#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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physiotalk @physiotalk
Welcome to tonight’s #physiotalk. We’re talking Long COVID assessment. Join in or listen in, the choice is yours.
physiotalk @physiotalk
A reminder that we’re learning about a new multi- system disease that cuts across practice and is presenting in massive numbers. Long COVID affects all of our work. Please be respectful and professional towards people at all stages of learning. #physiotalk
Janet Thomas @JanetThomas47
RT @physiotalk: A reminder that we’re learning about a new multi- system disease that cuts across practice and is presenting in massive num…
Omar Khoja @OmarKhoja
RT @physiotalk: Long COVID and Physiotherapy Assessment: Safety First #Physiotalk 07/06/21 8pm BST https://t.co/LHzZ16NHqu
physiotalk @physiotalk
So, before we get started, let’s check in…… How are you this evening? Please introduce yourself, where you are from etc…. And don’t forget the hashtag! #physiotalk
Janet Thomas @JanetThomas47
Good evening. Looking forwards to tonights tweetchat. I'll be on the @physiotalk account watching out for your hashtags tonight :) #physiotalk
Helen Harte @Hartey_PT
@physiotalk And tonight I'm driving the #physiotalk bus. Looking forward to a vibrant conversation
Community Physio @PhysioCommunity
@physiotalk community physio,derbyshire, still learning... #physiotalk
physiotalk @physiotalk
Welcome! Just a reminder to use the #physiotalk hashtag in your replies
Chris Parton @cjparton1
@physiotalk Looking forward to this evening, student physio (Keele), living in sunny Buxton... #physiotalk
nicola perry-gower @perrynic
RT @physiotalk: Long COVID and Physiotherapy Assessment: Safety First #Physiotalk 07/06/21 8pm BST https://t.co/LHzZ16NHqu
María Fernández @minaharker20_12
@physiotalk I'm Maria, from Spain, 32yro, hello! #physiotalk https://t.co/OfThHXVXCi
physiotalk @physiotalk
A reminder that Tweetchatting is as easy as 1... 2... 3... #physiotalk https://t.co/F5fJHvNLNY
María Fernández @minaharker20_12
RT @physiotalk: A reminder that Tweetchatting is as easy as 1... 2... 3... #physiotalk https://t.co/F5fJHvNLNY
physiotalk @physiotalk
Great to have you all here tonight. Let’s get started with our first question of the evening #physiotalk
physiotalk @physiotalk
@darrenabrown @LongCOVIDPhysio Welcome and thank you for taking part tonight #physiotalk
physiotalk @physiotalk
@minaharker20_12 Welcome! #physiotalk
physiotalk @physiotalk
Qu: Tell us how you do Long COVID assessments in your setting? Are you doing In person or virtual assessment? #physiotalk
Rachel Senior @RachelSenior13
@physiotalk Respiratory physio in Dorset. Interested in long covid and how I as a physio can help not harm #physiotalk
Dr Michelle Bull 💙 @MichelleBull4
@physiotalk Hi all I'm Michelle from sunny Surrey 😎 #physiotalk
Karen West 💙 @KWestPhysio
@physiotalk Hi. Karen, community physio and long covid AHP lead for SE Hampshire #physiotalk
physiotalk @physiotalk
@MichelleBull4 Think tonight it might be sunny most places?! Its even sunny in Edinburgh :) #physiotalk
physiotalk @physiotalk
RT @RachelSenior13: @physiotalk Respiratory physio in Dorset. Interested in long covid and how I as a physio can help not harm #physiotalk
Ajin J Thomas @ajinjt
@physiotalk Physio from Abu Dhabi UAE. Long time since I attended my last #physiotalk
Hannah Malyon @HannahMalyon
@physiotalk Hi! Hannah from Berkshire. We are doing both virtual and face to face appointments #physiotalk
Francis @F_MagUidhir
@physiotalk In person, 6mwt, steer ramp tests and a lengthy discussion re: hx , meds and goals. 1 hour assessment #physiotalk
Community Physio @PhysioCommunity
@physiotalk long covid mdt is virtual (not patient facing). long covid patients picked up by routine services (community) are seen f2F #physiotalk
Francis @F_MagUidhir
@HannahMalyon @physiotalk Are patients mostly happy with the virtual appointments? #physiotalk
physiotalk @physiotalk
I can see a few tweets slipping through without the hashtag! Just a reminder to put #physiotalk in ALL your tweets - yes even your replies!
