#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Joe Middleton @_JoeMiddleton RT @physiotalk: |
 | Janet Thomas @JanetThomas47 I'm on the #physiotalk account tonight - looking forwards to the chat from a very sodden Edinburgh |
 | KB @KBNeuroinfo @physiotalk Good evening from a muggy South Wales! #physiotalk |
| Janet Thomas @JanetThomas47 @liziophysio1 What - Warrington is sunny and warm! I'm moving back.... #physiotalk |
| Janet Thomas @JanetThomas47 Yes- definitely linked to the chance of something happening that would be detrimental to the patient our outcome #physiotalk |
| KB @KBNeuroinfo @physiotalk #physiotalk Risk is about balance, challenging boundaries within a framework of clinical reasoning |
| Janet Thomas @JanetThomas47 So a very negative term really?! #physiotalk |
| Janet Thomas @JanetThomas47 @physiotalk I think this is tricky! We do have formal written assessments for manual handling for example, but this needs to be weighed against clinical reasoning and person centred care #physiotalk |
| Janet Thomas @JanetThomas47 @NicolaLauchlan @physiotalk How would you record this - certain cut points I presume, but then what?? How would it direct your input? #physiotalk |
| KB @KBNeuroinfo @physiotalk its about supporting or providing patients with an experience they may not otherwise have outside of physiotherapy intervention #physiotalk |
| Janet Thomas @JanetThomas47 @J0Physio @physiotalk Yes - I have something similar that we have to use for a children's / youth group activities (not work!) - to show that we have thought through risk and how to minimise #physiotalk |
| Janet Thomas @JanetThomas47 @NicolaLauchlan @J0Physio @physiotalk In a sense we have - as we have completed generic risk assessments for a whole host of activities within our department- from walking with patients to applying cold / heat etc #physiotalk |
 | C Harris, PhD @CHarrisPhysio @physiotalk I think, like others have said, that it’s as important to be doing an ongoing assessment throughout the time you are with a patient, as it is to be using formal tools, but I agree that this can be harder to document #physiotalk |
| Janet Thomas @JanetThomas47 @physiotalk And I would ask as well, if so are they scored? Most places, for example, have moved away from a scored risk assessment for falls on wards. What about other areas? #physiotalk |
| KB @KBNeuroinfo @physiotalk Assess and then discussion within team and with individual. Weighing up the potential gain versus harm #physiotalk |
| Janet Thomas @JanetThomas47 @NicolaLauchlan @physiotalk If I only knew.... I'm sure most of my patients do things at home that they know I would be concerned about if I saw them doing it. They are prepared to take the risk though... #physiotalk |
| Janet Thomas @JanetThomas47 @NicolaLauchlan @physiotalk Yes - risk is such a multifactorial thing that it is difficult to quantify? #physiotalk |
| C Harris, PhD @CHarrisPhysio @physiotalk It can also depend on what risk you’re focusing on (probably more than 1!), and where you expect it to be - eg. assessing somebody’s risk of falling or getting a hosp-acquired infection if they are admitted vs the risks of being treated acutely at home, or in ESD #physiotalk |
| Janet Thomas @JanetThomas47 They don't really - and I wonder why? This is a quote from one of the resources in the #physiotalk blog posting for tonight - worth thinking about. https://t.co/Ygx8HUZD7F |
 | Pamela Kipps Hansford @PamKHphysio Uh oh, apologies, I forgot #physiotalk |
 | Sophie Pomfrey @sophm14 @physiotalk late to the party! i find most risk is around discharge. i think we under use d/c assessments but that’s more financial, time and staffing pressures in the acute setting #physiotalk |
| KB @KBNeuroinfo @ABNeurophysio @NicolaLauchlan @physiotalk Agree. Do you think familiarity of home environment reduces ‘risk’? #physiotalk |
| Janet Thomas @JanetThomas47 @KBNeuroinfo @ABNeurophysio @NicolaLauchlan @physiotalk Perhaps not familiarity as much as they have been able to set up their home environment to suit / personalise to what they can (or can't) do? #physiotalk |
| Sophie Pomfrey @sophm14 @physiotalk respiratory wise it’s that balance with certain treatments, if deteriorating it could make them better but might make them worse and that ethical dilemma, depending on the clinical scenario, do you try it so you can say you tried your best for pt #physiotalk |
| C Harris, PhD @CHarrisPhysio @liziophysio1 @physiotalk I think that can sometimes be the physio’s role - to be a bit pushy and give people the confidence to try and take more risks, as part of the discussion with patient / family / MDT #physiotalk |
| Janet Thomas @JanetThomas47 @NicolaLauchlan @physiotalk And the 'permission' to do this is reinforced echoed through the Strong, Steady, Straight guidelines now :) #physiotalk |
| Sophie Pomfrey @sophm14 @physiotalk sometimes both, often it’s “safety between care calls” because we’re worried about further falls for example or we trying to get absolutely everything in place to find patient was fine when they got home but waited 3 weeks for care and they stopped after 3 days #physiotalk |
| Janet Thomas @JanetThomas47 @NicolaLauchlan @physiotalk A bit old now, but I do like the ‘Nothing Ventured, Nothing Gained' risk guidance for people with dementia for a sensible pragmatic, permissive approach #physiotalk |
| Janet Thomas @JanetThomas47 @NicolaLauchlan @physiotalk Worth a look (not sure if its been updated or superseded though?) #physiotalk https://t.co/bFc6aD6jBD |
| Pamela Kipps Hansford @PamKHphysio Again please let me add #physiotalk #GlobalPT |
| Janet Thomas @JanetThomas47 @NicolaLauchlan @physiotalk And the personal 'heat map' is useful if thinking through risk with an individual #physiotalk https://t.co/oyQjDqUAuG |
| Pamela Kipps Hansford @PamKHphysio #physiotalk #RiskManagement can then be seen as #Optimising the chance of #Success whilst #Minimising the chance of #harm |
| Sophie Pomfrey @sophm14 @physiotalk probably doesn’t promote risk but i think reminding us all that patients have the right to make their decisions, even if we feel it’s not necessarily the right choice, think capacity is overlooked frequently and their own acceptance of risk #physiotalk |
| KB @KBNeuroinfo RT @PamKHphysio: #physiotalk #RiskManagement can then be seen as #Optimising the chance of #Success whilst #Minimising the chance of #harm |
| Sophie Pomfrey @sophm14 @physiotalk i think the way we converse with patients, often the more we push the more upset they can become and maybe even lose faith in the system. usually difficult with families too but maybe more patient advocates needed as it can be lonely for it to be the patient va family #physiotalk |
| Janet Thomas @JanetThomas47 @liziophysio1 @NicolaLauchlan @physiotalk I wonder if we take more 'risks' the more experienced we are? But they are calculated based on experience (accumulated hindsight) #physiotalk |
| Sophie Pomfrey @sophm14 @NicolaLauchlan @physiotalk this small element of risk can then reap rewards; patients see progress, builds relationship, builds confidence and trust. even with more unpredictable patient following with wheelchair so you have a calculated risk so patient is safe but still being pushed #physiotalk |
| C Harris, PhD @CHarrisPhysio @physiotalk #physiotalk |
| Pamela Kipps Hansford @PamKHphysio #physiotalk Exactly, so to minimize huge risk in taking medication, do everything possible to enhance body, mind & spirit for health & wellbeing & engage in social interaction @ every opportunity to minimise/avoid need fo medication (& research any meds you do take fully) |
#PhysioTalk content from Twitter.