#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Dr Susanne Arnold @FinneganSusanne @physiotalk Hello! Susanne from chilly Coventry #physiotalk |
| Dr Susanne Arnold @FinneganSusanne RT @physiotalk: |
 | kerry Hunt @KerryHuntPhysio @physiotalk Hello! Kerry from Bristol #physiotalk |
 | Janet Thomas @JanetThomas47 Hi Looking forwards to tonights chat - from a still sunny Edinburgh. I'll be mainly on the @physiotalk account though #physiotalk |
 | Andrea Funnell @AndreaFunnell @physiotalk Andrea acute frailty physiotherapist working in Sussex #physiotalk |
 | Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk Justine, tweeting from #sunny Hertfordshire. Always dreaming! Of the sun!😅 #Physiotalk |
 | IPTOP @IPTOPphysio Will be watching the tweetchat with interest tonight - a topic of interest to all physiotherapists working with older people #deconditioning #physiotalk |
 | sarah lambert @sarahphysiomom @physiotalk Sarah Lambert from West Sussex and Education officer for AGILE #physiotalk |
 | Piotr Zabkiewicz @ZabkiewiczPiotr Hi all - Piotr from sunny Ayr #physiotalk |
 | UEA Physiotherapy @UEA_Physio RT @physiotalk: |
| Dr Susanne Arnold @FinneganSusanne RT @physiotalk: |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @AGILECSP @physiotalk Hello @AGILECSP, we meet again!😅 #physiotalk |
| IPTOP @IPTOPphysio RT @physiotalk: |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @physiotalk: |
| sarah lambert @sarahphysiomom @physiotalk We are lucky in our area in mid Sussex to have an historical service which was connected to a Day Hospital ( no longer ) which allows us to rehab older people. But our resources are limited and we are frequently overshadowed by acute services #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @physiotalk I think the people are there to use those rehab skills but not enough time and capacity and staffing levels #physiotalk |
 | Jo.J NeuroPhysio @JoJneurophysio @physiotalk #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @physiotalk I think the word “appropriate” is key here #physiotalk |
| Janet Thomas @JanetThomas47 @sarahphysiomom @physiotalk Is the Day Hospital no longer or the connection now not there? Interested as I work in a 'rebranded' Day Hospital #physiotalk |
| sarah lambert @sarahphysiomom @physiotalk @Physioholic We provide an outpatient rehab service for de conditioned / unbalanced and older patients with MSK probs. Anything impacting their function #physiotalk |
 | Samantha Cox @westsomphysio @physiotalk #physiotalk The rehabilitation is good but under resourced with a focus on urgent care- rapid response/ D2A |
 | AGILE @AGILECSP RT @physiotalk: |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk We have brilliant rehabilitation for older patients but it's mainly short term. There is a lot of emphasis on getting the patients home, making them 'safe' & then it's discharge time. Onward referrals for further rehab are sometimes made but the waiting lists... #physiotalk |
| sarah lambert @sarahphysiomom @JanetThomas47 @physiotalk Day hospital is no longer #physiotalk Dismantled but by bit in lieu of more acute services |
| kerry Hunt @KerryHuntPhysio @physiotalk I think we all would feel that one size fits all rehabilitation services do not tailor to the individual, patient focused, slow stream needs of our patients. Reduced standards to argue our need leads to reduced acute therapist to patient ratios compared to other areas #physiotalk |
| Janet Thomas @JanetThomas47 @sarahphysiomom @physiotalk I think this is happening more and more - but its a service more in need than ever! #physiotalk |
| sarah lambert @sarahphysiomom @physiotalk I agree. If it is not directly stopping or supporting discharge the money is not there… despite these services doing both… just harder to prove #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @physiotalk Person centred, goal setting, and not just reactive or avoidance. Rehab that people need which sometimes takes time not just a one off visit and some advice. I would love to hear about some of the services that are still able to spend some real time with patients #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @FinneganSusanne @physiotalk Workforce challenges are a serious issue in community services. Maybe things are better in the acute setting??? #physiotalk |
| Dr Susanne Arnold @FinneganSusanne RT @ErinW20physio: |
| sarah lambert @sarahphysiomom @KerryHuntPhysio @physiotalk Exactly. We are often being questioned why we can’t work to MSK models! #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @ErinW20physio: |
| Dr Susanne Arnold @FinneganSusanne @AndreaFunnell @krystle4cats @physiotalk Agree - It is that time aspect that is a huge problem - short sightedness - not thinking about the longer term benefits #physiotalk |
