#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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| Profile | Tweet |
|---|---|
 | physiotalk @physiotalk Good evening and welcome to tonights #physiotalk on Physiotherapy and Cooking |
| physiotalk @physiotalk Our guest host this week is @BenRowlesPhysio Thank you for the suggested topic and questions Ben! #physiotalk |
| physiotalk @physiotalk So as usual we'll start with hellos! Let us know who you are, where you are tweeting from and for tonight only - the last thing you cooked! #physiotalk |
 | Karen West 💙 @KWestPhysio @physiotalk Hi 🙂🧁 #physiotalk |
 | B e n R o w l e s @BenRowlesPhysio @physiotalk Thank you #physiotalk Great to be here tonight! |
 | Janet Thomas @JanetThomas47 @physiotalk Hi! I'm on the @physiotalk account tonight from a slight sunny Edinburgh The last thing I cooked was Spicy Singapore noodles - but I've also got blackcurrants stewing to make into jam when we finish! #physiotalk |
| physiotalk @physiotalk @BenRowlesPhysio Great to have you and a great topic! I think most physios love cooking (or perhaps not - we will find out tonight) #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk I'm in sunny Hampshire, pizza (home made and hand stretched) #physiotalk |
| physiotalk @physiotalk @KWestPhysio Sounds lovely! #physiotalk |
 | Physiotherapy Association of Saint Lucia Inc. @pasl_pt @physiotalk. Hi Everyone! This is Sibyl tweeting from Sunny Caribbean Island of Saint Lucia. Great topic :) #physiotalk |
| physiotalk @physiotalk @BenRowlesPhysio And a little reminder to put #physiotalk in all of your tweets tonight :) |
| Karen West 💙 @KWestPhysio @physiotalk Yes, it was #physiotalk |
| physiotalk @physiotalk @pasl_pt Welcome! #physiotalk |
| physiotalk @physiotalk A reminder of how to tweetchat! Just search for the hashtag (that's #physiotalk) And then reply to the questions and any other tweets putting the hashtag in your tweet as well! https://t.co/tHOi1InH5X |
| physiotalk @physiotalk So lets get started with the first question of tonight #physiotalk |
 | Niamh Keating @niamhkea @physiotalk Hi, Im Niamh, a physio work ing in cardiac rehab, and beef chilli is the last thing I cooked🙂 #physiotalk |
| physiotalk @physiotalk Q1: Do you think that physiotherapy is in a well placed position to promote health and well-being? #physiotalk |
| physiotalk @physiotalk @niamhkea Welcome! I'm starting to get hungry with all of these food based tweets... #physiotalk |
 | Unity Physiotherapy & Wellbeing @UnityPhysio @physiotalk Hi, tweeting from Lincoln. The last thing I cooked was a vegetable pasta sauce with a mix of veg, sundried tomatoes & ginger #physiotalk |
| physiotalk @physiotalk @UnityPhysio Yum! And welcome.... #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @niamhkea @physiotalk Hi Niamh, thank you for joining. I used to work in Cardiac Rehab and that's where a lot of my passion for Health Promotion grew! #physiotalk |
| Janet Thomas @JanetThomas47 RT @physiotalk: Q1: Do you think that physiotherapy is in a well placed position to promote health and well-being? #physiotalk |
 | EQL @EQL_AI Hi to everyone at this week's #Physiotalk. Great to be here. This is @Sharlenellopez from @weareeyecatcher tweeting on behalf of EQL, the makers of Phio, a digital-first rapid data collection tool using conversational AI covering all #MSK conditions. #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @physiotalk Really interested to hear all your thoughts on this! #physiotalk |
 | Jo Jennings (she/her) @JoJenningsNHS @physiotalk Hi in Warwickshire, made homemade pizza for lunch (sauce and Base) #physiotalk |
| Janet Thomas @JanetThomas47 Yes! Not just physical advice of course but brief interventions for general health and wellbeing very important #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @UnityPhysio @physiotalk Very Mediterranean, sounds great! #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio @physiotalk Yes absolutely! I think a lot of what we do is health coaching. There are some issues with scope of practice and lack of clarity around this (maybe not something for this tweet chat) #physiotalk |
| physiotalk @physiotalk @JoJenningsNHS Pizza seems popular tonight! Welcome! #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio RT @physiotalk: Q1: Do you think that physiotherapy is in a well placed position to promote health and well-being? #physiotalk |
| physiotalk @physiotalk RT @BenRowlesPhysio: @physiotalk Really interested to hear all your thoughts on this! #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk Definitely. I work in the community with older people. If they aren't eating well then they are unlikely to have the energy to exercise or the building blocks to build muscle. Diet and exercise go together. #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio @physiotalk It was delicious 😋 #physiotalk |
| Jo Jennings (she/her) @JoJenningsNHS @physiotalk I think so. Would like to know more about nutrition though #physiotalk |
| EQL @EQL_AI @physiotalk I think all HCPs are well placed to talk about nutrition as it'll be received with more authority than messages received from other sources (e.g friends, weight loss companies) as the focus will naturally be on health and wellbeing & the impact of nutrition on that. #physiotalk |
| physiotalk @physiotalk @UnityPhysio But an idea for another.... I like that :) #physiotalk |