Darren Brown @darrenabrown
@physiotalk I was assessed in person at @KingsCollegeNHS #PhysioTalk
physiotalk @physiotalk
@F_MagUidhir @HannahMalyon Great Qu- the future seems to be blended. #physiotalk
Karen West 💙 @KWestPhysio
@physiotalk Doing virtual assessments, but have done a couple of visits to people who didn't have tablets / Web cams #physiotalk
Jessica DeMars @BreathewellPT
@physiotalk Jessica in 🇨🇦. Mainly virtual (60 min)but do some in-home (90 min) when there are Respiratory or cardiac concerns that may need further objective measures. Virtual is better for those with profound fatigue. #Physiotalk
María Fernández @minaharker20_12
RT @physiotalk: I can see a few tweets slipping through without the hashtag! Just a reminder to put #physiotalk in ALL your tweets - yes…
María Fernández @minaharker20_12
RT @physiotalk: A reminder that we’re learning about a new multi- system disease that cuts across practice and is presenting in massive num…
physiotalk @physiotalk
@darrenabrown @KingsCollegeNHS And was that important to you or would you have been equally happy with a virtual or blended assessment? #physiotalk
physiotalk @physiotalk
@F_MagUidhir @HannahMalyon How would services decide who to offer a virtual vs in person assessment #physiotalk
physiotalk @physiotalk
#physiotalk
physiotalk @physiotalk
RT @BreathewellPT: @physiotalk Jessica in 🇨🇦. Mainly virtual (60 min)but do some in-home (90 min) when there are Respiratory or cardiac co…
physiotalk @physiotalk
#physiotalk
Darren Brown @darrenabrown
@physiotalk @KingsCollegeNHS #PhysioTalk it was important to me. I’ve had to fight so hard to access healthcare. I want humans, not phones/screens. But … my appointment resulted in a crash/relapse/episode for a week after
physiotalk @physiotalk
RT @darrenabrown: @physiotalk @KingsCollegeNHS #PhysioTalk it was important to me. I’ve had to fight so hard to access healthcare. I want h…
physiotalk @physiotalk
@darrenabrown @KingsCollegeNHS And thats something really important to consider- assessment burden, escalation of symptoms.... #physiotalk
physiotalk @physiotalk
#physiotalk
Francis @F_MagUidhir
@physiotalk @HannahMalyon Good Q. Here in Switzerland we can't bill for virtual appointments which is frustrating during a pandemic! Would love to see it change. #physiotalk
physiotalk @physiotalk
Just a another gentle reminder to please use the #physiotalk hashtag so everyone can track the conversation
Janet Thomas @JanetThomas47
RT @physiotalk: I can see a few tweets slipping through without the hashtag! Just a reminder to put #physiotalk in ALL your tweets - yes…
Darren Brown @darrenabrown
@physiotalk @KingsCollegeNHS #PhysioTalk in person it felt like there was more opportunity to consider onward referrals. Hold the situation to account. It felt validating to have a service in person.
