk |
| Action Potential @DNApolymers RT @joshpoole: |
| Pearlene @Pearlene4 @physiotalk #physiotalk I think having a good understanding of anxiety and breathlessness and simple methods to address this such as fan therapy and breathing re-education is a simple but effective rx modality |
| Pamela Kipps Hansford @PamKHphysio @TheACPRC @physiotalk @37 #physiotalk Why? because I was studying through UNISA & getting up @ 4am to write assignments with great enjoyment with a cup of tea/coffee at hand - finally persuaded a creative thinking pulmonologist with me: Doing uppers & downers with excessive caffeine & too little sleep |
| Pamela Kipps Hansford @PamKHphysio @TheACPRC @physiotalk @37 #physiotalk wonder what would have happened if I hadn't refused to take meds for breathlessness & dumped betablockers? |
| Pamela Kipps Hansford @PamKHphysio @TheACPRC @physiotalk @37 #physiotalk @Atul_Gawande says in his book #BeingMortal that taking more than 4 prescription drugs puts a person at risk of falling. Frail patients are taking 13 or even more |
| ACPRC @TheACPRC Thanks everyone for joining our tweet chat with #Physiotalk on Respiratory Management of the Frail Patient! What a great chat! Some great ideas to take away. |
| Pamela Kipps Hansford @PamKHphysio #physiotalk @Atul_Gawande's book #BeingMortal should be required reading for all! Fascinating his grandfather in India was still riding his horse around his lands @ 102 and respected by the family but this was in strong contrast to what happens elsewhere like USA |
| Pamela Kipps Hansford @PamKHphysio #physiotalk @Atul_Gawande says in his book #BeingMortal that taking more than 4 prescription drugs puts a person at risk of falling. Frail patients are taking 13 or even more carefully prepared in blister packs (at cost) and administered by nurses in hospitals & care homes |
| Pamela Kipps Hansford @PamKHphysio #physiotalk PLEASE do your patients a favour - Google their symptoms to find out what drugs cause memory loss/ raise BP /cause agression/ sleeplessness/ irritability/ hallucinations/ anxiety/depression etc etc and then check their drugs …… |
 | Huw Griffiths @huwgriff16 RT @physiotalk: Q1: |
 | COPD_research @COPD_research RT @cathedwards_1: |
#PhysioTalk content from Twitter.