 | Taher Jaffer @taher_jd @physiotalk Hi from Leicester, current lockdown city! Last thing I cooked was chicken katsu curry! #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt As Physiotherapist, research has shown that we are well-placed in the prevention and wellness sphere. Part of wellness is Nutrition #physiotalk |
| Janet Thomas @JanetThomas47 @KWestPhysio @physiotalk I say that so much to my older patients as well I can only do so much with exercise - you need the nutrition as well to build muscle #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @JanetThomas47 Great start! The NHS policy 'Making Every Contact Count' (MECC) is a good resource to look at which explores this concept more #physiotalk |
 | Practice Moving with Tom @PracticeMoving RT @physiotalk: Q1: Do you think that physiotherapy is in a well placed position to promote health and well-being? #physiotalk |
| physiotalk @physiotalk @taher_jd Sounds fabulous! Welcome #physiotalk |
| physiotalk @physiotalk RT @BenRowlesPhysio: @JanetThomas47 Great start! The NHS policy 'Making Every Contact Count' (MECC) is a good resource to look at which exp… |
| Unity Physiotherapy & Wellbeing @UnityPhysio @physiotalk It would be really helpful as I’ve come across a number of issues which I am hoping to get clarity on. It’s time for change I think #physiotalk |
| physiotalk @physiotalk RT @pasl_pt: As Physiotherapist, research has shown that we are well-placed in the prevention and wellness sphere. Part of wellness is Nutr… |
| Niamh Keating @niamhkea @physiotalk Absolutely! No matter what the speciality or setting, we are very well placed to promote health and well being. We develop meaningful therapeutic relationships with patients and by making every contact count to promote good health we can have a huge impact #physiotalk |
| Karen West 💙 @KWestPhysio @JanetThomas47 @physiotalk With my older patients I need to tell them them opposite of what I tell some of the younger ones ie take up snacking, put full fat milk in your tea and cream in your porridge #physiotalk |
| Taher Jaffer @taher_jd @physiotalk I think Yes! We are AHP’s so promoting health and well being should be part of our domain. #physiotalk |
| EQL @EQL_AI @BenRowlesPhysio @JanetThomas47 This looks really interesting. Thanks for sharing #physiotalk |
| physiotalk @physiotalk RT @niamhkea: @physiotalk Absolutely! No matter what the speciality or setting, we are very well placed to promote health and well being. W… |
| Unity Physiotherapy & Wellbeing @UnityPhysio RT @niamhkea: @physiotalk Absolutely! No matter what the speciality or setting, we are very well placed to promote health and well being. W… |
| Janet Thomas @JanetThomas47 @niamhkea @physiotalk Yes - it was part of the AHP pledge in Scotland at least 5 years ago now #physiotalk https://t.co/nvtB0KoxxA |
| B e n R o w l e s @BenRowlesPhysio @niamhkea @physiotalk Exactly! Motivational Interviewing (MI) then comes as a great accompaniment to this to aid behavioural change. I did a day's course which was amazing, changed my approach completely #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt Christine Lehmann in 2017 stated "Nutrition is so important. It directly affects the health of the musculoskeletal system,” Guiding our patients on cooking to ensure proper nutrition should be so beneficial #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio RT @pasl_pt: Christine Lehmann in 2017 stated "Nutrition is so important. It directly affects the health of the musculoskeletal system,” Gu… |
| EQL @EQL_AI @BenRowlesPhysio @niamhkea @physiotalk This sounds like an interesting topic. Do you have links to find out more? #physiotalk |
| physiotalk @physiotalk So we all agree that we should be promoting health and well being Onto a more specific question now... #physiotalk |
 | Thrive Physiotherapy Education Services @ThrivePES @physiotalk If we truly believe in coming away from a biomedical model and adopt the biopsychosocial model, then we are in the perfect place to promote health and wellbeing, no matter what specialism you are in #physiotalk |
| physiotalk @physiotalk Q2: Do you think that physiotherapy is in a well placed position to promote cooking for it's wide range of health benefits? #physiotalk |
| Karen West 💙 @KWestPhysio @JanetThomas47 @niamhkea @physiotalk Making Every Contact Count #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio @pasl_pt I’ve done an 8 week nutrition course & have been advised as a PT we can only give basic general advice in-line with the PHE campaign, anything else needs to be clear not in physio role & have additional insurance #physiotalk |
| Niamh Keating @niamhkea @BenRowlesPhysio @physiotalk Absolutely, we need to move away from telling patients what to do and enable and support them to change behaviour when ready using these skills #physiotalk. |
 | Loïc Bel @bel_loic RT @physiotalk: Q1: Do you think that physiotherapy is in a well placed position to promote health and well-being? #physiotalk |
| EQL @EQL_AI @niamhkea @BenRowlesPhysio @physiotalk #Physiotalk Totally agree with this. The behaviour change is the key part, not always the knowledge. There may be physical issues relating to cooking that could be the barrier to more healthful eating |
| Unity Physiotherapy & Wellbeing @UnityPhysio @physiotalk Yes as it’s a really important part of marinating energy, tissue healing etc. Also some people really love cooking & it’s sometimes a goal to return to #physiotalk |
| Janet Thomas @JanetThomas47 @UnityPhysio @pasl_pt We use the @agescotland Eat Well Guide for our older people Anything else specific we refer onto dietetics but they only have capacity to see those identified by MUST screening https://t.co/c56rk5dYNi #physiotalk |
