#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.

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Meghan Bateson @MeghanBateson
RT @JustineMusiime: Join us today at 8.00 pm UK time for a tweetchat about #deconditioning #frailty #rehabilitation #physiotherapy #MDT #OlderPeople #StrengthTraining #Balance #StrongerMyWay & much more. .@thecsp .@thecspstudents .@WeAHPs @GeriSoc .@IPTOPphysio .@physiotalk .@AGILECSP #physiotalk
physiotalk @physiotalk
Good evening and welcome to tonights #physiotalk tweetchat with @AGILECSP
physiotalk @physiotalk
Before we get starting - please do let us know who you are and where you are tweeting from tonight #physiotalk
physiotalk @physiotalk
@AGILECSP Hello back! But a bit of a reminder to put the hashtag in your tweets please :) #physiotalk
Susanne Arnold @FinneganSusanne
@physiotalk Hello! Susanne from chilly Coventry #physiotalk
physiotalk @physiotalk
Whats the most important thing about taking part tonight? Tweeting? Yes of course... Hashtagging? Vital! So please include #physiotalk in all your tweets tonight. https://t.co/SwwZ8FYPL7
physiotalk @physiotalk
@FinneganSusanne Welcome! #physiotalk
Elainethephysio @eephysio1
@physiotalk Hello! Elaine, community rehab physio in Glasgow #physiotalk
Susanne Arnold @FinneganSusanne
RT @physiotalk: Whats the most important thing about taking part tonight? Tweeting? Yes of course... Hashtagging? Vital! So please include #physiotalk in all your tweets tonight. https://t.co/SwwZ8FYPL7
kerry Hunt @KerryHuntPhysio
@physiotalk Hello! Kerry from Bristol #physiotalk
Aileen McCartney @aileenmccartney
@physiotalk 👋 Aileen in Herne Bay! #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
Gemma Hawtin 💙 @gvhawtin
@physiotalk Hiya Gemma a Physio Assistant from Leeds and part of the #physiotalk team 👋🏻
physiotalk @physiotalk
@eephysio1 Welcome #physiotalk
physiotalk @physiotalk
@KerryHuntPhysio Welcome #physiotalk
Aileen McCartney @aileenmccartney
RT @physiotalk: Good evening and welcome to tonights #physiotalk tweetchat with @AGILECSP
Claire O'Connell @ClaireOCPhysio
@physiotalk Hello! Claire here from a surprisingly sunny Dublin! #physiotalk
physiotalk @physiotalk
@sarahphysiomom @AGILECSP welcome dont forget the #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
Gemma Hawtin 💙 @gvhawtin
RT @physiotalk: Whats the most important thing about taking part tonight? Tweeting? Yes of course... Hashtagging? Vital! So please include #physiotalk in all your tweets tonight. https://t.co/SwwZ8FYPL7
Sophie Banks @Physioholic
@physiotalk Hi all! Sophie in Wigan 👋 #physiotalk
sarah lambert @sarahphysiomom
@physiotalk Sarah Lambert from West Sussex and Education officer for AGILE #physiotalk
physiotalk @physiotalk
@ClaireOCPhysio Welcome #physiotalk
physiotalk @physiotalk
@Physioholic welcome #physiotalk
physiotalk @physiotalk
@AndreaFunnell Welcome #physiotalk
physiotalk @physiotalk
Well - I think its time to get going with the first question of the night. #physiotalk
Piotr Zabkiewicz @ZabkiewiczPiotr
Hi all - Piotr from sunny Ayr #physiotalk
UEA Physiotherapy @UEA_Physio
RT @physiotalk: Whats the most important thing about taking part tonight? Tweeting? Yes of course... Hashtagging? Vital! So please include #physiotalk in all your tweets tonight. https://t.co/SwwZ8FYPL7
physiotalk @physiotalk
Q1. Does your locality provide appropriate rehabilitation for your older patients? #physiotalk https://t.co/ubZxfpy56r
Susanne Arnold @FinneganSusanne
RT @physiotalk: Q1. Does your locality provide appropriate rehabilitation for your older patients? #physiotalk https://t.co/ubZxfpy56r
Justine Musiime - MSc MPH MCSP @JustineMusiime
@AGILECSP @physiotalk Hello @AGILECSP, we meet again!😅 #physiotalk
IPTOP @IPTOPphysio
RT @physiotalk: Q1. Does your locality provide appropriate rehabilitation for your older patients? #physiotalk https://t.co/ubZxfpy56r
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @physiotalk: Q1. Does your locality provide appropriate rehabilitation for your older patients? #physiotalk https://t.co/ubZxfpy56r
Sophie Banks @Physioholic
@physiotalk Yes. Via my service. However waiting list & caseload now double pre pandemic. Need is growing massively in my experience #physiotalk
Erin Walker @ErinW20physio
@physiotalk Hi from me too. In Glasgow - Older Peoples and Practice Development Physio #physiotalk
Sophie Banks @Physioholic
RT @physiotalk: Q1. Does your locality provide appropriate rehabilitation for your older patients? #physiotalk https://t.co/ubZxfpy56r
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
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
physiotalk @physiotalk
@JoJneurophysio welcome #physiotalk
physiotalk @physiotalk
@Physioholic What type of service do you provide? #physiotalk
Kimberley Innes @AKimboCake
@physiotalk #PhysioStudent currently on gen med placement, hoping to use #PhysioTalk to rack up some points for grading 😃 and I do like rehab work too!
