#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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physiotalk @physiotalk
Good evening and welcome to tonights #physiotalk
physiotalk @physiotalk
Firstly - we hope you are here for our #physiotalk on Families! We have had to postpone our chat on risk until next time...
physiotalk @physiotalk
Lets start with a few hellos! Let us know if you are taking part tonight before we get going with any questions #physiotalk
Janet Thomas @JanetThomas47
Hi I'm on the @physiotalk account tonight from a slightly overcast (but dry at least!) Edinburgh #physiotalk
Katherine Cook @kcookphysio
@physiotalk Hi from very wet Wiltshire #physiotalk
physiotalk @physiotalk
@kcookphysio Good evening! Its not often I can claim nicer weather than anywhere south of me! #physiotalk
Mari @mariand84
@physiotalk Mari from Sweden saying good evening #physiotalk
physiotalk @physiotalk
Its a little quiet tonight - so I'll post a question and see! Having such short notice of chat topic isn't ideal I'm afraid! #physiotalk
physiotalk @physiotalk
So - Question one coming up... #physiotalk
physiotalk @physiotalk
Q: How does family impact on our health? #physiotalk
EuanRatcliffe @EuanRatcliffe
@physiotalk Hi from Surrey (also very wet), first timer here so lets get the ball rolling!😀 #physiotalk
physiotalk @physiotalk
And we are considering family in its broadest context - parents, children, siblings or who you consider to be family! #physiotalk
physiotalk @physiotalk
@EuanRatcliffe Welcome! #physiotalk
Seán Hanley @Seanhanley94Me
@physiotalk @NHSuk @ESNEFT And forgot the basics #physiotalk
Alistair Beverley @theLDphysio
@physiotalk Soaking up the rays from Nottingham here #physiotalk
physiotalk @physiotalk
Just reminder to anyone taking part to include the hashtag #physiotalk in all your tweets That way we can all see the discussions Thank you!
physiotalk @physiotalk
@PamKHphysio Whoops forgot the hashtag #physiotalk with my reply.
physiotalk @physiotalk
So - a reminder of Q1 How does family impact on our health? #physiotalk
Janet Thomas @JanetThomas47
Having just taken part in #WMTY19 then a lot of my patients cited family as what matters to them #physiotalk
physiotalk @physiotalk
@Seanhanley94Me @NHSuk @ESNEFT Well remembered. #physiotalk for every comment.
Alistair Beverley @theLDphysio
@physiotalk Many people are dependent on family support that goes unnoticed and seen, making appointments, transporting to appointments, making information understandable, advocating, the list goes on #physiotalk
physiotalk @physiotalk
And in the very broadest sense of health - genetics I suppose! #physiotalk
Janet Thomas @JanetThomas47
@AlistairBeverl1 @physiotalk Indeed! When making appointments for my frail older adults I have to start with when can you come in - usually based on family support available #physiotalk
Alistair Beverley @theLDphysio
@physiotalk I think I heard it said we are the sum of the 5 people we spend most of our time with, not sure how true this is, but if so, family are usually part of this #physiotalk
Sibyl Edward @pasl_pt
Oftentimes you hear of cultures where the family is such an integral part of their lives recover faster #physiotalk
Seán Hanley @Seanhanley94Me
@physiotalk Family can have a huge effect on patient's health both positively and negatively. One of the things we need to ensure before involving family in therapy is that the relationship is a positive one and that family influence will benefit the patient. #physiotalk
Claire Campbell @ClaireC_PT
@physiotalk 👋🏻 hello from Edinburgh. Have been wrestling my almost 1 year old to sleep for the last hour. 😬 #physiotalk
Pamela Kipps Hansford @PamKHphysio
#physiotalk apologies
physiotalk @physiotalk
@AlistairBeverl1 That's a fascinating thought.... Who else is now thinking about who they spend most time with (I wonder if some of that will be work colleagues!) #physiotalk
Mari @mariand84
@physiotalk Having good relationships with family is benefying for your health and vice versa #physiotalk
physiotalk @physiotalk
So - onto a more specific question around rehab rather than health... #physiotalk
physiotalk @physiotalk
Q: How important do you feel family is to the rehabilitation process – and why? #physiotalk
Claire Campbell @ClaireC_PT
@physiotalk When you ask people their values (or #WMTY19 ) people will often say their family is the most important thing. People can get very low when they can do things with or for their family due to a health condition #physiotalk