| physiotalk @physiotalk #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @UnityPhysio @pasl_pt Thank you for this! Totally agree, https://t.co/9iFvyVyNkD actually aims to promote many aspects of cooking, and for nutritional advice (especially for those struggling with obesity or eating disorders) needs to be referred to a dietitian #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt #physiotalk. |
| physiotalk @physiotalk @UnityPhysio Interesting comment through the week that cooking (as an activity I presume) was an OT activity. Does anyone set cooking as a physiotherapy goal? #physiotalk |
 | Laura Rathbone🌱✌🇪🇺🌈 @laurarathbone @physiotalk Cooking is a massively culturally sensitive topic and also a taboo. Before we start blanketing everyone with cooking advice, shouldnt we be checking to find out what the person cooks, why the do/dont and what cooking means to them? #physiotalk |
| Taher Jaffer @taher_jd @physiotalk Exercises and Nutrition go hand in hand. As a Neuro Physio treating stroke survivors, teaching them to cook improves their functionality, makes them independent but also incharge of their own health, providing them with sense of achievement. #physiotalk |
| physiotalk @physiotalk RT @BenRowlesPhysio: @UnityPhysio @pasl_pt Thank you for this! Totally agree, https://t.co/9iFvyVyNkD actually aims to promote many aspects… |
| Unity Physiotherapy & Wellbeing @UnityPhysio @JanetThomas47 @pasl_pt @agescotland I think if we have done additional training we can do more and tailor some advice, though if eg diabetic we wouldn’t, need to know own boundaries within physio scope (the latter needs clarity) #physiotalk |
| physiotalk @physiotalk RT @laurarathbone: @physiotalk Cooking is a massively culturally sensitive topic and also a taboo. Before we start blanketing everyone with… |
| Niamh Keating @niamhkea @physiotalk Yes, but sadly I think that this doesnt happen in practice. Working in cardiac rehab I speak to all pts about nutrition &many mention that they dont know how to cook, and I think that this has a major influence on their eating behaviours/diet (&ultimately their health)#physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio RT @BenRowlesPhysio: @UnityPhysio @pasl_pt Thank you for this! Totally agree, https://t.co/9iFvyVyNkD actually aims to promote many aspects… |
| physiotalk @physiotalk @laurarathbone Is this something that you would do if needed during your interventions? #physiotalk |
| Laura Rathbone🌱✌🇪🇺🌈 @laurarathbone @physiotalk Aaah #physiotalk soz.. |
 | Kelly Saunders @kellsaun @physiotalk @UnityPhysio Defintely!!! Great activity for upper limb rehabilitation, looking at grip technique and motor control. Physio should be integrated into a functional context to support patients in understanding their movements and being able to self correct, promotes self management #physiotalk |
| Janet Thomas @JanetThomas47 @UnityPhysio @pasl_pt @agescotland The Age Well Eat Well team do offer local training - one of our nurses has done it. But it is very general linked with booklet I understand #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @laurarathbone @physiotalk Spot on! #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio @physiotalk Yeah I do if it’s a meaningful goal I do have one green trouser leg as well as blue (theoretically, otherwise it would look funny!) #physiotalk |
| Laura Rathbone🌱✌🇪🇺🌈 @laurarathbone @physiotalk I have explored cooking and what it means and sit down family meals and variation in diet. But it seems highly nuanced. I focus more on the meaning and the value versus specific nutritional advice. #physiotalk |
| physiotalk @physiotalk @niamhkea Do you think it would be useful for teams to have access to a nutritionist / dietitian (or do you already?) #physiotalk |
| Jo Jennings (she/her) @JoJenningsNHS @physiotalk Sorry forgot the #physiotalk Its been a while since I talked to pt about nutrition and cooking. Was always surprised how many people told me they wanted to know how to cook but had never learnt as it was never their 'role' in the household |
| Janet Thomas @JanetThomas47 @UnityPhysio @physiotalk Love it! At least in Scotland we are all in the same colour of uniform.... #physiotalk |
| Niamh Keating @niamhkea @physiotalk @UnityPhysio Yes, I have done 🙂. Sometimes the pt can be reluctant/unsure initially but if you start with a very simple idea, & something that they like to eat, and set a very achievable goal it can really work. #physiotalk |
 | ThePhysioBack @physio_back @physiotalk Hi. David, student from Bournemouth. It was breaded cod, roast potatoes and mixed veg (one of the few things we can eat as a family as the kids are very picky) #physiotalk |
| physiotalk @physiotalk Some great answers - although more questions that answers I think... Onto the next #physiotalk question of the night though |
| physiotalk @physiotalk RT @JoJenningsNHS: @physiotalk Sorry forgot the #physiotalk Its been a while since I talked to pt about nutrition and cooking. Was always s… |
| Unity Physiotherapy & Wellbeing @UnityPhysio @BenRowlesPhysio @JanetThomas47 @pasl_pt @agescotland The CSP say even if working crossing into nutritionist role (with additional training that’s not necessarily a nutritionist qualification) we aren’t insured as a physio #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk @UnityPhysio Walked with a young patient to the shops once and talked her through buying and cooking spag bol and storing it safely. Her children were in care and she wanted to be able to care for them. #physiotalk |