Jo.J NeuroPhysio @JoJneurophysio
@physiotalk #physiotalk
Christine Haggarty @krystle4cats
Are you able to provide the slow stream rehabilitation that many older people with deconditioning require? #physiotalk 6th June https://t.co/QQdOc7Xk2O via @PhysioTalk
Claire O'Connell @ClaireOCPhysio
@physiotalk No. There are pockets of great practice but unfortunately I don't think there is sufficient rehab for older patients #physiotalk
physiotalk @physiotalk
#physiotalk
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
physiotalk @physiotalk
#physiotalk
physiotalk @physiotalk
RT @FinneganSusanne: @physiotalk I think the word “appropriate” is key here #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
physiotalk @physiotalk
@FinneganSusanne So very true! I'm sure we will get onto what 'appropriate' means later, but can you outline what you think it might be? #physiotalk
physiotalk @physiotalk
#physiotalk
Erin Walker @ErinW20physio
@physiotalk Resources stretched everywhere and services that were previously used pre-COVID now no longer exist or have huge waiting lists. In-patient rehab is at times doing the minimum to get people home #physiotalk
physiotalk @physiotalk
#physiotalk
AGILE @AGILECSP
RT @physiotalk: Q1. Does your locality provide appropriate rehabilitation for your older patients? #physiotalk https://t.co/ubZxfpy56r
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
Kimberley Innes @AKimboCake
@physiotalk I think lothians not bad? At least the right attitude is there. Not enough beds for rehab, and rehab gets off to a rocky start with lots of bed moves in acute setting, not the staff to meet the need but good focus on comunity rehab. But... not the care to back it up! #PhysioTalk
sarah lambert @sarahphysiomom
@JanetThomas47 @physiotalk Day hospital is no longer #physiotalk Dismantled but by bit in lieu of more acute services
Amanda Dufley @akdufley
@physiotalk Hello Amanda, Bristol #physiotalk
Erin Walker @ErinW20physio
@westsomphysio @physiotalk Sometimes feels that rehab is not fashionable like “front door” services and the push is discharge rather than providing quality rehab services for the patients who need to be admitted #physiotalk
Cat Treharne @cattreharne
@physiotalk No not 'appropriate' service... Could do better, unfortunately #physiotalk
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
physiotalk @physiotalk
There are a few tweets slipping through already without the #physiotalk hashtag. Remember we need the hashtag to 'see' the conversation. https://t.co/ZwZmFu7ide
Claire O'Connell @ClaireOCPhysio
@cattreharne @physiotalk We had increased access to homefirst since the pandemic, but I don't think they have the capacity to provide the rehab needed (based on reviewing notes of patients admitted to hospital). Are they able to provide more rehab in your locality? #physiotalk
Janet Thomas @JanetThomas47
@sarahphysiomom @physiotalk I think this is happening more and more - but its a service more in need than ever! #physiotalk
physiotalk @physiotalk
RT @ErinW20physio: @westsomphysio @physiotalk Sometimes feels that rehab is not fashionable like “front door” services and the push is discharge rather than providing quality rehab services for the patients who need to be admitted #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
Elainethephysio @eephysio1
@physiotalk we try! It is very challenging due to increasing demand among staffing challenges. #physiotalk
Cat Treharne @cattreharne
RT @physiotalk: Q1. Does your locality provide appropriate rehabilitation for your older patients? #physiotalk https://t.co/ubZxfpy56r
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
physiotalk @physiotalk
Moving onto question two - as this will allow you to expand even more on your answers so far #physiotalk
Susanne Arnold @FinneganSusanne
RT @ErinW20physio: @westsomphysio @physiotalk Sometimes feels that rehab is not fashionable like “front door” services and the push is discharge rather than providing quality rehab services for the patients who need to be admitted #physiotalk
Elainethephysio @eephysio1
@JanetThomas47 @sarahphysiomom @physiotalk Agree! If we are losing day hospital services then we need to look towards how we fill that gap by transferring those resources/ valuable specialised staff skills and knowledge to community teams! #physiotalk
sarah lambert @sarahphysiomom
@KerryHuntPhysio @physiotalk Exactly. We are often being questioned why we can’t work to MSK models! #physiotalk
physiotalk @physiotalk
Q2. What type of services are available in your area that enable long term rehabilitation of your deconditioned patients? #physiotalk https://t.co/fUXfBDKydr
Claire O'Connell @ClaireOCPhysio
@physiotalk We are providing more rehab to patients in the acute setting due to delays in discharge to rehab beds/carried homes etc. #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @ErinW20physio: @westsomphysio @physiotalk Sometimes feels that rehab is not fashionable like “front door” services and the push is discharge rather than providing quality rehab services for the patients who need to be admitted #physiotalk
Cat Treharne @cattreharne
RT @physiotalk: Our next #physiotalk tweetchat is with @AGILECSP 📅 Monday 6th June 🕗 8pm BST Are you able to provide the slow stream #rehabilitation that many #olderpeople with #deconditioning require? https://t.co/Y5qt5HAefS https://t.co/UQ4Ao2HMXI
physiotalk @physiotalk
Is this seen over the UK? #physiotalk
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: Q2. What type of services are available in your area that enable long term rehabilitation of your deconditioned patients? #physiotalk https://t.co/fUXfBDKydr
Susanne Arnold @FinneganSusanne
RT @physiotalk: There are a few tweets slipping through already without the #physiotalk hashtag. Remember we need the hashtag to 'see' the conversation. https://t.co/ZwZmFu7ide
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
Claire O'Connell @ClaireOCPhysio
@KerryHuntPhysio @physiotalk From working in rehab, there was always a push to discharge people...not allowing for that slow stream/time that some people need. #physiotalk
Gemma Hawtin 💙 @gvhawtin
RT @physiotalk: There are a few tweets slipping through already without the #physiotalk hashtag. Remember we need the hashtag to 'see' the conversation. https://t.co/ZwZmFu7ide
AGILE @AGILECSP
RT @physiotalk: Q2. What type of services are available in your area that enable long term rehabilitation of your deconditioned patients? #physiotalk https://t.co/fUXfBDKydr
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
Susanne Arnold @FinneganSusanne
RT @physiotalk: Q2. What type of services are available in your area that enable long term rehabilitation of your deconditioned patients? #physiotalk https://t.co/fUXfBDKydr
physiotalk @physiotalk
RT @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
Victoria Potterton @vpotterton
@physiotalk There's an unmet need for older adult specfic domiciliary rehab in my locality in my opinion. Currently referring to general D2A pathway which is for anyone over 18yo. More specialist services eg falls prevention available in outpatient clinic or virtually #physiotalk
physiotalk @physiotalk
Do you think there is a staffing disparity between acute and community? Or are both stretched and under pressure? #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
Sophie Banks @Physioholic
@physiotalk Comm Falls clinic & care home therapy team allows for freedom of long term input, however the impact is an ever expanding caseload - means huge numbers of pts open to each clinician and then difficulty managing appropriate input as it’s so long term. Any tips welcome! #physiotalk
physiotalk @physiotalk
RT @sarahphysiomom: @ClaireOCPhysio @physiotalk There is some really shocking evidence of how few ‘steps’ a patient in a rehab facility takes over a weekend #physiotalk
physiotalk @physiotalk
RT @Physioholic: @physiotalk Comm Falls clinic & care home therapy team allows for freedom of long term input, however the impact is an ever expanding caseload - means huge numbers of pts open to each clinician and then difficulty managing appropriate input as it’s so long term. Any tips welcome! #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: Do you think there is a staffing disparity between acute and community? Or are both stretched and under pressure? #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
Erin Walker @ErinW20physio
@physiotalk The push for “home first” has not been backed up with sufficient resources in the community to ensure patients get high quality rehab and this has been further worsened by COVID as patients have become even more deconditioned #physiotalk
Claire O'Connell @ClaireOCPhysio
@AndreaFunnell @physiotalk I love it but it's not the best place for older patients to have rehab. It also leads to us rehabbing ppl to a stage that we change their d/c plan. #physiotalk
Elainethephysio @eephysio1
@physiotalk From a community POV we are increasingly stretched and finding that sometimes expectations of what we can offer do not align with our reality. Doing our best! (as we all are! Not a criticism of acute staff btw!!) #physiotalk
physiotalk @physiotalk
Would be interested in knowing how 'long term' can anyone long term input be? Weeks or months? When do you stop? #physiotalk
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
Cat Treharne @cattreharne
@physiotalk #physiotalk
physiotalk @physiotalk
RT @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
Claire O'Connell @ClaireOCPhysio
@JustineMusiime @cattreharne @physiotalk The reablement aspect of home first can last up to 6 weeks in our area. The therapy team can refer on for ongoing physio but we don't see that happening consistently. #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
Susanne Arnold @FinneganSusanne
@physiotalk Having appropriate community services to refer on to would be beneficial??? Exercise groups etc??? Does this happen? #physiotalk
physiotalk @physiotalk
#physiotalk
IPTOP @IPTOPphysio
Great questions... Can anyone answer?? #physiotalk
physiotalk @physiotalk
#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.