physiotalk @physiotalk
@ClaireC_PT Good luck....!!! #physiotalk
Pamela Kipps Hansford @PamKHphysio
@physiotalk #physiotalk And we should also consider how we as patients/people needing/seeking care impact on the lives of those responding to our needs, both in emergencies and in daily life and future planning
physiotalk @physiotalk
RT @ClaireC_PT: @physiotalk When you ask people their values (or #WMTY19 ) people will often say their family is the most important thing.…
Seán Hanley @Seanhanley94Me
Depending on the setting family can have a positive role to play in rehab Two examples I have come across in my short career are encouraging pts to continue home exercises in the community, and PROMs on sedated patients in a critical care setting. #physiotalk
Janet Thomas @JanetThomas47
@ClaireC_PT @physiotalk Yes - most of the goals people set (in my work with older adults at least) are around either getting out or doing things with their families #physiotalk
Claire Campbell @ClaireC_PT
@pasl_pt Think there is evidence to support this. Not just culturally, but think if the family is supportive, but not overprotective, people have lower disability and better QOL #physiotalk
physiotalk @physiotalk
@Seanhanley94Me Very different roles really - as different context and home and in hospital Any issues in critical care setting with family involvement? #physiotalk
Claire Campbell @ClaireC_PT
@PamKHphysio @physiotalk No man is an island!! #physiotalk
Alistair Beverley @theLDphysio
@physiotalk I think it depends, family may be a big support arm, shoulder to cry on, motivation to keep going. Again, in my area of work we have mixed engagement with families.i feel the more support the merrier when directed in the right https://t.co/2t1LxGmRer can be a barrier #physiotalk
physiotalk @physiotalk
@ClaireC_PT @pasl_pt A fine line to tread? Or can support be the opposite of being overprotective, in pushing people to go further with rehab? #physiotalk
Seán Hanley @Seanhanley94Me
@physiotalk In the instances I have come across it no there haven't been any as the family were confident and stuck to the program organised by the physios on ward. However it is something that could only be used with a select few families die to the nature of the patients. #physiotalk
Kerry Morrison @KerryMorrisonPT
@physiotalk #physiotalk working with older adults,many with delirium & cog issues family can provide collateral shx, cog baseline, insight into difficulties/struggles for Pts, allows us to have a good baseline for pts.
physiotalk @physiotalk
Welcome to all first time tweeters out there tonight. We love to see a first time tweeter. Just add the #Physiotalk to your comments.
physiotalk @physiotalk
@KerryMorrisonPT Is that working in hospital or at home? (Or both of course!) #physiotalk
Tom Pointing @PointingPhysio
@physiotalk Some can be very helpful others can be either too involved and help the patient too much which limits rehab or not be involved enough which limits rehab #physiotalk
Claire Campbell @ClaireC_PT
@JanetThomas47 @physiotalk In pain management too - generally under 65s. Relationships are the best and worst thing about being human IMO #physiotalk
physiotalk @physiotalk
Just wondering if any paeds physios taking part tonight - when I suspect family involvement is routine and expected? How might that differ in other age groups? Is family support any less important? #physiotalk
physiotalk @physiotalk
#physiotalk
Pamela Kipps Hansford @PamKHphysio
@physiotalk @AlistairBeverl1 As a person exploring the dual role of physio & patient, I have to say that my best pool & land 'therapy' experiences have been taking the opportunity to teach others (family, therapists, friends & even strangers) what I am doing, why & what I need to do better! #physiotalk
Kerry Morrison @KerryMorrisonPT
@physiotalk I work in hospital, geri ortho rehab with post op frailty and delirium. #physiotalk
physiotalk @physiotalk
@KerryMorrisonPT Getting a collateral Hx - really needs family input #physiotalk
Alistair Beverley @theLDphysio
@physiotalk LD, pd, paeds here. Family support is expected and routine for life unfortunately for many #physiotalk
Anna Spiteri @spiteri_anna
@physiotalk Yes I’m here tonight in the background. Yes that’s true. Routine and expected in Paediatric Physiotherapy @TheAPCP #Physiotalk.