| physiotalk @physiotalk #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio @kellsaun @physiotalk Absolutely agree! Doing what’s functional and meaningful #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio RT @kellsaun: @physiotalk @UnityPhysio Defintely!!! Great activity for upper limb rehabilitation, looking at grip technique and motor contr… |
| Thrive Physiotherapy Education Services @ThrivePES @physiotalk Yes it's in a good position to, but there's no way a lot of physios will be educated enough or knowledgeable enough themselves to impart knowledge onwards appropriately #physiotalk |
| physiotalk @physiotalk Q3: What do you think we could learn from The Mediterranean Diet, from a physiotherapy and cooking perspective? #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @laurarathbone @physiotalk This is what https://t.co/9iFvyVyNkD is about. For nutrition advice, this needs to go through a dietitian, or using basic guides on NHS resources. For cooking however, we can promote eating with family, sourcing local foods etc #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk @UnityPhysio Sometimes making cups of tea/light meals/washing up is more meaningful to patients than doing exercises so we do that instead #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt @physiotalk @niamhkea In my practice, a wellness Assessment can include the Dietitian but in the Home Care setting oftentimes, you may have to share ideas with patients in the absence of a Dietician. Sometimes the 'Cooking' activity can be used as a from of Exercise :) #physiotalk. |
| Karen West 💙 @KWestPhysio @UnityPhysio @physiotalk Me too! #physiotalk |
| physiotalk @physiotalk RT @pasl_pt: @physiotalk @niamhkea In my practice, a wellness Assessment can include the Dietitian but in the Home Care setting oftentimes,… |
| Unity Physiotherapy & Wellbeing @UnityPhysio @JanetThomas47 @physiotalk Brilliant! When I worked in a stroke team I joked with my OT colleague that she had a blue trouser leg & I had a green one #physiotalk |
| Karen West 💙 @KWestPhysio @taher_jd @physiotalk Puts them more in control of their life too. #physiotalk |
| physiotalk @physiotalk @ThrivePES I suspect this is really the issue - linked with the scope of practice issues raised earlier. We need to be very clear what we can and cannot do and advise on when working as a physiotherapist #physiotalk |
| physiotalk @physiotalk RT @BenRowlesPhysio: @laurarathbone @physiotalk This is what https://t.co/9iFvyVyNkD is about. For nutrition advice, this needs to go throu… |
 | Freya Sledding 💙 @SleddingFreya RT @physiotalk: Good evening and welcome to tonights #physiotalk on Physiotherapy and Cooking |
| Unity Physiotherapy & Wellbeing @UnityPhysio @KWestPhysio @physiotalk That’s lovely 😊 Those are important goals and things for physios to be practicing with people. Cooking related too. #physiotalk |
| EQL @EQL_AI @BenRowlesPhysio @laurarathbone @physiotalk Yes, there's a difference between cooking advice and nutritional advice #physiotalk |
| Kelly Saunders @kellsaun @physiotalk Where good knowledge in terms of diet and health promotion is known guidance and how fits into individuals culture etc can be discussed as secondary prevention for example. Using cooking as activity as needed for independence or because gives joy should 100% be physio #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @physiotalk We've spoken a lot about nutrition, however The Mediterranean Diet is not just about nutrition. It encompasses regular physical activity, drinking moderate amounts of alcohol with meals, eating slower and with family (etc) #physiotalk Is food all about it's nutritinal value? |
| Freya Sledding 💙 @SleddingFreya @physiotalk I’m in very curious ... bobbing in for a listen #physiotalk |
| physiotalk @physiotalk @SleddingFreya Welcome! #physiotalk |
| Taher Jaffer @taher_jd @KWestPhysio @physiotalk Yes it does and that is what some stroke survivors would like to do as part of their rehab #physiotalk |
| physiotalk @physiotalk @BenRowlesPhysio That's such an interesting point. More about the lifestyle ethos perhaps? #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @physiotalk @ThrivePES Exactly! there's a lot about food and cooking which isn't to do with nutrition, even promoting to eat food with other peoples and not in front of the TV has been shown to have a positive effect in weight management in adolescent! #physiotalk |
| Laura Rathbone🌱✌🇪🇺🌈 @laurarathbone @physiotalk I have no idea what 'the Mediterranean diet' is? I grew up for a few years east side of spain & food was a family & village event. Every1 shared. Everything was available. Eating was a way loving, connecting and caring. But, this also meant women were @ home 1/ #physiotalk |
| EQL @EQL_AI @BenRowlesPhysio @physiotalk Not at all. In the NHS guidance 'Nutrition Matters' along with AGE UK have shown that for older people in care homes, the food is a key criteria that influences their perceived QOL. #Physiotalk |
| Kelly Saunders @kellsaun @physiotalk @niamhkea All rehab services should have access to dieticians to give specific advice for their conditon as guidance is different it isnt a generic one size diet fits all!! #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio @niamhkea @BenRowlesPhysio @JanetThomas47 @pasl_pt @agescotland Yes unfortunately and it’s not just the nutrition area #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt @BenRowlesPhysio @physiotalk Very true. #physiotalk |