Elainethephysio @eephysio1
@ErinW20physio @physiotalk Thing is home first would prob benefit many but if not resourced,not giving the best chance of success! Community always seems to pick up the overflow from other services and resources are then spread ever thinner #physiotalk
physiotalk @physiotalk
RT @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
Rocio ML @RocioPhysio
@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
Erin Walker @ErinW20physio
@physiotalk Very little for the frailer patients. Day Hospital and community rehab teams are the main options but resources are limited and waiting lists long #physiotalk
physiotalk @physiotalk
Heading towards the next question as nearly halfway through the hour already! #physiotalk
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
Susanne Arnold @FinneganSusanne
@KerryHuntPhysio @physiotalk Are we still struggling to recruit to posts working with older people? #physiotalk
Kimberley Innes @AKimboCake
@JustineMusiime @FinneganSusanne @physiotalk No better in acute! Plus attention often focused on those who can go home. #PhysioTalk
Claire O'Connell @ClaireOCPhysio
@physiotalk No long term services. We have community physio and outpatient falls and frailty service but I think understaffed/long waiting lists mean people can't access it in a timely fashion. #physiotalk
physiotalk @physiotalk
Q3. Are council-run wellbeing schemes a suitable service for plugging the gap in rehabilitation services? #physiotalk https://t.co/4onujVooXG
Sophie Banks @Physioholic
@physiotalk Personally I have had pt open as long as 9/12. 92 year old Fully hoisted rehabbed to indep with ZF following trauma. Great outcome and consistent slow progress made. #physiotalk
Cat Treharne @cattreharne
@physiotalk Long term would be #NERS #physiotalk
physiotalk @physiotalk
Fabulous to hear! #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
Stacey Finlay @staceylou_18
RT @Physioholic: @physiotalk Personally I have had pt open as long as 9/12. 92 year old Fully hoisted rehabbed to indep with ZF following trauma. Great outcome and consistent slow progress made. #physiotalk
physiotalk @physiotalk
@cattreharne NERs being the exercise referral pathway / scheme in Wales? #physiotalk
physiotalk @physiotalk
#physiotalk
physiotalk @physiotalk
#physiotalk
Elainethephysio @eephysio1
@Physioholic @physiotalk Same here! Finding increasing need for this as complexity and frailty of referred patients increases! #physiotalk
AGILE @AGILECSP
Thoughts? Retweet with the hashtag #physiotalk
Susanne Arnold @FinneganSusanne
@Physioholic @physiotalk Amazing 😻 #physiotalk
Dr Amy Crees @AmyLCrees
RT @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
Janet Thomas @JanetThomas47
@physiotalk Do they plug a gap or are they a vital part of an ongoing pathway for exercise options? #physiotalk
physiotalk @physiotalk
#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
physiotalk @physiotalk
#physiotalk https://t.co/u76searSPd
Rocio ML @RocioPhysio
@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
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
Susanne Arnold @FinneganSusanne
RT @AGILECSP: Thoughts? Retweet with the hashtag #physiotalk
physiotalk @physiotalk
Another reminder to use the hashtag in ALL your tweets even a reply. So many great tweets slipping part without the hashtag So- #physiotalk #physiotalk #physiotalk #physiotalk #physiotalk
Victoria Potterton @vpotterton
@ClaireOCPhysio @JustineMusiime @cattreharne @physiotalk Similar, except for further input after reablement 6 weeks patients tend to have to be assistance of one. Double handed patients falling through the cracks #physiotalk
Claire O'Connell @ClaireOCPhysio
@FinneganSusanne @physiotalk Limited groups available, tend to focus on the more mobile of the older population. Difficulties with transport/accessing groups/knowledge of what's available etc. #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.
Sophie Banks @Physioholic
@eephysio1 @physiotalk Agree so much. Increasing demand and ‘heaviness’ of rehab as pts sent home sooner. I have v little resource to staff double visits. IMO pts are not getting access to rehab as deserved due to this. Underpinning comm services just Arnt designed to support the model #physiotalk
physiotalk @physiotalk
#physiotalk
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
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: Another reminder to use the hashtag in ALL your tweets even a reply. So many great tweets slipping part without the hashtag So- #physiotalk #physiotalk #physiotalk #physiotalk #physiotalk
Cat Treharne @cattreharne
@physiotalk #physiotalk.... Whoops sorry I am a bit rusty with my tweets
Erin Walker @ErinW20physio
@physiotalk I’d say the system in general is stretched. Both acute and community under pressure and doing their best. Definitely agree that there has been a significant increase in complexity and frailty and this does not seem to have been recognised. #physiotalk
physiotalk @physiotalk
RT @physiotalk: Q3. Are council-run wellbeing schemes a suitable service for plugging the gap in rehabilitation services? #physiotalk https://t.co/4onujVooXG
IPTOP @IPTOPphysio
RT @physiotalk: Q3. Are council-run wellbeing schemes a suitable service for plugging the gap in rehabilitation services? #physiotalk https://t.co/4onujVooXG
physiotalk @physiotalk
#physiotalk
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
physiotalk @physiotalk
A really important question #physiotalk
Erin Walker @ErinW20physio
@ClaireOCPhysio @FinneganSusanne @physiotalk Agree Claire #physiotalk
Claire O'Connell @ClaireOCPhysio
@JanetThomas47 @physiotalk Think they are part of...not to fill the gap. They offer different support. #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @physiotalk: Q3. Are council-run wellbeing schemes a suitable service for plugging the gap in rehabilitation services? #physiotalk https://t.co/4onujVooXG
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
physiotalk @physiotalk
RT @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
Cat Treharne @cattreharne
@FinneganSusanne @sarahphysiomom @physiotalk Not in our experience in South Wales #physiotalk
physiotalk @physiotalk
@KarlekarRitu Brilliant - and welcome to #physiotalk and tweetchats.