| IPTOP @IPTOPphysio RT @physiotalk: |
| Dr Susanne Arnold @FinneganSusanne RT @physiotalk: |
| kerry Hunt @KerryHuntPhysio @physiotalk @FinneganSusanne I also think appropriate needs to be when patients are ready to rehabilitate. Too often we expect patients to fit into the time line restrictions of the pathway. Firm believer that everyone can rehab but some aren’t in the right environment or stage at that point #physiotalk |
| AGILE @AGILECSP RT @physiotalk: |
| Andrea Funnell @AndreaFunnell @ClaireOCPhysio @physiotalk This is the same for us @ClaireOCPhysio we provide more rehab in the acute setting on our well staffed days than our community teams can provide #physiotalk |
| Janet Thomas @JanetThomas47 @eephysio1 @sarahphysiomom @physiotalk We are based in a community team but still a buildings based service. Vital for access to effective rehab, especially when it comes to strength training #physiotalk |
| Dr Susanne Arnold @FinneganSusanne RT @physiotalk: |
| sarah lambert @sarahphysiomom @ClaireOCPhysio @physiotalk There is some really shocking evidence of how few ‘steps’ a patient in a rehab facility takes over a weekend #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @ClaireOCPhysio @cattreharne @physiotalk Home First, Admission Avoidance, Discharge Home to Assess, et al; all these pathways tend to be very short term - 3 to 7 days?? Longest might be two weeks, then the therapists have to discharge or refer on to another service. #physiotalk |
| AGILE @AGILECSP RT @physiotalk: |
| sarah lambert @sarahphysiomom @physiotalk I think all rehab services wherever they are based are short staffed #physiotalk One of the issues is limiting sessions or timescales to rehab ie 6 weeks or sessions |
| kerry Hunt @KerryHuntPhysio @physiotalk In discussion with other acute colleagues we would feel also challenges. My team in an acute hospital has seen significant increases in complexity and frailty with no change in therapy numbers. #physiotalk |
| sarah lambert @sarahphysiomom @physiotalk We have an older persons outpatient service. We are called the Balance and Bone Health team and see everything from MSK issues to Parkinson’s and vestibular problems. Under resourced and under appreciated!! #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @physiotalk Having appropriate community services to refer on to would be beneficial??? Exercise groups etc??? Does this happen? #physiotalk |
| IPTOP @IPTOPphysio Great questions... Can anyone answer?? #physiotalk |
| Samantha Cox @westsomphysio @physiotalk #physiotalk we have a community rehab team and can work with people as long as needed to work on functional goals. However, we are the first service to be stood down to support our urgent care services where the focus is on reducing care needs. |
 | Rocio ML @RocioPCE @physiotalk Having rotated recently in both acute & comm, both will tell you they are short staffed #physiotalk Respiratory physios are well staffed,considering their patients in general, take less time to Rx.we are not seen as essential as they are |
| Andrea Funnell @AndreaFunnell @KerryHuntPhysio @physiotalk @KerryHuntPhysio yes much higher levels of complexity and demand to make discharge decisions quickly to free bed spaces. Often with our complex frailty patients you need time to establish what might be achievable #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @KerryHuntPhysio @physiotalk Are we still struggling to recruit to posts working with older people? #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk Was discussing with some @AGILECSP colleagues & we were saying how other areas including 'acute' are preferred by most physiotherapists, which would create the disparity. Someone needs to tell me that it's not true. #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @sarahphysiomom: @physiotalk I think all rehab services wherever they are based are short staffed #physiotalk One of the issues is limiting sessions or timescales to rehab ie 6 weeks or sessions |
| AGILE @AGILECSP Thoughts? Retweet with the hashtag #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @Physioholic @physiotalk Amazing 😻 #physiotalk |
| Janet Thomas @JanetThomas47 @physiotalk Do they plug a gap or are they a vital part of an ongoing pathway for exercise options? #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @ClaireOCPhysio @cattreharne @physiotalk That's amazing @ClaireOCPhysio. 6 weeks of almost daily input can make a massive difference. #physiotalk |
| Rocio ML @RocioPCE @physiotalk No Long term rehabilitation unfortunately. Most services are guided by the 6 week rule. No funding for more. Also no access to rehab if you are in the community.those pts end up as a social admission to hospital when they cannot cope any further. #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @blueghee80 @physiotalk Do you have to justify your decisions to managers/commissioners etc? #physiotalk |