Cathy Thomson @cathythomsonPT
@physiotalk @F_MagUidhir @HannahMalyon would be good if patients were offered the option #physiotalk
physiotalk @physiotalk
Next Qu: For those active in seeing people with Long COVID both in p0erson or virtually, Do you screen subjectively for Long COVID organ damage? And if so what do you ask? #physiotalk
physiotalk @physiotalk
@F_MagUidhir @HannahMalyon That is frustrating! Makes you realise how much of healthcare might be driven by the system you work in rather than patient need? #physiotalk
nicola perry-gower @perrynic
@physiotalk MDT face to face assessments in pulmonary rehabilitation service #physiotalk
Darren Brown @darrenabrown
@cathythomsonPT @physiotalk @F_MagUidhir @HannahMalyon Yes! This 👆 #PhysioTalk https://t.co/rk2BhgIKrX
Hannah Malyon @HannahMalyon
@physiotalk @F_MagUidhir We mostly let the patient decide. We offer both. Unless it might be obvious from the referral which one is needed #physiotalk
Darren Brown @darrenabrown
RT @physiotalk: Next Qu: For those active in seeing people with Long COVID both in p0erson or virtually, Do you screen subjectively for Lon…
physiotalk @physiotalk
RT @HannahMalyon: @physiotalk @F_MagUidhir We mostly let the patient decide. We offer both. Unless it might be obvious from the referral wh…
Helen Harte @Hartey_PT
@darrenabrown @cathythomsonPT @physiotalk @F_MagUidhir @HannahMalyon Amen to that #physiotalk
Aimee Robson 💙 @AimeeRobson4
RT @HannahMalyon: @physiotalk @F_MagUidhir We mostly let the patient decide. We offer both. Unless it might be obvious from the referral wh…
physiotalk @physiotalk
Please excuse the typo in that Qu! #physiotalk
physiotalk @physiotalk
RT @physiotalk: Next Qu: For those active in seeing people with Long COVID both in p0erson or virtually, Do you screen subjectively for Lon…
physiotalk @physiotalk
The silence on this is interesting- is there anxiety here about what to screen for, how to ask, whether its necessary? #physiotalk
Tyler @TylerTracy10
@physiotalk #vitalsarevital #physiotalk
physiotalk @physiotalk
Will tweet out as a poll to see responses from that! #physiotalk
Francis @F_MagUidhir
@physiotalk #physiotalk concerned with all systems. Many referrals to Neurologists which I found interesting.
Darren Brown @darrenabrown
@physiotalk Are there effective ways to screen for organ damage subjectively? #PhysioTalk
Chris Parton @cjparton1
RT @physiotalk: Long COVID and Physiotherapy Assessment: Safety First #Physiotalk 07/06/21 8pm BST https://t.co/LHzZ16NHqu
physiotalk @physiotalk
POLL: Do you screen subjectively for Long COVID organ damage? #physiotalk
Aimee Robson 💙 @AimeeRobson4
@physiotalk Howdy all 👋 I’m semi lurking bc of little ones’ bedtime 🤞🙏 #hellomynameis Aimee. Physio by background, Deputy director personalised care #physiotalk
Community Physio @PhysioCommunity
@cathythomsonPT @physiotalk @F_MagUidhir @HannahMalyon yes #physiotalk
Karen West 💙 @KWestPhysio
@physiotalk Somewhat reliant on GP to do bloods, ECG, CXR before referring #physiotalk
Aimee Robson 💙 @AimeeRobson4
RT @physiotalk: POLL: Do you screen subjectively for Long COVID organ damage? #physiotalk
physiotalk @physiotalk
@AimeeRobson4 Lurking fully or partially always welcome! #physiotalk
Darren Brown @darrenabrown
RT @physiotalk: POLL: Do you screen subjectively for Long COVID organ damage? #physiotalk
Aimee Robson 💙 @AimeeRobson4
@darrenabrown @physiotalk @KingsCollegeNHS @Pers_Care Darn. hashtag 🙄 #physiotalk
physiotalk @physiotalk
@KWestPhysio But what about people seeing physio as a first port of call? in private practice perhaps? Not always a referral into a service but person seeking their own care? #physiotalk
physiotalk @physiotalk
@AimeeRobson4 @darrenabrown @KingsCollegeNHS @Pers_Care You got the #wmty21 hashtag in though :) #physiotalk
Dr Michelle Bull 💙 @MichelleBull4
RT @physiotalk: POLL: Do you screen subjectively for Long COVID organ damage? #physiotalk
Dr Michelle Bull 💙 @MichelleBull4
RT @darrenabrown: @physiotalk Are there effective ways to screen for organ damage subjectively? #PhysioTalk
physiotalk @physiotalk
Qu: Do you routinely assess for Post Exertional Symptom Exacerbation (PESE) / Post Exertional Malaise (PEM) within the initial assessment? #physiotalk
Darren Brown @darrenabrown
#PhysioTalk
Community Physio @PhysioCommunity
@physiotalk @KWestPhysio #physiotalk we do accept self referral too
Aimee Robson 💙 @AimeeRobson4
@physiotalk @darrenabrown @KingsCollegeNHS @Pers_Care True 😂 #physiotalk #WMTY21 https://t.co/XIwGpqS4kN
Rachel Senior @RachelSenior13
@physiotalk We screen as part of the MDT/referral process . Standard tests though, CXR, ECG, Bloods including ferritin, BNP, DDimer if indicated. I then use really careful questioning to see if I need to try and advocate for my patients to have further investigations. #physiotalk
Darren Brown @darrenabrown
RT @physiotalk: Qu: Do you routinely assess for Post Exertional Symptom Exacerbation (PESE) / Post Exertional Malaise (PEM) within the init…
Dr Michelle Bull 💙 @MichelleBull4
@darrenabrown @physiotalk Really interesting indeed #physiotalk
Jessica DeMars @BreathewellPT
@darrenabrown @physiotalk Agree Darren! Most people I have seen have had CXR +\- CT scan, PFT and echo/ECG; if not I help them get at least those done if SOB or tachycardia. I ask about HR (if they track it and notice changes). In person I check HR, SpO2 and BP. #physiotalk
Cathy Thomson @cathythomsonPT
@physiotalk Not possible to screen subjectively......... sounds like it's possible to rule out pathology from the subjective. Need a thorough medical assessment and appropriate investigations to screen. #physiotalk
Francis @F_MagUidhir
@physiotalk #physiotalk it is present in approx 90% of my patients. We don't use an objective measure. Do others use a standardised tool for this?