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
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
Elainethephysio @eephysio1
@sarahphysiomom @physiotalk Lucky not to have this in my area. Restricting to certain no. of sessions/ timescales feels like a false economy! Input for 6 weeks, not quite progressing to potential, regressing and back on the wait list in a worse position than before. #physiotalk
Samantha Cox @westsomphysio
@FinneganSusanne @sarahphysiomom @physiotalk #physiotalk cost and transport are barriers in our area
Sophie Banks @Physioholic
@physiotalk Ours meet a need, but not the one for very frail and complex. I’ve had reablement staff tell me someone I referred to them had ‘no rehab potential’. I nearly hit the roof!! No clinicians in their team & no understanding of the potential impact of phrase they used. #physiotalk
Claire O'Connell @ClaireOCPhysio
@FinneganSusanne @sarahphysiomom @physiotalk I have not come across people wanting to do this. They are reluctant to pay for services such as pendant alarms that can make a significant impact on reducing risk of long lie etc so I don't think they would be keen on paying for exercise groups. #physiotalk
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
physiotalk @physiotalk
RT @Physioholic: @physiotalk Ours meet a need, but not the one for very frail and complex. I’ve had reablement staff tell me someone I referred to them had ‘no rehab potential’. I nearly hit the roof!! No clinicians in their team & no understanding of the potential impact of phrase they used. #physiotalk
sarah lambert @sarahphysiomom
@eephysio1 @physiotalk Agree #physiotalk Also goes against professional autonomy
Andy Goldman 💙 @andygoldmanPT
@FinneganSusanne @physiotalk We're finding that rapid response or urgent work increases, staffing levels are not what they should be (and it's tough to recruit at the moment), and then our rehabilitation patients end up waiting longer #physiotalk
physiotalk @physiotalk
Time to move onto our next question A great discussion - but please use the #physiotalk hashtag!
Claire O'Connell @ClaireOCPhysio
@JanetThomas47 @FinneganSusanne @sarahphysiomom @physiotalk Transport is the first main barrier. I started volunteering with the Marmalade Trust, trying to support older people to make social connections but the hardest thing is getting to places and the cost of it #physiotalk
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
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
Kimberley Innes @AKimboCake
@physiotalk Suitable, if people can get there, feel it's suitable/ safe/ affordable, if there's enough of them available! #PhysioTalk plus it takes time and support to get someone to agree to try it and then maintain it.
Gemma Hawtin 💙 @gvhawtin
@physiotalk It’s finding out what is in the local community too ie walking groups etc #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
physiotalk @physiotalk
Q4. What are the challenges associated with acute hospital rehabilitation and gym spaces, and how do you overcome them? #physiotalk https://t.co/qcPidrpfmu
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @AKimboCake: @JustineMusiime @FinneganSusanne @physiotalk No better in acute! Plus attention often focused on those who can go home. #PhysioTalk
Erin Walker @ErinW20physio
@physiotalk They are part of a pathway but current provision is not suitable for many of the frailer patients. As previously highlighted…issues with transport and access. #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @Physioholic: @physiotalk Ours meet a need, but not the one for very frail and complex. I’ve had reablement staff tell me someone I referred to them had ‘no rehab potential’. I nearly hit the roof!! No clinicians in their team & no understanding of the potential impact of phrase they used. #physiotalk
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
Cat Treharne @cattreharne
RT @physiotalk: Q4. What are the challenges associated with acute hospital rehabilitation and gym spaces, and how do you overcome them? #physiotalk https://t.co/qcPidrpfmu
Susanne Arnold @FinneganSusanne
RT @physiotalk: Q4. What are the challenges associated with acute hospital rehabilitation and gym spaces, and how do you overcome them? #physiotalk https://t.co/qcPidrpfmu
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
Christine Armitage @chrisarmitage80
@physiotalk Plugging the gap sounds negative, the health, rehab and well-being offer for people needs to include access to all appropriate services which includes council run schemes/groups/services alongside health rehab services.Appropriateness depends on individual need #physiotalk
Elainethephysio @eephysio1
@gvhawtin @physiotalk This has been suggested in our local area but it is often too advanced for the population we serve. I think it is really important that we reinforce (to those organising our services) that exercise classes are an adjunct to, not a replacement for rehabilitation input. #physiotalk
💙 Sara Bolton 🌈💙 @southernscampi
RT @ErinW20physio: @westsomphysio @physiotalk Sometimes feels that rehab is not fashionable like “front door” services and the push is discharge rather than providing quality rehab services for the patients who need to be admitted #physiotalk
Lynne Mann @lynnemann13
RT @physiotalk: Q4. What are the challenges associated with acute hospital rehabilitation and gym spaces, and how do you overcome them? #physiotalk https://t.co/qcPidrpfmu
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @ClaireOCPhysio: @FinneganSusanne @sarahphysiomom @physiotalk I have not come across people wanting to do this. They are reluctant to pay for services such as pendant alarms that can make a significant impact on reducing risk of long lie etc so I don't think they would be keen on paying for exercise groups. #physiotalk
physiotalk @physiotalk
#physiotalk
Susanne Arnold @FinneganSusanne
@physiotalk Would love to hear about some success stories or examples of good practice to share with @AGILECSP members. #physiotalk
Claire O'Connell @ClaireOCPhysio
@sarahphysiomom @eephysio1 @physiotalk Our team in the acute is well staffed, + lots of investment in expanding the team..the community hospital is struggling with staffing but I think more from nursing than therapy #physiotalk
AGILE @AGILECSP
RT @physiotalk: Q4. What are the challenges associated with acute hospital rehabilitation and gym spaces, and how do you overcome them? #physiotalk https://t.co/qcPidrpfmu
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
Andy Goldman 💙 @andygoldmanPT