| Freya Sledding 💙 @SleddingFreya RT @UnityPhysio: @physiotalk Yeah I do if it’s a meaningful goal I do have one green trouser leg as well as blue (theoretically, otherwise… |
| Freya Sledding 💙 @SleddingFreya RT @JanetThomas47: @UnityPhysio @physiotalk Love it! At least in Scotland we are all in the same colour of uniform.... #physiotalk |
| Niamh Keating @niamhkea @physiotalk @ThrivePES I think this is a major barrier that needs to addressed #physiotalk |
| Laura Rathbone🌱✌🇪🇺🌈 @laurarathbone @physiotalk I would hate us to go back to that. Cooking has changed partly in response to the social role of women. Any conversation around cooking and encouragement towards that needs to be respectful of the pressures upon the modern woman to 'do it all'. /2 #physiotalk |
| Jo Jennings (she/her) @JoJenningsNHS #physiotalk |
| physiotalk @physiotalk @kellsaun @niamhkea Certainly agree - but can access be limited? We can refer for some conditions and malnourished based on MUST score but I doubt dietitians have capacity to see all who would benefit from their advice - sadly #physiotalk |
| Thrive Physiotherapy Education Services @ThrivePES @physiotalk Definitely! Knowing the limits of your scope is important. If something is out of your scope refer onwards to someone more appropriate or look to up skill if you feel its really pertinent to your role. Physios are of the best placed professions to identify and referer #physiotalk |
| Laura Rathbone🌱✌🇪🇺🌈 @laurarathbone @physiotalk When I think of a Mediterranean diet, I dont just think olives and lemon juice. I think of the role cooking plays in the culture and the pressure upon women. This is important when appropriating the 'diet' fr ok m a different culture. Food doesn't happen in a vacuum. #physiotalk |
| physiotalk @physiotalk Onto our next question - time is marching on! #physiotalk |
| physiotalk @physiotalk RT @laurarathbone: @physiotalk When I think of a Mediterranean diet, I dont just think olives and lemon juice. I think of the role cooking… |
| Taher Jaffer @taher_jd @EQL_AI @KWestPhysio @physiotalk Agree, Cooking does serve as one of the best way to empower patients and good way to self manage themselves eventually. Reduces risk of deconditioning. #physiotalk |
| physiotalk @physiotalk Q4: Do you consider the Social Determinants of Health during your physiotherapy consultations ? #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt @laurarathbone @physiotalk I think 'guided moderation' without making it a rule might be the essence. #physiotalk |
| Niamh Keating @niamhkea @physiotalk In my experience dietician input in in-pt setting can be difficult to access as often their focus is often in mal-nutrition or undernitrition. #physiotalk |
| EQL @EQL_AI @physiotalk Great question #physiotalk |
| Niamh Keating @niamhkea @physiotalk @kellsaun I agree and just tweeted the same just now 🙂 #physiotalk |
| physiotalk @physiotalk More about social determinants of health here https://t.co/785D5HS2Yq #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @niamhkea @physiotalk Good point, it's mainly for those struggling with obesity and eating disorders who would benefit from their input! But this is important because dodgy nutrition and diet advice can make these issues worse for people #physiotalk |
| physiotalk @physiotalk The social determinants of health (SDH) are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life #physiotalk |
| Laura Rathbone🌱✌🇪🇺🌈 @laurarathbone @physiotalk Yes, we absolutely should. But also asking, do we know how accurate the social determinants of health are not he individual in front of us? #physiotalk |
 | SimpsonUpperLimb @LimbSimpson @physiotalk We are well positioned to be health advocates. We are excellent at signposting other services. Men / certain ethnic groups are less likely to consult with GP but may feel physio is accessible so it is a great opportunity to promote health #physiotalk |
| Kelly Saunders @kellsaun @physiotalk @niamhkea 100% access is a problem. But they are the experts and although we can provide generalised health promotion advice i believe we are doing are colleagues a disservice if we arent championing for the benefit of fellow AHPs and instead trying to fill the gap #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @physiotalk This is where https://t.co/9iFvyVyNkD makes it's link between physio and cooking. The social determinants of health show that cultural, environmental, and socio-economic factors have the largest effect on our health and well-being (according to the Kinds Fund) #physiotalk |
 | Graeme Paul-Taylor @GraemeGpt @physiotalk Absolutely critical if working with a Biopsychosocial model #physiotalk |
| Janet Thomas @JanetThomas47 @laurarathbone @physiotalk Very difficult I would imagine - even when our assessment is part of a comprehensive overview of people (such as the CGA all my patients get with Ax by a MDT) #physiotalk |
| Niamh Keating @niamhkea @UnityPhysio @BenRowlesPhysio @JanetThomas47 @pasl_pt @agescotland I must look into this further, I work in cardiac rehab and talk about nutrition (evidence-based of course) on a daily basis as part of my role. Surely this is ok? #physiotalk |
| physiotalk @physiotalk RT @kellsaun: @physiotalk @niamhkea 100% access is a problem. But they are the experts and although we can provide generalised health promo… |