Claire Jones @Claire145
@physiotalk #physiotalk this is interesting... not active in seeing these patients but as a physio ACP I would want to screen myself by checking for any red flag symptoms for cardiac, resp or neuro issues. Refer on/back where indicated before proceeding with treatment
Dr Michelle Bull 💙 @MichelleBull4
Really hoping the answer is yes on this one!! #physiotalk
physiotalk @physiotalk
@BreathewellPT @darrenabrown @PhysioCommunity @KWestPhysio so can I ask what sorts of questions you are asking? #physiotalk
physiotalk @physiotalk
RT @MichelleBull4: Really hoping the answer is yes on this one!! #physiotalk https://t.co/0tbsCU5BWr
Community Physio @PhysioCommunity
#physiotalk nly if subjective indicates this or if referred in with long covid. might be suffering and not aware when come to us.
Helen Harte @Hartey_PT
Fingers Crossed #physiotalk
Cathy Thomson @cathythomsonPT
@physiotalk I'm glad that the term PESE is being used - much more relevant and encompasses all symptoms not just malaise/fatigue #physiotalk
physiotalk @physiotalk
RT @cathythomsonPT: @physiotalk I'm glad that the term PESE is being used - much more relevant and encompasses all symptoms not just malais…
Darren Brown @darrenabrown
@F_MagUidhir @physiotalk That’s a high proportion. Interesting finding. How do you identify those with PESE/PEM in your clinical setting? I’d love to hear what others are using as screening tools. #PhysioTalk
Darren Brown @darrenabrown
RT @cathythomsonPT: @physiotalk I'm glad that the term PESE is being used - much more relevant and encompasses all symptoms not just malais…
physiotalk @physiotalk
#physiotalk
Darren Brown @darrenabrown
@cathythomsonPT @physiotalk #PhysioTalk https://t.co/QinuY9TWYN
physiotalk @physiotalk
RT @physiotalk: POLL: Do you screen subjectively for Long COVID organ damage? #physiotalk
physiotalk @physiotalk
Sensitive and respectful communication is so important when we’re talking about Long COVID. Too many people with lived experience talk about gaslighting. #physiotalk
Rachel Senior @RachelSenior13
@physiotalk I certainly try to! From my limited experience, sometimes it seems so obvious and sometimes very nuanced. #physiotalk
Community Physio @PhysioCommunity
@physiotalk @BreathewellPT @darrenabrown @KWestPhysio #physiotalk apart from conversation i have seen diary type assessments used
Darren Brown @darrenabrown
@F_MagUidhir @physiotalk Just incase … here’s some info #Physiotalk https://t.co/3NeWSVU23c
physiotalk @physiotalk
#physiotalk https://t.co/oOYW3NARnv
physiotalk @physiotalk
Really great conversation tonight- very insightful. Qu: What does your organisation require you to use as Outcome Measures within the standard dataset? #physiotalk
physiotalk @physiotalk
RT @darrenabrown: @F_MagUidhir @physiotalk Just incase … here’s some info #Physiotalk https://t.co/3NeWSVU23c
Darren Brown @darrenabrown
RT @physiotalk: Sensitive and respectful communication is so important when we’re talking about Long COVID. Too many people with lived exp…
Emma @EmmaGentle16
RT @physiotalk: Sensitive and respectful communication is so important when we’re talking about Long COVID. Too many people with lived exp…
Aimee Robson 💙 @AimeeRobson4
RT @physiotalk: Really great conversation tonight- very insightful. Qu: What does your organisation require you to use as Outcome Measures…
Darren Brown @darrenabrown
RT @physiotalk: Really great conversation tonight- very insightful. Qu: What does your organisation require you to use as Outcome Measures…
Aimee Robson 💙 @AimeeRobson4
RT @physiotalk: Sensitive and respectful communication is so important when we’re talking about Long COVID. Too many people with lived exp…
Dr Michelle Bull 💙 @MichelleBull4
RT @darrenabrown: @F_MagUidhir @physiotalk Just incase … here’s some info #Physiotalk https://t.co/3NeWSVU23c
Community Physio @PhysioCommunity
@physiotalk #physiotalk EKOS (east kent outcomes scale) very goal oreitated and patient centred, the rest is up to us
physiotalk @physiotalk
Over halfway through but still quite a few tweets getting sent without hashtags We are trying to find them all - but please do try to add the #physiotalk hashtag to ALL your tweets and replies Thank you!