@cattreharne @FinneganSusanne @sarahphysiomom @physiotalk Cost and transport are very much barriers to 3rd sector activities. I've found quite a few patients who just don't want to go out anymore. ? feeling vulnerable ? scared of covid #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @physiotalk: Q4. What are the challenges associated with acute hospital rehabilitation and gym spaces, and how do you overcome them? #physiotalk https://t.co/qcPidrpfmu
Lynne Mann @lynnemann13
@physiotalk There is an issue with rehab spaces being used as surge for beds and extended services. Really challenging with current pressures #physiotalk no easy solution
Sophie Banks @Physioholic
@physiotalk Appears to be next to no acute rehab available now? IMC appears to be approx 2/52. As for gym space… what’s that?!! Utilise everything and anything in community to meet appropriate functional need of patients. Creativity is vital! #physiotalk
Kimberley Innes @AKimboCake
@physiotalk Only just clawing back the gym space on placement following covid repurposing/ storage. Makes a big difference to the rehab and patient engagement! Difficult when gym space is also an office space so shared access - not everyone wants an audience! #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
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
Christine Armitage @chrisarmitage80
@physiotalk Most services are stretched and under pressure, is there a possible staffing disparity between services with reportable staffing standards eg stroke and other services? Is there someone to learn from this #physiotalk
physiotalk @physiotalk
RT @andygoldmanPT: @cattreharne @FinneganSusanne @sarahphysiomom @physiotalk Cost and transport are very much barriers to 3rd sector activities. I've found quite a few patients who just don't want to go out anymore. ? feeling vulnerable ? scared of covid #physiotalk
physiotalk @physiotalk
dont forget the hashtag #physiotalk
physiotalk @physiotalk
RT @FinneganSusanne: @physiotalk Would love to hear about some success stories or examples of good practice to share with @AGILECSP members. #physiotalk
Erin Walker @ErinW20physio
@FinneganSusanne @sarahphysiomom @physiotalk “Willing” maybe for some but “able” is a different question. #physiotalk
IPTOP @IPTOPphysio
RT @physiotalk: Q4. What are the challenges associated with acute hospital rehabilitation and gym spaces, and how do you overcome them? #physiotalk https://t.co/qcPidrpfmu
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: @physiotalk Appears to be next to no acute rehab available now? IMC appears to be approx 2/52. As for gym space… what’s that?!! Utilise everything and anything in community to meet appropriate functional need of patients. Creativity is vital! #physiotalk
physiotalk @physiotalk
RT @physiotalk: Q4. What are the challenges associated with acute hospital rehabilitation and gym spaces, and how do you overcome them? #physiotalk https://t.co/qcPidrpfmu
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
Susanne Arnold @FinneganSusanne
@KerryHuntPhysio @sarahphysiomom @physiotalk We need evidence don’t we 🤔🤔🤔#physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @lynnemann13: @physiotalk There is an issue with rehab spaces being used as surge for beds and extended services. Really challenging with current pressures #physiotalk no easy solution
physiotalk @physiotalk
#physiotalk
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
Claire O'Connell @ClaireOCPhysio
@physiotalk Time and space. Some of the wards are very old + small. Not sufficient space to support rehab of pts needing assistance of 2. Our gym space (small room with plinth/parallel bars) is ideal for rehab as it provides quiet environment but need x2 staff to take pts to it #physiotalk
Cat Treharne @cattreharne
@lynnemann13 @physiotalk This is the experience which is mirrored in many geographical areas #physiotalk... Not a priority service
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
💙 Sara Bolton 🌈💙 @southernscampi
@physiotalk Rehab Areas inaccessible to patients and staff during COVID many under threat permanently. Loss of communal areas /dining rooms ‘hospitalised care’ #physiotalk
Erin Walker @ErinW20physio
@eephysio1 @gvhawtin @physiotalk Agreed Elaine #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
physiotalk @physiotalk
RT @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
Kimberley Innes @AKimboCake
@physiotalk Previous gym space at work was taken over to become an office I believe. Also needed, but then adds time to any gym visit as the next one is further away, used by more teams, who/ where is your back up if anything happens #PhysioTalk
physiotalk @physiotalk
#physiotalk
Andy Goldman 💙 @andygoldmanPT
@physiotalk I think they're a really valuable resource, but they can't replace a person-centered physiotherapy rehabilitation programme #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
physiotalk @physiotalk
#physiotalk
physiotalk @physiotalk
Final reminder for last 10 minutes or so to please include the #physiotalk hashtag in your tweets and replies - some great discussions points being missed.
physiotalk @physiotalk
#physiotalk
Claire O'Connell @ClaireOCPhysio
@Physioholic @physiotalk We can currently provide rehab, but only because there is such a delay for d/c to rehab or home. Continue to see pts while waiting for Homefirst or care home. Try to encourage rotational staff to cont rehab in hosp as can change dc plan #physiotalk
Elainethephysio @eephysio1
@KerryHuntPhysio @Physioholic @physiotalk David Oliver: “No rehab potential” or no rehab resources? https://t.co/B48G9NXyvV #physiotalk
Cat Treharne @cattreharne
@physiotalk Risk re-assessments are currently being carried out to reestablish pre-covid exercise classes based at Warden controlled community hall etc... But limited spaces and increasing waiting list. No upbeat solutions #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
Andy Goldman 💙 @andygoldmanPT
@lynnemann13 @physiotalk @cattreharne @FinneganSusanne @sarahphysiomom That must be really hard. I'm based in Leeds, and transport, although more available that perhaps in rural areas, still isn't enticing people to join #physiotalk
physiotalk @physiotalk
Heading towards the penultimate question #physiotalk
physiotalk @physiotalk
RT @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
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
physiotalk @physiotalk
Q5. What are the most effective ways of reducing the risk of deconditioning in a hospital, for patients awaiting social care support in the community? #physiotalk https://t.co/wagGLjTj9S