physiotalk @physiotalk
So - it seems that the Goldilocks principle applies for family support Not too much Not too little Just right! #physiotalk
physiotalk @physiotalk
So lets explore a little more how we get to the 'Just right' for our patients #physiotalk
physiotalk @physiotalk
Q: What strategies do you use to involve family in rehabilitation? #physiotalk
physiotalk @physiotalk
@AlistairBeverl1 Yes - we'll talk about that a little later... #physiotalk
Claire Campbell @ClaireC_PT
@physiotalk @pasl_pt Yes, was trying to be positive, but unsupportive family can impede rehab significantly. Understanding the person’s role within their family and how their family perceive them can unlock barriers to rehab... if you can get that far! #Physiotalk
Janet Thomas @JanetThomas47
Its always good when a family member comes to an appointment or assessment. Can reinforce what is needed for rehab and factor in how much support they can offer #physiotalk
Janet Thomas @JanetThomas47
In fact for falls rehab the spouse often chips in that they 'could do' with work on their own strength and balance, and they end up exercising together! #physiotalk
Alistair Beverley @theLDphysio
@physiotalk Be honest!! Manage expectations, too many times people expect miracles or 4x weekly hydro or for you to be on call 24/7. Im much more open with parents than when I 1st began and it's an easier way to work #physiotalk
Kerry Morrison @KerryMorrisonPT
@physiotalk We aim to talk to NOK within 72hours of pt Ax, we encourage them to be involved with rehab, provide joint sessions and have posters with our names/tel num etc on the ward. #physiotalk
Vineeth Ravindran @r_vineeth
@physiotalk Hello Vineeth from Melrose #physiotalk
Claire Campbell @ClaireC_PT
@physiotalk I’m in a clinic environment, so if they don’t bring a family member to the assessment, I let them know that a family member would be welcome to attend another session. #physiotalk
Alistair Beverley @theLDphysio
@physiotalk Yes, set goals, talk about home help, training etc but see my above point first #physiotalk
Katherine Cook @kcookphysio
Family influence on rehab... examples of +ve (supportive& encouraging, usu linked to pts goals eg want to play with the children) and -ve (pt’s physical condition links to poor mental health and self worth- pt attributes to relationships w mother) #physiotalk
physiotalk @physiotalk
@r_vineeth Hi Vineeth! #physiotalk
Seán Hanley @Seanhanley94Me
I think education of family is the main thing in terms of involvement in rehab as rehab can be a broad term. Education around it's benefit, why it needs to be done, how to aid in doing it and it's overall role in improving patients independence/quality of life. #physiotalk
Kerry Morrison @KerryMorrisonPT
@AlistairBeverl1 @physiotalk Working with older ppl families is just the same...managing carers/NOK expectations, often hardest part of the job #physiotalk
Pamela Kipps Hansford @PamKHphysio
@physiotalk #physiotalk phenomenally important ito support in every way, esp the collaborative aspect eg son & 2 grandsons being part of the 12 person team (my #AdaptiveSurfing family) carrying me out into the waves + coaches #NSRI & other volunteers incl people I've treated & their families
Janet Thomas @JanetThomas47
@ClaireC_PT @physiotalk Does your appointment letter invite family members? Ours does to our MDT joint assessment and often helpful to have family there #physiotalk