| sarah lambert @sarahphysiomom @physiotalk As long as the patient is progressing and care cannot be continued by community classes etc. This may include advice and education as well as physio.#physiotalk |
| Dr Susanne Arnold @FinneganSusanne RT @AGILECSP: Thoughts? Retweet with the hashtag #physiotalk |
| Samantha Cox @westsomphysio @physiotalk #physiotalk I work with people for months- often a it’s not intensive input but input at intervals to help set goals/review and set new plans for people to work on. As long as we are working on goals this isn’t questioned. |
 | Rebecca Roberts @rebecca70340919 @sarahphysiomom @physiotalk That’s a huge variety of patients, is there anywhere you can refer patients on afterwards? You are one of the most important pieces of the jigsaw! #physiotalk |
 | kirstie @blueghee80 @physiotalk I think both the actue and community are understaffed. There can be expectations placed on community from the acute which we can't achieve. #physiotalk |
| sarah lambert @sarahphysiomom @FinneganSusanne @physiotalk I think this provision is a total postcode lottery and dependant on what local charities and community services provide #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @JanetThomas47 @physiotalk Think they have become vital and there is now a good relationship and the need for appropriate referral pathways #physiotalk |
| AGILE @AGILECSP RT @physiotalk: |
| IPTOP @IPTOPphysio RT @physiotalk: |
| Dr Susanne Arnold @FinneganSusanne @sarahphysiomom @physiotalk Would patients be willing to pay for ongoing exercise services? #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @AKimboCake @FinneganSusanne @physiotalk Focusing on those who can go home disadvantages those who need the slow stream rehab from the word go, reducing their chances of recovery even further! #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @physiotalk: |
| sarah lambert @sarahphysiomom @JanetThomas47 @physiotalk I agree - they should not plug a gap but be sort of a longer pathway for these patients. All the evidence tells us exercise and rehab needs to be co rubies over a sustained period of months and months. #physiotalk |
 | Ritu Karlekar @KarlekarRitu @physiotalk A3: Hi this is Ritu from Croydon. Using Twitter for the first time. Third sector and charity organisations/ council well-being initiatives like the ones we are seeing here do work. The issue is awareness of what exists and there is work going on to address this. #physiotalk |
| Janet Thomas @JanetThomas47 @FinneganSusanne @sarahphysiomom @physiotalk Locally our patients have to pay for the leisure centre exercise referral classes. I think there is a discount, but it can be a barrier for some esp when added to cost of getting there. #physiotalk |
| Rebecca Roberts @rebecca70340919 @KarlekarRitu @physiotalk Would agree the quality of some of these services (especially here in wales) are really effective in being part of the patients ongoing recovery and rehab. #physiotalk |
| sarah lambert @sarahphysiomom @physiotalk I have concerns that patients can now self refer to our local well balanced classes and without appropriate medical/ physio assessment some conditions and diagnoses are being diagnosed much too late #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @JanetThomas47 @physiotalk I guess this links back to the word “appropriate”. Would you be happy sending some patients to these services to free up your time to work with the more complex? #physiotalk |
| Samantha Cox @westsomphysio @FinneganSusanne @sarahphysiomom @physiotalk #physiotalk cost and transport are barriers in our area |
| Janet Thomas @JanetThomas47 @sarahphysiomom @physiotalk Is this an issue others are finding? Is it a training issue for exercise professionals who should be able to spot issues to signpost to GP? #physiotalk |
| Rebecca Roberts @rebecca70340919 @physiotalk I don’t know if they plug in the gap but I know they can and should be a valued part of a patients long term rehab and recovery. #physiotalk |
| sarah lambert @sarahphysiomom @eephysio1 @physiotalk Agree #physiotalk Also goes against professional autonomy |