Amanda Dufley @akdufley
@physiotalk Taking patients to the gym far less since covid sadly. Lucky to have a space on ward but always threatened with losing it at busy times. #physiotalk . Whilst I don't use gym much , try to be visibly using small therapy space on ward. Great for patient for change of scene as well
Claire O'Connell @ClaireOCPhysio
@andygoldmanPT @cattreharne @FinneganSusanne @sarahphysiomom @physiotalk I volunteer to support older ppl to make social connections + finding ppl are anxious about going out...plus transport is difficult, even in big cities #physiotalk
IPTOP @IPTOPphysio
RT @physiotalk: Q5. What are the most effective ways of reducing the risk of deconditioning in a hospital, for patients awaiting social care support in the community? #physiotalk https://t.co/wagGLjTj9S
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
Cat Treharne @cattreharne
RT @physiotalk: Q5. What are the most effective ways of reducing the risk of deconditioning in a hospital, for patients awaiting social care support in the community? #physiotalk https://t.co/wagGLjTj9S
Sophie Banks @Physioholic
@KerryHuntPhysio @physiotalk is few of us that see these pts as a true speciality? Many written off by clinicians with little thought - particularly if difficult to support/sustain. Education & joint work with carers has been vital to my practice. Changing culture = time. #physiotalk
Susanne Arnold @FinneganSusanne
RT @physiotalk: Q5. What are the most effective ways of reducing the risk of deconditioning in a hospital, for patients awaiting social care support in the community? #physiotalk https://t.co/wagGLjTj9S
physiotalk @physiotalk
RT @eephysio1: @KerryHuntPhysio @Physioholic @physiotalk David Oliver: @KerryHuntPhysio @Physioholic @physiotalk David Oliver: “No rehab potential” or no rehab resources? https://t.co/B48G9NXyvV #physiotalk
Cat Treharne @cattreharne
RT @eephysio1: @KerryHuntPhysio @Physioholic @physiotalk David Oliver: @KerryHuntPhysio @Physioholic @physiotalk David Oliver: “No rehab potential” or no rehab resources? https://t.co/B48G9NXyvV #physiotalk
sarah lambert @sarahphysiomom
@physiotalk Pet peeve is having to practice stairs in busy communal areas or quiet freezing back staircases …. #physiotalk
Susanne Arnold @FinneganSusanne
RT @eephysio1: @KerryHuntPhysio @Physioholic @physiotalk David Oliver: @KerryHuntPhysio @Physioholic @physiotalk David Oliver: “No rehab potential” or no rehab resources? https://t.co/B48G9NXyvV #physiotalk
Aileen McCartney @aileenmccartney
RT @eephysio1: @KerryHuntPhysio @Physioholic @physiotalk David Oliver: @KerryHuntPhysio @Physioholic @physiotalk David Oliver: “No rehab potential” or no rehab resources? https://t.co/B48G9NXyvV #physiotalk
Sophie Banks @Physioholic
@AndreaFunnell @KerryHuntPhysio @physiotalk Fighting is exactly what I feel I do every single day for my patients to be given access to appropriate services. Truth be told I’m exhausted. But if not me…. Who will be their voice? #physiotalk
AGILE @AGILECSP
RT @physiotalk: Q5. What are the most effective ways of reducing the risk of deconditioning in a hospital, for patients awaiting social care support in the community? #physiotalk https://t.co/wagGLjTj9S
Erin Walker @ErinW20physio
@physiotalk Main barrier is time. Even with the gym space the pressure to discharge patients to free beds means that you don’t have the time to spend with patients and rehab is mainly functional and delivered on wards. Complex rehab patients move offsite to rehab beds #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
Fionawright @Fionawright12
RT @physiotalk: Q4. What are the challenges associated with acute hospital rehabilitation and gym spaces, and how do you overcome them? #physiotalk https://t.co/qcPidrpfmu
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: @AndreaFunnell @KerryHuntPhysio @physiotalk Fighting is exactly what I feel I do every single day for my patients to be given access to appropriate services. Truth be told I’m exhausted. But if not me…. Who will be their voice? #physiotalk
physiotalk @physiotalk
RT @Physioholic: @AndreaFunnell @KerryHuntPhysio @physiotalk Fighting is exactly what I feel I do every single day for my patients to be given access to appropriate services. Truth be told I’m exhausted. But if not me…. Who will be their voice? #physiotalk
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
Claire O'Connell @ClaireOCPhysio
@sarahphysiomom @physiotalk PJ paralysis even worse with reduction in visitors over the past 2 years, nobody to collect/wash clothes. Families very reluctant to bring in patients clothes now #physiotalk
Andy Goldman 💙 @andygoldmanPT
@physiotalk Encouraging a routine which includes getting out of bed and getting dressed; giving more responsibility to the person, rather than always 'giving care.' I like to 'blue sky' think sometimes! #physiotalk
physiotalk @physiotalk
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
Kimberley Innes @AKimboCake
@physiotalk Get visitors to keep them moving, bring in clothes. All ward staff pushing for them to get up and do what they can. AHPs to continue input for maintenence/ progression. Getting patient buy in! Placement is doing #EndPJParalysis work just now, so hopefully will help. #physioTalk
Lynne Mann @lynnemann13
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
Lynne Mann @lynnemann13
RT @physiotalk: Q5. What are the most effective ways of reducing the risk of deconditioning in a hospital, for patients awaiting social care support in the community? #physiotalk https://t.co/wagGLjTj9S
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
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
💙 Sara Bolton 🌈💙 @southernscampi
RT @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
physiotalk @physiotalk
@blueghee80 And is this impacted by staffing levels in the wards? Not just physios who may be short staffed? #physiotalk
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
Elainethephysio @eephysio1
@andygoldmanPT @physiotalk I agree. I mean look at dentistry. Everyone brushes their teeth twice a day and preventative care is embedded. We need to find a way to do this with movement, balance and strength! #bluesky #physiotalk
Cat Treharne @cattreharne
@eleri_darcy FYI, interesting info from @physiotalk this evening...
Sophie Banks @Physioholic
@ClaireOCPhysio @andygoldmanPT @cattreharne @FinneganSusanne @sarahphysiomom @physiotalk anxiety is so often the issue I’m ‘rehabbing’ #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.
