#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Dr Susanne Arnold @FinneganSusanne [REDACTED USER] Hello! Susanne from chilly Coventry #physiotalk |
 | Janet Thomas @JanetThomas47 Hi Looking forwards to tonights chat - from a still sunny Edinburgh. I'll be mainly on the [REDACTED USER] account though #physiotalk |
 | Andrea Funnell @AndreaFunnell [REDACTED USER] Andrea acute frailty physiotherapist working in Sussex #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 [REDACTED USER] Sarah Lambert from West Sussex and Education officer for AGILE #physiotalk |
 | Piotr Zabkiewicz @ZabkiewiczPiotr Hi all - Piotr from sunny Ayr #physiotalk |
| sarah lambert @sarahphysiomom [REDACTED USER] 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 [REDACTED USER] 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 [REDACTED USER] #physiotalk |
| Dr Susanne Arnold @FinneganSusanne [REDACTED USER] I think the word “appropriate” is key here #physiotalk |
| Janet Thomas @JanetThomas47 @sarahphysiomom [REDACTED USER] 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 [REDACTED USER] @Physioholic We provide an outpatient rehab service for de conditioned / unbalanced and older patients with MSK probs. Anything impacting their function #physiotalk |
| sarah lambert @sarahphysiomom @JanetThomas47 [REDACTED USER] Day hospital is no longer #physiotalk Dismantled but by bit in lieu of more acute services |
| Janet Thomas @JanetThomas47 @sarahphysiomom [REDACTED USER] I think this is happening more and more - but its a service more in need than ever! #physiotalk |
| sarah lambert @sarahphysiomom [REDACTED USER] 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 [REDACTED USER] 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 |
| sarah lambert @sarahphysiomom [REDACTED USER] [REDACTED USER] Exactly. We are often being questioned why we can’t work to MSK models! #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @AndreaFunnell [REDACTED USER] [REDACTED USER] Agree - It is that time aspect that is a huge problem - short sightedness - not thinking about the longer term benefits #physiotalk |
| Andrea Funnell @AndreaFunnell @ClaireOCPhysio [REDACTED USER] 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 [REDACTED USER] @sarahphysiomom [REDACTED USER] 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 |
| sarah lambert @sarahphysiomom @ClaireOCPhysio [REDACTED USER] There is some really shocking evidence of how few ‘steps’ a patient in a rehab facility takes over a weekend #physiotalk |
| sarah lambert @sarahphysiomom [REDACTED USER] 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 |
| sarah lambert @sarahphysiomom [REDACTED USER] 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 [REDACTED USER] 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 |
| @RocioPCE [REDACTED USER] 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 [REDACTED USER] [REDACTED USER] [REDACTED USER] 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 [REDACTED USER] [REDACTED USER] Are we still struggling to recruit to posts working with older people? #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @Physioholic [REDACTED USER] Amazing 😻 #physiotalk |
| Janet Thomas @JanetThomas47 [REDACTED USER] Do they plug a gap or are they a vital part of an ongoing pathway for exercise options? #physiotalk |
| @RocioPCE [REDACTED USER] 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 [REDACTED USER] Do you have to justify your decisions to managers/commissioners etc? #physiotalk |
| sarah lambert @sarahphysiomom [REDACTED USER] 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 |
 | kirstie @blueghee80 [REDACTED USER] 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 [REDACTED USER] 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 [REDACTED USER] Think they have become vital and there is now a good relationship and the need for appropriate referral pathways #physiotalk |
| Dr Susanne Arnold @FinneganSusanne @sarahphysiomom [REDACTED USER] Would patients be willing to pay for ongoing exercise services? #physiotalk |
| sarah lambert @sarahphysiomom @JanetThomas47 [REDACTED USER] 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 |
| Janet Thomas @JanetThomas47 @FinneganSusanne @sarahphysiomom [REDACTED USER] 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 |
| sarah lambert @sarahphysiomom [REDACTED USER] 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 [REDACTED USER] 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 |