| kirstie @blueghee80 @physiotalk These schemes often offer services that we can't and although there is an awareness of services issue within the community there is a real place for them to address deconditioning since the pandemic #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @ErinW20physio @physiotalk Is there a general shortage of day hospitals now - I know they kind of went out of “fashion” - are they still working - again it might be a postcode lottery type situation?? #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @KarlekarRitu @physiotalk You are right @KarlekarRitu. The third sector / Charity organisations initiatives do work. However, post-pandemic, they returned to such a great need, that the waiting lists are prohibitive! I know a service that has a waiting list of 6 months+. #Physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @AKimboCake: |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @Physioholic: |
| sarah lambert @sarahphysiomom @physiotalk We encourage onward referral to community exercise classes. Some specific to condition( we have a great P.D. branch that provides specific and targeted exs. Also Age UK / Tia Chi etc #physiotalk |
| Dr Susanne Arnold @FinneganSusanne RT @physiotalk: |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @FinneganSusanne: @sarahphysiomom @physiotalk Would patients be willing to pay for ongoing exercise services? #physiotalk |
| Janet Thomas @JanetThomas47 @FinneganSusanne @ErinW20physio @physiotalk I'm sure its a postcode lottery! Ours is now an assessment and rehab centre run on an outpatient and clinic basis, which allows us to be more flexible to individuals needs. They need to be 'back in fashion' #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @ClaireOCPhysio: |
| Dr Susanne Arnold @FinneganSusanne @physiotalk Would love to hear about some success stories or examples of good practice to share with @AGILECSP members. #physiotalk |
| AGILE @AGILECSP RT @physiotalk: |
| AGILE @AGILECSP RT @FinneganSusanne: @physiotalk Would love to hear about some success stories or examples of good practice to share with @AGILECSP members. #physiotalk |
| sarah lambert @sarahphysiomom @FinneganSusanne @physiotalk Cost is a barrier - council classes are subsidised. Even then people worry about cost. Transport probably and even bigger barrier #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @physiotalk: |
| Janet Thomas @JanetThomas47 @FinneganSusanne @physiotalk I use our exercise referral scheme to ensure ongoing input and sufficient dose of exercise input. But its not a 'wellbeing' scheme - it is a structured scheme ran by well trained instructors. #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @ErinW20physio @physiotalk So do we need to do some benchmarking for people with these conditions specifically - let’s find out what works and doesn’t work and make some recommendations?? #physiotalk |
| IPTOP @IPTOPphysio RT @physiotalk: |
| sarah lambert @sarahphysiomom @JustineMusiime @physiotalk @ClaireOCPhysio @cattreharne The gap is with those who take longer to recover or are too fatigued to progress quickly #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @Physioholic: |
| Rebecca Roberts @rebecca70340919 @FinneganSusanne @sarahphysiomom @physiotalk I have recently started delivering privately and yes I have people willing to pay but this sadly won’t be across the board. However the local surgery has received funding & I will be also delivering for a small cost for them. #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @KerryHuntPhysio @sarahphysiomom @physiotalk We need evidence don’t we 🤔🤔🤔#physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @lynnemann13: |
| kerry Hunt @KerryHuntPhysio @Physioholic @physiotalk Totally agree! Labels especially with our patient group can have significant life changing implications. Decisions can be made by someone who has never met the patient. Often these patients have few advocates to stand and argue #physiotalk |
| Janet Thomas @JanetThomas47 @physiotalk Still not got our big gym space back yet post covid. Its a huge loss for some of our rehab inpatients. #physiotalk |
 | Yvonne Connell @YvonneConnell @FinneganSusanne @sarahphysiomom @physiotalk Cost and transport big issues with us in the community. Also, buy in from patients as to the benefits/scope of reconditioning #physiotalk |
| kerry Hunt @KerryHuntPhysio @FinneganSusanne @sarahphysiomom @physiotalk Would be music to my ears! We are trying to collect data on rehab complexity scales to compare to other team in the same trust and staffing ratios. The dream would be standards for conditions and expected staff ratios #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @southernscampi @thecsp @thecspstudents @WeAHPs @GeriSoc @IPTOPphysio @physiotalk @AGILECSP Never too late! 😍#Physiotalk |
| sarah lambert @sarahphysiomom @physiotalk In medically biased trusts all gym space being taken over. No where for patients to walk and sit and eat. No protected space to exercise / rehab. #pjparalysis getting worse. #physiotalk |