Susanne Arnold @FinneganSusanne
@AndreaFunnell @physiotalk This is great to hear 👍🏻👍🏻👍🏻#physiotalk
Victoria Potterton @vpotterton
@physiotalk The MDT are key. Promote a ward culture of sitting out, mobilising, general activity and patient enablement. Fighting a losing battle if responsibility lies solely with physio. Patient education on deconditioning also really important in the cognitively intact cohort #physiotalk
Kyla Sinclair @physio_kyla
@physiotalk Education of wider MDT, joints with nursing staff to increase confidence when mobilising with patient, utilisation of 1:1s to engage patient in exercise programme, educating and supporting family members to safely facilitate chair/bed exercises, rehab journals #physiotalk
Andy Goldman 💙 @andygoldmanPT
@ClaireOCPhysio @cattreharne @FinneganSusanne @sarahphysiomom @physiotalk It is as if people have become institutionalised, as well as deconditioned. So many in low mood that are finding it difficult to rejoin the outside world #physiotalk
physiotalk @physiotalk
Nearly the hour up!! The final question is ready to tweet! #physiotalk
Sophie Banks @Physioholic
RT @eephysio1: @andygoldmanPT @physiotalk I agree. I mean look at dentistry. Everyone brushes their teeth twice a day and preventative care is embedded. We need to find a way to do this with movement, balance and strength! #bluesky #physiotalk
Gemma Hawtin 💙 @gvhawtin
@physiotalk I loved it on the wards by helping them to the toilet and increasing tolerance having a smile on my face and encouraging strength with chair exercises, change it and improve it #physiotalk
Claire O'Connell @ClaireOCPhysio
@physiotalk Educating staff. Encouraging physios to continue to see patients while waiting social care..don't d/c just because they have a d/c plan. So important to continue therapy once they are mobile, challenge pts/strength + balance ex/falls prevention #physiotalk
Erin Walker @ErinW20physio
@physiotalk MDT working to ensure patients are up and dressed. Important to ensure consistent message to patients that being up and moving is important #physiotalk
💙 Sara Bolton 🌈💙 @southernscampi
@physiotalk By implementing a 24hour rehab, strength based care model in all settings … enable not disable patient to safely self care … #physiotalk
physiotalk @physiotalk
Q6. How often do you advise patients who are requiring minimal physiotherapy input in hospital about resources to prevent future deconditioning? #physiotalk https://t.co/W0hd15ULJZ
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
physiotalk @physiotalk
RT @ClaireOCPhysio: @physiotalk Educating staff. Encouraging physios to continue to see patients while waiting social care..don't d/c just because they have a d/c plan. So important to continue therapy once they are mobile, challenge pts/strength + balance ex/falls prevention #physiotalk
Lynne Mann @lynnemann13
RT @physiotalk: Q6. How often do you advise patients who are requiring minimal physiotherapy input in hospital about resources to prevent future deconditioning? #physiotalk https://t.co/W0hd15ULJZ
Susanne Arnold @FinneganSusanne
RT @physiotalk: Q6. How often do you advise patients who are requiring minimal physiotherapy input in hospital about resources to prevent future deconditioning? #physiotalk https://t.co/W0hd15ULJZ
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: Q6. How often do you advise patients who are requiring minimal physiotherapy input in hospital about resources to prevent future deconditioning? #physiotalk https://t.co/W0hd15ULJZ
Cat Treharne @cattreharne
RT @physiotalk: Q6. How often do you advise patients who are requiring minimal physiotherapy input in hospital about resources to prevent future deconditioning? #physiotalk https://t.co/W0hd15ULJZ
💙 Sara Bolton 🌈💙 @southernscampi
RT @physio_kyla: @physiotalk Education of wider MDT, joints with nursing staff to increase confidence when mobilising with patient, utilisation of 1:1s to engage patient in exercise programme, educating and supporting family members to safely facilitate chair/bed exercises, rehab journals #physiotalk
Cat Treharne @cattreharne
RT @physiotalk: Q3. Are council-run wellbeing schemes a suitable service for plugging the gap in rehabilitation services? #physiotalk https://t.co/4onujVooXG
Cat Treharne @cattreharne
RT @physiotalk: Q2. What type of services are available in your area that enable long term rehabilitation of your deconditioned patients? #physiotalk https://t.co/fUXfBDKydr
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @physiotalk: Q6. How often do you advise patients who are requiring minimal physiotherapy input in hospital about resources to prevent future deconditioning? #physiotalk https://t.co/W0hd15ULJZ
Cat Treharne @cattreharne
RT @physiotalk: Would be interested in knowing how 'long term' can anyone long term input be? Weeks or months? When do you stop? #physiotalk
physiotalk @physiotalk
RT @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
Claire O'Connell @ClaireOCPhysio
@Physioholic @andygoldmanPT @cattreharne @FinneganSusanne @sarahphysiomom @physiotalk Yes, noticing this more in the acute trust too. Can improve with time, same therapists, involvement from mental health team #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
Kimberley Innes @AKimboCake
@physiotalk But really, it feels inevitable? No kitchen access, difficult to get a wash independently cause getting a WZF round the bed is tight, cant access continence products independently, room is a few metres long, no stairs, no lifting or shopping, less position changes.... #PhysioTalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @Physioholic: @AndreaFunnell @KerryHuntPhysio @physiotalk Fighting is exactly what I feel I do every single day for my patients to be given access to appropriate services. Truth be told I’m exhausted. But if not me…. Who will be their voice? #physiotalk
Erin Walker @ErinW20physio
@physiotalk @blueghee80 It can be but it’s about changing the narrative…thinking about changing the way things are done on wards e.g. walking part way to toilet, getting out of bed to be washed, standing to brush hair/teeth etc #physiotalk
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
Andy Goldman 💙 @andygoldmanPT
@eephysio1 @physiotalk Absolutely Elaine, and it has to start with basic life functions. Like getting out of bed. If there was enough of us on the wards, in the community etc, we'd make such a difference to people's lives #physiotalk
sarah lambert @sarahphysiomom
Great thoughts on reducing deconditioning in older people! #physiotalk
💙 Sara Bolton 🌈💙 @southernscampi
@physiotalk Supported self management and maintenance advice should be core. #physiotalk
Aimee Robson (she/her) @AimeeRobson4
RT @southernscampi: @physiotalk Supported self management and maintenance advice should be core. #physiotalk
Erin Walker @ErinW20physio
@AndreaFunnell @physiotalk Similar in Glasgow where they’ve added some deconditioning info into the falls link worker training - it’s been well received so far #physiotalk
Claire O'Connell @ClaireOCPhysio
@physiotalk @blueghee80 Yes but mainly impacted by risk averse culture. Fear of falls when patients sat out/walking to the toilet etc #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
💙 Sara Bolton 🌈💙 @southernscampi
@AKimboCake @physiotalk Agree! Met a company at a digital event and suggested the same… #TimeWellSpent #Physiotalk
Elainethephysio @eephysio1
@andygoldmanPT @physiotalk And it's getting the people at the top to see this! If all of our services were properly resourced, yes there would be an associated upfront cost, but there would be a long term effect on reducing other costs- less homecare needed, less readmission amongst others! #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