| Janet Thomas @JanetThomas47 @sarahphysiomom [REDACTED USER] 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 |
| sarah lambert @sarahphysiomom [REDACTED USER] [REDACTED USER] Agree #physiotalk Also goes against professional autonomy |
| kirstie @blueghee80 [REDACTED USER] 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 [REDACTED USER] [REDACTED USER] 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 |
| sarah lambert @sarahphysiomom [REDACTED USER] 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 |
| Janet Thomas @JanetThomas47 @FinneganSusanne [REDACTED USER] [REDACTED USER] 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 |
| Dr Susanne Arnold @FinneganSusanne [REDACTED USER] Would love to hear about some success stories or examples of good practice to share with [REDACTED USER] members. #physiotalk |
| sarah lambert @sarahphysiomom @FinneganSusanne [REDACTED USER] Cost is a barrier - council classes are subsidised. Even then people worry about cost. Transport probably and even bigger barrier #physiotalk |
| Janet Thomas @JanetThomas47 @FinneganSusanne [REDACTED USER] 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 [REDACTED USER] [REDACTED USER] 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 |
| sarah lambert @sarahphysiomom [REDACTED USER] [REDACTED USER] @ClaireOCPhysio [REDACTED USER] The gap is with those who take longer to recover or are too fatigued to progress quickly #physiotalk |
| Dr Susanne Arnold @FinneganSusanne [REDACTED USER] @sarahphysiomom [REDACTED USER] We need evidence don’t we 🤔🤔🤔#physiotalk |
| Janet Thomas @JanetThomas47 [REDACTED USER] 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 [REDACTED USER] Cost and transport big issues with us in the community. Also, buy in from patients as to the benefits/scope of reconditioning #physiotalk |
| sarah lambert @sarahphysiomom [REDACTED USER] 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 [REDACTED USER] @sarahphysiomom [REDACTED USER] I know we are starting to look at this with [REDACTED USER] but needs a big push - happy for [REDACTED USER] to get involved and try to use some influence with the CSP??? #physiotalk |
| Andrea Funnell @AndreaFunnell [REDACTED USER] @Physioholic [REDACTED USER] [REDACTED USER] @physioholic [REDACTED USER]. 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 |
| sarah lambert @sarahphysiomom [REDACTED USER] Pet peeve is having to practice stairs in busy communal areas or quiet freezing back staircases …. #physiotalk |
| kirstie @blueghee80 [REDACTED USER] 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 |
| Andrea Funnell @AndreaFunnell [REDACTED USER] 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 |
| Dr Susanne Arnold @FinneganSusanne [REDACTED USER] [REDACTED USER] 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: [REDACTED USER] I speak at the trust frailty days on the impacts of deconditioning and we discuss ways of overcoming this on… |
| kirstie @blueghee80 @AndreaFunnell [REDACTED USER] #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 [REDACTED USER] This is great to hear 👍🏻👍🏻👍🏻#physiotalk |
| sarah lambert @sarahphysiomom [REDACTED USER] Education , changing culture, empowering nursing staff that they can mobilise patients! #physiotalk |
| sarah lambert @sarahphysiomom [REDACTED USER] @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 |
| 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 |
| Andrea Funnell @AndreaFunnell [REDACTED USER] [REDACTED USER] [REDACTED USER] Agree something I have wanted for years. We need to get the message everywhere! #physiotalk |
| Yvonne Connell @YvonneConnell @ClaireOCPhysio [REDACTED USER] @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 [REDACTED USER] 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 |
| sarah lambert @sarahphysiomom [REDACTED USER] [REDACTED USER] No, but our trust is looking to employ frailty practitioners on each ward to encourage dressing/ ADLs etc #physiotalk |
| Yvonne Connell @YvonneConnell @ClaireOCPhysio [REDACTED USER] @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 |
| @RocioPCE [REDACTED USER] [REDACTED USER] 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 | |
| @RocioPCE [REDACTED USER] 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 | |
| @RocioPCE [REDACTED USER] 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 |
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