| IPTOP @IPTOPphysio Anyone doing anything similar? #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @KerryHuntPhysio @sarahphysiomom @physiotalk I know we are starting to look at this with @dementia_physio but needs a big push - happy for @AGILECSP to get involved and try to use some influence with the CSP??? #physiotalk |
| IPTOP @IPTOPphysio RT @physiotalk: |
| Andrea Funnell @AndreaFunnell @KerryHuntPhysio @Physioholic @physiotalk @KerryHuntPhysio @physioholic @physiotalk. Totally agree I spend half my time fighting patient flow who have made a decision about patients DC based upon a piece of paper sat at a desk. I also come across this with patients with cognitive impairment or bariatric #physiotalk |
| Dr Susanne Arnold @FinneganSusanne RT @physiotalk: |
| sarah lambert @sarahphysiomom @physiotalk Pet peeve is having to practice stairs in busy communal areas or quiet freezing back staircases …. #physiotalk |
| Dr Susanne Arnold @FinneganSusanne RT @eephysio1: @KerryHuntPhysio @Physioholic @physiotalk David Oliver: |
| AGILE @AGILECSP RT @physiotalk: |
| kirstie @blueghee80 @physiotalk By encouraging the MDT to walk pt to toilet, by pt getting out of bed, getting dressed, group exercise classes within bays, engaging with pts to carry out ADL's themselves #physiotalk |
| kerry Hunt @KerryHuntPhysio @physiotalk We are very lucky we do have a gym space to use which is great for giving patients who are easily distractable focus or as so many of the wards have extra patients in bays etc the space to utilise equipment needed #physiotalk |
| IPTOP @IPTOPphysio RT @Physioholic: |
| Andrea Funnell @AndreaFunnell @physiotalk I speak at the trust frailty days on the impacts of deconditioning and we discuss ways of overcoming this on the wards. The message on my wards is slowly improving. Education is key #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @KerryHuntPhysio @sarahphysiomom @physiotalk I worked in an intermediate care inpatient rehab unit a few years ago & initiated 2 weekly group exercise classes. A seated one for all patients, which I empowered the rehab assistant to run without me later, and a balance class that I had to run myself. #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @ErinW20physio @physiotalk Are you sufficiently staffed? Would more staff help - this is where we need evidence and business cases I guess?! #physiotalk |
| Dr Susanne Arnold @FinneganSusanne RT @AndreaFunnell: @physiotalk I speak at the trust frailty days on the impacts of deconditioning and we discuss ways of overcoming this on the wards. The message on my wards is slowly improving. Education is key #physiotalk |
| kirstie @blueghee80 @AndreaFunnell @physiotalk #physiotalk we have frailty, falls and deconditioning training for both acute and community staff to educate how to reduce deconditining when an input, lots of strategies to use bit without everyone on board it's a hard road to go down. |
| Dr Susanne Arnold @FinneganSusanne @AndreaFunnell @physiotalk This is great to hear 👍🏻👍🏻👍🏻#physiotalk |
| sarah lambert @sarahphysiomom @physiotalk Education , changing culture, empowering nursing staff that they can mobilise patients! #physiotalk |
| kerry Hunt @KerryHuntPhysio @Physioholic @AndreaFunnell @physiotalk I think this is why recruitment can be challenging. Often staff have said they enjoy the challenge of complex medicine but couldn’t do it all the time and prefer areas where staffing numbers mean they get more support and are able to give patients what they need #physiotalk |
| Dr Susanne Arnold @FinneganSusanne RT @physiotalk: |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @KerryHuntPhysio @sarahphysiomom @physiotalk This meant that all patients who were 'no longer for rehab' because they were waiting for care packages or for their houses to be deep cleaned etc, were still able to partake of rehab through the classes. And no one could tell me off for doing things that way! #physiotalk |
| IPTOP @IPTOPphysio RT @physiotalk: |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @physiotalk: |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @AndreaFunnell: @physiotalk I speak at the trust frailty days on the impacts of deconditioning and we discuss ways of overcoming this on the wards. The message on my wards is slowly improving. Education is key #physiotalk |
| sarah lambert @sarahphysiomom @physiotalk @blueghee80 Yes, because it can be quicker to bring a commode to a bed than walk a patient to the WC! Important if a ward is short staffed #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @Physioholic: |
| Rebecca Roberts @rebecca70340919 @physiotalk It’s so sad to read about the state of the gym spaces, it’s significant contributing factor as a place patients get to move somewhere near enough to get any benefit (150min+) we all know it’s an essential part of rehab, recovery & vital in avoiding a readmission.#physiotalk |