| Laura Rathbone🌱✌🇪🇺🌈 @laurarathbone @BenRowlesPhysio @physiotalk I love how wide and varied physiotherapy can be when we really open up to the concept if "thriving" :) #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @physiotalk Promoting cooking includes: Promoting social, psychological, physical, environmental factors, which is something we do daily in a normal physio assessment/intervention! #physiotalk |
| physiotalk @physiotalk @GraemeGpt Do you think we can cover these adequately in a standard physiotherapy Ax? #physiotalk |
| physiotalk @physiotalk RT @BenRowlesPhysio: @physiotalk Promoting cooking includes: Promoting social, psychological, physical, environmental factors, which is som… |
| B e n R o w l e s @BenRowlesPhysio @niamhkea @UnityPhysio @JanetThomas47 @pasl_pt @agescotland Yeah basic nutrition in-line with current evidence is all good, that's just like promoting guidelines! #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk Lots of my patients don't have the resources to make healthy choices #physiotalk |
| physiotalk @physiotalk #physiotalk |
| physiotalk @physiotalk @KWestPhysio That is great to hear #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio @niamhkea @BenRowlesPhysio @JanetThomas47 @pasl_pt @agescotland I think it depends what you are saying and if it’s basic advice as per the PHE campaign. Drop me a message and will let you know what I’ve been told #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk Thank you #physiotalk |
| Kelly Saunders @kellsaun @niamhkea @physiotalk Its also looking at the patients needs in clinical area and what require from the dietetics, not everyone needs f2f assessments or appointments and maybe need to be innovative in how that expert support is given and mediums used #physiotalk |
| physiotalk @physiotalk @KWestPhysio I suspect this is at the root of the issue Financial and also knowledge based? #physiotalk |
| physiotalk @physiotalk RT @BenRowlesPhysio: @niamhkea @UnityPhysio @JanetThomas47 @pasl_pt @agescotland Yeah basic nutrition in-line with current evidence is all… |
| physiotalk @physiotalk ust over 10 minutes left Better move onto the next question! Some great discussions tonight! #physiotalk |
| Kelly Saunders @kellsaun @physiotalk @KWestPhysio Its interesting also how even with good knowledge people dont follow what they know and the huge range of reasons behind this. #physiotalk |
| physiotalk @physiotalk #physiotalk |
| physiotalk @physiotalk @EQL_AI @kellsaun @niamhkea That's an interesting point - would love to hear if remote consultations have improved peoples knowledge of the patients home life? #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @kellsaun @niamhkea @physiotalk Telehealth is growing at the mo, accelerated by covid-19 of course! Works well for a lot of people when they understand how it works! #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk Also people may be time poor, working long hours, using public transport and don't have time to cook when they get home #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @kellsaun @physiotalk @KWestPhysio Motivational Interviewing may help support this? #physiotalk |
| physiotalk @physiotalk Q5: What techniques do you use in practice to facilitate lifestyle changes? And have you found these techniques useful? #physiotalk |
| Karen West 💙 @KWestPhysio @kellsaun @physiotalk I think we all do this from time to time #physiotalk |
 | Ant Duttine @antduttine @physiotalk Really important question. I'd add that it should not only be considered in physiotherapy consultations but also in service planning and development #physiotalk |
| Karen West 💙 @KWestPhysio @BenRowlesPhysio @kellsaun @physiotalk If you have a "customer for change", yes #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @KWestPhysio @physiotalk When I spoke to a dietitian they said the two main barriers they face with clients are 1. Not knowing how to cook, and 2. Time ! Great point ! #physiotalk |
| physiotalk @physiotalk RT @antduttine: @physiotalk Really important question. I'd add that it should not only be considered in physiotherapy consultations but als… |
| Laura Rathbone🌱✌🇪🇺🌈 @laurarathbone @physiotalk @EQL_AI @kellsaun @niamhkea I mostly work through a 'virtual' clinic as I see people referred to me from around the world. I find it's a great opportunity to be introduced to their home, their garden and how they spend their days. I'm able to present as people so their functional goals! #physiotalk |
| Kelly Saunders @kellsaun @BenRowlesPhysio @niamhkea @physiotalk Its also thinking about remote online drop in sessions for example. Communities of people can access a specialist to ask there specific questions as they go along their journey for example. No referrals, just accessible. #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk Providing information, exploring barriers and how to overcome them #physiotalk |
| physiotalk @physiotalk @BenRowlesPhysio @KWestPhysio Is cooking still taught in all schools? Certainly was with my children in Scotland - I presume so in rest of UK??? #physiotalk |
| Graeme Paul-Taylor @GraemeGpt @physiotalk Person centred approaches and shared decision Making underpin the talking skills that help. Specific skills such as MI help #physiotalk |
| physiotalk @physiotalk @laurarathbone @EQL_AI @kellsaun @niamhkea That sounds fabulous. Must give so much insight to you as part of your Ax and then interventions #physiotalk |
| Laura Rathbone🌱✌🇪🇺🌈 @laurarathbone @physiotalk Without a doubt facilitating behaviour change is massively improved by deep learning of a cognitive and behavioural change framework. Obviously I use ACT as i teach it, but i also find motivational interviewing really a big part of my practice. #physiotalk |