Vineeth Ravindran @r_vineeth
@physiotalk We recently took a video with consent of the person doing bed exercises and forwarded it to their partner to encourage continuity of exercise adherence during weekend #physiotalk
physiotalk @physiotalk
@r_vineeth Great idea! Anyone else have ideas about how to encourage family involvement? #physiotalk
Anna Spiteri @spiteri_anna
@physiotalk In Paediatrics we use Play as a therapeutic tool and a way of engaging families in treatment #Physiotalk
physiotalk @physiotalk
POLL: How do you interact with family during rehabilitation #physiotalk
EuanRatcliffe @EuanRatcliffe
@physiotalk May depend on the social context. In Eastern compared to Western cultures family members have more impact on decision making,adherence etc.may be because their culture value strong and vast family connections. Do we as western clinicians consider this when consulting? #physiotalk
Claire Campbell @ClaireC_PT
@JanetThomas47 @physiotalk Not explicitly, actually! Worth considering! #Physiotalk
physiotalk @physiotalk
Q: How do you consider family or carer stress during recovery and rehabilitation? #physiotalk
Janet Thomas @JanetThomas47
@ClaireC_PT @physiotalk Typically of course, I've realised during chat that whilst MDT Ax does, our physio only appointment letter doesn't! One for next day at work... #JustNeedToRemember #physiotalk
Janet Thomas @JanetThomas47
@physiotalk My patients are often carers themselves; or their spouses are also frailer older adults. It is a huge consideration around support v carer stress #physiotalk
Pamela Kipps Hansford @PamKHphysio
@physiotalk #physiotalk Also being part of change & recording it on video for learning & celebration eg surfing, walking, stair-climbing Best of all creating a sense of normality eg fetching me for family Sunday braai & juggling wheelchair & walker & so I can take myself to the toilet
Claire Campbell @ClaireC_PT
@JanetThomas47 @physiotalk Our Ax is very detailed and that is outlined in the letter. Some bring family to help give a full account, others attend alone, so they can be honest. Everyone is different, and understanding the role they adopt in the family is crucial to supporting their rehab. #Physiotalk
physiotalk @physiotalk
@PamKHphysio I do wonder if we use the tech we have in our pockets, such as smartphones, enough as a support tool. Is the main issue IT access or concerns around data and privacy? #physiotalk
Claire Campbell @ClaireC_PT
@JanetThomas47 @physiotalk Love this! #servicedevelopment #physiotalk
physiotalk @physiotalk
@PamKHphysio @PamKHphysio what is Sunday braai? Please explain for our audience in the UK #Physiotalk
Kerry Morrison @KerryMorrisonPT
@physiotalk In my workplace, we aim for minimal goals to reduce LOS with community support. families need/want to support more. we often signpost them to carers support groups/social work but not something I do frequently enough. #physiotalk
Janet Thomas @JanetThomas47
@physiotalk @PamKHphysio The advantage of a SA teacher during my training... I think its a barbeque?! #physiotalk
Sibyl Edward @pasl_pt
@physiotalk From a survey Bliuc, Costea, Mihai and Stratulat (2018) noted that educating family members including looking at their needs, can encourage them to support the patients even more.#physiotalk
physiotalk @physiotalk
@JanetThomas47 @ClaireC_PT It’s a great reflection for us all @JanetThomas47 #Physiotalk.