| sarah lambert @sarahphysiomom Great thoughts on reducing deconditioning in older people! #physiotalk |
| IPTOP @IPTOPphysio Does this happen anywhere? Am aware of lots of great online resources we were made aware of during lockdown (see https://t.co/PAs8m2F0cS) but very few if any on TV #physiotalk |
| kirstie @blueghee80 #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @Physioholic @physiotalk @AndreaFunnell @KerryHuntPhysio Sorry to hear that @Physioholic. Sometimes if we keep hammering on the doors of the powers that be, eventually they give in. Hope your strength and resilience can carry you a bit further. It would be great to get an ally to give you the much needed support. #physiotalk |
| Rebecca Roberts @rebecca70340919 @physiotalk Would be interested to hear as I feel we all need something to remain independent. Even if it’s just the local WI or U3a which one day maybe the reason that gets a patient out the house due to a bereavement. #physiotalk |
| Andrea Funnell @AndreaFunnell @southernscampi @AKimboCake @physiotalk Agree something I have wanted for years. We need to get the message everywhere! #physiotalk |
| Yvonne Connell @YvonneConnell @ClaireOCPhysio @physiotalk @blueghee80 Fear of litigation risk in the community too. Home helps no longer allowed to go for walks with patients/clients or not cleared to do their HEPs with them #physiotalk |
| Andrea Funnell @AndreaFunnell @physiotalk Provision of adequate seating (e.g riser recliners, tilt in space and mobility aids) is scarce meaning wards have to share seating and delays to patients getting up - very difficult when you have high complexity #physiotalk |
| AGILE @AGILECSP And thank you to @physiotalk for hosting our tweetchat! 🌟 We have loved hearing about all of your experiences and ideas for rehab following deconditioning with limited space, resources, and staff! #physiotalk #AGILECSP |
| sarah lambert @sarahphysiomom @physiotalk @rebecca70340919 No, but our trust is looking to employ frailty practitioners on each ward to encourage dressing/ ADLs etc #physiotalk |
| Yvonne Connell @YvonneConnell @ClaireOCPhysio @physiotalk @blueghee80 Yes they’ll usually be simple exercises that may only need supervision to complete but depending on the agency involved in providing care the Carers may not be allowed, or exercise will be de-prioritised over other care plan tasks #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @physiotalk Patients and their families can be signposted to @thecsp #StrongerMyWay resources. These can help reduce the risk of deconditioning for patients awaiting social care support before they can get discharged from hospital. #EndPJParalysis #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime RT @AGILECSP: And thank you to @physiotalk for hosting our tweetchat! 🌟 We have loved hearing about all of your experiences and ideas for rehab following deconditioning with limited space, resources, and staff! #physiotalk #AGILECSP |
| kerry Hunt @KerryHuntPhysio @AndreaFunnell @physiotalk Appropriate seating is a big one! Having to hire more as complexity has risen causing delays until delivery #physiotalk |
| Rocio ML @RocioPCE @vpotterton @physiotalk True re patient education. Many pts say “but I have walked already”, have “energy conservation beliefs” and fear of overdoing it, ie saving energy for the scan later today… #physiotalk |
| Rebecca Roberts @rebecca70340919 @physiotalk Hello bit late arriving and missed this bit! Becky from North Wales PSI community exercise instructor. #physiotalk |
| Rocio ML @RocioPCE @physiotalk Rather than education of MDT I would say education of managers and the ones holding the purse strings. Are wards staffed to provide rehab (from a nurse&HCA POV)?No in most hospitals. #physiotalk |
| Rocio ML @RocioPCE @physiotalk We can educate staff all we want but if they are overstretched every 2nd day, it is impossible to develop a culture of quality rehab care. #physiotalk |
| Justine Musiime - MSc MPH MCSP @JustineMusiime @Tigercatgirl @physiotalk Your service sounds amazing! It would be great if your team could present at one of the NHS Community services webinars. You might manage to make a case for more of these services to be commissioned in other areas which would eliminate the #postcode #lottery. #physiotalk |
| kerry Hunt @KerryHuntPhysio @physiotalk Im a big fan of “snack bites” small but consistent focused exercise throughout the day embedded with normal function e.g exercises whilst brushing teeth etc. Find patients adhere better, more likely to remember and small chunks mean more manageable with fatigue #physiotalk |
| AGILE @AGILECSP RT @physiotalk: |
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