| Niamh Keating @niamhkea @BenRowlesPhysio @physiotalk Yes this is true. But even those with obesity dont often get seen as an in patient in my experience. Missed opportunity in my opinion. Teachable moment as they say. #physiotalk |
| Graeme Paul-Taylor @GraemeGpt @physiotalk @BenRowlesPhysio @KWestPhysio If you mean bring in a jar of pasta sauce and some pasta to cooking lessons then yes!!! #physiotalk |
| physiotalk @physiotalk RT @laurarathbone: @physiotalk Without a doubt facilitating behaviour change is massively improved by deep learning of a cognitive and beha… |
| B e n R o w l e s @BenRowlesPhysio @physiotalk @KWestPhysio It is a subject, but people like @jamieoliver are trying to push this further in their campaign to lower childhood obesity rates in the UK! It's come a long way since Jamie's School Dinners but definitely more work to be done, especially for deprived areas! #physiotalk |
| Karen West 💙 @KWestPhysio @antduttine @physiotalk And across the entire life course. Good nutrition essential for children, adults and older people. Different needs at different stages of life #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt Maximizing on time spent by providing, advice, information, guidance and tips #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio @physiotalk Really understanding the person in front of me & working in partnership with them towards values based goals, being curious when things go well or don’t. Really good communication is a foundation #physiotalk |
| Kelly Saunders @kellsaun @BenRowlesPhysio @physiotalk @KWestPhysio Yeah potentially. Eating habits and diet are influenced by so many factors including many psychological that are often entrenched from a young age. Breaking down and changing those can require huge patient motivation levels as well as guidance and support #physiotalk |
| physiotalk @physiotalk @GraemeGpt @BenRowlesPhysio @KWestPhysio Eeek! Surely not.... My children did quite a bit at school (and even more at home!) #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio @laurarathbone @physiotalk I use ACT and compassionate approaches, basic MI too (planning to learn more about Mi) #physiotalk |
| Taher Jaffer @taher_jd @physiotalk We should involve it as part of comprehensive History taking. A patient centered approach helps patient’s overall rehabilitation needs. #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk @BenRowlesPhysio My children seemed to spend lots of time looking at marketing biscuits and not actually learning life skills. It was called food tech not cooking. #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt Q5. Some patients may require behavioral change/motivation as well. Meet the patient at their level and work from there? #physiotalk. |
| Janet Thomas @JanetThomas47 @KWestPhysio @physiotalk @BenRowlesPhysio Whats in a name... Domestic science Home economics Food technology Basic cooking skills probably far more important... (Says someone with an A level in Home economics…) #physiotalk |
| physiotalk @physiotalk Time for the final question of the night... #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @KWestPhysio @physiotalk There is a sad link between deprivation in the UK, childhood obesity, and reduced physical activity! Could learning to cook and promoting being physically activity in schools in less privileged areas help this? #physiotalk |
| physiotalk @physiotalk Q6: What is your view on diet plans for weight loss goals in the healthy population? #physiotalk |
| Karen West 💙 @KWestPhysio @JanetThomas47 @physiotalk @BenRowlesPhysio Somebody lost sight of basic cooking skills somewhere along the line #physiotalk |
| physiotalk @physiotalk RT @BenRowlesPhysio: @KWestPhysio @physiotalk There is a sad link between deprivation in the UK, childhood obesity, and reduced physical ac… |
| physiotalk @physiotalk @BenRowlesPhysio @KWestPhysio The #DailyMile has done so much to help physical activity Need something similar for nutrition? #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio @laurarathbone @physiotalk @motivationalmad *relook though technically book another course!#physiotalk |
| Karen West 💙 @KWestPhysio @BenRowlesPhysio @physiotalk Definitely - would probably also increase literacy and numeracy abilities and mental health too #physiotalk |
| EQL @EQL_AI #physiotalk |
 | Machine Learning Bot @ML_Tweet_Bot RT @EQL_AI: #physiotalk https://t.co/pKzns26vhq |
| EQL @EQL_AI #Physiotalk |
| B e n R o w l e s @BenRowlesPhysio @physiotalk When reading more in to diet trends (such as those with high food restrictions) and lifestyle fads such as 'Clean Eating Diet', it's not nice to see that they can be a driver for disordered eating, which can lead to eating disorders such as bulimia and anorexia #physiotalk |
| physiotalk @physiotalk That is the hour up! #physiotalk |
| Karen West 💙 @KWestPhysio @BenRowlesPhysio @physiotalk This just appeared in my feed https://t.co/xVl9exjtHp #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @physiotalk Thank you everyone!! If you'd like to know more about https://t.co/9iFvyVyNkD, then please check our my website: https://t.co/Y78XL3tfvN #physiotalk |
| physiotalk @physiotalk Feel free to keep on chatting of course - there have been some really interesting conversations tonight. Huge thanks to @BenRowlesPhysio for the chat idea and tonights questions #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk Faddy, aimed at short term gain rather than long term behaviour change #physiotalk |