Darren Brown @darrenabrown
@physiotalk Interestingly the measurement tools used where I work and where I was assessed are not the same. #physiotalk
Cathy Thomson @cathythomsonPT
@physiotalk thank you for acknowledging this. So important to listen to understand not judge. As a physio with longcovid we bring our clinical expertise as well as lived experience so have valuable insight #physiotalk
Emma @EmmaGentle16
@physiotalk We use EQ 5D 5L and TOMs as standard for all but will do specific outcome measures for specific issues e.g. for mental health, breathlessness #physiotalk
physiotalk @physiotalk
#physiotalk
Dr Michelle Bull 💙 @MichelleBull4
RT @physiotalk: Really great conversation tonight- very insightful. Qu: What does your organisation require you to use as Outcome Measures…
Francis @F_MagUidhir
@darrenabrown @physiotalk #physiotalk I use four questions to determine mental or physical stress or fatigue after an effort that was previously easy. After first training session I ask pts to let me know how the next three days go. 90% report feeling fatigue. Not sure that constitutes PESE tho.
Hannah Malyon @HannahMalyon
@physiotalk Currently have gad 7 and phq 9. But will use relevant outcome measures based on symptoms when required. E.g. if patient is being mostly seen for BPD then we use appropriate to that. Open to suggestions. #physiotalk
Cathy Thomson @cathythomsonPT
@F_MagUidhir @darrenabrown @physiotalk What 4 Q? #physiotalk
physiotalk @physiotalk
@cathythomsonPT @F_MagUidhir @darrenabrown Just about to ask the same question! #physiotalk
Community Physio @PhysioCommunity
@F_MagUidhir @darrenabrown @physiotalk #physiotalk what are the questions?
Rachel Senior @RachelSenior13
@darrenabrown @physiotalk Which ones do they use #physiotalk 🤦‍♀️
KarenPhysioCoUk @karenphysiocouk
RT @physiotalk: Qu: Do you routinely assess for Post Exertional Symptom Exacerbation (PESE) / Post Exertional Malaise (PEM) within the init…
physiotalk @physiotalk
@HannahMalyon BPD? #physiotalk
Helen Harte @Hartey_PT
@HannahMalyon @physiotalk So is this standard for all? I wonder why the emphasis on anxiety & depression? #physiotalk
Helen Harte @Hartey_PT
@physiotalk @HannahMalyon Breathing pattern disorder #physiotalk
Darren Brown @darrenabrown
@cathythomsonPT @F_MagUidhir @physiotalk These questions could prove useful #PhysioTalk https://t.co/d1HIhyoAGX
Community Physio @PhysioCommunity
@physiotalk @HannahMalyon #physiotalk sorry, what is bpd?