physiotalk @physiotalk
That is the hour up! But please do keep on tweeting (with the hashtag!) and contributing to the discussion #physiotalk
Cat Treharne @cattreharne
@physiotalk Some are provided with a home exercise programme in written format... OTAGO based programme... But no SOP written or 'routine' to ensure that deconditioning could be prevented #physiotalk
physiotalk @physiotalk
Thanks to @AGILECSP for great questions and a great discussion! #physiotalk
Erin Walker @ErinW20physio
@ClaireOCPhysio @physiotalk Agree it’s important for input to continue even on a maintenance basis where this is possible #physiotalk
physiotalk @physiotalk
Remember anyone can suggest a tweetchat topic and we will help you develop the questions if needed. #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
Claire O'Connell @ClaireOCPhysio
@physiotalk Once patients are at a level that they don't need regular physio input, I will provide verbal advice on keeping active Inc some written exercises if needed. Refer to therapy Techs to cont challenging exercises. Aim to r/v once a week while waiting for d/c #physiotalk
physiotalk @physiotalk
We will collect the transcript later - so please do keep on tweeting (with the #physiotalk hashtag included)
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
physiotalk @physiotalk
@rebecca70340919 Does anyone use volunteers in the hospital for this? #physiotalk
Andy Goldman 💙 @andygoldmanPT
@eephysio1 @physiotalk So many knee-jerk decisions, sending people home with packages of care & not having the sufficient physio/OT input that could save £. Same in community when we are simply unable to give the time and frequency of visits required to help those people regain independence #physiotalk
Elainethephysio @eephysio1
@physiotalk I always leave patients at discharge with an exercise program and encouragement to keep active. I try to support them prior to discharge so they see that they can have an impact and empower to self manage in the knowledge they can always call for advice or review #physiotalk
💙 Sara Bolton 🌈💙 @southernscampi
RT @AndreaFunnell: @southernscampi @AKimboCake @physiotalk Agree something I have wanted for years. We need to get the message everywhere! #physiotalk
Kimberley Innes @AKimboCake
@physiotalk Previously always... but less as student. Brain juggling too many things!? Used to be big on use it or lose it, and after this period of rehab, get back to hobby/ classes/ walks as best way to recover and not come back in. #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
Claire O'Connell @ClaireOCPhysio
@YvonneConnell @physiotalk @blueghee80 Such a shame that this has happenes. Why can't they do HEPs?? Surely they are set up in a safe way so easy for anyone to carry out? #physiotalk
Victoria Potterton @vpotterton
RT @ClaireOCPhysio: @physiotalk @blueghee80 Yes but mainly impacted by risk averse culture. Fear of falls when patients sat out/walking to the toilet etc #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
Erin Walker @ErinW20physio
@physiotalk I make it my point to ask all patients about their recent function/mobility and if they feel it has declined - would refer them on if appropriate and they are keen. Would also provide advice about activity on d/c and our Keeping Fit and Active exercise booklet #physiotalk
physiotalk @physiotalk
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
Erin Walker @ErinW20physio
@physiotalk @rebecca70340919 Pre-COVID yes #physiotalk
sarah lambert @sarahphysiomom
@physiotalk @rebecca70340919 No, but our trust is looking to employ frailty practitioners on each ward to encourage dressing/ ADLs etc #physiotalk
Claire O'Connell @ClaireOCPhysio
@physiotalk @rebecca70340919 No. Previously looked into volunteers helping with basic seated exercises but advised it wouldn't be possible. #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
Claire O'Connell @ClaireOCPhysio
@sarahphysiomom @physiotalk @rebecca70340919 Wow that would be amazing to have within a trust! #physiotalk
Erin Walker @ErinW20physio
@physiotalk We operate a blanket referral for our service - even the “high functioning” mobile patients have seen the effects of deconditioning and blanket referral means we are able to pick these patients up to give them advice #physiotalk #prevention
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
physiotalk @physiotalk
Join in our virtual #physiotalk hustings for the @theCSP council elections. All the candidates have been invited to take part - a great chance to ask the questions that matter to you! 📅 Monday 20th June 🕗8pm BST https://t.co/BHiyFbO5tQ https://t.co/SUfDUi1LD4
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
Lynne Mann @lynnemann13
RT @physiotalk: Join in our virtual #physiotalk hustings for the @theCSP council elections. All the candidates have been invited to take part - a great chance to ask the questions that matter to you! 📅 Monday 20th June 🕗8pm BST https://t.co/BHiyFbO5tQ https://t.co/SUfDUi1LD4
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 @RocioPhysio
@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
Kimberley Innes @AKimboCake
@physiotalk My soap box: capitalise your # for improved accessibility! #PhysioTalk https://t.co/TY1d3ZlRfU.
Claire O'Connell @ClaireOCPhysio
@KerryHuntPhysio @physiotalk @FinneganSusanne Agree, see some patients discharged from physio in the acute at a 'new baseline', move wards, wait weeks for d/c + rehab well within that time. #physiotalk
Rocio ML @RocioPhysio
@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 @RocioPhysio
@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
Elaine Francis @eformation
RT @JustineMusiime: Join us today at 8.00 pm UK time for a tweetchat about #deconditioning #frailty #rehabilitation #physiotherapy #MDT #OlderPeople #StrengthTraining #Balance #StrongerMyWay & much more. .@thecsp .@thecspstudents .@WeAHPs @GeriSoc .@IPTOPphysio .@physiotalk .@AGILECSP #physiotalk
@UniHertsPhysio @UniHertsPhysio
RT @physiotalk: Q4. What are the challenges associated with acute hospital rehabilitation and gym spaces, and how do you overcome them? #physiotalk https://t.co/qcPidrpfmu
Kimberley Innes @AKimboCake
Last week of placement, so a relevant #PhysioTalk tonight, and some cake magic in #GBBO to inspire some leaving treats!
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
Claire O'Connell @ClaireOCPhysio
@FinneganSusanne @KerryHuntPhysio @physiotalk Some improvement within our trust. Increase in the number of static members in our team + rotational staff choosing to come work with older ppl! Trust investing in the team x2 band 8a clinical PT + OT recently appointed + x2 b7s #physiotalk
physiotalk @physiotalk
@AKimboCake Very much agree if separate words / sentence. But #physiotalk is all one word though, not two words that would need capitalisation.
physiotalk @physiotalk
Analysts from tonight’s tweetchat with @AGILECSP #physiotalk thanks to all who took part https://t.co/IyexkfPZFd
Gemma Hawtin 💙 @gvhawtin
RT @physiotalk: Analysts from tonight’s tweetchat with @AGILECSP #physiotalk thanks to all who took part https://t.co/IyexkfPZFd
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: Analysts from tonight’s tweetchat with @AGILECSP #physiotalk thanks to all who took part https://t.co/IyexkfPZFd
Lyndsay Lennie @LLennie_PT31
@physiotalk @AGILECSP Unfortunately, outpatient day hospital services have not restarted and the falls service will not be returning to classes. Our community services are therefore absorbing a lot of these patients. #physiotalk #agilecsp
#PhysioTalk content from Twitter.