| Kelly Saunders @kellsaun @laurarathbone @physiotalk Definitely understanding of cognitve and behaviour is needed to influence positive change. Who has given out leaflets for diet and health promotion??? Any evidence they make meaningful change??? Definetly not individualised 🤔 #physiotalk |
| EQL @EQL_AI We really enjoyed joining this global #Physiotalk twitter chat. Thanks for the insightful opinions @physiotalk |
| physiotalk @physiotalk @EQL_AI Thanks for taking part! #physiotalk |
| Kelly Saunders @kellsaun @physiotalk Thanks for the #physiotalk it was great 👍 |
| Unity Physiotherapy & Wellbeing @UnityPhysio @physiotalk Fad diets are a big problem rather than long-term healthy eating, regular exercise & a healthy lifestyle. Sometimes we need to delve deeper than the weight loss goal to get to sometimes motivators for behaviour change #physiotalk |
| Laura Rathbone🌱✌🇪🇺🌈 @laurarathbone @BenRowlesPhysio @physiotalk I think it's an interesting point, but perhaps goes a bit far in assuming causation. Disordered eating that develops into food restriction and purging is part of a complex and nuanced disorder. But I completely agree, they contribute to toxic positivity and shame. #physiotalk |
 | Dale Whelehan @Daleyfurter @physiotalk Great stuff! We’ve just submitted a manuscript on heuristics and cognitive biases for peer review so looking forward to engaging on this topic! @physiotutorium #physiotalk |
| Unity Physiotherapy & Wellbeing @UnityPhysio @physiotalk Thank you all #physiotalk |
| Taher Jaffer @taher_jd @physiotalk Education and information on having a healthy lifestyle, how it can prevent further complications. But also helping patients on implementing it. Its complicated for some patients but might work with others. #physiotalk |
| Laura Rathbone🌱✌🇪🇺🌈 @laurarathbone @BenRowlesPhysio @physiotalk People struggling with orthorexia has been celebrated by social media much like anorexia and bulimia were (are still) celebrated by the fashion industry. Celery restrictive diets ik n healthy people have no place in healthcare. #physiotalk |
| physiotalk @physiotalk @Daleyfurter @physiotutorium Great! 'See you' on the 27th #physiotalk |
 | Becky Danby @BeckyD_physio @physiotalk Slightly off tangent, but I'm reading the book 'Why We Sleep' and it emphasises the value of sleep hygiene in health and well-being. I haven't seen or heard much of this being spoken about as part of a physiotherapist's role in health promotion - does it have a place? #physiotalk https://t.co/YThsQMRgkm |
| B e n R o w l e s @BenRowlesPhysio @laurarathbone @physiotalk Yeah they have been shown to be a 'driver', instead of the 'cause', the cause is a very complex topic! But a driver isn't good! #physiotalk |
| Thrive Physiotherapy Education Services @ThrivePES @BenRowlesPhysio @physiotalk @KWestPhysio Yes yes yes! That's where the approach needs to be so much wider and more preventive than reactive! #physiotalk good talk tonight, thanks for provoking some thoughts in a different area for us!! |
| B e n R o w l e s @BenRowlesPhysio @PhysioRD @physiotalk I'd argue it has a place for sure, I often ask about sleep during consultations! Sleep can have an effect on so much, including pain! #physiotalk |
| physiotalk @physiotalk @PhysioRD We did a #physiotalk on the topic a couple of years ago. Transcript linked to the blog posting if you want a read! https://t.co/Lq7tUAoDzy |
| physiotalk @physiotalk @ThrivePES @BenRowlesPhysio @KWestPhysio Thanks to @BenRowlesPhysio for the idea! Always looking for chat topics - we respond to what our followers suggest! #physiotalk |
| Laura Rathbone🌱✌🇪🇺🌈 @laurarathbone @BenRowlesPhysio @physiotalk Aaah I see what you said now...sorry you did say driver. Do your hunk they are a driver or part of the solution? When I say solution, I mean for the person that is using alert restriction as a way of making sense of their situation. #physiotalk |
| Niamh Keating @niamhkea @PhysioRD @physiotalk I absolutely buy into this and talk about sleep alot in consultations. Sleep deprived tend to eat less healthy, make poorer food choices etc. But also in term of CV and general health sleep is not prioritised enough! #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @PhysioRD @physiotalk @physiotalk Sleep could be a good talking point, if not done so before! #physiotalk |
| B e n R o w l e s @BenRowlesPhysio @laurarathbone @physiotalk I guess it depends if they feel they are struggling with their symptoms or not.. #physiotalk |
| Thrive Physiotherapy Education Services @ThrivePES @physiotalk @BenRowlesPhysio @KWestPhysio Well we always like to talk about physiotherapy in sport, especially education and opportunities around the field, particularly in students and junior physios 🤷♂️👀 #physiotalk |
 | Catherine Thompson @CatherineThomp8 RT @physiotalk: Q1: Do you think that physiotherapy is in a well placed position to promote health and well-being? #physiotalk |
| Niamh Keating @niamhkea @physiotalk Fantastic tweetchat, thank you! #physiotalk |
| physiotalk @physiotalk @ThrivePES @BenRowlesPhysio @KWestPhysio If you want to suggest a topic - feel free! We have dates available from 24th August #physiotalk |
| B e n R o w l e s @BenRowlesPhysio Thank you to everyone who joined in on the @physiotalk tweetchat tonight! To find out more about Physio . Kitchen, check out my website (https://t.co/Y78XL3tfvN) #physiotalk |
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