Karen West 💙 @KWestPhysio
@physiotalk @BreathewellPT @darrenabrown @PhysioCommunity Using a few PROMS - asking about mood, SOB, brain fog, anxiety and fatigue. Will complete 1 min sit to stand to look for POTS and desaturation if needed #physiotalk
physiotalk @physiotalk
RT @darrenabrown: @cathythomsonPT @F_MagUidhir @physiotalk These questions could prove useful #PhysioTalk https://t.co/d1HIhyoAGX
physiotalk @physiotalk
something of a follow up Qu: Do you feel empowered to use your clinical reasoning to decide which measures to use? #physiotalk
Dr Michelle Bull 💙 @MichelleBull4
RT @darrenabrown: @cathythomsonPT @F_MagUidhir @physiotalk These questions could prove useful #PhysioTalk https://t.co/d1HIhyoAGX
physiotalk @physiotalk
RT @Hartey_PT: @physiotalk @HannahMalyon Breathing pattern disorder #physiotalk
physiotalk @physiotalk
#physiotalk
Janet Thomas @JanetThomas47
@Hartey_PT @physiotalk @HannahMalyon Thank you! I could only think of Borderline Personality Disorder and I was pretty sure that wasn't what was meant! #physiotalk
Karen West 💙 @KWestPhysio
@physiotalk @BreathewellPT @darrenabrown @PhysioCommunity I generally start off inviting patient to tell their story, from the beginning if they want. Then I ask questions to clarify and add narrative to PROMS. #physiotalk
Hannah Malyon @HannahMalyon
@Hartey_PT @physiotalk I'm very interested to see what everyone else is using, still growing, learning and developing our service #physiotalk
physiotalk @physiotalk
#physiotalk
Emma @EmmaGentle16
@physiotalk Yes and I think this is important - everyone's story and presentation is unique and therefore different outcome measures will be needed for different individuals. I see value in having additional standardised outcome measures which encompass various domains of health #physiotalk
Karen West 💙 @KWestPhysio
@physiotalk Go by patient history #physiotalk , they tend to tell you almost everything you need to know #physiotalk
Dr Michelle Bull 💙 @MichelleBull4
RT @KWestPhysio: @physiotalk Go by patient history #physiotalk , they tend to tell you almost everything you need to know #physiotalk
Cathy Thomson @cathythomsonPT
@KWestPhysio @physiotalk @BreathewellPT @darrenabrown @PhysioCommunity That's great practice. Being heard, listened to and having the experience validated is so important and therapeutic in itself #physiotalk
physiotalk @physiotalk
RT @EmmaGentle16: @physiotalk Yes and I think this is important - everyone's story and presentation is unique and therefore different outco…
Cathy Thomson @cathythomsonPT
@EmmaGentle16 @physiotalk such as? #physiotalk
Joan McParland #LongME21years @JoanMcParland
RT @darrenabrown: @F_MagUidhir @physiotalk Just incase … here’s some info #Physiotalk https://t.co/3NeWSVU23c
Karen West 💙 @KWestPhysio
@cathythomsonPT @physiotalk Exertion certainly makes brain fog worse, not just physical activity - mental and emotional effort makes people feel worse #physiotalk
Helen Harte @Hartey_PT
@HannahMalyon @physiotalk Thanks Hannah- context is key :) Still hearing horrorstories out there that *some* clinicians think LC is psychosomatic..... #physiotalk
physiotalk @physiotalk
RT @HannahMalyon: @Hartey_PT @physiotalk I'm very interested to see what everyone else is using, still growing, learning and developing our…
physiotalk @physiotalk
RT @KWestPhysio: @cathythomsonPT @physiotalk Exertion certainly makes brain fog worse, not just physical activity - mental and emotional e…
Francis @F_MagUidhir
@darrenabrown @cathythomsonPT @physiotalk I'm going to translate this to french and I'll see how it goes. Your site is great BTW. #physiotalk
Cathy Thomson @cathythomsonPT
@KWestPhysio @physiotalk I crashed in August 2020 after too much cognitive effort and have yet to return to my pre-crash level :-/ #physiotalk
physiotalk @physiotalk
Heading onto the home straight for tonight’s chat, our last question coming up, but of course you can keep chatting…… #physiotalk
physiotalk @physiotalk