physiotalk @physiotalk
RT @pasl_pt: @physiotalk From a survey Bliuc, Costea, Mihai and Stratulat (2018) noted that educating family members including looking at t…
Claire Campbell @ClaireC_PT
@physiotalk I previously worked in Rapid Response in the community, so I recognise carer stress and refer to Carers Centre regularly. Also, my patients will regularly have caring roles within their families and that will be part of their management plan. #physiotalk
physiotalk @physiotalk
And going back to my question around paeds / LD / long term support needs. How do we support the whole family during what can be a life long change and need for support #physiotalk
Claire Campbell @ClaireC_PT
@pasl_pt @physiotalk Yes!! Family can’t care if they are struggling to cope with the changing needs of the patient or themselves #physiotalk
physiotalk @physiotalk
@ClaireC_PT So important! I was watching the ?Panorama programme last week and was struck by how much families do and support t24/7 hat goes unheeded and unrecognised #physiotalk
physiotalk @physiotalk
In the last 5 minutes... What is the one point you want to make about families and health / wellbeing / rehabilitation #physiotalk
Pamela Kipps Hansford @PamKHphysio
@physiotalk #physiotalk Enjoyed working in people's homes, eating meals tog, creating great play areas/games/fun ways to energize through exercise & esp seeing the faces of people & their families light up when they could play/work/ breathe more easily in comfort with attn 2 quality of movt
Pamela Kipps Hansford @PamKHphysio
RT @physiotalk: POLL: How do you interact with family during rehabilitation #physiotalk
Janet Thomas @JanetThomas47
Work WITH families and carers A great example of this is @johncampaign #physiotalk
Kerry Morrison @KerryMorrisonPT
@physiotalk Involve, manage expectations and update regularly #physiotalk
physiotalk @physiotalk
And that's our hour up! Thanks to you all for taking part in #physiotalk tonight
physiotalk @physiotalk
Will collect transcript in a little while - feel free to keep ion chatting #physiotalk
Vineeth Ravindran @r_vineeth
@physiotalk Families play a crucial role in the rehab of a person, especially when it comes to long inpatient stay or living with a long-term condition #physiotalk
Claire Campbell @ClaireC_PT
@physiotalk I have regularly thanked carers for their contribution to society and commended them on their outstanding care of their loved one. When you think of what that level of care would cost in an institution.... #physiotalk
physiotalk @physiotalk
And a reminder that our postponed chat from tonight will now happen in 2 weeks time - so join us on 24th June to talk all about Risk https://t.co/0DHB39J7BI #physiotalk
Alistair Beverley @theLDphysio
@physiotalk A lot of our parents carry guilt (however misplaced) which, when in a healthcare where you seemingly have to fight for long term support can lead to families whose default response is the aforementioned. This can be a challenge when supporting. #physiotalk
physiotalk @physiotalk
RT @ClaireC_PT: @physiotalk I have regularly thanked carers for their contribution to society and commended them on their outstanding care…
Anna Spiteri @spiteri_anna
@physiotalk Stating the obvious here but the role of the family/carers is integral to the outcomes for Physiotherapy in Paediatrics. #Physiotalk.
Alistair Beverley @theLDphysio
@physiotalk It does not mean they don't have the best interests of the pt or indeed you care but this is their default settinf, hence my earlier point about managing expectations. Families live rehab 24/7 and so need supporting themselves. #physiotalk
Pamela Kipps Hansford @PamKHphysio
@physiotalk #physiotalk mixture & more eg working collaboratively as agents of change with challenges of daily living in own environments @ school/work/on sportsfield, in pool, on beach; analysing what's happening together, coaching=>better performance over what's app using photos and videos
Claire Campbell @ClaireC_PT
@physiotalk And carers, being carers, are horrified that I am treating their role as anything other than mandatory. But it isn’t mandatory. It is an act of love and service to their family (and I mean family in the broadest sense!). #physiotalk
Alistair Beverley @theLDphysio
@physiotalk Peer support is always useful whether support groups or asking families if they wish to be connected by us in the dept to other pt families. It takes a MDT approach, OT for home independence and sensory needs, SLT for communication & especially social care on board #physiotalk
Alistair Beverley @theLDphysio
@physiotalk The issue is bigger than Physio alas but doesn't mean we can't lead the way and refer on. Or, look at influencing systemic change in service provision on a national level & start acting upon white paper after white paper highlighting need for change and none comes. #physiotalk
Alistair Beverley @theLDphysio
@KerryMorrisonPT @physiotalk Maybe something that could be looked at in workforce planning at undergrad level? Thoughts @KMiddletonCSP? We are all in the job for right reasons so being firm can be challenge but is easier in the long run #physiotalk
EuanRatcliffe @EuanRatcliffe
@physiotalk More carers than families but in the community i have heard "do x,y,z and ask the carers to help" or "leave a note for the carers".Carers are a part of the MDT and pt's care, could we bridge the gap with interdisciplinary teaching so the patient is not a middle man #physiotalk
#PhysioTalk content from Twitter.