Qu: How do you decide when to advocate for physical activity and when to #StopRestPace? #physiotalk
Janet Thomas @JanetThomas47
RT @physiotalk: Qu: How do you decide when to advocate for physical activity and when to #StopRestPace? #physiotalk
Dr Michelle Bull 💙 @MichelleBull4
RT @physiotalk: Qu: How do you decide when to advocate for physical activity and when to #StopRestPace? #physiotalk
Darren Brown @darrenabrown
RT @physiotalk: Qu: How do you decide when to advocate for physical activity and when to #StopRestPace? #physiotalk
Claire Jones @Claire145
@ricardoNOmesqui @darrenabrown @physiotalk #physiotalk I would suggest screening questions for red flag symptoms, followed by routine tests (e.g. ECG if cardiac sx) if necessary, looking to delve deeper as required... e.g. rapid access chest pain clinics/echocardiogram etc
Claire Jones @Claire145
@ricardoNOmesqui @darrenabrown @physiotalk #physiotalk also safety netting is so important... organ damage symptoms could potentially show signs later down the line or progress
Hannah Malyon @HannahMalyon
@Hartey_PT @physiotalk Goodness me no! At the Royal Berkshire the long covid service was born from the pain department, so maybe that is where thoughts of gad and phq came from. I have only been in post for 4 weeks. So learning as much as I can and growing as a team. #physiotalk
Francis @F_MagUidhir
@physiotalk @cathythomsonPT @darrenabrown Will reply tomorrow! Brain dead but the gist is ADLs that they now find difficult and how they currently cope with effort and consequences of exertion. #physiotalk
Karen West 💙 @KWestPhysio
@HannahMalyon @physiotalk Are you using the Nijmegen questionnaire? #physiotalk
Hannah Malyon @HannahMalyon
@KWestPhysio @physiotalk Yes we do. #physiotalk
Darren Brown @darrenabrown
@Claire145 @ricardoNOmesqui @physiotalk This is happening lots. Many either developing issues later, or waiting a long time for investigations. I’ve only just been diagnosed with pulmonary impairment 14 months after infection #PhysioTalk
Karen West 💙 @KWestPhysio
@physiotalk Getting there - at the beginning I just wanted anything to point me in the right direction to know where to start #physiotalk
physiotalk @physiotalk
#physiotalk
Cathy Thomson @cathythomsonPT
@Claire145 @ricardoNOmesqui @darrenabrown @physiotalk And examples of new pathology developing along the timeline. Important to stay vigilant #physiotalk
Karen West 💙 @KWestPhysio
@physiotalk We were sending out PROMS and questionnaire prior to appointment and doing initial based on their answers. Will soon move to using the Living With Covid app instead #physiotalk
physiotalk @physiotalk
For those who may not have seen it - https://t.co/j0zrHX0yrr #physiotalk
Karen West 💙 @KWestPhysio
@cathythomsonPT @EmmaGentle16 @physiotalk WSAS #physiotalk
Helen Harte @Hartey_PT
Tweet of the night for me... stay viglilant. LC so messy, unpredictable. #physiotalk
Darren Brown @darrenabrown
RT @Hartey_PT: Tweet of the night for me... stay viglilant. LC so messy, unpredictable. #physiotalk
Francis @F_MagUidhir
@physiotalk Amazing #physiotalk
physiotalk @physiotalk
Can you believe that’s the hour almost up? I hope you’ve enjoyed our tweetchat this evening. Thank you for your contribution- it is always highly valued by us. Stay happy & healthy. #physiotalk
physiotalk @physiotalk
RT @physiotalk: Qu: How do you decide when to advocate for physical activity and when to #StopRestPace? #physiotalk
Karen West 💙 @KWestPhysio
@physiotalk WSAS https://t.co/Edv5tT4x1w #physiotalk
physiotalk @physiotalk
@KWestPhysio @cathythomsonPT @EmmaGentle16 Work and social adjustment scale?? Checking acronyms again! #physiotalk
physiotalk @physiotalk
One I think we might need to return to on another #physiotalk Tweetchat. Would people be up for that?
ACPSEMdance @ACPSEMdance
RT @KWestPhysio: @physiotalk WSAS https://t.co/Edv5tT4x1w #physiotalk
Dr Michelle Bull 💙 @MichelleBull4
@physiotalk #physiotalk has this question got missed by people? I'm intrigued.....
ACPSEMdance @ACPSEMdance
RT @physiotalk: For those who may not have seen it - https://t.co/j0zrHX0yrr #physiotalk
physiotalk @physiotalk
#StopRestPace I mean #physiotalk
physiotalk @physiotalk
@MichelleBull4 Not sure! Just retweeted it in case it was... Plenty of time to respond as well, as we won't pull the transcript for a while #physiotalk
Francis @F_MagUidhir
@physiotalk We need to discuss treatment ! #physiotalk
Karen West 💙 @KWestPhysio
@physiotalk @cathythomsonPT @EmmaGentle16 Sorry, did post a reference but it is somewhere else in the chat! #physiotalk https://t.co/Edv5tT4x1w
Community Physio @PhysioCommunity
@MichelleBull4 @physiotalk #physiotalk
physiotalk @physiotalk
@F_MagUidhir Yes we do! #physiotalk
physiotalk @physiotalk
RT @KWestPhysio: @physiotalk @cathythomsonPT @EmmaGentle16 Sorry, did post a reference but it is somewhere else in the chat! #physiotalk
Hannah Malyon @HannahMalyon
@physiotalk I think it should be based on the individual. #physiotalk
physiotalk @physiotalk
@KWestPhysio @cathythomsonPT @EmmaGentle16 Thanks! #physiotalk
physiotalk @physiotalk
Hope to see you again in a fortnight for our next #physiotalk we’ll be announcing the topic soon.
Claire Jones @Claire145
@physiotalk #physiotalk I'm talking as a bit of an outside here as I work in Cardiac Rehab and not seeing long covid patients... or am I?? I see patients who have had MI and COVID who have LVSD - very similar symptoms of breathlessness and/or fatigue/PEM...
Dr Michelle Bull 💙 @MichelleBull4
RT @physiotalk: @MichelleBull4 Not sure! Just retweeted it in case it was... Plenty of time to respond as well, as we won't pull the trans…
physiotalk @physiotalk
We’ll pull the transcript in a while (so please do keep talking) and it will be available soon via Twitter and the website. #physiotalk
physiotalk @physiotalk
#physiotalk
María Fernández @minaharker20_12
RT @physiotalk: Sensitive and respectful communication is so important when we’re talking about Long COVID. Too many people with lived exp…
Karen West 💙 @KWestPhysio
@ricardoNOmesqui @darrenabrown @physiotalk I am fortunate in having a consultant in MDT to talk through patients with #physiotalk
Rachel Senior @RachelSenior13
@physiotalk Very individual. #Physiotalk
physiotalk @physiotalk
And continue to use the hashtag otherwise it won't be in the transcript! #physiotalk
Claire Jones @Claire145
@physiotalk #physiotalk I advise these patients to #stoprestpace on particularly bad days. Gentle exercise tailored to the individual on other days... May be seated, may be gentle strength work may be a short walk. But never over exert on the good days despite feeling well
Jessica DeMars @BreathewellPT
@KWestPhysio @physiotalk @darrenabrown @PhysioCommunity Absolutely this! I want them to tell me what is going on - in their own words. #physiotalk
physiotalk @physiotalk
#physiotalk
Hannah Malyon @HannahMalyon
@KWestPhysio @physiotalk @BreathewellPT @darrenabrown @PhysioCommunity Agreed #physiotalk
physiotalk @physiotalk
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physiotalk @physiotalk
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María Fernández @minaharker20_12
@physiotalk 1st home health visit with a person with #longcovid, tomorrow morning #physiotalk
physiotalk @physiotalk
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physiotalk @physiotalk
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physiotalk @physiotalk
@F_MagUidhir @darrenabrown @cathythomsonPT @LongCOVIDPhysio The joys of twitter! #GlobalPT #physiotalk
Karen West 💙 @KWestPhysio
@physiotalk @BreathewellPT @darrenabrown @PhysioCommunity Initial assessments have often been very emotional experiences, often the first time people have told their story to an HCP. #physiotalk
Karen West 💙 @KWestPhysio
@physiotalk @BreathewellPT @darrenabrown @PhysioCommunity We screen for PTSD, just as common in those who were hospitalised as those who weren't #physiotalk
Karen West 💙 @KWestPhysio
@BreathewellPT @physiotalk @darrenabrown @PhysioCommunity We need another @physiotalk next week to discuss management of long covid, an hour wasn't really long enough to discuss assessment! #physiotalk
Dr Michelle Bull 💙 @MichelleBull4
@KWestPhysio @BreathewellPT @physiotalk @darrenabrown @PhysioCommunity Agreed #physiotalk still so much more to discuss
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